Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1401
7
1
gregorian
2022
10
1
28
3
online
1
fulltext
fa
بررسی میزان خودمراقبتی در برابر بیماری کووید-19 و عوامل مرتبط با آن در بیماران تحت همودیالیز
Assessment of the self-care level against COVID-19 and its related factors among hemodialysis patients
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">امروزه بیماری کووید-­19 تهدیدی جدی برای سلامت جهان شده است. با توجه به شرایط ویژه، بیماران تحت همودیالیز بیش از سایرین در معرض خطر ابتلا قرار دارند. لذا خود­مراقبتی در آن­ها بسیار </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ضروری</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> است. </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">بنابراین مطالعه حاضر با هدف تعیین میزان خودمراقبتی این بیماران در برابر کووید-­19 و عوامل مؤثر بر خودمراقبتی، انجام گرفته است<span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در این مطالعه توصیفی- تحلیلی تعداد 219 نفر از بیماران مراجعه­کننده به بخش دیالیز بیمارستان­های دولتی منتخب استان لرستان در سال 1399 به روش سر­شماری انتخاب و بررسی شدند. اطلاعات بیماران توسط پرسشنامه مشخصات فردی و پرسشنامه محقق</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ساخته خودمراقبتی در برابر کووید-­19 گردآوری شد. یافته­ها در نرم­افزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">SPSS</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 22 و سطح معناداری 05/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""> p<</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> تجزیه و تحلیل شد<span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">میانگین نمره خودمراقبتی در برابر کووید-­19 در بیماران 33/186، و اغلب بیماران دارای خودمراقبتی در سطح خوب بودند. بین متغیرهای </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">محل سکونت (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) و وجود بیماری همزمان (044/0=</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با نمره خودمراقبتی بیماران ارتباط معناداری دیده شد. در میان منابع متعدد کسب اطلاعات، بین شبکه­های <a name="_Hlk98321133">اجتماعی </a></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">(047/0=</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">و خانواده و اقوام </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">(001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با نمره خودمراقبتی تفاوت معناداری وجود داشت. همچنین د</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">اشتن بیماری همزمان، محل سکونت شهری و سطح تحصیلات دانشگاهی به صورت معناداری خودمراقبتی را پیش</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">بینی می­کردند</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با توجه به نتایج این مطالعه توصیه می­شود، برنامه­های آموزشی مناسبی با در نظر گرفتن عوامل مؤثر بر ارتقای خودمراقبتی برای این بیماران تدوین شود. همچنین جهت اثربخشی بیش</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">­</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">تر از ظرفیت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">­</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">هایی </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مانند شبکه</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">­</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">های اجتماعی و خانواده بیماران نیز استفاده گردد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#0e101a">Today, COVID-19 has become a serious threat to global health. Due to their certain conditions, hemodialysis patients are more at risk than others. Therefore, self-care in these patients is more necessary. We aimed to assess the self-care of hemodialysis patients against COVID-19 disease and the factors influencing self-care</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#0e101a">In this cross-sectional study, 219 patients referred to the dialysis ward of selected public hospitals in Lorestan province, were selected by the census method and examined. Patients' information was collected by a demographic questionnaire and a researcher-made questionnaire on self-care against COVID-19. Data were analyzed using the SPSS software version 22, with the significance level of 0.05</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#0e101a">The mean score of self-care against COVID-19 in patients was 186.33, and most patients had a good level of self-care. There was a significant relationship between the self-care score and place of residence (<i>P</i><0.001), and comorbidity (<i>P</i>=0.044). Among the multiple sources of information, there was a significant difference in the self-care score between cyberspace (<i>P</i>=0.047), and family and relatives (<i>P</i><0.001). </span></span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Also, comorbidity, urban residence, and academic education level significantly predicted self-care</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:#0e101a">According to the results of this study, developing proper training programs is suggested considering the factors influencing self-care. Also, capacities such as cyberspace and patients' families should be used to make the training more effective.</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
خودمراقبتی, کووید-19, همودیالیز
self-care, COVID-19, hemodialysis
310
321
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4175-3&slc_lang=fa&sid=1
Narges
Nargesi Khoramabad
نرگس
نرگسی خرمآباد
nargesi_k@yahoo.com