fa پیشگویی کننده های مصرف مکمل امگا-۳در پیشگیری از بیماری آلزایمر در سالمندان بر اساس الگوی اعتقاد بهداشتی تخصصي Special پژوهشي Research <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">مقدمه :</span></span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">یکی از اساسی‌ترین اسیدهای چرب مورد نیاز بدن که می بایست از رژیم غذایی دریافت شود امگا-3 است مطالعات متعدد ارتباط بین مصرف مواد حاوی اسیدهای چرب امگا3 (</span></span></span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-variant:small-caps"><span style="color:black">EPA ,DHA</span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">) </span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">و حفظ عملکرد مغز و کاهش اختلالات شناختی رانشان دادند.مطالعه حاضر با هدف تعیین پیشگویی کننده‌های</span></span></span></span> <span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">مصرف مکمل امگا3 در پیشگیری از بیماری آلزایمر بر اساس الگوی اعتقاد بهداشتی در سالمندان انجام گردید.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">روش بررسی</span></span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">: در این مطالعه</span></span></span></span> <span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">تحلیلی-مقطعی،</span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black"> ۳۲۳ نفر از سالمندان مراجعه کننده به مراکز بهداشتی درمانی شهر تهران در سال۱۳۹۵ با روش نمونه<b> </b>گیری</span></span></span></span> <span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">تصادفی انتخاب شدند. ابزار گردآوری داده‌ها شامل پرسش نامه اطلاعات جمعیت شناختی، آگاهی و سازه‌های الگوی اعتقاد بهداشتی بود که پس از تعیین روایی و پایایی توزیع گردید.نتایج مطالعه از طریق نرم افزار</span></span></span></span> <span dir="LTR" style="font-size:11.0pt"><span style="font-variant:small-caps"><span style="color:black">SPSS</span></span></span><span style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black"> &nbsp;&nbsp;نسخه 18</span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">و با استفاده از آزمون‌های کای دو، تی مستقل وضریب همبستگی پیرسون</span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">، </span></span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">اسپیرمن و مدل رگرسیون لجستیک تحلیل گردید.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">یافته ها</span></span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">: </span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black">آنالیز رگرسیون لجستیک نشان داد بهترین پیشگویی کننده ها برای مصرف مکمل امگا-۳ به ترتیب آگاهی، عملکرد، خودکارآمدی، و حساسیت درک شده هستند که می توانند ۷۴/۷درصد مصرف یا عدم مصرف مکمل امگا-۳ را پیشگویی کنند</span></span></span><span dir="LTR" style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="color:black">.</span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">نتیجه گیری</span></span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black">: مطالعه حاضر منجر به شناسایی قویترین سازه‌های الگوی اعتقاد بهداشتی در</span></span></span></span><span lang="FA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> پیشگویی رفتار مصرف مکمل امگا-3 در</span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black"> سالمندان شد. لذا این الگو می تواند به عنوان یک چارچوب مرجع جهت طراحی مداخلات آموزشی در&nbsp; پیشگیری از بیماری آلزایمر طراحی و اجرا گردد. </span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="font-size:11.0pt"><span b="" style="font-family:" zar=""><span style="font-variant:small-caps"><span style="color:black"></span></span></span></span></span></span></span></span><br> &nbsp; <pre style="margin-right:-6px; margin-left:-16px; text-align:justify"> <span style="font-size:10pt"><span style="background:#f8f9fa"><span style="line-height:normal"><span courier="" new="" style="font-family:"><b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></b><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Omega-3 is one of the most essential fatty acids &nbsp;that</span></span></span> <span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">the body must receive from the diet. </span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Many studies</span></span></span> <span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">have</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> show</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">n</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> that there is a </span></span></span><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">relationship between</span></span></span> <span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">consuming </span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">&nbsp;diet containing omega-3 fatty acids (EPA, DHA) and maintaining brain function and reduc</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">ing</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> cognitive impairment. The present study </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">aimed</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> to determine </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">the </span></span></span><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">predictors of</span></span></span><b> </b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">omega-3 supplements consumption in order to prevent the elderly Alzheimer based on the Health Belief Model (HBM) constructs.</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></pre> <pre style="margin-right:-6px; margin-left:-16px; text-align:justify"> <span style="font-size:10pt"><span style="background:#f8f9fa"><span style="line-height:normal"><span courier="" new="" style="font-family:"><b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods: </span></span></span></b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">This</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> analytical cross-sectional study</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> was conducted on</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> 323 elderly referring to the health centers of Tehran city in 2016 selected using a random sampling method. </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The data</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> collection tool included demographic</span></span></span><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> information, knowledge, and </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">the </span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HBM constructs</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">,</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> distributed after confirming its validity and reliability. The results were analyzed by SPSS-18 software </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">using</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> statistical tests, including </span></span></span><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Chi-square, independent t-test, Pearson correlation coefficient, Spearman test, and logistic regression model.</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></pre> <pre style="margin-right:-6px; margin-left:-16px; text-align:justify"> <span style="font-size:10pt"><span style="background:#f8f9fa"><span style="line-height:normal"><span courier="" new="" style="font-family:"><b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:</span></span></span></b><span lang="EN" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Logistic regression analysis showed that the best predictors of omega-3 supplements consumption were, respectively, knowledge, performance, self-efficacy, and perceived susceptibility that could predict 74.5% of consumption or not consumption of omega-3 supplementation. </span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></pre> <pre style="margin-right:-6px; margin-left:-16px; text-align:justify"> <span style="font-size:10pt"><span style="background:#f8f9fa"><span style="line-height:normal"><span courier="" new="" style="font-family:"><b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></b><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The present study le</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">d</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> to identify the most powerful constructs of </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">the </span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HBM in predicting the behavior of omega-3 supplement</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">s</span></span></span> <span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">consumption in</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> the</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> elderly. Therefor</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">e,</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> this model can be designed and implemented</span></span></span> <span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">as a reference framework </span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">to design</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> educational interventions in prevent</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">ing</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Alzheimer</span></span></span><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">&rsquo;s</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> disease.</span></span></span><span lang="X-NONE" style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></pre> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:517.5pt 522.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></b></span></span></span></span><span style="line-height:normal"><span style="tab-stops:517.5pt 522.0pt"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Keywords: </span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">Alzheimer&rsquo;s Disease, Health Belief Model, Omega-3 Supplement, Elderly, Prevention</span></span><b><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></b></span></span><br> &nbsp; بیماری آلزایمر, الگوی اعتقاد بهداشتی, مکمل امگا۳, سالمندان, پیشگیری 100 115 http://tbj.ssu.ac.ir/browse.php?a_code=A-10-2408-1&slc_lang=fa&sid=1 zahra jalili زهرا جلیلی zahra.jalili@gmail.com 0000-0003-0670-0959 Yes واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران. Reza Tavakoli رضا توکلی No واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران. Sahar Jalili سحر جلیلی No دانشگاه آزاد اسلامی، آبادان، ایران.