fa بررسی مقایسه ای نیازهای آموزشی جوانان برای ارتقا سلامت روان در زندگی زناشویی در دو موقعیت قبل و بعد از ازدواج آموزش بهداشت Educational Health پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in -1.8pt 0pt -1.4pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: اجرای برنامه های آموزشی برای ارتقاء سلامت روان در زندگی زناشویی ضروری است. عدم توجه به نیازهای گروه هدف در تدوین برنامه‌های آموزشی از اثر بخشی این برنامه ها خواهد کاست. هدف از این پژوهش گزارش و مقایسه نیازهای آموزشی جوانان<font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>برای ارتقا سلامت روان در زندگی زناشویی در دو موقعیت قبل</font></font></span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">و بعد از ازدواج می باشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: inter-ideograph" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش­ کار</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:</span><b><span lang="FA" style="font-family: "B Mitra" font-size: 12pt"> </span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در یک مطالعه هم گروهی در سال</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">های89 -1390، 450 نفر از مردان و زنان به روش نمونه گیری طبقه ای تصادفی شده برای مطالعه انتخاب شدند. این افراد <a name="OLE_LINK32"></a><a name="OLE_LINK31"><span style="mso-bookmark: OLE_LINK32"><font face="B Mitra" size="2">برای شرکت در برنامه آموزشی قبل از ازدواج در </font></span></a>مرکز مشاوره قبل از ازدواج شهید هاشمی نژاد تهران ثبت نام کرده بودند. با استفاده از پرسشنامه ساخته محقق میزان نیاز به آموزش در زمینه های مختلف حیطه سلامت روان در دو مرحله قبل و شش ماه بعد از ازدواج با مقیاس 5 درجه‌ای لیکرت مورد بررسی قرار گرفت. برای تجزیه و تحلیل داده ها از آزمون</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">های آماری تی مستقل و تی زوج استفاده شد و اولویت بندی با محاسبه رتبه میانگین‌ها انجام گرفت. 05/0 </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p <</span><span dir="rtl"></span><span style="font-family: "B Mitra" font-size: 12pt"><span dir="rtl"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">معنی دار در نظر گرفته شد.</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: inter-ideograph" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته­ها</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: اولویت اول آموزشی در هر دو مرحله قبل</span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">و بعد از ازدواج "روش های زنده نگهداشتن عشق در زندگی مشترک" بود. میزان نیاز به آموزش در هر دو مرحله بیش از متوسط (نمره3) بود. بعد از ازدواج میزان نیاز به آموزش افزایش پیدا کرده بود ولی این افزایش معنی دار نبود ( 097/0= </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>). در هر دو مرحله میزان نیاز به آموزش در زنان بیش از مردان بود ولی این تفاوت نه در مرحله قبل از ازدواج ( 171/0= </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) و نه در مرحله بعد از ازدواج <font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>( 476/0= </font></font></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-size: 10.0pt mso-bidi-font-family: "B Mitra"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) از نظر آماری معنی دار نبود</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">.</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: inter-ideograph" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه­گیری</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: لازم است برنامه های آموزشی برای ارتقا سلامت روان زوجین جوان و با توجه به نیازهای شناخته شده طراحی و در مقاطع مختلف از جمله در حین ازدواج اجرا گردد.</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"><font size="3">Background</font></span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"><font size="3">: Educational programs for promotion of mental health in marital life are necessary. <span style="mso-spacerun: yes"><font face="Times New Roman"> </font></span></font><font size="3">Ignorance of target group<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman"> </font></span>needs diminishes effectiveness of efforts in educational programs. This research aimed to report and compare mental health educational needs before and after marriage.</font></span><span style="font-size: 12pt mso-bidi-font-family: "B Mitra""><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal vertical-align: top text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Methods:</span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"> In a cohort study<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman"> </font></span>in 2011, by random stratified sampling 450<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman"> </font></span>males and females<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman"> </font></span>were selected. These were participated in pre-marital counseling in Hasheminezhad center in Tehran. A researched-made questionnaire was used to measure rate of mental health educational needs with 5 degree<span dir="rtl"></span><span lang="FA" dir="rtl"><span dir="rtl"></span><font face="Times New Roman">-</font></span>Likert scale before and six months after marriage. Data were analyzed by Independent t-test,<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman"> </font></span>paired t-test and Prioritization was done by calculating mean rank. A P-value less than 0.05 have been considered as significant different.</span><span style="font-size: 12pt mso-bidi-font-family: "B Mitra""><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Results: </span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">“How to keep romance alive in marital life” topics was the first priority <a name="OLE_LINK185"></a><a name="OLE_LINK184"><span style="mso-bookmark: OLE_LINK185"><font face="Times New Roman">in both before and after marriage. </font></span></a>Rates of mental health educational needs in both stages were more than average (3 degree). After marriage rate of needs was increased but it was not significant. Women in both stages report more rate of educational needs than men but this difference wasn’t significant. </span><span style="font-size: 12pt mso-bidi-font-family: "B Mitra""><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal vertical-align: top text-justify: kashida text-kashida: 0%"><font size="3"><b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA">Conclusion:</span></b><span style="font-family: "Times New Roman","serif" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi mso-bidi-language: FA"> Designing mental health promotion educational programs based on people needs are necessary and these programs should be performed in different stages of life.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font> آموزش، سلامت روان، زندگی زناشویی. Education, Mental health, Marital life. 67 76 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1379&slc_lang=fa&sid=1 Davood Pourmarzi داوود پورمرزی 3900319475328460022534 3900319475328460022534 No Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان Shahnaz Rimaz شهناز ریماز 3900319475328460022535 3900319475328460022535 Yes Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Effat al-sadat Merghati Khoii عفت السادات مرقاتی خویی 3900319475328460022536 3900319475328460022536 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Maryam Razi مریم رازی 3900319475328460022537 3900319475328460022537 No Guilan University of Medical Sciences دانشگاه علوم پزشکی گیلان