fa عوامل تأثیر گذار بر انجام رفتارهای ارتقاء دهنده سلامت بر اساس الگوی ارتقاء سلامت در جانبازان شیمیایی استان ایلام سال 92-1391 آموزش بهداشت Health education پژوهشي Research <p style="TEXT-ALIGN: justify LINE-HEIGHT: 115% MARGIN: 0cm -30.2pt 0pt 0cm unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNormal"><font size="3"><b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">مقدمه: </span></b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-fareast-font-family: Calibri mso-hansi-font-family: Calibri" lang="FA">رفتارهای ارتقاء دهنده سلامت میتواند موجب بهبود کیفیت زندگی، پیشگیری و حتی درمان مشکلات جسمی و روانی افراد و گروه ها، بویژه گروه جانبازان گردد. لذا مطالعه حاضر با هدف شناسایی عوامل مؤثر بر رفتارهای ارتقاء دهنده سلامت بر اساس الگوی ارتقاء سلامت در جانبازان شیمیایی استان ایلام انجام شد.</span><b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><p></p></span></b></font></p><p style="TEXT-ALIGN: justify LINE-HEIGHT: 115% MARGIN: 0cm -30.2pt 0pt 0cm" dir="rtl" class="MsoFootnoteText"><b><span style="LINE-HEIGHT: 115% FONT-FAMILY: "B Mitra" FONT-SIZE: 12pt" lang="FA">مواد و روش ها: </span></b><span style="LINE-HEIGHT: 115% FONT-FAMILY: "B Mitra" FONT-SIZE: 12pt" lang="FA">در این مطالعه مقطعی کلیه جانبازان شیمیایی سطح متوسط و شدید تحت پوشش بنیاد شهید و امور ایثارگران استان ایلام به صورت تمام شماری مورد بررسی قرار گرفتند. اطلاعات با استفاده از پرسشنامه های استاندارد رفتارهای ارتقاء دهنده سلامت، خودکارآمدی، موانع، حمایت اجتماعی و وضعیت سلامت درک شده و پرسشنامه محقق ساخت منافع درک شده جمع آوری گردید. سپس داده ها توسط نرم افزار آماری </span><span style="LINE-HEIGHT: 115% FONT-FAMILY: "Times New Roman","serif" FONT-SIZE: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi" dir="ltr">SPSS</span><span dir="rtl"></span><span style="LINE-HEIGHT: 115% FONT-FAMILY: "B Mitra" FONT-SIZE: 12pt" lang="FA"><span dir="rtl"></span> و با آزمون های آماری مناسب تجزیه و تحلیل شد.<p></p></span></p><p style="TEXT-ALIGN: justify LINE-HEIGHT: 115% MARGIN: 0cm -30.2pt 0pt 0cm unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNormal"><font size="3"><b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">یافته های پژوهش: </span></b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri" lang="FA">در 239 جانباز مورد بررسی مشخص گردید که </span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">منافع درک شده (002/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>)، خودکارآمدی (000/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) و حمایت اجتماعی درک شده (002/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>)</span><span dir="ltr"></span><span style="mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr" lang="FA"><span dir="ltr"></span><font face="Times New Roman"> </font></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">دارای اثر مستقیم و مثبت بر رفتارهای ارتقاء دهنده سلامت بوده و نوع جانبازی شیمیایی- فیزیکی (027/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri" lang="FA"><span dir="rtl"></span>)</span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"> و شیمیایی- فیزیکی- عصبی (022/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>)، وضعیت رزمندگی (045/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) و وضعیت سلامت درک شده (000/0 </span></font><span style="LINE-HEIGHT: 115% FONT-SIZE: 10pt mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-font-family: 'Times New Roman' mso-bidi-theme-font: major-bidi" dir="ltr"><font face="Times New Roman">P value</font></span><font size="3"><span style="FONT-FAMILY: "Calibri","sans-serif" mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr">=</span><span dir="rtl"></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA"><span dir="rtl"></span>) از طریق خودکارآمدی بصورت غیر مستقیم بر رفتار ارتقاء دهنده تأثیر داشتند.</span><span style="mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr"><p></p></span></font></p><p style="TEXT-ALIGN: justify LINE-HEIGHT: 115% MARGIN: 0cm -30.2pt 0pt 0cm unicode-bidi: embed DIRECTION: rtl" dir="rtl" class="MsoNormal"><font size="3"><b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">بحث و نتیجه گیری: </span></b><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">خودکارآمدی درک شده به عنوان مهم ترین عامل تأثیر گذار بر انجام رفتارهای ارتقاء دهنده سلامت بوده که همراه سیستمهای حمایتی و درک از منافع می تواند جهت بهبود رفتارهای ارتقاء دهنده سلامت بویژه در جانبازان با نوع جانبازی ترکیبی</span><span dir="ltr"></span><span style="mso-bidi-language: FA mso-bidi-font-family: 'B Mitra'" dir="ltr" lang="FA"><span dir="ltr"></span><font face="Times New Roman"> </font></span><span style="FONT-FAMILY: "B Mitra" mso-bidi-language: FA" lang="FA">استفاده گردد.<p></p></span></font></p> Introduction: Health promotion behaviors can promote physical and psychological health in individuals and population, especially in veterans. Therefore, this study was performed to identify the factors which influence on health promotion behaviors based on Health Promotion Model in chemical veterans in Ilam province. Materials & methods: This cross-sectional study was performed in the entire moderate and severs chemical veterans, who they were supported by the Department of Veterans and Martyrs of Ilam province. Information was collected by using standard questionnaires for health-promoting behavior HPLP II (Health Promoting Lifestyle Profile II), perceived self-efficacy, perceived barriers, perceived social support, perceived health status and structural perceived benefits. After data collection, all data were analyzed by SPSS statistical software with using suitable statistical tests. Findings: The results of the present study in 239 chemical veterans indicated that perceived benefits (P value= 0.002), perceived self-efficacy (P value= 0.000) and perceived social support (P value= 0.002) have positive and direct impacts on health promotion behaviors and physical- chemical veteran type (P value= 0.027) and neurotic-physical-chemical veteran type (P value= 0.022), veteran status (P value= 0.045) and perceived health status (P value= 0.000) have indirect impacts through self-efficacy on health promotion behaviors. Discussion &Conclusion: perceived self-efficacy was identified as the most influential factors on health promotion behaviors and this factor with social support and perceived benefit can be used in improvement of health promotion behavior in chemical veterans especially in veterans with complex types. رفتارهای ارتقاء سلامت، جانباز شیمیایی، الگوی ارتقاء سلامت، ایلام Health Promoting Behaviors, Chemical Veteran, Health promotion model, Ilam 257 267 http://sjimu.medilam.ac.ir/browse.php?a_code=A-10-924-1&slc_lang=fa&sid=1 Roghayeh Chenary رقیه چناری chenaryr@yahoo.com 9600319475328460011170 9600319475328460011170 No Bushehr University of Medical Sciences دانشگاه علوم پزشکی بوشهر Azita Noroozi آزیتا نوروزی azitanoroozi@yahoo.com 9600319475328460011171 9600319475328460011171 Yes Bushehr University of Medical Sciences دانشگاه علوم پزشکی بوشهر Rahim Tahmasebi رحیم طهماسبی 9600319475328460011172 9600319475328460011172 No Bushehr University of Medical Sciences دانشگاه علوم پزشکی بوشهر