ABSTRACT
Metabolic syndrome, defined as a combination of certain series of problems metabolic disorders, is a prevalent disease, significantly more common among women. One way to prevent this disease is to control the diet, which is affected by various intrapersonal, interpersonal and social factors. This research of aims at determining the association between patient consumption of macronutrients influencing metabolic syndrome and the perceived social support of their husbands. This is a cross sectional study, conducted using the correlation method on 329 patients, referred to medical centers of the oil industry. Information on perceived social support was measured by a researcher made, 24 hour questionnaire, with confirmed reliability and validity, to asserss nutritional behavior for three days. Data was analyzed by N4, SPSS and AMOS for the model constructed, using the least extended squares. The averages of daily intakes of energy, protein, carbohydrate and fat were 2512.37, 70.95, 420 and 61.61 grams respectively. The average of perceived social support was 65.48. Correlation coefficient showed a significantly inverse relationship between perceived social support and macronutrients received in these women. The hight correlation between social support and fat was observed [beta=-0.606]. Intakes of energy, fat, carbohydrate and protein were higher than RDA and average levels of perceived social support, showing that social support is an effective framework to recognize and predict commitment level of nutritional self care behavior among patients suffering from metabolic syndrome
ABSTRACT
The purpose of this study was to determine the effect of an educational program, based on Health Belief Model [HBM], on control sugar in women with type 2 diabetes. This perspective, quasi-experimental intervention study was carried out on 88 women with type 2 diabetes. Data was collected using a questionnaire based on the health belief model, a checklist related to patient practices and recording patient HbAic and FBS levels. All group completed the questionnaire and checklist. Results were documented before and three months after intervention. The patients of the experimental group participated in 4 educational classes during the one month of intervention and again two months after, with 2 sessions as the follow up of the intervention. Data were collected and analyzed. Our findings indicated that mean scores of HBM Model variables, i.e susceptibility, severity, benefit and barriers perceived, were significantly increased in the experimental group compared to controls after intervention. Also, behavioral walking, rates of HbAic [before intervention - 9.59%, after three months - 8.63%] and FBS levels [before intervention 184.63, after three months 151.29] improved significantly among the experimental group, compared to controls [p < 0.001]. Applying the HBM Model proved is very effective in developing an educational program for diabetics, to control their blood sugar and enhance walking. Besides such programs, follow up education for controlling and monitoring are highly recommended