Journal of Ilam University of Medical Sciences
مجله دانشگاه علوم پزشکی ایلام
J. Ilam Uni. Med. Sci.
Medical Sciences
http://sjimu.medilam.ac.ir
96
journal96
1563-4728
2588-3135
doi
fa
jalali
1397
6
1
gregorian
2018
9
1
26
3
online
1
fulltext
fa
بررسی ارتباط سواد سلامت و سبک زندگی سالم در داوطلبین سلامت شهرستان نیشابور: یک مطالعه مقطعی
Health Literacy and Health-promoting Lifestyle among Health Volunteers in Neyshabour
پژوهشي
Research
<p dir="RTL" style="text-align: justify;"><strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">مقدمه:</span></span></em></strong> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توانایی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">خواندن،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">درک</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کردن</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کردن</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">اساس</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توصیه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بهداشتی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تعریف</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">نمود. سواد سلامت و سبک زندگی از عوامل موثر بر سلامت هستند. هدف</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه ارزیابی سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ارتباط</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آن</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سبک زندگی سالم</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در رابطین بهداشتی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">باشد.</span></span><br>
<strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">مواد و روش</span></span></em></strong> <strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">ها:</span></span></em></strong> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مقطعی از نوع توصیفی-تحلیلی، 250 نفر از رابطین بهداشتی که به صورت تصادفی انتخاب شده بودند، شرکت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کردند</span></span><span dir="LTR"><span style="font-size:9.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> ابزار جمع آوری داده ها پرسش نامه سبک زندگی سالم(</span></span><span dir="LTR"><span style="font-size:9.0pt;">HPLPΙΙ</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;">) و پرسش نامه سواد سلامت عملکردی بزرگسالان(</span></span><span dir="LTR"><span style="font-size:9.0pt;">TOFHLA</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;">) انجام شد. برای آنالیز</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">داده</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شاخص های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توصیفی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">نیز</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">برای</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ارتباط</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">متغیرها</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آزمون</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آماری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کای</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و ضریب همبستگی اسپیرمن استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">گردید</span></span><span dir="LTR"><span style="font-size:9.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;"></span></span><br>
<strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">یافته های پژوهش:</span></span></em></strong> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">میانگین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سن افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مورد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">پژوهش 7/9+9/32 سال بود. 5/61 درصد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دارای</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تحصیلات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ابتدایی و راهنمایی بودند. سواد سلامت 6/44 درصد از رابطین در حد ناکافی، 2/32 درصد مرزی و 1/23 درصد در حد کافی بود. میانگین نمره سبک زندگی سالم در افراد مورد بررسی 8/23+130 محاسبه گردید. در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سن،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تحصیلات و سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ارتباط</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">معنی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دار</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آماری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مشاهده</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شد،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">طوری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ناکافی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سنین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بالاتر و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تحصیلات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">کمتر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">شایع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">تر</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بود</span></span><span dir="LTR"><span style="font-size:9.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> بین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">با تغذیه، معنویت، مسئولیت پذیری سلامت، فعالیت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">فیزیکی، روابط بین فردی و مدیریت استرس همبستگی مثبت و معنی دار مشاهده گردید(</span></span><span dir="LTR"><span style="font-size:9.0pt;">P<0.001</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;">).</span></span><br>
<strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">بحث و نتیجه</span></span></em></strong> <strong><em><span style="font-family:b mitra;"><span style="font-size:10.0pt;">گیری:</span></span></em></strong> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">نتایج</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">پژوهش</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در رابطین بهداشتی پایین نشان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">داد. این</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">موضوع</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">لزوم</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">توجه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مسئله</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و تلاش</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">جهت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">بهبود</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دهد</span></span><span dir="LTR"><span style="font-size:9.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;"> ایجاد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">رسانه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آموزشی</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">ساده</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">قابل</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">فهم</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">دسترس</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">هم چنین</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">مداخلات</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">آموزشی تئوری</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">محور از</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">جمله</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">راه</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">افزایش</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سواد</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">سلامت</span></span> <span style="font-family:b mitra;"><span style="font-size:10.0pt;">می باشند</span></span><span dir="LTR"><span style="font-size:9.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:10.0pt;"></span></span></p>
<p dir="RTL"></p><p dir="RTL"></p><p dir="RTL"></p><p dir="RTL"></p><p dir="RTL"></p>
<p style="text-align: justify;"><em>Introduction:</em> Health literacy is a measure of individual’s ability to read, comprehend, and act on medical instructions. Health literacy and lifestyle are determinants of health. We aimed to assess the relationship between health literacy and health promoting behaviors.<br>
<br>
<em>Materials and Methods:</em> This cross-sectional, descriptive, and analytical study was conducted on 250 health volunteers who were selected randomly. Data were collected using questionnaires of Health-Promoting Lifestyle Profile II (HPLP-II) and Test of Functional Health Literacy in Adults (TOFHLA). Data were analyzed using descriptive statistics, and to study the variables’ relationships Chi-square and Spearman correlation coefficient were applied.<br>
<br>
<em>Findings:</em> The mean age of the participants was 32.9±9.7 years, and 61.5% had elementary and junior high school education. Health literacy was insufficient in 44.6% of the health volunteers, at a border level in 32.2%, and adequate in 23.1%. The mean score of health-promoting lifestyle was 130±23.8<span dir="RTL">.</span> In this study, there was a significant relationship between educational level, age and health literacy status. Inadequate health literacy was more common among individuals with advanced age and lower education. Health literacy level was significantly correlated with nutrition, spirituality, health responsibility, physical activity, interpersonal support, and stress management (P<0.001).<br>
<br>
<em>Conclusion</em><em><span dir="RTL">:</span></em> This study showed that the health literacy level was inadequate in health volunteers. This result showed that health literacy and striving to improve it are important. Creating a simple, understandable and accessible media and training materials, as well as implementing theory-based educational interventions are some the ways to improve health literacy.</p>
<p></p>
سواد سلامت, سبک زندگی سالم, رابطین بهداشتی
Health literacy, Health-promoting lifestyle, Health volunteers
7
15
http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-3377-1&slc_lang=fa&sid=1
Nooshin
Peyman
معصومه
جهانی افتخاری
M91.EFTEKHAR@YAHOO.COM
9600319475328460039142
9600319475328460039142
No
Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
گروه آموزش بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران
Nooshin
Peyman
نوشین
پیمان
peymann@mums.ac.ir
9600319475328460039143
9600319475328460039143
Yes
Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
گروه آموزش بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران
Hassan
Doosti
حسن
دوستی
hassandoosti1353@yahoo.com
9600319475328460039144
9600319475328460039144
No
. Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران