fa موانع و تسهیل‌کننده‌های توانمندی در افراد مبتلا به دیابت پژوهشی Original <span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><u>مقدمه</u></span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">: مطالعه‌های مختلف درباره‌ی توانمندی افراد مبتلا به دیابت انجام شده است. با این وجود پژوهش‌های کمی درباره‌ی موانع و تسهیل‌کننده‌‌های توانمندی افراد مبتلا به دیابت در</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">ایران وجود دارد. درک عوامل تأثیرگذار بر فرایند توانمندی، مراقبان بهداشتی را در تسهیل اثر بخش‌تر</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">توانمندی افراد مبتلا به دیابت یاری می‌رساند</span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span>.</span><span dir="rtl"></span><span dir="rtl"></span><span dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="rtl"></span><span dir="rtl"></span> <font size="3"><font face="Yagut"><u><span lang="FA">مواد و روش‌ها</span></u><span lang="FA">:</span></font></font></span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">این مطالعه‌ یک تحقیق کیفی از نوع تئوری پایه است که با</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">استفاده از مصاحبه‌ی عمیق بدون ساختار از 11 مرد و زن 73-21 ساله‌ی مبتلا به دیابت انجام</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">شد. داده‌‌ها در فاصله‌ی بهمن 1385 تا تیر 1386 جمع‌آوری شدند و مضامین بر اساس</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">مراحل ابتدایی روش اشترایوس و کوربین به دست آمدند. <u>یافته‌ها</u>: داده‌‌ها حاکی از آن بود که موانع توانمندی در بیماری دیابت مانند تنش، نگاه منفی به دیابت، سیستم‌‌های درمانی ناکارآمد و فقر و بی‌سوادی مشابه سایر بیماری‌‌های مزمن است. ضمن آن‌که آموزش دیابت، ترس از بیماری و عوارض آن و امید به</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">آینده‌ای بهتر در تسهیل توانمندی افراد مبتلا به دیابت ضروری است. هم‌چنین مفاهیم</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">پزشک؛ انسان مقدس، دیابت خواست خداوند، جسم هدیه‌ی الهی و حمایت همتایان و اعضای</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">خانواده به خصوص دختران، از تسهیل کننده‌‌های اختصاصی در بستر اجتماعی و فرهنگی ایران</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">بود</span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span>.</span><span dir="rtl"></span><span dir="rtl"></span><span dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="rtl"></span><span dir="rtl"></span> <font size="3"><font face="Yagut"><u><span lang="FA">نتیجه‌گیری</span></u><span lang="FA">: موانع و تسهیل‌‌کننده‌‌های توانمندی در افراد مبتلا به دیابت مشابه سایر کشور‌ها است. هم‌چنین، توانمندی در ایران به طور جدی تحت تأثیر باور‌های فرهنگی و مذهبی افراد</span></font></font></span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">مبتلا به دیابت قرار دارد. شناسایی این عوامل تأثیرگذار، می‌تواند مراقبان بهداشتی را در تسهیل</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" dir="rtl" style="FONT-SIZE: 11pt FONT-FAMILY: Yagut mso-fareast-font-family: SimSun mso-bidi-language: FA mso-ansi-font-size: 10.0pt mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US">اثر بخش‌تر فرایند توانمندی یاری کند</span><span dir="ltr"></span><span dir="ltr"></span><span style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-font-kerning: 16.0pt mso-ansi-language: EN-US mso-fareast-language: EN-US"><span dir="ltr"></span><span dir="ltr"></span>.</span> <p class="Abstract" style="MARGIN: 0cm 1cm 0pt DIRECTION: ltr unicode-bidi: embed TEXT-ALIGN: justify"><strong><font face="Arial">Abstract</font></strong></p><u><span style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-ansi-language: EN-US mso-fareast-language: EN-US">Introduction</span></u><span style="FONT-SIZE: 10pt FONT-FAMILY: "Times New Roman" mso-bidi-font-size: 11.0pt mso-fareast-font-family: SimSun mso-bidi-font-family: Yagut mso-bidi-language: FA mso-ansi-language: EN-US mso-fareast-language: EN-US">: Empowerment in individuals with people diabetes is well researched. However, few researchers have focused specifically on the barriers to and facilitators of empowerment in Iranians with diabetes. Understanding the barriers and facilitators that affect the empowerment process could help health professionals to more effectively facilitate self-empowerment. <u>Materials and Methods</u>: A grounded theory research design was used with in-depth interviews to collect the data from a purposive sample of males and females aged 21-73 years. Data were collected between February and July 2007. Themes were identified using the early steps of the grounded theory data analysis. <u>Results</u>: Common barriers to empowerment were similar to other chronic diseases viZ prolonged stress, negative view about diabetes, ineffective healthcare systems, poverty and illiteracy. Diabetes education, fear of diabetes' complications, and hope for a better future also emerged as being crucial to empowerment. Facilitators specific to Iranians were the concept of the doctor as a holy man, accepting diabetes as God's will and the body as God's gift and support from peers and especially from daughters. <u>Conclusion</u>: Iranians with diabetes describe similar facilitators and barriers to empowerment quite similar to those as people from other countries as well as some specific to <country-region w:st="on"><place w:st="on">Iran</place></country-region>. Empowerment is strongly affected by cultural and religious beliefs in <country-region w:st="on"><place w:st="on">Iran</place></country-region>. Health professionals with deeper understanding of information about diabetics' lives and sources of strength could facilitate the process.</span> افراد مبتلا به دیابت، توانمندی بیمار، پژوهش کیفی، تئوری پایه Grounded theory, Patient empowerment, People with diabetes, Qualitative research 455 464 http://ijem.sbmu.ac.ir/browse.php?a_code=A-10-4-28&slc_lang=fa&sid=1 S. Abdoli سامره عبدلی samereha2000@yahoo.com 400031947532846004509 400031947532846004509 No T. Ashktorab طاهره اشک تراب samereha2000@yahoo.com 400031947532846004510 400031947532846004510 Yes F. Ahmadi فضل اله احمدی 400031947532846004511 400031947532846004511 No S. Parvizi سرور پرویزی 400031947532846004512 400031947532846004512 No