مقايسه‌ي تصوير ذهني از خود در بيماران مبتلا به ديابت نوع دو تحت درمان با داروي خوراكي با بيماران تحت درمان با انسولين در شهرستان آران و بيدگل در سال 1394

COMPARISON OF SELF-BODY IMAGE OF TYPE 2 DIABETIC PATIENTS BETWEEN ORAL DRUG TREATMENT an‎d INSULIN THERAPY IN ARAN an‎d BIDGOL IN 2015

مقدمه: بيماري ديابت يك بيماري شايع و يكي از بزرگترين مشكلات بهداشتي كشور مي‌باشد. اين بيماران علاوه بر مسائل جسمي، ازمشكلات روحي- رواني نيز رنج مي‌برد كه اختلال در تصوير ذهني از بدن يكي از برجسته‌ترين آن مشكلات است. مطالعه‌ي حاضر با هدف مقايسه‌ي تصوير ذهني از خود در بيماران مبتلا به ديابت نوع دو تحت درمان با داروي خوراكي با بيماران تحت درمان با انسولين مي‌باشد. روش ها: اين مطالعه از نوع توصيفي ـ مقايسه‌اي است كه به‌صورت مقطعي در سال 1394 با جامعه‌ي آماري شامل بيماران ديابتي نوع دو تحت پوشش مركز ديابت شهرستان آران و بيدگل انجام شد. حجم نمونه 168 نفر، كه از طريق نمونه‌گيري به روش تصادفي ساده انتخاب و از نظز سن وجنس همتا شده‌اند. داده‌هاي پژوهش با استفاده از پرسشنامه‌ي اطلاعات دموگرافيك و پرسشنامه‌ي چندبعدي نگرش فرد در مورد تصوير بدني خود (MBSRQ) داراي پاياي73/ جمع‌آوري گرديده و با استفاده از آزمون‌هاي آماري كاي دو و t مستقل و فيشر و من ويتني با نرم افزار SPSS 22 مورد تجزيه و تحليل قرار گرفت. يافته ها: يافته‌هاي پژوهش حاكي از آنند كه دو گروه از لحاظ توزيع جنسيت كاملاً مشابه بوده و تفاوت آماري معناداري بين آن‌ها مشاهده نشد (0/05

Background: Diabetes is a common disease and one of the biggest health problems in the country. These patients, in addition to physical problems, also suffered from mental problems which the disorder of body image is one of the most prominent problems. This study compared mental image of patients with type 2 diabetes treated with oral medication and those with insulin. Methods: This study was conducted in a descriptive-analytic way in 1394. The study population included patients with type II diabetes are treated in diabetes center of Aran and Bidgol in 1394. A sample of 168 people was randomly chosen. Needed data was collected by demographic and multi-dimensional questionnaire using a person's attitude about their body image (MBSRQ) Dry reliable 0.73 and were analyzed with SPSS 22 software by using independent t tests, chi-square and Mann-Whitney and Fisher Results: Base on the duration of disease, the most common was among patients with oral treatment (82.1 percent) and treated with insulin (58.3 per cent) of less than 10 years. Average rating of orientation to fit oral treatment was for patients with 41.79 and 40.15 for insulin therapy, in health assessment section for patients with 17.58 oral treatment and 16.71 for insulin. State of disease trends was in 63/1 percent of patients with moderate oral treatment and 46.4 percent with severe insulin treatment. Independent t test results showed a significant difference between the scores of two patients in the above sections (P<0.05) but significant differences in other aspects of mental image between the two groups was observed. Conclusion: Generally, average mental image in patients treated with oral medication was not more than patients treated with insulin. Because one of the negative effects of diabetes on patients is psychiatric disorder, therefore, to improve the mental state of these patients and improve health and to control disease in these patients, research findings is expected to be the use.