fa تاثیر آموزش مبتنی بر مولفه‌های الگوی اعتقاد سلامتی بر عملکرد خودآزمایی پستان در کارکنان زن دانشگاه آزاد نجف آباد تخصصي Special پژوهشی-کمی Quantitative-Research <span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">سرطان</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پستان</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">شایع‌ترین</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بدخیمی</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">در</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">زنان</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">و علت اصلی مرگ‌و‌میر ناشی از سرطان در جهان است.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مطابق </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">الگوی اعتقاد سلامتی، افرادی که نسبت به سرطان پستان آگاه و حساس شوند، انگیزه بیشتری جهت انجام </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">خودآزمایی</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> خواهند داشت. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پژوهش حاضر با هدف تعیین </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تاثیر</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> آموزش مبتنی بر مولفه‌های الگوی اعتقاد سلامتی بر عملکرد خودآزمایی پستان در کارکنان زن دانشگاه آزاد نجف‌آباد </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">انجام شده است.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" mitra="" style="font-family:">روش کار:</span></b><span b="" lang="FA" mitra="" style="font-family:"> این پژوهش نیمه‌تجربی </span><span b="" lang="AR-SA" mitra="" style="border:none windowtext 1.0pt; font-family:">با طرح پیش‌آزمون</span><span lang="AR-SA" style="border:none windowtext 1.0pt; padding:0in">-</span><span b="" lang="AR-SA" mitra="" style="border:none windowtext 1.0pt; font-family:">پس‌آزمون </span><span b="" lang="FA" mitra="" style="font-family:">باحضور 60 کارمند زن دانشگاه آزاد نجف آباد انجام شد. پس از کسب مجوز، نمونه‌ها به‌روش دردسترس، انتخاب و به‌صورت تصادفی در دو گروه 30 نفره قرار گرفتند. هر دو گروه قبل و بعد از مطالعه، پرسشنامه الگوی اعتقاد سلامتی و چک‌لیست عملکرد را تکمیل نمودند. در گروه مداخله، دو جلسه 90 دقیقه ای آموزش نظری و یک جلسه عملی (در 5 گروه، روی سیمولیتور) اجرا گردید. درپایان، میانگین نمرات دو گروه با هم مقایسه گردید. داده‌ها با آزمون های آماری توصیفی و استنباطی (تی‌مستقل، تی‌زوجی) با نرم افزار </span><b>&nbsp;</b>SPSS<b> </b><span b="" lang="FA" mitra="" style="font-family:">نسخه21 تجزیه وتحلیل گردید.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" mitra="" style="font-family:">یافته‌ها:</span></b><span b="" lang="FA" mitra="" style="font-family:"> سن شرکت‌کنندگان 29 تا 54 سال</span><span b="" lang="FA" mitra="" style="font-family:"> و</span> <span b="" lang="FA" mitra="" style="font-family:">از</span> <span b="" lang="FA" mitra="" style="font-family:">منظر</span> <span b="" lang="FA" mitra="" style="font-family:">سن، دو</span> <span b="" lang="FA" mitra="" style="font-family:">گروه</span> <span b="" lang="FA" mitra="" style="font-family:">همگن</span> <span b="" lang="FA" mitra="" style="font-family:">بودند</span><span b="" lang="FA" mitra="" style="font-family:">. قبل از مطالعه، میانگین نمرات مولفه‌های درک‌حساسیت، درک‌شدت، درک‌منافع، درک‌موانع، انگیزش، خودکارآمدی و نمره کل مولفه های دو گروه تفاوت معنادار نداشتند(21/0=</span>P<span b="" lang="FA" mitra="" style="font-family:">). در پایان مطالعه، میانگین کلی و نمرات درک‌حساسیت، درک‌منافع، انگیزش، خودکارآمدی و عملکرد پس از آموزش، در گروه مداخله افزایش داشت(001/0=</span>P<span b="" lang="FA" mitra="" style="font-family:">) اما در<span style="background:white"><span style="color:black">گروه کنترل، </span></span>میانگین نمرات درک‌حساسیت، درک‌شدت، انگیزش و خودکارآمدی <span style="background:white"><span style="color:black">تفاوت معناداری نداشت</span></span> (70/0=</span>P<span b="" lang="FA" mitra="" style="font-family:">).<span style="background:white"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" mitra="" style="font-family:">نتیجه‌گیری:</span></b><span b="" lang="FA" mitra="" style="font-family:"> مطالعه</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">حاضر</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">کارایی</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">الگوی</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">اعتقاد</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">سلامتی</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">را</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">در</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">ارتقای</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">رفتار</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">خودآزمایی</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">پستان</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">تأیید</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">نمود،</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">لذا</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">این</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">الگو می‌تواند</span><b> </b><span b="" lang="FA" mitra="" style="font-family:">تاثیری مثبت بر نگرش و عملکرد زنان داشته و موجب کاهش درک‌موانع و افزایش منافع حاصل از انجام این رفتار بهداشتی شود.</span></span></span></span></span></span><br> <br> <span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <br> &nbsp; <span style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><b>Introduction: </b>Breast cancer is the most common malignancy in women and the main cause of cancer-related deaths in the world. According to the Health-Belief Model, people who become aware and sensitive about breast cancer will have more motivation to perform self-examination. The goal of the present study was to determine the effect of education based on the components of the Health Belief Model on breast self-examination performance in female employees of Najafabad-Azad-University.</span></span><br> <span style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><b>Methods: </b>This semi-experimental research was conducted with a pre-test-post-test design in the presence of 60 female employees of the Islamic Azad University-Najafabad Branch. After obtaining permission, the samples were randomly selected and assigned to two groups of 30 people. Both groups completed the Health-Belief-Model questionnaire and performance checklist before and after the study. Two 90-minute theoretical training sessions and one practical session (in 5 groups, on the simulator) were conducted in the intervention group. At the end, the mean scores of the two groups were compared. The data were analyzed with descriptive and inferential statistical tests (independent T-test, paired T-test) with SPSS-21.</span></span><br> <span style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><b>Results: </b>The age range of the participants was 29 to 54 years, and both groups were homogeneous in age. Before research, the mean scores of the components of Perceived- Susceptibility, Perceived-Sensitivity, Perceived-Benefits, Perceived-Barriers, Motivation, Self-Efficacy and the total score of the components of two groups were not significantly different (P=0.21). Finally, the overall average and the scores of Perceived-Sensitivity, Perceived-Benefits, Motivation, Self-Efficacy and Performance after training increased in the intervention group (P=0.001), but in the control group, the mean scores of Perceived-Susceptibility, Perceived-Sensitivity, Motivation and Self-Efficacy did not differ significantly (P = 0.70).</span></span><br> <span style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><b>Conclusion: </b>The current study confirmed the effectiveness of the Health-Belief-Model in promoting breast self-examination behavior, so this model can have a positive effect on women&#39;s attitude and performance and reduce the Perceived-Barriers and increase the benefits of performing this health behavior.</span></span><br> <br> <br> &nbsp; الگوی اعتقاد سلامتی, خودآزمایی پستان, سرطان پستان, آموزش, سلامت زنان. Health Belief Model, Breast Self-Examination, Breast Cancer, Education, Women's Health. 25 35 http://jne.ir/browse.php?a_code=A-10-97-1&slc_lang=fa&sid=1 Mansoureh Ahmadifaraz منصوره احمدی فراز m.ahmadifaraz@yahoo.com 100319475328460028659 100319475328460028659 No Najafabad Branch, Islamic Azad University, Najafabad دانشگاه آزاد اسلامی، نجف آباد Mina Jouzi مینا جوزی minajouzi@yahoo.com 100319475328460028660 100319475328460028660 Yes Najafabad Branch, Islamic Azad University, Najafabad دانشگاه آزاد اسلامی، نجف آباد