دوره 3، شماره 3 - ( Summer 2017 -- 1396 )                   جلد 3 شماره 3 صفحات 188-179 | برگشت به فهرست نسخه ها


XML English Abstract Print


چکیده:   (3648 مشاهده)

Background: Metabolic syndrome is a disorder associated with obesity. Compared with men, postmenopausal women are at higher risk of being affected by this chronic disease. This study aimed to determine the effect of self-care education program on anthropometric indicators in postmenopausal women with metabolic syndrome.
Methods: A cluster randomized controlled trial was performed on 120 postmenopausal women aged 45-60 years with metabolic syndrome at the 8 healthcare centers of Tehran municipality. The study was carried out in the second half of 1395. In this study, healthcare centers were randomly allocated to experimental and control groups. Then, sampling was performed as targeted and accessible from each center. The intervention was done based on the educational needs of patients and according to the Orem framework. This intervention was presented as a 5-session self-care education program. The training program was implemented within 5 weeks during. Training groups consisted of 5-7 people. Anthropometric information was investigated before and after the end (8 weeks) of the training program in both groups. Data were analyzed using SPSS (version 22) and STATA (version 13) software, and Chi-Square test, T-Independent test, T-Paired test and SVY environment.
Results: Our findings demonstrated that self-care training program decreased indicators (weight, body mass index, waist and hip circumference, middle arm circumference, and waist to height ratio), while no significant reduction was observed in the waist to hip ratio. 
Conclusion: Present study established that self-care program based on the Orem framework has positive effects on anthropometric indicators in postmenopausal women with metabolic syndrome. Therefore, this program is recommended as a nursing intervention in patients with metabolic syndrome.

متن کامل [PDF 576 kb]   (1276 دریافت)    
نوع مطالعه: پژوهشي | موضوع مقاله: تخصصي
دریافت: 1395/11/19 | پذیرش: 1396/3/31 | انتشار: 1396/5/10

فهرست منابع
1. Aggleton, P. & Chalmez, H., 2014. Nursing models & nursing practice [R. Tabari, Persian trans.]. Tehran: Boshra.
2. Alligood, M. R., 2011. Nursing theory: Utilization & application. Amsterdam: Elsevier Health Sciences.
3. Asadi Noogaee, A., Zandi, M. & Nazari, A. 2010. [The learning process and the principles of patient education (Persian)]. Tehran: Pasargad.
4. Banihidari, M. et al., 2012. [Comparsion of diagnostic value of abdominal anthropometric indicesus carotid intima-media thickness for prediction of atherosclerosis (Persian) ]. Journal of Ardabil University of Medical Sciences, 12(2), pp. 122-31.
5. Cristóvão, A. F. A. D. J., 2015. Fluid and dietary restriction's efficacy on chronic kidney disease patients in hemodialysis. Revista Brasileira De Enfermagem, 68(6), pp. 1154-62. doi: 10.1590/0034-7167.2015680622i. [DOI:10.1590/0034-7167.2015680622i]
6. Ejtahed, H. et al., 2014. [Anthropometric indices as predictors of percentage body fat in adolescents (Persian)]. Research in Medicine, 38(1), pp. 25-31.
7. Hinckle, J. L., 2014. Medical and surgical nursing textbook of Brunner & Suddarth's 2014: Metabolism and endocrine. [N. Dehghan Niri., A. Asadi Noogaee., M. Moosapour, Persian trans.]. Tehran: Jame'e Negar.
8. Hinckle, J. L. & Chivier, C. H., 2014. Medical and surgical nursing textbook of Brunner & Suddarth's 2014: Cardiology. [M. Nickravan Mofrad., H. Amini., S. M. Mahdavi Shahri., Zh. Mohammadalayha, Persian trans.]. Tehran: Jame'e Negar.
9. Kang, H. T. et al., 2014. Employment is associated with a lower prevalence of metabolic syndrome in postmenopausal women based on the 2007-2009 Korean national health examination and nutrition survey. Menopause, 21(3), pp. 221–6. doi: 10.1097/gme.0b013e3182987078 [DOI:10.1097/GME.0b013e3182987078]
10. Kong, A. et al., 2012. Self-Monitoring and eating-related behaviors are associated with 12-month weight loss in postmenopausal overweight-to-obese women. Journal of the Academy of Nutrition and Dietetics, 112(9), pp. 1428–35. doi: 10.1016/j.jand.2012.05.014 [DOI:10.1016/j.jand.2012.05.014]
11. Kwak, E. K., Park, H. S. & Kang, N. M., 2014. Menopause knowledge, attitude, symptom and management among midlife employed women. Journal of Menopausal Medicine, 20(3), pp. 118-25. doi: 10.6118/jmm.2014.20.3.118 [DOI:10.6118/jmm.2014.20.3.118]
12. Rosato, V. et al., 2011. Metabolic syndrome and the risk of breast cancer in postmenopausal women. Annals of Oncology, 22(12), pp. 2687–92. doi: 10.1093/annonc/mdr025 [DOI:10.1093/annonc/mdr025]
13. Ruggiero, L. et al., 2014. Diabetes island: Preliminary impact of a virtual world self-care educational intervention for African Americans with type 2 diabetes. JMIR Serious Games, 2(2), p. e10. doi: 10.2196/games.3260 [DOI:10.2196/games.3260]
14. Speroff, L. & Fritez, M., 2011. Women's clinical endocrinology and infertility. [M. Valadan, M. H. Ghorbani., O. Gooran Orimi O, Persian trans.]. Tehran: Nasle Farda.
15. Taherpour, M. & Sefidi, F., 2013. [The effectiveness of education on the knowledge and attitude towards menopause symptoms and complications in postmenopausal women (Persian)]. Journal of Zanjan university of Medical Sciences, 21(84), pp. 92-101.
16. Williams, L. T. et al., 2013. The 40-something randomized controlled trial to prevent weight gain in mid-age women. BMC Public Health, 13, p. 1007. doi: 10.1186/1471-2458-13-1007. [DOI:10.1186/1471-2458-13-1007]
17. Zakizad Abkenar, M. et al., 2016. The effect of Islamic care method on nutritional self-care, anthropometric indices and blood pressure in diabetic patients. Journal of Mazandaran University of Medical Sciences, 26(136), pp. 36-53.

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.