Rouholamini Soghra, Gheibizadeh Mahin, Maraghi Elham, Jahanshahi Alireza
Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Iran J Nurs Midwifery Res. 2020 Apr 18;25(3):224-231. doi: 10.4103/ijnmr.IJNMR_97_19. eCollection 2020 May-Jun.
Physical activity among women with type 2 Diabetes Mellitus (DM) is an undesirable level. This study aimed to determine the effect of a training program based on the Health Promotion Model (HPM) on physical activity in women with type 2 DM.
This randomized clinical trial was performed on 128 women with type 2 DM, who were randomly assigned to control and intervention groups. Data were collected using the Baecke Physical Activity Questionnaire (BPAQ) and a researcher-made questionnaire designed based on the HPM constructs before and 2 months after the intervention. The training was carried out in four sessions in the intervention group and the control group received regular education at the clinic. Data were analyzed using Chi-square, Fisher's exact test, paired -test, independent -test, and Mann-Whitney and Wilcoxon tests in Statistical Package for the Social Sciences (SPSS) software.
The findings showed that the mean [Standard Deviation (SD)] of physical activity in the intervention and control groups before the intervention was 6.52 (0.86) and 6.56 (1.07), respectively, and there was no significant difference between the groups ( = 0.95). However, after the intervention, the mean (SD) of physical activity in the intervention and control groups was 8.04 (0.92) and 6.33 (1.60), respectively, which showed a significant difference (t= 9.71, < 0.001).
The findings of this study revealed that the training program based on the HPM has a positive effect on improving physical activity in women with type 2 DM.
2型糖尿病（DM）女性的身体活动水平不理想。本研究旨在确定基于健康促进模型（HPM）的培训计划对2型糖尿病女性身体活动的影响。
对128名2型糖尿病女性进行了这项随机临床试验，她们被随机分为对照组和干预组。在干预前和干预后2个月，使用贝克身体活动问卷（BPAQ）和基于HPM构建的研究者自编问卷收集数据。干预组进行了四次培训课程，对照组在诊所接受常规教育。使用社会科学统计软件包（SPSS）中的卡方检验、费舍尔精确检验、配对t检验、独立t检验以及曼-惠特尼检验和威尔科克森检验对数据进行分析。
研究结果表明，干预前干预组和对照组的身体活动平均水平[标准差（SD）]分别为6.52（0.86）和6.56（1.07），两组之间无显著差异（P = 0.95）。然而，干预后，干预组和对照组的身体活动平均水平（SD）分别为8.04（0.92）和6.33（1.60），差异显著（t = 9.71，P < 0.001）。
本研究结果表明，基于HPM的培训计划对改善2型糖尿病女性的身体活动有积极影响。
