EVELUATION OF THE EFFECTIVENESS OF EDUCATION GIVEN TO OBESE PATIENTS

Yıl 2008, Cilt: 10 Sayı: 2, 32 - 47, 01.08.2008

Meryem Alıcı Rukiye Pınar

Öz

Objective: To examine the effectiveness of health education on metabolic, psychologic status and quality of life. Method: The population included 160 obese case separated into two groups: 80 interventions, 80 controls. We held six education classes during first three months for intervention group. Participants in control group were provided with routine outpatient services and were asked to maintain their usual lifestyle. Data were gathered at baseline and at the end of 6 months. We evaluated obesity measurements body weight, body mass index, and waist circumference , fasting blood glucose, hemoglobin A1C protein, triglycerides, total cholesterol, systolic blood pressure, and diastolic blood pressure as metabolic parameters. Depression, self-esteem, body image, and state anxiety level were evaluated as psychological parameters. Quality of life was evaluated in two main and 8 subdomains. Results: At the end of 6 months body weight, body mass index, waist circumference, triglycerides, hemoglobin A1C protein and systolic blood pressure of intervention group had declined significantly. From baseline to 6 months, mean reductions in body weight, body mass index, waist circumference, triglycerides, hemoglobin A1C protein, and systolic blood pressure were 6.7 kg , 1.87 kg/m2 , 4.45 cm , 8.35 gr/dl , 0.82 % , and 1.68 mmHG respectively. Triglycerides, fasting blood glucose, hemoglobin A1C protein and systolic blood pressure had worsened in control group. Mean depression scores had decreased, self-esteem, and five quality of life domains’ scores in SF-36 had increased significantly in intervention group. Mean state anxiety score of control group had increased significantly, while all quality of life domains scores, except emotional role had decreased.Conclusion: Results demonstrate benefits of health education on metabolic, psychological parameters and quality of life in obese patients

Anahtar Kelimeler

Anxiety, body image, blood glucose, blood pressure, depression, health education, hemoglobin A1C protein, lipids, obesity, quality of life, self-esteem

OBEZ HASTALARA VERİLEN EĞİTİMİN ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Öz

Amaç: Sağlık eğitiminin metabolik, psikolojik ve yaşam kalitesi parametreleri üzerine etkisini incelemektir. Yöntem: Araştırma 80 deney, 80 kontrol, 160 obez olguda yapılmıştır. Deney grubuna üç ay süre ile altı eğitim oturumu yapılmış; kontrol grubuna çalışma süresince hiçbir müdahalede bulunulmamış, hastalar rutin yaşamlarını sürdürmüşlerdir. İlk görüşmede ve eğitim bittikten 6 ay sonra iki değerlendirme yapılmıştır. Metabolik parametre olarak, obezite değerleri beden ağırlığı, beden kitle indeksi, bel çevresi , açlık kan şekeri, HbA1c, trigliserid, total kolesterol, sistolik kan basıncı ve diyastolik kan basıncı değerlendirilmiştir. Psikolojik parametre olarak depresyon, benlik saygısı, beden imajı ve sürekli kaygı düzeyi ele alınmıştır. Yaşam kalitesi fiziksel ve mental boyutları içeren 8 alt başlıkta incelenmiştir. Bulgular: Eğitim sonunda deney grubundaki olgular ortalama 6.7 kg kaybetmiş, beden kitle indeksi 1.87 kg/m2, bel çevresi 4.45 cm p

Anahtar Kelimeler

Anksiyete, beden imajı, depresyon, HbA1C, kan basıncı, kan şekeri, lipidler, obezite, özgüven, sağlık eğitimi, yaşam kalitesi

Kaynakça

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