Iran Journal of Nursing
نشریه پرستاری ایران
IJN
Medical Sciences
http://ijn.iums.ac.ir
108
journal108
2008-5931
2008-5931
10.52547/ijn
fa
jalali
1396
1
1
gregorian
2017
4
1
30
105
online
1
fulltext
fa
رفتارهای ارتقاء دهنده سلامت و ارتباط آن با خودکارآمدی در بهورزان
Health Promoting Behaviors and their Relationship with Self-efficacy of Health Workers
پرستاری
nursing
پژوهشي
Research
<p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><strong><span style="font-family:b titr;">چکیده</span></strong></p>
<p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><strong><span style="color:black;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">زمینه و هدف</span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">:</span></span></strong> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">رفتارهای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتقاء</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">دهنده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">یکی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">معیارهای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">عمده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تعیین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کننده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میباشد.</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">امروزه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اعتقاد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">است</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بتوانند</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تغییر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">رفتار</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتقای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خود</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">موفق</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">باشند،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">باید</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> از </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">خودکارآمدی لازم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برخوردار باشند. هدف این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تعیین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">رفتارهای ارتقاء دهنده سلامت و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتباط</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آن با خودکارآمدی در بهورزان شهرستان ارومیه میباشد</span></span><span dir="LTR"><span style="font-family:bzar,serif;"><span style="font-size:10.0pt;">.</span></span></span></p>
<p dir="RTL" style="direction: rtl; unicode-bidi: embed; text-align: justify;"><strong><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش بررسی:</span></span></span></strong> <span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> مطالعه با روش توصیفی</span></span></span><span style="color:windowtext;"><span style="font-size:10.0pt;">–</span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> تحلیلی، روی 301 بهورز خانههای بهداشت مراکز بهداشتی درمانی روستایی شهرستان ارومیه در سال 1393 صورت گرفت. ابزار</span></span></span> <span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">گردآوری</span></span></span> <span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دادهها، پرسشنامهای</span></span></span> <span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">مشتمل بر خصوصیات جمعیت شناختی، رفتارهای ارتقاء دهنده سلامت</span></span></span><span dir="LTR"><span style="color:windowtext;"><span style="font-family:timesnewromanpsmt,serif;"><span style="font-size:10.0pt;">(</span></span></span></span><span dir="LTR"><span style="color:windowtext;"><span style="font-size:10.0pt;">Health Promoting Lifestyle Profile-II)</span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> و خودکارآمدی عمومی شرر </span></span></span><span dir="LTR"><span style="color:windowtext;"><span style="font-family:nazaninnormal;"><span style="font-size:10.0pt;">(</span></span></span></span><span dir="LTR"><span style="color:windowtext;"><span style="font-size:10.0pt;">Sherer</span></span></span><span dir="LTR"><span style="color:windowtext;"><span style="font-family:nazaninnormal;"><span style="font-size:10.0pt;">)</span></span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> بود.</span></span></span> <span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دادهها </span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">با آزمونهای آماری کای دو و </span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">آنالیز واریانس یک طرفه</span></span></span><span style="color:windowtext;"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> تجزیه تحلیل شدند.</span></span></span></p>
<p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافتهها:</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> میانگین نمره کلی رفتارهای ارتقاء دهنده سـلامت در بهورزان</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> (4/24) </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">4/</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">1</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">36بود</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">بیشتـرین نمره در بعد </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">مسئولیت پذیری سلامت</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">(37/7) 37/35 </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و کمترین نمـره در بعد فعالیت بدنی </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">(26/5)</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">25/13 بـدسـت آمد. نتایج این مطالعه نشان داد که بین خودکارآمدی و نمره کلی رفتارهای ارتقـاء دهنـده سـلامت و تمـام زیـر دامنههای آن همبستگی مثبت و معنـیداری وجود داشـت</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">.</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> (</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">001/0></span></span> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">) همچنین بین رفتارهای ارتقاء دهنده سلامت با سطح اقتصادی، </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحصیلات</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> و جنس ارتباط آماری معنیداری وجود داشت (05/0> </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">).</span></span></p>
<p style="text-align: justify;"><strong><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نتیجهگیری کلی:</span></span></span> </strong><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">توجه</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">به</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">اهمیت</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">رفتارهای</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتقا</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دهنده</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">سلامت در</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">بهورزان</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تأثیری</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">خودکارآمدی</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">بر</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">رفتارها</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دارد به نظر می</span></span></span><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"></span></span></span><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">رسد برنامههای آموزشی در راستای افزایش خود کارآمدی میتواند در تقویت رفتارهای</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتقا</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دهنده</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">سلامت</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">بهورزان موثر باشد.</span></span></span></p>
<p style="text-align: justify;"><strong>Abstract</strong></p>
<p style="text-align: justify;"><strong>Background & Aims</strong>: Health promoting behaviors are one of the main criteria for determining health. Nowadays, it is believed that for being successful in behavior change and health promotion, people should have sufficient self-efficacy. This study aimed to determine health promoting behaviors and its <strong>relationship</strong> with self-efficacy health workers in Urmia.</p>
<p style="text-align: justify;"><strong>Materials & Methods</strong>: This descriptive-analytical study was conducted on 301 health house workers in rural health centers of Urmia in 2015. Data were collected using the questionnaire consisted of demographic characteristics, health promoting behaviors (Healthy Lifestyle Questionnaire) and Sherer et.al. General Self-efficacy Scale. Reliability and validity of the questionnaire were confirmed in previous studies. Data were analyzed by chi-square test and ANOVA<em>.</em></p>
<p style="text-align: justify;"><strong>Results</strong><span dir="RTL">:</span> The mean score of health promoting behaviors of health workers was 136.4 (24.4). The highest score was in the health responsibility dimension 35.37 (7.37) and the lowest score was in physical activity dimension 13.25 (5.26). The result showed that self-efficacy had a positive significant correlation with health promoting lifestyle and all of its sub-domains (P < 0001). There was also a significant relationship between health promoting lifestyle and economic level, education, and gender (P < 0.05).</p>
<p style="text-align: justify;"><strong>Conclusion</strong>: Given the importance of health promoting behaviors of health workers and the effects of self-efficacy on these behaviors, it seems that training programs can be effective in promoting health behaviors of health workers in order to increase self-efficacy.</p>
ارتقاء سلامت, رفتار سلامتی, خودکارآمدی, بهورزان
Health Promotion, Health Behavior, Self-Efficacy, Health Workers
68
79
http://ijn.iums.ac.ir/browse.php?a_code=A-10-1440-3&slc_lang=fa&sid=1
M
Abdolkarimy
مهدی
عبدالکریمی
10800319475328460018989
10800319475328460018989
No
Ph.D. Candidate in Health Education and Health Promotion, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
دانشجوی دکتری آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران
M
Zareipour
مراد علی
زارعی پور
10800319475328460018990
10800319475328460018990
Yes
Ph.D. Candidate in in Health Education and Health Promotion, Young Researchers and Elite Club, Urmia Branch, Islamic Azad University, Urmia, Iran. (٭Corresponding Author) Tel: 09141878294 . E-mail: z.morad@yahoo.com
دانشجوی دکتری آموزش بهداشت و ارتقاء سلامت، باشگاه پژوهشگران جوان و نخبگان، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران. (*نویسنده مسئول) شماره تماس:09141878294 Email: zareipour_m@umsu.ac.ir
H
Mahmoodi
حسن
محمودی
10800319475328460018991
10800319475328460018991
No
Ph.D. Candidate in Health Education and Health Promotion, School of Public Health, Tabriz University of Medical sciences, Tabriz, Iran
دانشجوی دکتری آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی تبریز، تبریز، ایران
S
Dashti
سعید
دشتی
10800319475328460018992
10800319475328460018992
No
Ph.D. Candidate in Health Education and Health Promotion, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
دانشجوی دکتری آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران
R
Faryabi
رضا
فاریابی
10800319475328460018993
10800319475328460018993
No
Associate Professor, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran
استادیار، دانشکده بهداشت، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران.
E
Movahed
احسان
موحد
10800319475328460018994
10800319475328460018994
No
Ph.D. Candidate in Health Education and Health Promotion, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
دانشجوی دکتری آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران