OBEZ BİREYLERDE DAVRANIŞ DEĞİŞİMİ: TRANSTEORETİK MODEL YAKLAŞIMI

Bu araştırma, Transteoretik Modele dayalı bilgilendirme ve danışmanlık programının lipit profiline, beslenme ve egzersiz değişimlerine olan etkisini değerlendirmek amacı ile uygulamalı (bağımsız eş zamanlı uygulamakontrol) bir çalışma yapılmıştır. Araştırma, Ege Üniversitesi Tıp Fakültesi Hastanesi Endokrinoloji polikliniğinde Ağustos 2011-Eylül 2012 tarihleri arasında yapılmıştır. Araştırma örneklemini; uygulama grubu 30, kontrol grubu 30 olmak üzere toplam 60 hasta oluşturmuştur. Obezite değerlendirme formu, Rhode Island Üniversitesi Değişimi Değerlendirme Ölçeği, Beslenme Değişim Süreçleri Ölçeği, Egzersiz Değişim Süreçleri Ölçeği ve araştırmacılar tarafından hazırlanan obezitede davranış değişimi el kitabı kullanılmıştır. Ön izlem sonrası girişim grubundaki bireylere, değişim aşaması temelli bireysel danışmanlık girişimi uygulanmış; bir ay, üç ay ve altı ay sonra izlemler devam etmiştir. Ege Üniversitesi Hemşirelik Fakültesi Bilimsel Etik Kurulundan, Ege Üniversitesi Tıp Fakültesi Hastanesinden ve hastalardan yazılı izin alınmıştır. Uygulama grubundaki bireylerin %26.7’sinde değişim aşamasında gerileme, %56.7’sinde değişim aşamasında ilerleme belirlenirken, %16.6’sında aşama değişimi olmamıştır. Kontrol grubunda yer alan bireylerin %50’sinde değişim aşamasında gerileme, %16.7’sinde değişim aşamasında ilerleme belirlenirken, %33.3’ünde aşama değişimi olmamıştır. Obez hastalara yönelik Transteoretik Model doğrultusunda hazırlanmış bireysel danışmanlık ve hemşirelik girişimlerinin beslenme ve egzersiz davranış değişiminin sağlanmasında etkili ve yararlı olduğu saptanmıştır.

Behavior Change in Obese Individuals: Transteoretic Model Approach

To evaluate the effects of Transteoretic Model-based information and counseling program on lipid profile, Nutrition and Exercise Changes, it was applied as an independent (independent simultaneous applicationcontrol) study. The study was conducted at Ege University Medical Faculty Endocrinology Polyclinic between August 2011 and September 2016. The study was conducted at the endocrinology outpatient clinic. Research sample; The study group consisted of 30 patients and the control group consisted of 60 patients. Obesity evaluation form, Rhode Island University Change Assessment Scale, Nutrition Change Processes Scale, Exercise Change Processes Scale and the behavior change handbook prepared by the researchers were used. Individuals in the intervention group underwent a change-based individual counseling initiative followed by one month, three months and six months. Written permission was obtained from Ege University Faculty of Nursing Scientific Ethics Committee, Ege University Faculty of Medicine Hospital and patients. It was determined that there was no significant difference in the control group and 26.7% in the application group, and 56.7% in the change phase. In 50.0% of the control group, the change in the stage of change and the progress in the change phase in 16.7% of the control group, while in the 33.3% of the control group there was no change in stage. It was determined that individual counseling nursing interventions prepared in line with TM for obese patients were effective and beneficial in providing nutrition and exercise behavior.

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