Iranian Journal of Diabetes and Lipid Disorders
مجله دیابت و متابولیسم ایران
ijdld
Medical Sciences
http://ijdld.tums.ac.ir
1
admin
2345-4008
2345-4016
000
000
000
000
000
fa
jalali
1403
11
1
gregorian
2025
2
1
24
6
online
1
fulltext
fa
بررسی و مقایسۀ سواد سلامت زنان باردار مبتلا به دیابت بارداری و غیر دیابتی مراجعه کننده به مراکز بهداشتی درمانی شهر یزد در سال 1402
Investigating and Comparing the Health Literacy of Pregnant Women with Gestational Diabetes and Non-Diabetics Referring to Health Centers in Yazd City in 2023
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">مقدمه: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">دیابت بارداری از شایعترین بیماریهای دوران بارداری است و سواد سلامت مادران در پیشگیری و مدیریت آن نقش مهمی دارد. این مطالعه به بررسی و مقایسۀ سواد سلامت زنان باردار دیابتی و غیر دیابتی مراجعهکننده به مراکز بهداشتی یزد در سال 1402 پرداخته است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> این مطالعۀ توصیفی تحلیلی بر روی 206 زن باردار دیابتی و غیردیابتی انجام شد. نمونهگیری به روش خوشهای از مراکز بهداشتی و بهصورت تصادفی نمونه</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">ها انتخاب شدند. دادهها از طریق پرسشنامۀ سواد سلامت جمعآوری و با استفاده از آزمونهای کای اسکور، </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times="">t</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> مستقل و آنالیز واریانس تجزیهوتحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> نتایج مطالعه نشان داد میانگین نمرۀ سواد سلامت مادران باردار غیردیابتی (75/13 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span cambria="" style="font-family:">±</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> 26/74) بهطور معناداری بالاتر از میانگین نمرۀ سواد سلامت مادران دیابتی (06/21 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span cambria="" style="font-family:">±</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> 527/47) بود (001/0 </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">). و درصد زنان دیابتی با سواد سلامت ناکافی 69% و زنان غیردیابتی 9/3% گزارش شدکه نشانگرتفاوت قابل توجهی در سطح سواد سلامت بین مادران باردار دیابتی و غیردیابتی است (001/0 </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">). بهعلاوه، مادران دیابتی رابطۀ معکوسی بین سواد سلامت و تعداد بارداری و فرزندان خود نشان دادند، درحالیکه این روند در مادران غیر دیابتی مشاهده نشد (001/0 </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">).</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:92%"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:92%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:92%"><span b="" lotus="" style="font-family:"> نتایج این مطالعه نشان میدهد که زنان باردار غیر دیابتی دارای سواد سلامت بالاتری نسبت به زنان باردار مبتلا به دیابت بارداری هستند، که به اهمیت افزایش سواد سلامت در این گروه از مادران تأکید میکند. همچنین، وجود ارتباط قوی بین سواد سلامت و وضعیت دیابت مادر، نیاز به برنامهها و آموزشهای هدفمند برای بهبود سواد سلامت زنان باردار دیابتی را آشکار میسازد. بنابراین، ارتقاء سواد سلامت میتواند در مدیریت بهتر دیابت بارداری و بهبود وضعیت سلامت مادران مؤثر باشد.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:92%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="line-height:92%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Background:</span></b> <span new="" roman="" style="font-family:" times="">gestational diabetes is one of the most common diseases during pregnancy, and health literacy of pregnant mothers plays an important role in the prevention and management of the disease. The study aimed to examine and compare the health literacy of pregnant women with gestational and non-diabetic diabetes visiting health centers in the city of Yazd in 1402.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:92%">Methods</span></span></b><span style="font-size:11.0pt"><span style="line-height:92%">: This descriptive-analytical study was conducted on 206 diabetic and non-diabetic pregnant women; the cluster health center sampling method and pregnant mothers were randomized sampling method. The data was collected using a health literacy questionnaire and analyzed using Chi Square tests, independent t-Tests and variance analysis.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:92%">Results</span></span></b><span style="font-size:11.0pt"><span style="line-height:92%">: The results of the study showed that the average health literacy score of non-diabetic pregnant mothers (74.26 ± 13.75) was significantly higher than the average health literacy score of diabetic mothers (47.527 ± 21.06) (P< 0.001) and the percentage of diabetic women with insufficient health literacy was reported as 69% and 3.9% of non-diabetic women, which indicates a significant difference in the level of health literacy between diabetic and non-diabetic pregnant mothers (P< 0.001). In addition, diabetic mothers showed an inverse relationship between health literacy and the number of pregnancies and their children, while this trend was not observed in non-diabetic mothers (P< 0.001).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:92%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:92%">Conclusion:</span></span></b><span style="font-size:11.0pt"><span style="line-height:92%"> The results of this study indicate that non-diabetic pregnant women have higher health literacy than those with gestational diabetes, highlighting the importance of enhancing health literacy in this group of mothers. Additionally, the strong relationship between health literacy and the mother's diabetes status underscores the need for targeted programs and training to improve health literacy among diabetic pregnant women. Therefore, enhancing health literacy can be crucial in better managing gestational diabetes and improving maternal health outcomes.</span></span></span></span></span>
سواد سلامت, زنان باردار, دیابت بارداری, غیر دیابتی
Health Literacy, Pregnant Women, Gestational Diabetes, Non-diabetic
425
435
http://ijdld.tums.ac.ir/browse.php?a_code=A-10-2073-2&slc_lang=fa&sid=1
Fateme
Moshirenia
فاطمه
مشیری نیا