بررسی تأثیر مداخله‏ آموزشی مبتنی بر مدل ارتقای سلامت پندر بر خودشکوفایی و روابط بین ‏فردی زنان یائسه‏

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد بین‌الملل کیش، دانشگاه آزاداسلامی، جزیره کیش، ایران.

2 استاد، گروه روانشناسی، واحد بین‌الملل کیش، دانشگاه آزاداسلامی، جزیره کیش، ایران.

3 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاداسلامی، البرز، ایران.

چکیده

مقدمه: سلامت جامعه در گرو تأمین نیازهای بهداشتی، فرهنگی و اقتصادی زنان است. یائسگی بخشی از زندگی زنان است که در بهداشت باروری اهمیت ویژه‏ای دارد و برنامه آموزشی مناسب به‏ منظور بهبود توانمندی‏های روانی زنان ضروری است. این پژوهش با هدف تعیین تأثیر مداخله آموزشی مبتنی بر مدل ارتقاء سلامت پندر بر خودشکوفایی و روابط بین‏فردی انجام شد.
مواد و روش‌ها: این مطالعه از نوع کارآزمایی بالینی با پیش­آزمون، پس­آزمون و گروه کنترل بود. از بین زنان یائسه‏ شاغل در مدارس دخترانه غیردولتی شهر تهران طی سال 1398 به‏شیوه هدفمند تعداد 60 نفر انتخاب و به‏صورت تصادفی در گروه­های آزمایش (30 نفر) و کنترل (30 نفر) قرار گرفتند. جمع­آوری داده­ها با استفاده از پرسشنامه اطلاعات دموگرافیک-محقق ساخته و پرسشنامه استاندارد رفتارهای ارتقادهنده سلامت انجام شد. در گروه آزمایش، آموزش رفتارهای ارتقادهنده سلامت در 6 جلسه به­ صورت هفته­ای 1 جلسه و هر جلسه به‏ مدت 2 ساعت اجرا گردید. پس از پایان آموزش از گروه­ها پس­آزمون گرفته شد. داده­ها با روش‏های آزمون‏های t مستقل و زوجی و تحلیل کواریانس چندمتغیری تحلیل شدند.
یافته‌ها: نتایج نشان داد مداخله‏ آموزشی مبتنی بر مدل ارتقای سلامت بر افزایش خودشکوفایی (53/9=F، 006/0=p و 60/0=Eta) و روابط بین‏فردی زنان یائسه (40/8=F، 009/0=p و 71/0=Eta) گروه آزمایش در مرحله پس­آزمون تأثیر مثبت و معنی­داری داشته است.
نتیجه‌گیری: مداخله‏ آموزشی مبتنی بر مدل ارتقای سلامت می‏تواند برای انتقال به مرحله یائسگی کارساز باشد. پژوهشگران و درمانگران می‏توانند از مدل پندر برای بهبود رفتارهای ارتقادهنده سلامت در زنان یائسه ایرانی استفاده کنند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Educational Intervention Based on Pender’s Health Promotion Model on Self-Actualization and Interpersonal Relations in Menopausal Women

نویسندگان [English]

  • M BehnamMoradi 1
  • H Ahadi 2
  • MR Seirafi 3
1 Ph.D Student, Dept of Psychology, Kish International, Islamic Azad University, Kish Island, Iran.
2 Prof, Dept of Psychology, Kish International, Islamic Azad University, Kish Island, Iran.
3 Assistant Prof, Dept of Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran.
چکیده [English]

Introduction: Community health is dependent on meeting women’s health, economic, and cultural needs. Menopause is a part of women’s life which has a particular importance in their reproductive health, and thus appropriate educational programs are needed to improve women’s mental capabilities. Acordingly, this study aimed to determine the effects of educational intervention based on Pender’s Health Promotion Model on self-actualization and interpersonal relations in menopausal women.
Materials and Methods: This study was a clinical trial, with pre-test, post-test, and the control group. Of menopausal women working in non-government schools in Tehran in 2019, a total number of 60 women were selected by purposive sampling and were randomly divided into experimental (n=30), and control (n=30) groups. The required data were collected using a researcher-made demographic information checklist, and the Health Promotion Lifestyle Profile-II (PHPLP-II). The health promotion lifestyle program was administered for the particpants in the experimental group in six sessions, one session per week and each for two hours. At the end of the training program, the post-test was taken from the participants in bith groups. The collected data were analyzed using independent samples t-test, paired samples t-test, and multivariate analysis of covariance using SPSS software (version 25).
Results: The results showed that educational intervention based on health promotion model had a positive and significant effect on increasing self-actualization (F=9.53, p=0.006, Eta=0.60) and interpersonal relations (F=8.40, p=0.009, Eta=0.71) in menopausal women in the experimental group as indicated by their post-test scores.
Conclusion: The results showed that the educational intervention based on Pender’s Health Promotion Model can be effective in transition to the menopausal stage and researchers and therapists can use Pender’s model to improve health-promoting behaviors and lifestyle in Iranian inmenopausal women.

کلیدواژه‌ها [English]

  • Self-actualization
  • Interpersonal relations
  • Menopausal women
  • Educational intervention
  • Pender’s Health Promotion Model
  1. Askin M, Koc EM, Soyoz M, Aksun S, Aydogmus S, Sozmen K. Relationship between postmenopausal vitamin D level, menopausal symptoms and sexual functions. J Coll Physicians Surg Pak 2019;29(9):823-27.
  2. Ghorbani M, Azhari S, Esmaeily H, Ghanbari HashemAbadi B. The relationship between personality characteristics and lifestyle in the postmenopausal women referring to the women's training centers in Mashhad in 2013. Community Health Journal 2014;8(3):10-18.[Persian]
  3. Guo C, Li Q, Tian G, Liu Y, Sun X, Yin Z, et al. Association of age at menopause and type 2 diabetes: A systematic review and dose-response meta-analysis of cohort studies. Prim Care Diabetes 2019;13(4):301-309.
  4. Gemmell LC, Webster KE, Kirtley S, Vincent K, Zondervan KT, Becker CM. The management of menopause in women with a history of endometriosis: a systematic review. Hum Reprod Update 2017;23(4):481-500.
  5. Rivard C, Philpotts LL, Flanagan J, Looby SE. Health characteristics associated with hot flashes in women with HIV during menopause: an integrative review. J Assoc Nurses AIDS Care 2019;30(1):87-97.
  6. Abedi P, Jorfi M, Afshari P. Evaluation of the health promotion lifestyle and its related factors in reproductive aged women in Ahvaz, Iran. Community Health Journal 2015;9(1):68-74. [Persian]
  7. Krems JA, Kenrick DT, Neel R. Individual perceptions of self-actualization: What functional motives are linked to fulfilling one's full potential? Pers Soc Psychol Bull 2017;43(9):1337-1352.
  8. Mašina T, Madžar T, Musil V, Milošević M. Differences in health-promoting lifestyle profile among croatian medical students according to gender and year of study. Acta Clin Croat 2017;56(1):84-91.
  9. Cho H, Han K, Park BK. Associations of eHealth literacy with health-promoting behaviours among hospital nurses: A descriptive cross-sectional study. J Adv Nurs 2018;74(7):1618-27.
  10. Gholamnejad H, Darvishpoor-Kakhki A, Ahmadi F, Rohani C. Self-actualization: Self-care outcomes among elderly patients with hypertension. Iran J Nurs Midwifery Res 2019;24(3):206-212.
  11. Heidari M, Ghodusi M, Rezaei P, Kabirian Abyaneh S, Heidari Sureshjani E, Sheikhi RA. Sexual function and factors affecting menopause: A ystematic Review. J Menopausal Med 2019;25(1):15-27.
  12. Duff PK, Money DM, Ogilvie GS, Ranville F, Kestler M, Braschel MC, et al. Severe menopausal symptoms associated with reduced adherence to antiretroviral therapy among perimenopausal and menopausal women living with HIV in metro vancouver. Menopause 2018;25(5):531-37.
  13. Abdolmalaki B, Peyman N, Esmaeili H. Evaluation of health literacy rate of postmenopausal women covered by Mashhad health centers in 2018. Journal of Health Literacy 2018;3(3):33-41. [Persian]
  14. Asrami FS,Hamzehgardeshi Z,Shahhosseini Z. Health promoting lifestyle behaviors in menopausal women: A cross-sectional study. Glob J Health Sci 2016;8(8):128-34.
  15. Malik E, Sheoran P, Siddiqui A. Health-promoting behaviors and menopausal symptoms: An interventional study in Rural India. J Midlife Health 2018;9(4):200-6.
  16. Marsh WK, Bromberger JT, Crawford SL, Leung K, Kravitz HM, Randolph JF, et al. Lifelong estradiol exposure and risk of depressive symptoms during the transition to menopause and postmenopause. Menopause 2017;24(12):1351-59.
  17. Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. 8th ed. Boston, MA: Pearson, 2018. PP:312-316.
  18. Goodarzi-Khoigani M,Baghiani Moghadam MH,Nadjarzadeh A, Mardanian F, Fallahzadeh H, Mazloomy-MahmoodabadS. Impact of nutrition education in improving dietary pattern during pregnancy based on Pender's health promotion model: A Randomized Clinical Trial. Iran J Nurs Midwifery Res 2018;23(1):18-25.
  19. Khodaveisi M, Omidi A, Farokhi S, Soltanian AR. The effect of pender's health promotion model in improving the nutritional behavior of overweight and obese women. Int J Community Based Nurs Midwifery 2017;5(2):165-174.
  20. Anderson D, Seib C, McGuire A, Porter-Steele J. Decreasing menopausal symptoms in women undertaking a web-based multi-modal lifestyle intervention: The Women's Wellness Program. Maturitas 2015;81(1):69-75.
  21. Mansikkamäki K, Raitanen J, Malila N, Sarkeala T, Männistö S, Fredman J, et al. Physical activity and menopause-related quality of life a population-based cross-sectional study. Maturitas 2015;80(1):69-74.
  22. Sadeghi T, Azimi A, Loripoor M. Comparing the effect of black cohosh versus vitagnus on the impovement of menopause symptoms. IJOGI 2019;21(12):1-10. [Persian]
  23. Abdi J,Eftekhar H,Estebsari F,SadeghiR. Theory-based interventions in physical activity: A systematic review of literature in Iran. Glob J Health Sci 2015;7(3):215-29.
  24. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res 1987;36(2):76-81.
  25. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and Validity of Persian Version of the Health-Promoting Lifestyle Profile. J Mazandaran Univ Med Sci 2012;21(1):102-13. [Persian]
  26. Tadayon M, Ilkhani M, Abedi P, Haghighi Zadeh M. The relationship between sleep quality and lifestyle in postmenopausal Iranian women: a cross-sectional study. Women Health 2019;59(8):883-891.
  27. Kamran A, Sharifirad G, Heydari H, Sharifian E. The Effect of Theory Based Nutritional Education on Fat Intake, Weight and Blood Lipids. Electron Physician 2016;8(12):3333-3342.
  28. Shabibi P, Zavareh MSA, Sayehmiri K, Qorbani M, Safari O, Rastegarimehr B, et al. Effect of educational intervention based on the Health Belief Model on promoting self-care behaviors of type-2 diabetes patients. Electron Physician 2017;9(12):5960-5968.
  29. Alaviani M, Khosravan S, Alami A, Moshki M. The effect of a multi-strategy program on developing social behaviors based on Pender's health promotion model to prevent loneliness of old women referred to Gonabad Urban Health Centers. Int J Community Based Nurs Midwifery 2015;3(2):132-40.
  30. Henwood BF, Derejko KS, Couture J, Padgett DK. Maslow and mental health recovery: a comparative study of homeless programs for adults with serious mental illness. Adm Policy Ment Health 2015;42(2):220-8.
  31. Goodarzi-Khoigani M, Baghiani Moghadam MH, Nadjarzadeh A, Mardanian F, Fallahzadeh H, Mazloomy-Mahmoodabad S. Impact of nutrition education in improving dietary pattern during pregnancy based on Pender's health promotion model: A Randomized Clinical Trial. Iran J Nurs Midwifery Res 2018;23(1):18-25.
  32. Shaahmadi F, Shojaeizadeh D, Sadeghi R, Arefi Z. Factors influencing health promoting behaviours in women of reproductive age in Iran: Based on Pender's health promotion model. Open Access Maced J Med Sci 2019;7(14):2360-2364.
  33. Bahri N, Yoshany N, Morowatisharifabad MA, Noghabi AD, Sajjadi M. The effects of menopausal health training for spouses on women's quality of life during menopause transitional period. Menopause 2016;23(2):183-8.
  34. Moshki M, Mohammadzadeh F, Dehnoalian A. The effectiveness of a group-based educational program on the self-efficacy and self-acceptance of menopausal women: A randomized controlled trial. J Women Aging 2018;30(4):310-25.
  35. Asghari M, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Malakouti J, Nedjat S. Effect of aerobic exercise and nutrition educationon quality of life and early menopause symptoms: A randomized controlled trial. Women Health 2017;57(2):173-188.