Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
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jalali
1401
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gregorian
2022
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بررسی عوامل پیشگوییکننده تبعیت زنان باردار از شیوهنامههای بهداشتی کووید-19 بعد از موج دوم بیماری در استان زنجان سال 1399
Factors predicting adherence to COVID-19 health protocols among pregnant women after the second wave of the disease in Zanjan province, 2020
مراقبتهاي مامايي
Midwifery Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">تبعیت از رفتارهای بهداشتی در دوران بارداری نقش مهمی در سلامت مادر و نوزاد دارد. مطالعه حاضر با هدف تعیین عوامل پیشگوییکننده تبعیت زنان باردار از شیوهنامههای بهداشتی بیماری کووید-19 در استان زنجان در سال 1399 انجام گرفته است</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این مطالعه توصیفی مقطعی در سال 1399 در مورد 2336 نفر از زنان باردار مراجعهکننده به مراکز جامع سلامت استان زنجان انجام گرفته است. نمونهها به روش نمونهگیری چند مرحلهای انتخاب شدند. دادهها به صورت تلفنی با استفاده از پرسشنامه محقق ساخته تبعیت از شیوهنامههای بهداشتی و درک کلی از بیماری کووید-19 جمعآوری و با استفاده از آمار توصیفی و مدل رگرسیون خطی چندگانه در سطح اطمینان 95% در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 16 تحلیل شد</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">یافتهها</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">بیشترین درصد افراد در سه ماهه دوم بارداری و ساکن شهر بودند. با در نظر گرفتن نقطه برش میانه سطح تبعیت 5/46% افراد بالاتر از میانه و در وضعیت مطلوب قرار داشت. تبعیت از شستن دست 7/84% و استفاده از ماسک 6/76% بود. محل سکونت، سن، تحصیلات، شغل، درآمد خانوار و سابقه ابتلا به بیماری کووید در فامیل از مهمترین عاملهای پیشگوییکننده میزان تبعیت از شیوهنامههای بهداشتی کووید-19 بودند (001/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p<</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">رعایت شیوهنامههای بهداشتی نزدیک به نیمی از افراد در حد مطلوب بود. پیشنهاد میشود برنامههای آموزشی و حمایتی برای گروههای با درآمد پایین، ساکن روستا و سن کم طراحی و اجرا شود</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Compliance with health behaviors during pregnancy plays an important role in the health of mothers and their neonates.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">The aim of the study was to determine factors predicting adherence to COVID-19 health protocols among pregnant women in Zanjan province in 2020</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.1pt">A cross-sectional, descriptive study was conducted on 2336 pregnant women referred to comprehensive health centers in Zanjan province in 2020. The samples were selected by the multi-stage sampling method. Data were collected by telephone using a researcher-designed questionnaire on health practices and overall perception of COVID-19 disease. To analyze the data, descriptive statistics and multiple linear regression model were used at the confidence level of 95% through the SPSS software version 16</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Most women were in the second trimester of pregnancy and living in the urban areas. Considering the median score as a cutting point, the participants’ adherence level was 46.5% over the median score and at a desirable level. The handwashing adherence was 84.7% and mask use was 76.6%. Location, age, education, occupation, household income, and family history of COVID-19 disease were the most important predictors of compliance with COVID-19 health protocols (<i>P</i></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">0.001)</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Adherence to health protocols was at a relatively desirable level in almost half of the participants. It is suggested that education and support programs be designed and implemented for young and low-income groups living in rural areas</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
بارداری, کووید-19, تبعیت از رفتار
pregnancy, COVID-19, adherence
1
13
http://hayat.tums.ac.ir/browse.php?a_code=A-10-1-49&slc_lang=fa&sid=1
Azam
Maleki
اعظم
ملکی
malekia@zums.ac.ir