اثربخشی بسته آموزشی ارتقای سبک زندگی سالم مبتنی بر فرهنگ ایرانی و اسلامی بر تبعیت از درمان و سلامت بیماران مبتلا به دیابت

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی سلامت، واحدبین الملی کیش، دانشگاه ازاد اسلامی، جزیزه کیش، ایران

2 دانشیار، گروه روانشناسی بالینی، دانشگاه خوارزمی، تهران، ایران (نویسنده مسئول)

3 استادیار، گروه روان شناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

4 دانشیار، گروه روان شناسی، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران

چکیده

مقدمه: این پژوهش با هدف بررسی اثربخشی بسته آموزشی ارتقای سبک زندگی سالم مبتنی بر فرهنگ ایرانی و اسلامی بر تبعیت از درمان و سلامت بیماران مبتلا به دیابت انجام شد.
روش کار: این پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون با گروه کنترل و دوره پیگیری دو ماهه بود. جامعه آماری شامل کلیه مراجعه‌کنندگان به یکی از مراکز روان‌درمانی منطقه 5 شهر تهران بود. نمونه پژوهش شامل 30 نفر (15 نفر گروه آزمایش و 15 نفر گروه کنترل) بود که به روش هدفمند انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه تبعیت از درمان بیماران دیابتی و پرسشنامه سلامت عمومی (GHQ) بود. گروه آزمایش در ده جلسه آموزشی شرکت کردند که مباحثی همچون تغذیه سالم، فعالیت بدنی، مدیریت استرس، مراقبت‌های پزشکی، آموزه‌های دینی، و روابط خانوادگی و اجتماعی را پوشش می‌داد.
نتایج: نتایج تحلیل واریانس با اندازه‌گیری مکرر نشان داد که بسته آموزشی ارتقای سبک زندگی سالم مبتنی بر فرهنگ ایرانی و اسلامی به طور معنی‌داری بر تبعیت از درمان و سلامت عمومی بیماران مبتلا به دیابت اثربخش بوده است. گروه آزمایش در مراحل پس‌آزمون و پیگیری بهبود قابل توجهی در نمرات تبعیت از درمان و سلامت عمومی نشان دادند، در حالی که گروه کنترل تغییرات معناداری را نشان نداد. بسته آموزشی مبتنی بر فرهنگ ایرانی و اسلامی تاثیر مثبتی بر تبعیت از درمان و سلامت بیماران دیابتی دارد (001/0>P).  
نتیجه گیری: این نتایج نشان‌دهنده اهمیت طراحی مداخلات آموزشی با توجه به فرهنگ و ارزش‌های بومی است. استفاده از چنین برنامه‌هایی می‌تواند به بهبود مدیریت دیابت و کاهش عوارض آن کمک کند.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of a Healthy Lifestyle Promotion Educational Package Based on Iranian and Islamic Culture on Treatment Adherence and Health in Diabetic Patients

نویسندگان [English]

  • Leila Sadat Mirseifi Fard 1
  • Mohammad Hatami 2
  • Mehrdad Sabet 3
  • Kobra Haji Alizadeh 4
1 Department of Health psychology, kish International Branch, Islamic Azad University, kish Island, Iran
2 Associate Professor, Department of Clinical Psychology, Kharazmi University,Tehran, Iran (Corresponding Author)
3 Assistant Professor, ‏ Department of psychology,Roudehen Branch, Islamic Azad ‏University, Roudehen, Iran
4 Associat Professor, Department of Psychology, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran
چکیده [English]

Introduction: This study aimed to evaluate the effectiveness of a healthy lifestyle promotion educational package based on Iranian and Islamic culture on treatment adherence and health in diabetic patients.
Methods: This quasi-experimental study employed a pre-test and post-test design with a control group and a two-month follow-up period. The statistical population included all visitors to a psychotherapy center in District 5 of Tehran. The sample consisted of 30 individuals (15 in the experimental group and 15 in the control group) selected through purposive sampling. Research instruments included the Diabetes Treatment Adherence Questionnaire and the General Health Questionnaire (GHQ). The experimental group participated in ten educational sessions covering topics such as healthy nutrition, physical activity, stress management, medical care, religious teachings, and family and social relationships.
Results:  Results from repeated measures ANOVA indicated that the educational package significantly improved treatment adherence and general health in diabetic patients. The experimental group showed substantial improvement in treatment adherence and general health scores in the post-test and follow-up phases, while the control group did not exhibit significant changes. The educational package based on Iranian and Islamic culture positively impacted treatment adherence and health in diabetic patients. These results highlight the importance of designing educational interventions that consider local culture and values (P<0.001).
Conclusion: Implementing such programs can aid in better diabetes management and reduce its complications.

کلیدواژه‌ها [English]

  • Diabetes
  • General Health
  • Healthy Lifestyle
  • Iranian and Islamic Culture

مراجع

  1. 1.DeMolitor, L., Dunbar, M., Vallis, M. Diabetes distress in adults living with type 1 and type 2 diabetes: A public health issue. Canadian Journal of Diabetes 2020; 44(6), 549-554.

    2.Ho, J., Nicolucci, A. C., Virtanen, H., Schick, A., Meddings, J., Reimer, R. A. Effect of prebiotic on microbiota, intestinal permeability, and glycemic control in children with type 1 diabetes. The Journal of Clinical Endocrinology  Metabolism 2019; 104(10), 4427-4440.

    3.Lingvay, I., Sumithran, P., Cohen, R. V.,  le Roux, C. W. Obesity management as a primary treatment goal for type 2 diabetes: time to reframe the conversation. The Lancet 2022; 399(10322), 394-405.

    1. Hosseini S S, Ahadi M, Hatami M, Khalatbari J. Comparison of the Effectiveness of Mindfulness-Based Therapy and Acceptance and Commitment Therapy on Resilience, Psychological Well-Being and Blood Sugar levels in patients with type 2 diabetes. IJPN 2021; 9 (1) :89-102

    5.Matin, H., Nadrian, H., Jahangiry, L., Sarbakhsh, P.,  Shaghaghi, A. Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran. Patient preference and adherence 2019; 783-793.

    1. Dibble, K. E., Deng, Z., Connor, A. E. Disparities in perceived quality of breast cancer survivorship care among older women by general health status: A SEER-CAHPS study. In Cancer Epidemiology, Biomarkers Prevention . The American Association for Cancer Research 2023; 32 (1): C116-C116.
    2. Foerster, M., Henneke, A., Chetty-Mhlanga, S., Röösli, M. Impact of adolescents’ screen time and nocturnal mobile phone-related awakenings on sleep and general health symptoms: a prospective cohort study. International journal of environmental research and public health 2019; 16(3), 518. https://doi.org/10.3390/ijerph16030518

    8.Yıldırım, M., Akgül, Ö.,  Geçer, E. The effect of COVID-19 anxiety on general health: The role of COVID-19 coping. International Journal of Mental Health and Addiction 2022; 20(2), 1110-1121. https://doi.org/10.1158/1538-7755.DISP22-C116

    9.Finbråten, H. S., Guttersrud, Ø., Nordström, G., Pettersen, K. S., Trollvik, A., Wilde-Larsson, B. Explaining variance in health literacy among people with type 2 diabetes: the association between health literacy and health behaviour and empowerment. BMC Public Health 2020; 20, 1-12.

    1. Harada, Y., Prajapati, D., Poudel, P., Karmacharya, B., Sugishita, T., Rawal, L. Effectiveness of oral health promotion interventions for people with type 2 diabetes delivered by non-dental health care professionals: a systematic review: Oral health promotion for people with diabetes by non-dental healthcare professionals. Global Health Action 2022; 15(1), 2075576.

    11.Schipper, S. B., Van Veen, M. M., Elders, P. J., van Straten, A., Van Der Werf, Y. D., Knutson, K. L. Sleep disorders in people with type 2 diabetes and associated health outcomes: a review of the literature. Diabetologia 2021;64(11), 2367-2377.

    1. Hashemi S M, Bouya S. Treatment Adherence in Diabetic Patients: An Important but Forgotten Issue. J Diabetes Nurs 2018; 6 (1) :341-351

    13.Ngoatle, C., Hlahla, L. S., Mphasha, M. H., Mothiba, T. M.,  Themane, M. J. Does Health Literacy Have an Impact on Adherence to Diabetes Mellitus Treatment?. Endocrines 2023; 4(1), 82-92.

    1. Jannoo, Z., Khan, N. M. Medication adherence and diabetes self-care activities among patients with type 2 diabetes mellitus. Value in health regional issues 2019; 18, 30-35.
    2. Mogre, V., Johnson, N. A., Tzelepis, F., Shaw, J. E., Paul, C. A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐and middle‐income countries. Journal of advanced nursing 2019; 75(12), 3374-3389.
    3. Divers, J., Mayer-Davis, E. J., Lawrence, J. M., Isom, S., Dabelea, D., Dolan, L. Wagenknecht, L. E. Trends in incidence of type 1 and type 2 diabetes among youths—selected counties and Indian reservations, United States, 2002–2015. Morbidity and Mortality Weekly Report 2020; 69(6), 161.
    4. Sakkaki S, Naderi F, Hafezi F. Causal relationship between Depression and Health-related quality of life through chain mediation of Chronic Fatigue and Treatment Adherence in women with uterine cancer. Applied Family Therapy Journal (AFTJ). 2023;4(1):512-33.
    5. Swe, K., Reddy, S. S. K. Improving adherence in type 2 diabetes. Clinics in Geriatric Medicine 2020; 36(3), 477-489.
    6. Bingham, J. M., Black, M., Anderson, E. J., Li, Y., Toselli, N., Fox, S. Impact of telehealth interventions on medication adherence for patients with type 2 diabetes, hypertension, and/or dyslipidemia: a systematic review. Annals of Pharmacotherapy 2021; 55(5), 637-649.
    7. Warren, L., Hixenbaugh, P. Adherence and diabetes. In Adherance to Treatment in Medical Conditions (pp. 423-453). CRC Press 2020..
    8. Pitt, B., Filippatos, G., Agarwal, R., Anker, S. D., Bakris, G. L., Rossing, P. Cardiovascular events with finerenone in kidney disease and type 2 diabetes. New England Journal of Medicine 2021; 385(24), 2252-2263.
    9. Darb Esfahani, F, Motaghedi Fard, M, Arfai, F, Shekari, A. Correlation of Islamic lifestyle with life satisfaction and mental health, Islamic Health-Oriented Lifestyle Journal 2017;, 2(3), 131-135.

    23.Abdi Sadat, H, Abul Qasimi, A, Taheri Fard, M. The relationship between Islamic lifestyle, meaning of life and emotional intelligence with students' mental health, Psychology and Religion Quarterly 2017; 11(3), 103-118.

    24.Karimkhani  Sh, Alizadeh Asli A, Namazi S, YariM, BehrouzB. Relationship of Sleep Quality and Sleep Hygiene with Islamic Lifestyle and Self-Reported Religious Orientation in High School Students. J Res Relig Health. 2018; 4(3): 7- 20.DOI: https://doi.org/10.22037/jrrh.v4i3.16189

    1. Zanganeh Motlagh F, Abbasi F, Ebrahimi S. Effect of healthy lifestyle psycho-educational training on university students' quality of life (physical and psychological) and social health. Islamic Life Journal. 2018;2(1):1-4.
    2. Shahshanas, M., Mohammadi, Z., Mircholi, M., Ayouzi, M. Prediction of students' sleep health based on religious orientation and Islamic lifestyle, Journal of Human Islamic Studies 2023; 9(33), 1-9.
    3. Qurbani N, Shu’a’Kazemi M, Hejazi E. Study of the Relation of the Islamic Lifestyle to the Mental Health of the Female Faculty Members in Tehran Universities. Journal of Lifestyle. 2018;3(2):61-78.

    28.Hosseinzadeh, A., Seddiqi, F., Yazdakhasti, A., Noormohammadi Najafabadi, M. The relationship between Islamic lifestyle and mental health and resilience of Kashan University students, Psychology and Religion Quarterly 2015; 9(1), 85.

    29.Jailani, M. Maintaining Mental Health By Developing An Islamic Lifestyle. Islamuna: Jurnal Studi Islam 2023; 10(2), 140-164.

    30.Abedini, M. R., Bijari, B., Miri, Z., Shakhs Emampour, F.,  Abbasi, A. The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand. Health and Quality of Life Outcomes 2020; 18(1), 1-9.

    1. Khorasgani, M. R., Beikzadeh, B. The impact of lifestyle on the immune system: Focus on Islamic lifestyle: A narrative review. International Journal of Preventive Medicine 2023; 14(1), 105.
    2. Dolatkhah, R., Jabbaripour, P., Somi, M. H., Roshani, A. The role of islamic lifestyle and healthy nutrition in accordance with the recommendations of islam and the holly quran by focusing on the risk of cancer incident. Journal of Community Medicine and Health Solutions 2020; 1(1), 018-022.
    3. Harada, Y., Prajapati, D., Poudel, P., Karmacharya, B., Sugishita, T., Rawal, L. Effectiveness of oral health promotion interventions for people with type 2 diabetes delivered by non-dental health care professionals: a systematic review: Oral health promotion for people with diabetes by non-dental healthcare professionals. Global Health Action 2022; 15(1), 2075576.
    4. Schlesinger, S., Neuenschwander, M., Ballon, A., Nöthlings, U., Barbaresko, J. Adherence to healthy lifestyles and incidence of diabetes and mortality among individuals with diabetes: a systematic review and meta-analysis of prospective studies. J Epidemiol Community Health 2020 74(5), 481-487.

    35.Kirckpatrick DL, Kirkpatrick JD. Evaluating Training Programs.: The Four Levels. 3rd ed. San Francisc,

    California: Berrett-Koehler Store; 2006.

مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 67، شماره 1
شماره فروردین-اردیبهشت1403
فروردین و اردیبهشت 1403
صفحه 262-277

فایل ها

هم رسانی

ارجاع به این مقاله

آمار