تأثیر کاربرد تدابیر تغذیه ای طب سنتی ایرانی بر کیفیت زندگی زنان در دوران یائسگی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مشاوره مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 مربی گروه مامایی، مرکز تحقیقات مراقبت پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه طب سنتی ایران، مرکز تحقیقات طب سنتی و مکمل، دانشکده پزشکی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

4 استاد گروه آمار زیستی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: عوارض ناشی از کاهش استروژن در دوران یائسگی اثرات منفی بر کیفیت زندگی زنان دارد. کاربرد تدابیر تغذیه‌ای مبتنی بر طب ایرانی، از راهکارهای پیشنهادی برای تسکین علائم و عوارض یائسگی و بهبود کیفیت زندگی است، لذا مطالعه حاضر با هدف تعیین تأثیر­ تدابیر تغذیه‌ای طب سنتی ایرانی بر کیفیت زندگی زنان در دوران یائسگی انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی دو گروه در سال 1397 بر روی 57 زن یائسه انجام شد. 2 مرکز خدمات جامع سلامت چهارده معصوم و امام حسن (ع) از مرکز بهداشت شماره 2 مشهد به‌صورت تصادفی به‌ترتیب به‌عنوان آزمون و کنترل انتخاب شدند. سپس واجدین شرایط از بین مراجعین به‌صورت در دسترس انتخاب شدند. در گروه آزمون، تدابیر تغذیه‌ای طب ایرانی طی سه جلسه 90-60 دقیقه‌ای در طی 3 هفته آموزش داده شد و گروه کنترل نیز مراقبت­های معمول مرکز بهداشت را دریافت کردند. انجام دستورات در هر دو گروه به‌مدت 2 ماه پیگیری شد. گردآوری داده‌ها از طریق پرسشنامه‌های استاندارد کیفیت زندگی زنان یائسه، اضطراب و افسردگی بک و مزاج‌شناسی انجام شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون‌های آماری تی مستقل، کای دو، من ویتنی و ویلکاکسون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بین کیفیت زندگی، افسردگی، اضطراب و مزاج زنان دو گروه قبل از مداخله اختلاف آماری معنی‌داری وجود نداشت (05/0<p)، اما بعد از مداخله کاهش نمرات نشان‌دهنده بهبود کیفیت زندگی و افسردگی در گروه آزمون نسبت به گروه کنترل بود (001/0p <).
نتیجه‌گیری: کاربرد اصول تغذیه‌ای طب سنتی، کیفیت زندگی زنان در دوران یائسگی را افزایش می‌دهد. لذا برای مدیریت علائم یائسگی توصیه می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of food-based strategies of Iranian traditional medicine on women's quality of life during menopause

نویسندگان [English]

  • Maryam Shahraeini 1
  • Nahid Jahani shourab 2
  • Roghaye Javan 3
  • Mohamad Taghi shakeri 4
1 M.Sc. Student of Counseling in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad. Iran.
2 Instructor, Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant professor, Department of Persian Traditional Medicine, Traditional and Complementary Medicine Research Center, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
4 Professor, Department of Biostatistics, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: The complication caused by estrogen deprivation during menopause has negative effects on women's quality of life. The use of food-based strategies based on Iranian traditional medicine is one of the suggested strategies to relieve menopausal sign and symptoms and finally improves their quality of life. Therefore, this study was performed with aim to determine the effect of food-based strategies based on Iranian traditional medicine on women's quality of life during menopause.
Methods: This two-group clinical trial study was performed on 57 postmenopausal women in 2018. Two health comprehensive service centers of Chardah-Masoum and Imam Hassan were randomly selected from health center (No 2) as the intervention and control group, respectively. Then, the eligible women were sampled by convenience. In the intervention group, food-based strategies of Iranian medicine were educated in three sessions of 60-90 minutes during 3 week. The control group received routine care of the health center. Two groups were followed up for 2 monthsin adherence to orders. Data was collected through Menopause Specific Quality of Life Questionnaire (MENQOL), Beck Anxiety and Depression Inventory and Mizaj questionnaire. Data were analyzed by SPSS software (version 16) and independent t-test, Chi-square, Mann-Whitney, and Wilcoxon tests. p < 0.05 was considered statistically significant.
Results: There was no statistically significant difference between quality of life, depression, anxiety and mizaj of women in the two groups before the intervention (p>0.05). But after the intervention, decreased scores showed an improvement in quality of life and depression in the intervention than the control groups (p <0.001).
Conclusion: The use of food-based strategies increases the quality of life in menopausal women. So, it is suggested for management of the signs of menopause.

کلیدواژه‌ها [English]

  • Food
  • medicine
  • Menopause
  • Quality of life
  • Traditional
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