fa بررسی رفتار پیاده‌روی زنان مبتلا به دیابت نوع دو و ارتباط آن با سواد سلامت: کاربرد مدل اعتقاد بهداشتی آموزش بهداشت و ارتقاء سلامت education health and promotion پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">مقدمه:</span></span></span></b><b> </b><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">امروزه نقش تأثیر گذار سواد سلامت و فعالیت‌های جسمانی در سلامت، پیشگیری و کنترل بسیاری از بیماری‌ها از جمله دیابت ثابت شده است. پژوهش حاضر با هدف بررسی رفتار پیاده‌روی بر اساس مدل اعتقاد بهداشتی</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> (</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Health belief model</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> یا </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HBM</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> در زنان مبتلا به دیابت و ارتباط آن با سواد سلامت در شهر قم انجام شد</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span dir="LTR" style="font-size:9.0pt"><span bold="" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">روش‌ها</span></span></span></b><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">: </span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">این مطالعه توصیفی- تحلیلی، بر روی 300 نفر از زنان مبتلا به دیابت 30 تا 50 ساله مراجعه‌کننده به مراکز جامع سلامت در سال 1400 انجام شد. نمونه‌ها به روش نمونه‌گیری خوشه‌ای چند مرحله‌ای انتخاب شدند. داده‌ها با استفاده از پرسش‌نامه‌های دموگرافیک، رفتار پیاده‌روی بر اساس </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HBM</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> و سواد سلامت بزرگسالان (</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">TOFHLA</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> یا </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Test of functional health literacy in adults</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">) جمع‌آوری گردید و </span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">با استفاده از</span></span></span> <span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">آزمون‌های توصیفی و استنباطی در </span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">نرم‌افزار </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> مورد تجزیه و تحلیل قرار گرفت</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">یافته‌ها:</span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">میانگین نمره رفتار پیاده‌روی در زنان مبتلا به دیابت در حد متوسط بود (7/50 درصد). ارتباط مثبت و معنی‌داری بین سواد سلامت کلی با سازه‌های حساسیت درک شده، شدت درک شده و منافع درک شده مشاهده شد (05/0 > </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">). بین سواد سلامت کل و پیاده‌روی نیز ارتباط مثبت و معنی‌داری وجود داشت (05/0 > </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">). مهم‌ترین منبع کسب اطلاعات و راهنمایی برای رفتار پیاده‌روی زنان مبتلا به دیابت از طریق پزشک بود (60 درصد)</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">.</span></span></span><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">نتیجه‌گیری:</span></span></span></b> <span lang="AR-SA" style="font-size:9.0pt"><span b="" style="font-family:" zar=""><span style="color:black">افزایش سواد سلامت، می‌تواند تأثیر موانع درک شده (وزن، سن، وضعیت بیماری، مدت ابتلا به بیماری) در رفتار پیاده‌روی را کاهش دهد. همچنین، پزشکان و کادر بهداشت و درمان جزء افراد تأثیرگذار بر بیماران جهت افزایش آگاهی و راهنما برای عمل می‌باشند و باید درافزایش سواد سلامت بیماران به این نکته توجه کرد.</span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Background</span></span></span></b><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Today, the effective role of health literacy and physical activities in health, prevention, and control of many diseases, including diabetes, has been proven. The present study was conducted with the aim of investigating walking behavior based on the health belief model (HBM) in women with diabetes and its relationship with health literacy in Qom City, Iran</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">This descriptive-analytical study was conducted on 300 women with diabetes aged 30 to 50 referring to comprehensive health centers in 2021, who were selected through multi-stage cluster sampling. Data were collected using three questionnaires, including demographics, walking behavior based on the HBM, and health literacy of adults [Test of Functional Health Literacy in Adults (TOFHLA)], and were analyzed using descriptive and inferential statistical tests via SPSS software</span></span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Findings:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">The mean score of walking behavior in women with diabetes was in an average range (50.7%). A positive and significant relationship was observed between overall health literacy and the constructs of awareness, perceived sensitivity, perceived severity, and perceived benefits (P < 0.05). Moreover, a positive and significant relationship was observed between overall health literacy and walking (P < 0.05). The most important source of obtaining information and guidance for walking behavior of women with diabetes was through the doctor&rsquo;s recommendation (60%).</span></span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Increasing health literacy can reduce the impact of perceived barriers (such as weight, age, disease status, duration of disease) on walking behavior. Besides, doctors and health care staff are among the people who influence patients in terms of increasing awareness and guiding for action, and it is necessary to pay attention to this point in increasing the health literacy of patients</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span></span></span></span></span></div> پیاده‌روی, سواد سلامت, دیابت نوع دو, زنان, مدل اعتقاد بهداشتی Walking, Health literacy, Type 2 diabetes, Women, Health belief model 148 156 http://hsr.mui.ac.ir/browse.php?a_code=A-10-594-2&slc_lang=fa&sid=1 Fatemeh Sadat Izadkhah فاطمه سادات ایزدخواه f.izadkhah71@gmail.com 0000-0002-9626-8698 No PhD Student, Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran دانشجوی دکتری تخصصی، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی ایران، تهران، ایران Gholamreza Sharifirad غلامرضا شریفی‌راد dr.sharifirad@gmail.com No Professor, Department of Health Promotion and Education, School of Health, Qom University of Medical Sciences, Qom, Iran استاد، گروه آموزش و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی قم، قم، ایران Siamak Mohabi سیامک محبی mohebisiamak@yahoo.com No Professor, Department of Health Promotion and Education, School of Health, Qom University of Medical Sciences, Qom, Iran استاد، گروه آموزش و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی قم، قم، ایران Ehsan Vasali-Monfared احسان وصالی منفرد vesali.phd97@gmail.com No Assistant Professor, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran استادیار، مرکز تحقیقات بیماری‌های گوارش و کبد، دانشگاه علوم پزشکی قم، قم، ایران Maryam Barati مریم براتی Barati85@gmail.com No Assistant Professor, Department of Health Education and Health Promotion, School of Health, Arak University of Medical Sciences, Arak, Iran استادیار، گروه آموزش بهداشت و ارتقای سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی اراک، اراک، ایران Ahmad Rahbar احمد راهبر Ahm418rahbar@yahoo.com 0000-0003-4328-2645 Yes Associate Professor, Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran دانشیار، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی قم، قم، ایران