واکاوی مؤلفه های فردی رفتارهای تغذیه‌ای در دختران نوجوان مبتلا به سندرم تخمدان پلی‌کیستیک: یک مطالعه کیفی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه پرستاری و مامایی، واحد علوم پزشکی کازرون، دانشگاه آزاد اسلامی، کازرون، ایران.

2 دانشیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

3 استاد گروه آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

4 استادیار گروه تغذیه بالینی، مرکز تحقیقات تغذیه، دانشکده تغذیه و علوم غذایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقدمه: سندرم تخمدان پلی‌کیستیک، شایع‌ترین اختلال اندوکرین در زنان سنین باروری است. شیوع این سندرم در دختران نوجوان طی سال‌های اخیر افزایش یافته است و رفتارهای تغذیه‌ای ناسالم، نقش مهمی در پیشرفت و عوارض این سندرم دارد. پژوهش حاضر با هدف شناسایی مؤلفه‌های فردی رفتارهای تغذیه‌ای در دختران نوجوان مبتلا به این سندرم انجام شد.
روش‌کار: این مطالعه کیفی با رویکرد تحلیل محتوا در سال 96-1395 انجام شد. 39 نفر مشارکت‌کننده در درمانگاه‌های زنان و مطب‌های متخصصین زنان و ماماها در شهر شیراز، از طریق نمونه‌گیری هدفمند انتخاب شده و داده‌ها از طریق مصاحبه‌های عمیق فردی، بحث‌های گروهی و یادداشت‌برداری در عرصه جمع‌آوری و با استفاده از روش آنالیز محتوای کیفی مرسوم مورد تجزیه و تحلیل قرار گرفت.
یافته‌ها: در این مطالعه 22 زیرطبقه و 8 طبقه اصلی شامل "برخورداری از خودکارآمدی"، "تأثیر تغییرات حاصل از دوره بلوغ و نوجوانی"، "اولویت موفقیت و ارتقاء تحصیلی"، "تجارب مربوط به رعایت رژیم غذایی"، "آگاهی و نگرش در مورد بیماری و رفتارهای تغذیه‌ای مرتبط یا آن"، "برخورداری از دانش برای اتخاذ رفتارهای تغذیه‌ای سالم"، "تمایلات احساسی نسبت به مواد غذایی" و"میزان زمان در دسترس" به‌دست آمد.
نتیجه‌گیری: مؤلفه‌های فردی مختلفی رفتارهای تغذیه‌ای دختران نوجوان مبتلا به سندرم تخمدان پلی‌کیستیک را متأثر می‌سازند. با شناسایی این مؤلفه‌ها، سیاست‌گزاران و برنامه‌ریزان حوزه سلامت نوجوانان می‌توانند مداخلات مختلفی را در راستای اتخاذ رفتارهای تغذیه‌ای سالم در این دختران طراحی نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

Exploration of individual components of nutritional behaviors in adolescent girls with polycystic ovary syndrome (PCOS): A qualitative study

نویسندگان [English]

  • Leila Hajivandi 1
  • Mahnaz Noroozi 2
  • Firoozeh Mostafavi 3
  • Maryam Ekramzadeh 4
1 Assistant Professor, Department of Nursing and Midwifery, Kazerun Medical Sciences Branch, Islamic Azad University, Kazerun, Iran.
2 Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
3 Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
4 Assistant Professor, Department of Clinical Nutrition, Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
چکیده [English]

Introduction: Polycystic ovary syndrome is the most common endocrine disorder in women of childbearing age. Prevalence of this syndrome in adolescent girls has increased in recent years and unhealthy nutritional behaviors play an important role in the progression and complications of this syndrome. The present study was conducted aimed to explore individual components of nutritional behaviors in adolescent girls with this syndrome.
Methods: This qualitative study was conducted with a content analysis approach in 2016-2017. Thirty-nine participants were selected through purposeful sampling method in gynecological clinics as well as offices of gynecologists and midwives in Shiraz. Data were gathered using individual in-depth interviews, focus group discussions and field notes. Data were analyzed using conventional qualitative content analysis.
Results: In this study, 22 sub-categories and 8 main categories were obtained including: “having self-efficacy”, “impact of changes resulting from puberty and adolescence”, “prioritize academic success and promotion”, “experiences related to diet”, “awareness and attitude about the disease and related nutritional behaviors”, “have the knowledge to adopt healthy nutritional behaviors”, “emotional cravings for food”, and “amount of time available”.
Conclusion: Different individual components affect the nutritional behaviors of adolescent girls with polycystic ovary syndrome. By identifying these components, policy makers and planners in the field of adolescent health can design various interventions in order to adopt healthy nutritional behaviors in these girls.

کلیدواژه‌ها [English]

  • Adolescent
  • Iran
  • Nutritional behavior
  • Polycystic ovary syndrome
  • Qualitative research

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 5
مرداد 1401
صفحه 35-49

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