fa درک بیماران مبتلا به بیماری قلبی عروقی از منافع و موانع رفتارهای ارتقاء سلامتی قلبی عروقی Cardiovascular پژوهشي Research <p style="TEXT-ALIGN: justify MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">هدف.</span></b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" lang="FA"> </span><a name="OLE_LINK6"></a><a name="OLE_LINK5"><span style="mso-bookmark: OLE_LINK6"><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">هدف از مطالعه حاضر بررسی درک بیماران مبتلا به بیماری قلبی عروقی از منافع و موانع رفتارهای ارتقاء سلامتی بود. </span></span></a><span style="mso-bookmark: OLE_LINK5"><span style="mso-bookmark: OLE_LINK6"><span dir="ltr"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr" lang="FA"><span dir="ltr"></span><span style="mso-spacerun: yes"><font size="2"> </font></span></span></span></span><span style="mso-bookmark: OLE_LINK6"></span><span style="mso-bookmark: OLE_LINK5"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><p></p></span></p><p style="TEXT-ALIGN: justify MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" lang="AR-SA">زمینه.</span></b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" lang="AR-SA"> </span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">بر اساس مدل ارتقاء سلامتی پندر، رفتارهای عاطفی خاصی مانند درک از منافع و موانع بر تغییر رفتارهای سلامتی اثر دارند.</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr"><p></p></span></p><p style="TEXT-ALIGN: justify MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">روش کار.</span></b><span dir="ltr"></span><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" dir="ltr" lang="FA"><span dir="ltr"></span> </span></b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">در این مطالعه توصیفی-مقطعی،</span><span dir="ltr"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr" lang="FA"><span dir="ltr"></span> </span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>260 بیمار قلبی عروقی از بخش تست ورزش بیمارستان تامین اجتماعی شهریار در سال 1388 انتخاب شدند. روش نمونه گیری در مطالعه حاضر به روش آسان بود. داده ها به روش مصاحبه جمع آوری گردید. ابزار مورد استفاده در این پژوهش شامل فرم مشخصات دموگرافیک، پرسشنامه ارزیابی منافع و پرسشنامه ارزیابی موانع بود. اطلاعات توسط نرم افزار آماری </span><span dir="ltr"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr"><span dir="ltr"></span><font size="2"><span style="mso-spacerun: yes"> </span>SPSS</font></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">با استفاده از آمار توصیفی، تی تست، آنالیز واریانس یک طرفه و ضریب همبستگی پیرسون تحلیل گردید.<p></p></span></p><p style="TEXT-ALIGN: justify MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">یافته ها.</span></b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" lang="FA"> </span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">یافته ها نشان داد که میانگین نمره درک از منافع رفتارهای ارتقاء سلامتی 83/3±14/41 بود و 7/83 درصد بیماران درک بالایی از منافع رفتارهای ارتقاء سلامت داشتند. درک از منافع رابطه آماری معناداری با سطح تحصیلات (024/0=</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr">p</span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) و شغل (021/0=</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr">p</span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) داشت. میانگین نمره درک از موانع رفتارهای ارتقاء سلامتی 31/6±81/26 بود و 3/66 درصد بیماران درک متوسطی از موانع رفتارهای ارتقاء سلامت داشتند. درک از موانع رابطه آماری معناداری با جنس (034/0=</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr">p</span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) و وضعیت تأهل (047/0=</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr">p</span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) داشت. همبستگی معکوس معناداری بین درک از منافع رفتارهای ارتقاء سلامتی و درک از موانع رفتارهای ارتقاء سلامتی وجود داشت (001/0=</span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" dir="ltr">P</span><span dir="rtl"></span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>).<p></p></span></p><p style="TEXT-ALIGN: justify MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">نتیجه گیری.</span></b><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt" lang="FA"> </span><span style="FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 10pt mso-fareast-font-family: 'Times New Roman' mso-bidi-language: FA" lang="FA">با توجه به نتایج مطالعه حاضر به نظر می رسد افزایش درک بیماران قلبی عروقی از منافع رفتارهای ارتقاء سلامتی با کاهش موانع رفتارهای ارتقاء سلامت همراه است. ممکن است مداخلات آموزشی توسط پرستاران حرفه ای برای بیماران مبتلا به بیماری قلبی عروقی به پیروی از رفتارهای ارتقاء سلامت کمک نماید.<p></p></span></p> <p style="MARGIN: 0cm 0cm 0pt" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Aim. </span></b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">The aim of this study was to investigate percpectives of patients with cardiovascular disease about barriers and benefits of health promotion behaviors.<p></p></span></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Background.</span></b><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> Based on Pender’s health promotion model</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">, </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">certain</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> emotional behaviors</span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> such as</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">perceived</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">benefits</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">and barriers</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> have effect on </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">changing</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> </span></span><span class="hps"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">health behaviors</span></span><span class="longtext"><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">.</span></span><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"><p></p></span></b></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Method</span></b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">. In a descriptive cross sectional study, 260 patients with cardiovascular disease were selected from exercise tolerant test ward of Shahriar social security hospital in 2009. In this study, sampling method was simple. Data were collected through interview.<font size="3"><font face="Times New Roman"><span style="mso-spacerun: yes">  </span>The instruments included demographic form, Benefits Assessment Scale and Barriers Assessment Scale. The data were analyzed by using SPSS software and descriptive statistics, T-test, ANOVA and Pearson coefficient correlation. <p></p></font></font></span></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Findings.</span></b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt"> The findings showed that mean score of perception of health promotion behaviors benefits was 41.14±3.82, and 83.7% of patients had high scores of perception about benefits of health promotion behaviors. There was statistically significant correlation of perception of benefits with education level (P=0.024) and job (P= 0.021). Mean score of perception of health promotion behaviors barriers was 26.81±6.31 and 66.3% of patients had moderate scores of perception about barriers of health promotion behaviors. Perception of barriers was significantly associated with gender (P=0.034) and marital status (P= 0.047).There was negative significant correlation between perception of benefits and perception of barriers (p=0.001).<p></p></span></p><p style="MARGIN: 0cm 0cm 0pt" class="MsoNoSpacing"><b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Conclusion. </span></b><span style="FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt">Regarding the results of this study, seems that increasing perception of patients with cardiovascular disease about benefits of health promotion behaviors is associated with decreased barriers of health promotion behaviors. Educational interventions by professional nurses for patients with cardiovascular disease may<font size="3"><font face="Times New Roman"><span style="BACKGROUND: white"> help the patients to adherence to </span>health promotion behaviors<span style="BACKGROUND: white">.</span></font></font></span></p> کلید واژه ها: رفتارهای ارتقاء سلامت، منافع، موانع، بیماری قلبی عروقی Health promotion behaviors, Benefits, Barriers, Cardiovascular disease 16 23 http://journal.icns.org.ir/browse.php?a_code=A-10-63-9&slc_lang=fa&sid=1 Ebrahim Fallah Taher pazir ابراهیم فلاح طاهر پذیر 1003194753284600260 1003194753284600260 No Bachelor of Science in Nursing بیمارستان تأمین اجتماعی Sharareh Zeighami Mohammadi شراره ضیغمی محمدی zeighami@kiau.ac.ir 1003194753284600261 1003194753284600261 Yes Department of Medical- Surgical Nursing دانشکده پرستاری و مامایی Farzad Fahidy فرزاد فهیدی 1003194753284600262 1003194753284600262 No