تأثیر مکمل ویتامین D3 همراه با خودمراقبتی بر سطح سرمی آن در مادران شیرده: یک کارآزمایی بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه بهداشت باروری، مرکز تحقیقات مراقبتی پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

3 مربی گروه بهداشت باروری، مرکز تحقیقات مراقبتی پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: با توجه به شیوع زیاد کمبود ویتامین D به‌خصوص در زنان شیرده و اهمیت خودمراقبتی این مادران برای تأمین غلظت کافی ویتامین D، مطالعه حاضر با هدف تعیین تأثیر مکمل ویتامین D همراه با خودمراقبتی بر سطح سرمی آن در مادران شیرده انجام شد.
روشکار: این مطالعه کارآزمایی بالینی تصادفی در سال 98-1397 بر روی 70 مادر شیرده مراجعه‌کننده به مراکز بهداشتی و درمانی شهرستان تکاب که با کمبود ویتامین D سرمی (D3 کمتر از 30 نانوگرم بر میلی‌لیتر) مواجه بودند، انجام شد. غلظت 25 هیدروکسی ویتامین D سرم تمام مادران در دو نوبت، بدو ورود و 3 ماه بعد از اتمام مداخله اندازه‌گیری شد. افراد با روش نمونه‌گیری تصادفی‌سازی بلوکی به دو گروه 35 نفره (گروه آزمون و کنترل) تقسیم شدند. آموزش خودمراقبتی در 4 جلسه، با فاصله 7 روز به‌صورت چهره‌به‌چهره همراه با پیگیری تلفنی برای گروه مداخله اجرا گردید. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون­های تی مستقل و من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: دو گروه قبل از مداخله از نظر متغیرهای دموگرافیک همگن بودند. پس از انجام آموزش‌های خودمراقبتی، غلظت ویتامین  D3سرم گروه مداخله نسبت به کنترل افزایش معناداری پیدا کرد (001/0>p).
نتیجه‌گیری: علاوه بر تجویز برنامه غذایی غنی از ویتامین D به مادران شیرده، خودمراقبتی و القاء روان‌شناختی رفتارهای مراقبت از خود در استفاده از مکمل ویتامین D در مادران شیرده مؤثر است.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of vitamin D3 supplementation accompanied by self-care on its serum level in lactating mothers: A randomizes clinical trial

نویسندگان [English]

  • Maryam Modarres 1
  • Roghieh Faraji 2
  • Fatemeh RahimiKian 3
1 Assistant Professor, Department of Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2 M.Sc. of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3 Instructor, Department of Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Due to the high prevalence of vitamin D deficiency, especially in lactating women and the importance of self-care of these mothers to ensure adequate concentration of vitamin D, this study was performed with aim to determine the effect of vitamin D supplementation with self-care on its serum level in lactating mothers.
Methods: This randomized clinical trial study was performed in 2019 on 70 lactating mothers with serum vitamin D deficiency (D3 <30 ng / mL) referred to the health centers in Takab city. Concentration of 25OHvit. D3 Serum of all mothers was measured twice at baseline and 3 months after the end of intervention. By block randomization sampling method, the subjects were divided into two groups of 35 people (experimental and control). Self-care training was conducted for the intervention group in 4 sessions, with 7 days interval, in face to face form and telephone follow-up. Data were analyzed by SPSS software (version 16) and independent t-test and Mann-Whitney test. P<0.05 was considered statistically significant.
Results: The two groups were homogeneous in demographic variables before the intervention. There was significant increase in vitamin D3 concentration in the intervention group compared to the control group after self-care training (p <0.001).
Conclusion: In addition to prescribing a vitamin D-rich diet to lactating mothers, sels-care and psychological induction of self-care behaviors are effective in taking vitamin D supplements in breastfeeding mothers.

کلیدواژه‌ها [English]

  • Breastfeeding
  • Lactating Mothers
  • self-care
  • Vitamin D
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