Seifrabiei Mohammad A, Ahmadpanah Mohammad, Kazemzadeh Mohammad, Ebrahimi Sanaz
Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Psychiatry, School of Medicine, Sina (Farshchian) Educational and Medical Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):486-490. doi: 10.4103/ijnmr.ijnmr_160_23. eCollection 2024 Jul-Aug.
Most obese people do not have high self-esteem. This study was conducted to evaluate the effect of self-esteem education on the weight status of obese women.
This Randomized Clinical Trial (RCT) was performed on 46 obese women (BMI >30) in Hamadan during 2021-2022. By simple convenient sampling and block randomization, the samples were divided into two equal groups. In both groups, routine lifestyle and diet recommendations were prescribed. In the intervention group, eight sessions of self-esteem training were performed specifically. In two groups BMI was measured and the Cooper-Smith Self-Esteem Inventory (CSEI) was filled out before and after the intervention. SPSS 20 was used to analyze the data. Statistical significance was considered at < 0.05.
The mean age of the participants in the intervention and control groups was 27.95 (5.02) and 30.25 (5.46) years respectively (t = 1.39, = 0.17). BMI was comparable in two groups before the study (32.47 vs. 33.13 in the intervention and control group respectively, (t = 1.02, = 0.31), but decreased significantly in the intervention group at the end (30.38 vs. 32.90, t38 = 3.76, = 0.001). The mean self-esteem scores of the two groups were similar at the beginning (27.10 vs. 27.60 in the intervention and control group respectively, (t = 0.52, = 0.60) but increased significantly in the intervention group at the end (30.10 vs. 27.35, t = 2.99, < 0.001).
The findings suggest that self-esteem educational programs can increase the self-esteem score and decrease BMI in obese women and should be considered as a treatment modality in these women.
大多数肥胖者自尊心不高。本研究旨在评估自尊教育对肥胖女性体重状况的影响。
本随机临床试验（RCT）于2021年至2022年期间在哈马丹对46名肥胖女性（BMI>30）进行。通过简单便利抽样和区组随机化，将样本分为两组。两组均给出常规生活方式和饮食建议。干预组专门进行了八次自尊训练。两组在干预前后均测量了BMI，并填写了库珀-史密斯自尊量表（CSEI）。使用SPSS 20分析数据。统计学显著性以P<0.05为标准。
干预组和对照组参与者的平均年龄分别为27.95（5.02）岁和30.25（5.46）岁（t=1.39，P=0.17）。研究前两组的BMI相当（干预组和对照组分别为32.47和33.13，t=1.02，P=0.31），但干预组最后BMI显著下降（30.38对32.90，t=3.76，P=0.001）。两组的自尊平均得分在开始时相似（干预组和对照组分别为27.10和27.60，t=0.52，P=0.60），但干预组最后显著提高（30.10对27.35，t=2.99，P<0.001）。
研究结果表明，自尊教育项目可提高肥胖女性的自尊得分并降低BMI，应被视为这些女性的一种治疗方式。
