fa بررسی تأثیر آموزش اصلاح سبک زندگی بر کنترل عوامل خطر ساز نشانگان متابولیک پرستاران شاغل در بیمارستان منتخب نظامی آموزش پرستاری Nursing education پژوهشي Research <div style="text-align: justify;"><span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">سندرم متابولیک یکی از مهم</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ترین مشکلات بهداشتی در جهان و عامل خطر ابتلا به بیماری</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">های غیر واگیر به خصوص بیماری</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">های قلبی عروقی و دیابت است. اصلاح مطلوب سبک زندگی می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تواند در کاهش عوامل خطر ساز مؤثر باشد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">هدف:</span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> این مطالعه با هدف تعیین تأثیر آموزش اصلاح سبک زندگی بر کنترل عوامل خطر ساز نشانگان متابولیک پرستاران انجام شد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روش</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">این پژوهش یک مطالعه کارآزمایی بالینی است که جامعه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ی پژوهشی آن پرستاران شاغل در بیمارستان منتخب نظامی در نیمه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ی اول سال 1399 بود. نمونه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها به روش تصادفی ساده در دو گروه 40 نفری تقسیم شدند. برای گروه آزمون آموزش اصلاح سبک زندگی به صورت ترکیبی، 4 جلسه یک ساعته حضوری و یک ماه از طریق پیامک به صورت روزانه سه پیامک انجام شد. جهت جمع</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">آوری داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها از پرسشنامه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> اطلاعات دموگرافیک، پرسشنامه سبک زندگی ارتقاء</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">دهنده سلامت و شاخص</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">های آزمایشگاهی استفاده شد. گروه کنترل هیچ مداخله</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ای دریافت نکرد. داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها در دو مرحله قبل و بعد از مداخله جمع</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">آوری و با نرم</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">افزار آماری </span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">SPSS</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> نسخه 19 مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">دو گروه قبل از مداخله از نظر مشخصات دموگرافیک تفاوت آماری معنی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">داری نداشتند. همچنین نمرات سبک زندگی ارتقاء</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">دهنده سلامت، شاخص توده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ی بدنی، قند خون ناشتا، دور کمر،</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تری گلیسیرید و </span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">HDL</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> قبل از مداخله بین دو گروه تفاوت معنی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">داری نداشت ولی بعد از مداخله در گروه آزمون تفاوت آن معنی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">دار بود (0/05</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span dir="LTR" gn="" style="font-family:" times=""><span style="color:black">P<</span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:20.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه</span></span></span></b><b><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span></b><b><span lang="AR-YE" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">گیری: </span></span></span></b><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ها نشان داد که آموزش اصلاح سبک زندگی بر کنترل عوامل خطر ساز نشانگان متابولیک پرستاران شاغل در بیمارستان منتخب نظامی مؤثر است، لذا، توصیه می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">شود ضمن سنجش دوره</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ای شیوع سندرم متابولیک در کادر پرستاری، از برنامه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span calibri="" style="font-family:"><span style="color:black">‌</span></span></span><span lang="AR-YE" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">های آموزش اصلاح سبک زندگی در آموزش مداوم بیمارستان استفاده شود.</span></span></span></span></span></span></span></span></span></span></div> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Introduction: </span></b><span style="color:black">Metabolic syndrome is one of the most prevalent health issues in the world and a risk factor for non-communicable diseases, especially cardiovascular disease and diabetes. It is believed that optimal lifestyle improvement can be effective in reducing risk factors.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Objective: </span></b><span style="color:black">This study, therefore, aimed to determine the effect of lifestyle modification training on the control of risk factors for metabolic syndrome in nurses.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Materials and Methods: </span></b><span style="color:black">The present study is a clinical trial study whose research population included nurses working in selected military hospitals during the spring and summer of 2020. The sample was selected through purpose-based sampling and randomly divided into two groups, each consisting of 40 people. For the intervention group, training lifestyle modification was conducted in a combined way, four one-hour face-to-face sessions and text messages, as well as three text messages daily. Data were collected through a demographic information questionnaire, health-promoting lifestyle questionnaire, and laboratory indicators. The control group did not receive any intervention. Data were collected in two stages before and after the intervention and analyzed by the SPSS software (version 19).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Results: </span></b><span style="color:black">There was no statistically significant difference between the two groups in terms of demographic characteristics before the intervention. Additionally, health-promoting lifestyle scores, body mass index, fasting blood sugar, waist circumference, triglyceride, and HDL were not significantly different between the two groups before the intervention; however, the difference was significant after the intervention in the intervention group (P<0.05).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:15.0pt"><span style="tab-stops:11.35pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">Conclusion: </span></b><span style="color:black">Findings showed that lifestyle modification training was effective in controlling the risk factors for metabolic syndrome among nurses working in selected military hospitals; therefore, it is recommended to periodically assess the lifestyle prevalence of metabolic syndrome among the nursing staff to use lifestyle improvement training programs in continuing hospital education.</span></span></span></span></span></span></span><br> <br> &nbsp; آموزش, پرستار, سبک زندگی, نشانگان متابولیک Education, Lifestyle, Metabolic Syndrome, Nurse 56 67 http://mcs.ajaums.ac.ir/browse.php?a_code=A-10-512-1&slc_lang=fa&sid=1 Fatemeh Habibi فاطمه حبیبی fatemeh.1981h@gmail.com 100319475328460013348 100319475328460013348 Yes MSc in Military Nursing, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran دانشجوی کارشناسی ارشد پرستاری نظامی، دانشکده پرستاری، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران Akram Parandeh اکرم پرنده Akram.parandeh@yahoo.com 100319475328460013349 100319475328460013349 No Ph.D. in Nursing, Assistant Professor, Community Health Department, Medicine, Quran and Hadith Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran دکترای پرستاری، استادیار، گروه بهداشت، دانشکده پرستاری، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران Robabeh Khalili ربابه خلیلی fatemeh.1981h@gmail.com 100319475328460013350 100319475328460013350 No Ph.D. in Nursing, Assistant Professor, Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran دکترای پرستاری، استادیار، گروه اصول و فنون، دانشکده پرستاری، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران Mojtaba Sepandi مجتبی سپندی fatemeh.1981h@gmail.com 100319475328460013351 100319475328460013351 No Ph.D. in Epidemiology, Associate Professor, Epidemiology Department, Faculty of Nursing, Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran دکترای اپیدمیولوژی، دانشیار، گروه اپیدمیولوژی و آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی بقیه الله (عج)