fa اثربخشی مصاحبه انگیزشی بر اضافه وزن و چاقی افراد مبتلا به بیماری کرونری قلب روانپزشکی و روانشناسی Psychiatry and Psychology پژوهشي اصيل Original Research <p class="a" style="LINE-HEIGHT: 18pt MARGIN: 0cm 1cm 0pt mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">هدف</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> هدف پژوهش حاضر تعیین اثربخشی مصاحبه انگیزشی بر اضافه وزن و چاقی در بیماران مبتلا به بیماری کرونری قلب (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">CHD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">روش</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> در قالب طرح آزمایشی پیش­آزمون- پس­آزمون با گروه شاهد، 110 نفر از بیمارانی که عمل باز کرونر قلب روی آنان انجام شده بود و نمایه توده بدن (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) مساوی یا بزرگتر از 25 داشتند، انتخاب شدند. گروه آزمایش (60 =</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">n</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) در جلسه‌های مصاحبه انگیزشی شرکت کردند و در گروه شاهد (50 =</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">n</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) روال معمولی بیمارستان طی شد. نمایه توده بدن (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، و شدت افسردگی، اضطراب و استرس در دو نوبت پیش­آزمون و پس­آزمون (سه ماه بعد) در هر دو گروه ارزیابی شد. داده­ها با توجه به ملاک­های اضافه وزن و چاقی، با روش تحلیل واریانس تکرار سنجش، تحلیل شد. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">یافته­ها</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> در مورد گروه دارای اضافه وزن، یافته­ها نشان داد اثر تعاملی زمان­بندی و گروه­بندی بر </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> معنی­دار بود (05/0></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، 80/6=</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">F</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>). اندازه اثر تعاملی در حد متوسط بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">نتیجه­گیری</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"> مصاحبه انگیزشی در کنترل اضافه وزن بیماران مبتلا به </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">CHD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" LETTER-SPACING: -0.1pt FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> مؤثر است، اما در کنترل چاقی این بیماران تأثیری ندارد.<p></p></span></p> <p class="MsoNormal" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify LINE-HEIGHT: 14pt TEXT-KASHIDA: 0% MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: ltr mso-line-height-rule: exactly"><font face="Times New Roman"><b><u><span style="FONT-SIZE: 9pt mso-bidi-language: FA">Objectives</span></u></b><span style="FONT-SIZE: 9pt mso-bidi-language: FA">: The present study investigated the effectiveness of motivational interviewing in treating overweight and obesity among patients with coronary heart disease. <b><u>Method</u></b>: Using Quasi-experimental, pretest- posttest design with a control group, 110 patients who had previously coronary artery bypass <span style="LETTER-SPACING: -0.2pt">grafting (CABG) were selected and assigned to two groups: experimental (n=60)</span> and control (n=50) groups. These two groups had scored on body mass index (BMI) equal or above 25. The experimental group participated in motivational interviewing sessions in addition to regular cardiac rehabilitation programs. BMI, symptomatic depression, anxiety and stress were assessed in pretest and <span style="LETTER-SPACING: -0.2pt">posttest (after three months). Data were analyzed using repeated measures analysis</span> of variance regarding criteria of BMI for overweight and obesity. <b><u>Results</u></b>: Motivational interviewing was effective in controlling overweight, but not in <span style="LETTER-SPACING: -0.2pt">the obese group. <b><u>Conclusion</u></b>: The findings indicate that motivational interviewing</span> is effective to control overweight as a risk factor of coronary heart disease. Overweight is more related to lifestyle than obesity. It seems obesity is under influence of non-modifiable factors like genetic which is not easy to change.</span></font><span style="FONT-SIZE: 9pt"><p><font face="Times New Roman"> </font></p></span></p> مصاحبه انگیزشی، اضافه وزن، چاقی، بیماری کرونری قلب motivational interviewing, overweight, obesity, coronary heart disease 276 283 http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-648&slc_lang=fa&sid=1 Yadollah Ghasemipour یداله قاسمی‌پور y.ghasemipour@malayeru.ac.ir 180031947532846007949 180031947532846007949 Yes University of Malayer, Malayer دانشگاه ملایر. Hadi Bahrami Ehsan هادی بهرامی‌احسان 180031947532846007950 180031947532846007950 No Tehran University, Tehran, Iran دانشگاه تهران Somayyeh Abbaspour سمیه عباس‌پور 180031947532846007951 180031947532846007951 No University of Alzahra, Tehran, Iran دانشگاه الزهرا Hamid Poursharifi حمید پورشریفی 180031947532846007952 180031947532846007952 No Tabriz University, Tabriz, Iran. دانشگاه تبریز