Lari Hamideh, Tahmasebi Rahim, Noroozi Azita
Department of Health, Bushehr University of Medical Sciences, Bushehr, Iran.
Department of Biostatistics, Bushehr University of Medical Sciences, Bushehr, Iran; The Persian Gulf Marine Biotechnology Research Center, Bushehr University of Medical Sciences, Bushehr, Iran.
Diabetes Metab Syndr. 2018 Jan-Mar;12(1):45-50. doi: 10.1016/j.dsx.2017.08.013. Epub 2017 Aug 24.
By high prevalence of inactivity, particularly in diabetic patients, the need to effective interventions to promote physical activity is essential. The aim of this study was to determine the effects of education based on health promotion model (HPM) through multimedia on the physical activity in diabetic patients.
In this quasi-experimental study, 76 patients with type II diabetes were evaluated (40 patents in intervention group and 36 patients in control group). The intervention group members and a friend or a family member, that could be supportive in physical activity, received teaching CD based on health promotion model. Both group members at the beginning of the study, two weeks and three months after the training, completed questionnaires. After data collection, statistical analysis was conducted using independent T-test, chi-square test, and repeated measurement of ANOVA.
Finding showed that self-efficacy (P<0.001), health status (p=0.032), benefits (P<0.001) and friends support in physical activity (P<0.001) were perceived to be higher, and barrier of physical activity (P<0.001) was perceived to be lower in multimedia group compared to control group 3 months after training. There was a significant difference in average of metabolic equivalent of task (MET) between two groups after the intervention (P<0.001).
Planning of education based on the HPM and implementation through multimedia can change belief about physical activity and increase participation in physical activity.
由于缺乏运动的情况普遍存在，尤其是在糖尿病患者中，因此采取有效干预措施来促进身体活动至关重要。本研究的目的是确定基于健康促进模型（HPM）的多媒体教育对糖尿病患者身体活动的影响。
在这项准实验研究中，对76名II型糖尿病患者进行了评估（干预组40名患者，对照组36名患者）。干预组的成员以及一名在身体活动方面能提供支持的朋友或家庭成员，收到了基于健康促进模型的教学光盘。两组成员在研究开始时、训练后两周和三个月时完成问卷调查。数据收集后，使用独立样本t检验、卡方检验和重复测量方差分析进行统计分析。
研究结果显示，与对照组相比，训练3个月后，多媒体组在自我效能感（P<0.001）、健康状况（p=0.032）、益处（P<0.001）以及朋友对身体活动的支持（P<0.001）方面的感知更高，而身体活动障碍（P<0.001）的感知更低。干预后两组间的平均代谢当量（MET）存在显著差异（P<0.001）。
基于健康促进模型进行教育规划并通过多媒体实施，可以改变对身体活动的信念并增加身体活动的参与度。
