fa بررسی خودارزیابی سلامت مردان سالمند شهرهای شیراز و یاسوج تخصصي Special پژوهشي Research <p dir="RTL" style="line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><span style="font-size:16px;"><strong><span style="color: black;"><span style="font-family: b mitra;">مقدمه و هدف</span></span></strong><span style="color: black;"><span style="font-family: b mitra;">:</span></span> <span style="color: black;"><span style="font-family: b mitra;">&nbsp;خودارزیابی سلامت ابزار اندازگیری وضعیت سلامت افراد است. </span></span><span style="font-family: b mitra;">جمعیت</span> <span style="font-family: b mitra;">سالمندان</span> <span style="font-family: b mitra;">روز</span> <span style="font-family: b mitra;">به</span> <span style="font-family: b mitra;">روز</span> <span style="font-family: b mitra;">در</span> <span style="font-family: b mitra;">حال</span> <span style="font-family: b mitra;">افزایش</span> <span style="font-family: b mitra;">است</span> <span style="font-family: b mitra;">و</span> <span style="font-family: b mitra;">توجه</span> <span style="font-family: b mitra;">به</span> <span style="font-family: b mitra;">وضعیت</span> <span style="font-family: b mitra;">این</span> <span style="font-family: b mitra;">گروه</span> <span style="font-family: b mitra;">سنی</span> <span style="font-family: b mitra;">برای</span> <span style="font-family: b mitra;">ارتقاء</span> <span style="font-family: b mitra;">سلامت</span> <span style="font-family: b mitra;">آنان</span> <span style="font-family: b mitra;">و</span> <span style="font-family: b mitra;">پیشگیری</span> <span style="font-family: b mitra;">از</span> <span style="font-family: b mitra;">بیماریها</span> <span style="font-family: b mitra;">ضروری</span> <span style="font-family: b mitra;">به</span> <span style="font-family: b mitra;">نظر</span> <span style="font-family: b mitra;">می</span> <span style="font-family: b mitra;">رسد. هدف از این بررسی خود &shy;ارزیابی سلامت میان سالمند مرد ساکن در شهرهای شیراز و یاسوج بود. </span></span></p> <p dir="RTL" style="direction: rtl; unicode-bidi: embed; text-align: justify;"><span style="font-size:16px;"><strong><span style="color: black;"><span style="font-family: b mitra;">مواد و روش ها</span></span></strong>: <span style="font-family: b mitra;">مطالعه حاضر از نوع توصیفی- تحلیلی بود که به صورت مقطعی در سال 1394 انجام شد. برای گردآوری داده&shy;ها تعداد 380 نفر از مردان سالمندان در شهر شیراز و یاسوج به شیوه نمونه گیری خوشه ای چندمرحله ای انتخاب شدند و با پرسشنامه استاندارد در هفت بعد اطلاعات جمع آوری شد. تجزیه و تحلیل داده ها از طریق نرم افزار آماری </span><span dir="LTR">SPSS</span><span style="font-family: b mitra;"> نسخه 20 در دو سطح آمار توصیفی و</span> <span style="font-family: b mitra;">استنباطی انجام پذیرفت.</span></span></p> <p dir="RTL" style="line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><span style="font-size:16px;"><strong><span style="color: black;"><span style="font-family: b mitra;">یافته ها</span></span></strong><span style="color: black;"><span style="font-family: b mitra;">:</span></span><span style="font-family: b mitra;"> میانگین چهار بعد(سلامت جسمانی، کارکرد اجتماعی، اضطراب و افسردگی) سلامت سالمندان مورد پژوهش </span><span style="font-family: b mitra;">15/03</span><span style="font-family: calibri,sans-serif;">&plusmn;</span><span style="font-family: b mitra;">&nbsp; 77/07 بود<span style="color: black;">. </span></span><span style="color: black;"><span style="font-family: b mitra;">آماره ضریب تعیین </span></span>^{<span style="color: black;"><span style="font-family: b mitra;">2</span></span>}<span dir="LTR"><span style="color: black;"><span style="font-family: times new roman,serif;">R</span></span></span><span style="color: black;"><span style="font-family: b mitra;"> نیز نشان می دهد که 258 /0درصد تغییرات متغیر وابسته یعنی</span></span><span dir="LTR"><span style="color: black;"><span style="font-family: times new roman,serif;">)</span></span></span><span style="color: black;"><span style="font-family: b mitra;">خودارزیابی سلامت</span></span><span dir="LTR"><span style="color: black;"><span style="font-family: times new roman,serif;">(</span></span></span><span style="color: black;"><span style="font-family: b mitra;"> توسط سه متغیر مستقل که در معادله باقی مانده اند و شامل عزت نفس، رفتارهای سلامت و سابقه بیماری هستند تبیین می شود.</span></span><span style="font-family: b mitra;"> متغیر های مانند</span> <span style="font-family: b mitra;">سن(0/009)، تحصیلات(0/012)، سابقه بیماری(0/004) و هویت طبقاتی(0/000) با خودارزیابی سلامت سالمندان رابطه معنی داری داشتند.</span></span></p> <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"><span style="font-size:16px;"><strong><span style="color: black;"><span style="font-family: b mitra;">نتیجه</span></span><span dir="LTR"><span style="color: black;">&shy;</span></span><span style="color: black;"><span style="font-family: b mitra;">گیری:</span></span></strong><span style="font-family: b mitra;"> دانستن</span> <span style="font-family: b mitra;">وضع</span> <span style="font-family: b mitra;">موجود</span> <span style="font-family: b mitra;">یک</span> <span style="font-family: b mitra;">جامعه</span> <span style="font-family: b mitra;">از</span> <span style="font-family: b mitra;">لحاظ</span> <span style="font-family: b mitra;">سلامت</span> <span style="font-family: b mitra;">به</span> <span style="font-family: b mitra;">افرادی</span> <span style="font-family: b mitra;">که</span> <span style="font-family: b mitra;">قصد</span> <span style="font-family: b mitra;">برنامه &shy;ریزی</span> <span style="font-family: b mitra;">برای</span> <span style="font-family: b mitra;">آینده</span> <span style="font-family: b mitra;">آن</span> <span style="font-family: b mitra;">جامعه</span> <span style="font-family: b mitra;">را</span> <span style="font-family: b mitra;">دارند</span> <span style="font-family: b mitra;">در</span> <span style="font-family: b mitra;">برآورد&shy;های</span> <span style="font-family: b mitra;">معقولانه</span> <span style="font-family: b mitra;">کمک</span> <span style="font-family: b mitra;">خواهند</span> <span style="font-family: b mitra;">کرد</span><span dir="LTR"><span style="font-family: b zar;">.</span></span> <span style="font-family: b mitra;">یکی</span> <span style="font-family: b mitra;">از</span> <span style="font-family: b mitra;">هدفهای</span> <span style="font-family: b mitra;">مهم</span> <span style="font-family: b mitra;">نظام</span> <span style="font-family: b mitra;">سلامت</span> <span style="font-family: b mitra;">در</span> <span style="font-family: b mitra;">هر</span> <span style="font-family: b mitra;">کشور</span> <span style="font-family: b mitra;">تأمین،</span> <span style="font-family: b mitra;">حفظ</span> <span style="font-family: b mitra;">سلامت</span> <span style="font-family: b mitra;">و</span> <span style="font-family: b mitra;">تمام</span> <span style="font-family: b mitra;">افراد</span> <span style="font-family: b mitra;">جامعه</span> <span style="font-family: b mitra;">است. برای</span> <span style="font-family: b mitra;">تحقق</span> <span style="font-family: b mitra;">این</span> <span style="font-family: b mitra;">امر</span> <span style="font-family: b mitra;">باید به</span> <span style="font-family: b mitra;">همه&shy;ی جنبه های</span> <span style="font-family: b mitra;">سلامت،</span> <span style="font-family: b mitra;">جسمی،</span> <span style="font-family: b mitra;">روانی</span> <span style="font-family: b mitra;">و</span> <span style="font-family: b mitra;">اجتماعی</span> <span style="font-family: b mitra;">انسان ها</span> <span style="font-family: b mitra;">در</span> <span style="font-family: b mitra;">کلیه</span> <span style="font-family: b mitra;">مراحل زندگی توجه شود. سلامت</span> <span style="font-family: b mitra;">فقط</span> <span style="font-family: b mitra;">یک</span> <span style="font-family: b mitra;">امر</span> <span style="font-family: b mitra;">زیست شناختی</span> <span style="font-family: b mitra;">نیست</span> <span style="font-family: b mitra;">و</span> <span style="font-family: b mitra;">عوامل</span> <span style="font-family: b mitra;">اجتماعی</span> <span style="font-family: b mitra;">نیز</span> <span style="font-family: b mitra;">در</span> <span style="font-family: b mitra;">تعیین</span> <span style="font-family: b mitra;">سطح</span> <span style="font-family: b mitra;">سلامت</span> <span style="font-family: b mitra;">افراد</span> <span style="font-family: b mitra;">دخیل می باشد</span><span dir="LTR"><span style="font-family: b mitra;">.</span></span></span></p> <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; direction: rtl; unicode-bidi: embed; text-align: justify;"></p> <p style="text-align: justify;"><strong>Introduction</strong><strong> and purpose:</strong> The elderly population is increasing and the situation of this age group to improve their health and prevention of diseases is necessary. The aim of this study was assessed the health among&nbsp; elderly men living in Shiraz and Yasuj cities.</p> <p style="text-align: justify;"><strong>Materials and Methods:</strong> This cross-sectional descriptive and analytical study was conducted in 2015. To collect data, 380 elderly men in Shiraz and Yasuj were selected via random clustering sampling method and information was collected using 7-dimension standard questionnaire. Data analysis was conducted using SPSS statistical software version 20 at levels of descriptive and inferential statistics.</p> <p style="text-align: justify;"></p> <p style="text-align: justify;"><strong>Findings:</strong>The mean of four dimensions of the elderly health for the study was 77.07 &plusmn; 15.03.Determination coefficient R2 statistics also show that 25.8% of the health self-assessment variations were explained by three independent variables remaining in the equation, including self-esteem, health behaviors and medical history. Variables such as age, education and medical history class identity were significantly associated with health self-assessment.</p> <p style="text-align: justify;"></p> <p style="text-align: justify;"><strong>Conclusion</strong>:&nbsp; knowing the status in the health of a community of people who are planning to have its future society will help in reasonable estimates. One of the important objectives of the health system in each country is to protect the health of all people in the community. For this, all aspects of health, physical, mental and social life need to be taken into consideration in all stages of life. Health is not just a biological, and social factors are also involved in determining the health of people.</p> کلید واژه: خودارزیابی سلامت, سالمندان, عزت نفس, حمایت اجتماعی, ارتباط با فرزندان Keywords: self-assessment of health, elderly, self-esteem, social support, communication with children 9 20 http://jgn.medilam.ac.ir/browse.php?a_code=A-10-223-1&slc_lang=fa&sid=1 M Movahedmajd مجید موحدمجد mmovahed@rose.shirazu.ac.ir 10031947532846003664 10031947532846003664 Yes Faculty of economic, Management and social science, Shiraz university, Shiraz, Iran دانشکده اقتصاد، مدیریت و علوم اجتماعی، دانشگاه شیراز S Jahanbazian صدیقه جهانبازیان jahanbazian@gmail.com 10031947532846003665 10031947532846003665 No , Management and social science, Shiraz university, Shiraz, Iran دانشکده اقتصاد، مدیریت و علوم اجتماعی، دانشگاه شیراز S Panahinasab صادق پناهی نسب sadeghpanahi12@gmail.com 10031947532846003666 10031947532846003666 No Tarbiat Modares University, Tehran, Iran دانشگاه تربیت مدرس تهران