Çiler YEYĞEL, Oya KAVLAK

İnfertil Kadınlara Değişim Aşamaları Modeli ile Yapılan Bireysel Danışmanlık Girişiminin Kilo Yönetimine Etkisi

Amaç: İnfertil kadınlarda Değişim Aşaması Modeli ile yapılan bireysel danışmanlık girişiminin kilo yönetimine etkisini değerlendirmektir. Yöntem: Bu çalışma danışmanlık ve takip olmak üzere iki aşamadan oluşmaktadır. Araştırmanın evrenini, 4 Ocak 2019 ile 22 Haziran 2019 tarihleri arasında İzmir'de bir devlet hastanesinin tüp bebek merkezine başvuran 146 infertil kadın oluşturmaktadır. Dahil edilme kriterlerini karşılayan ve araştırmaya katılmak istediğini beyan eden 104 infertil kadından 51'i müdahale grubunu, 53'ü kontrol grubunu oluşturdu. Girişim grubuna Değişim Aşamaları Modeline dayalı bireysel psikolojik danışma programı uygulanırken, kontrol grubu rutin olarak takip edildi. Araştırma verileri SPSS 22.0 programı kullanılarak analiz edilmiştir. Bulgular: Girişim grubu infertil kadınların ön izleme göre son izlem antropometrik değerlerinde azalma göstermiş, istatistiksel olarak anlamlı fark saptanmıştır (p=0.000). Çalışmada girişim grubu infertil kadınların ön izleme kıyasla son izlemde günlük süt grubu, sebze ve meyve grubu tüketiminde artış olmuş, et grubu, şeker grubu, yağ grubu, tahıl grubu ve ekmek grubu tüketiminde ve günlük kalori azalma olmuş, istatistiksel olarak anlamlı fark saptanmıştır (p=0.000). Sonuç: Kilo yönetimine ilişkin Değişim Aşamaları Modeline dayalı verilen bireysel danışmanlık girişimi infertil kadınlarda fiziksel aktivite ve beslenme alışkanlıklarında sağlıklı davranış değişimine neden olmuştur.

Anahtar Kelimeler:

İnfertilite, Kadın, Danışmanlık, Hemşire, Kilo Yönetimi

Effect of Individual Counseling Intervention on Weight Management Based on Stages of Change Model Conducted on Infertile Women

Objective: Evaluate the effect of individual counseling intervention on weight management based on Stages of Change Model conducted on infertile women Methods: This study consisted of two stages: counseling and follow-up. The research population consisted of 146 infertile women who applied to the in vitro fertilization center of a state hospital in İzmir between January 4, 2019, and June 22, 2019. Among the 104 infertile women who met the inclusion criteria and declared their willingness to participate in the study, 51 women constituted the intervention group, and 53 women constituted the control group. While an individual counseling program based on Stages of Change Model was conducted on the initiative group, the control group was followed routinely. Research data were analyzed using SPSS 22.0 software. Results: Most recent follow-up anthropometric values of infertile women in the intervention group were lower compared to the pre-follow-up values. The difference between these two data was statistically significant (p = 0.000). Infertile women in the intervention group tended to increase their consumption of daily milk and dairy products and vegetable and fruits in their most recent follow-up stage compared to that in the pre-follow-up stage, whereas their consumption of and daily calories from meat products, sugary products, fats, cereals, and bread decreased. The difference between these two data was statistically significant (p = 0.000). Conclusion: Individual counseling intervention based on Stages of Change Model aiming to evaluate the weight management caused infertile women to adopt healthy behaviors in terms of physical activity and nutritional habits.

Keywords:

Infertility, Women, Counseling, Nurse, Weight management,

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