Journal of Advanced Biomedical Sciences
مجله علوم زیست پزشکی پیشرفته
JABS
Medical Sciences
http://jabs.fums.ac.ir
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2014
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بررسی تاثیر برنامه ارتقا سلامت با رویکرد مشارکتی بر میزان وزن دختران دارای اضافه وزن دبستانی
The effect of Health Promotion Program with Collaborative Approach on Body Weight of Overweight Elementary School Girls
پرستاري
Nursery
پژوهشي
Research
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">زمینه و هدف:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> روند
صعودی اضافه وزن درسالهای اخیر شکل نگران کنندهای به خود گرفته است، که این روند
را بایستی به عنوان زنگ خطری برای سلامت کودکان تلقی نمود. پژوهش حاضر با هدف بررسی
تاثیر برنامه ارتقا سلامت با رویکرد مشارکتی بر میزان وزن دختران دارای اضافه وزن
انجام شده است.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">مواد و روشها:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> مطالعه حاضر
نیمه تجربی است که در سال 92-1391انجام شد.80 دانش آموز دختر 12-10 سال دارای
اضافه وزن از مدارس شهرستان فیروزآباد با روش غیر تصادفی انتخاب و در قالب گروه
آزمون و شاهد مورد بررسی قرارگرفتند. ابزار جمع آوری اطلاعات، چک لیست اطلاعات
دموگرافیک، ترازو و قدسنج بود. در گروه آزمون برنامه ارتقا سلامت در سه مرحله
بررسی، برنامه ریزی حمایتی و ارزشیابی به مدت 3 ماه اجرا گردید. وزن کودکان در دو گروه،
قبل از مداخله و 3 ماه بعد بررسی گردید. یافتهها با استفاده از نرم افزار </span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">SPSS 16</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> تجزیه
و تحلیل شد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نتایج:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> قبل از مداخله گروه آزمون
و شاهد از نظر میانگین وزن همسان بودند (05/0</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">P</span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-size: 10.0pt" dir="ltr">></span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>). اما بعد از مداخله «آزمون </span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">T</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> مستقل» نشان داد که بین
میانگین وزن کودکان در دو گروه اختلاف معنادار آماری وجود دارد ( 05/ 0 ></span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>). آزمون </span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">T</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> زوجی نشان داد میانگین
وزن کودکان در گروه آزمون بعد از مداخله، در مقایسه با قبل از مداخله از 95/48 به
39/47 کاهش یافت ( 05/ 0 ></span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>) اما میانگین وزن کودکان در گروه شاهد، از 08/50 قبل از مداخله به
76/52 پس از مداخله افزایش یافت ( 05/ 0 ></span><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 8pt mso-bidi-font-family: "B Nazanin" mso-bidi-font-size: 10.0pt" dir="ltr">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>).<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نتیجهگیری:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> اجرای برنامه
ارتقا سلامت با مشارکت کودک، والدین و اولیای مدرسه توانست وزن کودکان دارای اضافه
وزن را کاهش دهد. بنابراین پیشنهاد میگردد که این برنامه چهت پیشگیری از اضافه
وزن و چاقی کودکان در مدارس به کارگرفته شود.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify" dir="rtl"><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ansi-font-size: 8.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""></span></p><font face="Times New Roman" size="3"> </font>
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">Background & Objective:</span></i></b><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">
Increase trend of overweight in recent years has become a concerning matter,
which is a health alarm for children. Therefore, the present study investigated
the impact of health promotion programs with collaborative approach on the
weight of overweight school age girls<span dir="rtl"></span><span dir="rtl"></span><span lang="FA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span><font face="Times New Roman" size="2">.</font></span><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">Materials & Methods</span></i></b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">:</span></i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt"> This quasi-experimental study was conducted in 2013, in which 80
overweight students in Firozabad were selected by non-randomized method and
were divided into case and control groups. The data collecting tools were
demographic information check list, electronic scale, and stadiometer. In the
case group, health promotion programs with three stages of assessment,
supportive planning, and evaluation was administered for three months.
Children’s weights in both groups were evaluated before and three months after
intervention. The results were analyzed by SPSS software version 16<span dir="rtl"></span><span dir="rtl"></span><span lang="FA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span><font face="Times New Roman" size="2">.</font></span><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">Results:</span></i></b><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt"> Case and control groups
were equal from the view point of average weight before the intervention
(P>./05).While after intervention, "independent T test" showed a
significant different between two groups in average weight after intervention
(P<0/05). The paired T-test showed that the mean scores of weight for the
case group decreased from 48/95 to 47/39 after intervention (P<0/05).
However, the results showed that the mean scores of weight<font size="2"><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>in the control group increased from 50/08 to
52/76 after study (P<0/05).<o:p /></font></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">Conclusion</span></i></b><i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt">:</span></i><span style="color: black line-height: 115% font-family: "Times New Roman",serif font-size: 10pt"> Health promotion programs with collaboration of children,
parents, and teachers could reduce the weight of overweight children.
Therefore, it is proposed for using this program in order to prevent overweight
and obesity in school age children<span dir="rtl"></span><span dir="rtl"></span><span lang="FA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span><font face="Times New Roman" size="2">.</font></span><o:p /></span></p><font face="Times New Roman" size="3"> </font><font face="Times New Roman" size="3"> </font>
برنامه ارتقا سلامت با رویکرد مشارکتی, میزان وزن, اضافه وزن, دختران دبستان
Health promotion programs with collaborative approach, Weight, Overweight school girls
446
455
http://jabs.fums.ac.ir/browse.php?a_code=A-10-560-1&slc_lang=fa&sid=1
saeedeh
jafarzadeh
سعیده
جعفرزاده
saeedeh.jafarzadeh@yahoo.com
2452149871
10031947532846006249
No
Department of Nursing, Fasa University of Medical Sciences, Fasa, Iran. Department of Nursing, Tarbiat Modares University, Tehran, Iran.
گروه پرستاری، دانشگاه علوم پزشکی فسا، فسا، ایران. گروه پرستاری، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.
sima
mohamadkhan kermanshahi
سیما
محمدخان کرمانشاهی
sima098@yahoo.com
10031947532846006250
10031947532846006250
Yes
Department of Nursing, Tarbiat Modares University, Tehran, Iran.
گروه پرستاری، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.
Ebrahim
Hajizadeh
ابراهیم
حاجی زاده
10031947532846006251
10031947532846006251
No
Department of Biostatistics,Tarbiat Modares University, Tehran, Iran.
گروه آمار زیستی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.