رفتارهای خود مراقبتی بیماران دیابتی مراجعه کننده به مراکز جامع سلامت روستایی شهرستان گرگان: کاربرد مدل اعتقاد بهداشتی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، دکترای تخصصی آموزش و ارتقاء سلامت، مرکز تحقیقات پرستاری، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی گلستان، گرگان، ایران

2 استادیار، دکترای تخصصی اپیدمیولوژی، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی گلستان، گرگان، ایران

3 دکترای حرفه ای، دانشکده پردیس بین الملل، دانشگاه علوم پزشکی گلستان، گرگان، ایران

10.22038/mjms.2024.82631.4763

چکیده

مقدمه: دیابت شایع ترین بیماری متابولیک در دنیا است. مهم ترین عامل زمینه ساز مرگ و میر در بیماران دیابتی عدم انجام خود مراقبتی است. مطالعه حاضر با هدف بررسی وضعیت رفتارهای خودمراقبتی در بیماران مبتلا به دیابت نوع 2 مراجعه کننده به مراکز جامع سلامت روستایی شهرستان گرگان در سال 1401 انجام شد.
روش کار: در این مطالعه مقطعی، در مجموع 400 فرد دیابتی مراجعه کننده به خانه های بهداشت شهرستان گرگان مورد بررسی قرار گرفتند. ابزار گردآوری داده ها، پرسشنامه استاندارد SDSCA (Summary of Diabetes Self-care Activities) و پرسشنامه استاندارد ارزیابی رفتار خودمراقبتی بر اساس مدل اعتقاد بهداشتی می باشد.
نتایج: سن بیماران با حساسیت درک شده و شدت درک شده رابطه معکوس داشت (05/0p<). رابطه آماری معنی دار و معکوسی بین سازه شدت درک شده و رفتار خودمراقبتی مشاهده شد (05/0p<). قند ناشتا با شدت درک شده و موانع درک شده و میزان فعالیت ورزشی رابطه معکوس داشت (05/0p<).
نتیجه گیری: با توجه به سطح تحصیلات پایین بیماران، پیشنهاد می گردد اقداماتی در جهت ارتقای سطح آگاهی بیماران و به تبع آن افزایش حساسیت و شدت درک شده آنها انجام شود تا مداخلات احتمالی بعدی و البته آموزش های روتین بیماران بصورت اثربخش تر انجام شود.

کلیدواژه‌ها

عنوان مقاله [English]

Self-care Behaviors of Patients with Diabetes Referring to Comprehensive Health Centers in Gorgan City: An Application of the Health Belief Model

نویسندگان [English]

  • Kamal Mirkarimi 1
  • Abdolhalim Rajabi 2
  • Seyyed Mehdi Abolghasemi 3
1 Assistant Professor, Ph.D of Health Education and Promotion, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
2 Assistant Professor of Epidemiology, Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.
3 General Physician, International Campus, Golestan University of Medical Sciences, Gorgan, Iran.
چکیده [English]

Introduction: Diabetes is the most common metabolic disease across the world. The most important cause of death in diabetic patients is lack of self-care. The present study was conducted to investigate the status of self-care behaviors in patients with type 2 diabetes referring to comprehensive rural health centers in Gorgan city in 2023 year.

Materials and Methods: In this cross-sectional study, a total of 400 diabetic patients referred to health houses in Gorgan city were examined. The data collection tool was the standard SDSCA (Summary of Diabetes Self-care Activities) questionnaire and the standard self-care behavior questionnaire based on the health belief model.

Results: There was an inverse correlation between age and awareness (p<0.05). A statistically significant and inverse relationship was observed between the perceived severity and self-care behavior (p<0.05). There was an inverse relationship between perceived fasting blood sugar, perceived barriers, and the amount of physical activity (p<0.05).

Conclusion: According to the low level of patient’s awareness, it is suggested that measures be taken to improve the level of awareness of the patients and consequently to increase their perceived sensitivity and severity so that the possible subsequent interventions and routine training of the patients can be carried out more effectively.

کلیدواژه‌ها [English]

  • Blood Glucose
  • Diabetes Mellitus
  • Type 2
  • Health Belief Model
  • Self-Care

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 1
فروردین-اردیبهشت1404
فروردین و اردیبهشت 1404
صفحه 70-80

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