اقدام پژوهی برای تغییر رفتار تغذیه‬ ای و وزن‬ گیری زنان باردار مراجعه کننده به مراکز بهداشتی درمانی شهرستان اردبیل از طریق مشاوره، سال 92-91

Persian Abstract

زمینه و هدف: آموزش صحیح تغذیه دوران بارداری یکی از برنامه های جامع بهداشت باروری محسوب می شود، هدف از این مطالعه راه اندازی مرکز مشاوره و تعیین تاثیر مداخله آموزشی تغذیه توسط کارشناس تغذیه بر آگاهی و رفتار تغذیه ای زنان باردار بود. روش کار: این مطالعه به روش اقدام پژوهی در سال 1391 انجام گرفت.510 مادر باردار� به روش آسان انتخاب و به طور تصادفی به دو گروه مداخله (213) و کنترل (197) تقسیم و آموزشهای تغذیه ای را دریافت نمودند. آگاهی و رفتار تغذیه ای قبل و بعد از مداخله ارزیابی و با استفاده از نرم افزار spss-16 و آزمونهای آماری مورد تجزیه و تحلیل قرار گرفتند. یافته ها: اختلاف نمره آگاهی و رفتار تغذیه ای زنان باردار در دو گروه پس از مداخله از نظر آماری معنیدار بود (001/0p<). بر اساس نتایج بدست آمده، وزن گیری مادران در گروه مداخله کمتر از حد طبیعی غیرمتناسب با شاخص توده بدنی ابتدای مطالعه 9/47 درصد بود که در انتهای مطالعه به 3/3 درصد کاهش یافت و در گروه کنترل از 8/54 درصد به 8/36 درصد کاهش یافت.� وزن گیری مادران بیشتر از حد طبیعی غیرمتناسب با شاخص توده بدنی قبل و بعد در گروه مداخله به ترتیب 50.1 و 5/0 درصد و در گروه کنترل به ترتیب 8/41 و 1/35 درصد و اختلاف بین دو گروه معنی دار بود (001/0p<). نتیجه گیری: احداث و استمرار مرکز مشاوره تغذیه در سایر مراکز بهداشتی- درمانی توصیه می گردد.

Title

Nutritional Behavior and Weight Gain Change in Pregnant Women by Counseling, in Ardabil Health Centers: An Action Research Study

English Abstract

Background & Objectives: Proper and adequate education during pregnancy is one of the comprehensive goals in reproductive health care programs ,but it had no sufficient effect on nutritional behavior and weight gain in pregnant women of Ardabil. Methods: This study was conducted as an action research program consisting of 2 phases. First establishing a consulting center, and then participating pregnant mothers in nutritional education program. Abotaleb health center along with its accessory stations and because of its suitable condition for study was selected for our research setup and because one of the senior managers - health centers was included in this study, steps were done with greater ease. 510 women referring to Ardabil health centers were selected through convenience sampling method and were randomly allocated to the experiment (n=210) and control (n=197) groups. Education program performed according to the standard protocol of the Ministry of Health in nutrition counseling (15 sessions), and the control group received usual education by midwives in the same center. Data were gathered using a researcher made questionnaire including, nutritional knowledge, and behavior before and after study and analyzed using SPSS-16 software. Results: There was no significant differences in terms of demographic (age, job, education..) between the two groups(p>0.05). At baseline, there was no significant differences in nutritional knowledge and behavior scores (p>0.05). After the intervention, results were significantly higher in the experiment group than those in the control group in terms of the knowledge and behavior (p<0.001). Other results demonstrated that in experiment group low weight gain (mismatch with BMI) respectively before and after study was 47.9% and 3.3% and in control group was 54.8% and 36.8%. Weight gain was significantly suitable in the experiment group (p<0.001). Conclusion: Findings of the study indicate that the operation educational consulting center was effective in promoting nutritional knowledge and behavior of pregnant women. Therefore, it is recommended to implement and continue this program in other health centers

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