الگوی فعالیت جسمانی در زنان نخست‌زا مراجعه‌کننده به بیمارستان شهید مصطفی خمینی

نویسندگان

1 گروه بهداشت و پزشکی اجتماعی دانشکده پزشکی دانشگاه شاهد، تهران، ایران

2 گروه زنان دانشکده پزشکی دانشگاه شاهد، تهران، ایران

3 دانشکده پزشکی دانشگاه شاهد، تهران، ایران

چکیده

مقدمه و هدف: فعالیت جسمانی در دوران بارداری اثرات سودمندی بر سلامتی مادر و جنین دارد. مطالعه‌ی حاضر با هدف تعیین الگوی فعالیت جسمانی در زنان باردار نخست زا مراجعه‌کننده به بیمارستان شهید مصطفی خمینی انجام شد.
 مواد و روش‌ها: این مطالعه مقطعی تحلیلی بر روی 268 زن باردار نخست زا در بیمارستان مصطفی خمینی انجام شد. ابزار مطالعه، پرسشنامه‌ی استاندارد فعالیت جسمانی در بارداری بود. داده‌ها با استفاده از نرم‌افزار spss نسخه 16 و با آزمونمن ویتنی و ضریب همبستگی اسپیرمن تجزیه وتحلیل شدند.
 یافته‌ها: نتایج نشان داد فقط 2/36 درصد از زنان باردار، مدت‌زمان پیاده‌روی مطلوب و مطابق راهنما داشتند. کار در منزل که عمدتاً به شکل فعالیت‌های در حالت نشسته است درصد قابل‌توجهی از فعالیت‌های روزانه‌ی افراد مورد مطالعه است (60/2±34/7) و مدت‌زمان فعالیت‌های ورزشی کمترین مدت‌زمان فعالیت‌های روزانه آنان است (08/0 ± 14/0 روز/ساعت). عمده فعالیت‌های مادران از نوع فعالیت‌های سبک و بی‌تحرک است. زایمان به‌صورت طبیعی 6/30 درصد از کل زایمان‌ها بود. مقدار وزن‌گیری در 6/58% افراد بیش‌ازحد توصیه شده بود. ارتباط معناداری بین فعالیت جسمانی و ورزشی با نوع زایمان مشاهده شد. افرادی که پیاده‌روی بیشتری داشتند، احتمال زایمان طبیعی بیشتری هم داشتند (03/0= P < /span>).
 نتیجه‌گیری: نتایج این مطالعه از اثرات مثبت فعالیت جسمانی در بارداری حمایت می‌کند. لذا با توجه به اقبال کم از طرف خانم‌های باردار، راهکارهای مناسب از طرف مراکز ذیربط از جمله دانشگاه‌ها و مراکز مراقبت بارداری لازم است.
 

کلیدواژه‌ها

عنوان مقاله [English]

Pattern of physical activity in nulliparous women referred to Shaheed Mostafa Khomeini hospital

نویسندگان [English]

  • Ashraf Pirasteh 1
  • Zahra Jouhari 1
  • Nafiseh ZafarGhandi 2
  • Kobra Khajavi Shojaie 1
  • Somayeh Sayahi 3
چکیده [English]

Background and Objective: Physical activity during pregnancy is one of the factors that have beneficial effects on the health of the mother and fetus. This study aimed to determine the pattern of physical activity in nulliparous pregnant women referred to Shaheed Mostafa Khomeini hospital.
 
Materials and Methods: This study was an analytical cross-sectional study that was conducted on 268 healthy nulliparous women in Mostafa Khomeini hospital. The survey tool was a standard questionnaire of physical activity during pregnancy. Data were analyzed using SPSS software (version 16).
 
Results: Only 36.2% of cases had walking pattern in accordance to the guidelines. A significant percentage of the daily activities of the subjects involved house work, mainly in the form of sitting activities (7.34 ± 2.60). The average time spent on sports activities was their least daily activity (0.14 ± 0.08 day/hour). Major activities of mothers were light and inactive. Generally, normal delivery was 30.6% of all deliveries. In 58.6% of subjects, weight gain during pregnancy was greater than recommended rate. There was a significant relationship between the type of delivery and physical activity and sport, so that those who had more walking had a higher probability of normal delivery (p= 0.03).
 
Conclusion: The results of this study support the positive effects of physical activity during pregnancy. However, due to its low popularity in the pregnant women, the appropriate approach is required from relevant institutions including universities and pregnancy care centers.
 

کلیدواژه‌ها [English]

  • Physical activity
  • Pregnant woman
  • Nulliparous
  • Weight gain
  • birth-time weight
  • Normal labor

مراجع

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دانشور پزشکی
دوره 26، شماره 3 - شماره پیاپی 136
136
مرداد و شهریور 1397
صفحه 25-32

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