fa فرآیند بازگشت به کار در بیماران پس از جراحی قلب: یک مطالعه نظریه پایه مراقبت‌هاي پرستاري Nursing Care پژوهشي Research <span style="font-size:12pt"><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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">اطلاعات محدودی در خصوص تجارب افراد از بازگشت به کار پس از جراحی قلب، با توجه به بافت فرهنگی- اجتماعی جامعه ایرانی در دسترس است. هدف این مطالعه، کشف فرآیند بازگشت به کار افراد پس از جراحی قلب است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></i></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">این مطالعه کیفی با رویکرد نظریه پایه در طی سال 1401-1400 انجام یافت. 21 فرد درگیر با فرآیند بازگشت به کار پس از جراحی قلب</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">به روش </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نمونه&shy;گیری هدفمند و نظری از بخش جراحی قلب بیمارستان امیرالمؤمنین کردکوی و مراجعان به مطب جراحان قلب استان گلستان انتخاب شدند. داده&shy;ها از طریق مصاحبه&shy;های نیمه ساختار یافته و یادداشت در عرصه جمع&shy;آوری شد. تحلیل داده&shy;ها</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">با روش کوربین و اشتراوس 2015</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> انجام یافت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">یافته‌ها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">&laquo;احساس تردید نسبت به بازگشت به کار&raquo;، &laquo;حمایت روانی- اجتماعی درک شده&raquo;، &laquo;عوامل فردی و شغلی&raquo;، &laquo;پیامدهای نامطلوب جراحی قلب&raquo; و &laquo;پشتیبانی محدود مؤسسات دولتی/ غیردولتی&raquo; به عنوان عوامل زمینه&shy;ای مؤثر بر بازگشت به کار مشخص شدند. &laquo;تکاپو جهت تعدیل شغل&raquo;، &laquo;ارزیابی موقعیت&raquo; و &laquo;خودمدیریتی&raquo; به عنوان راهبردها و &laquo;تطبیق پذیری با شغل&raquo; به عنوان پیامد بازگشت به کار&nbsp; معرفی شد. &laquo;تلاش مدبرانه جهت تطابق شغلی&raquo; به‌عنوان متغیر مرکزی شناسایی شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجه‌گیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">براساس نتایج، عوامل متعدد فردی و محیطی بر فرآیند بازگشت به کار افراد تحت جراحی قلب تأثیر دارد. تسهیل فرآیند بازگشت به کار نیازمند حمایت روانی- اجتماعی خانواده و محیط کاری است. توصیه می‌شود، سیاست</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">‌</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">گذاران بهداشتی و امور اجتماعی با توانمندسازی افراد در دوران بعد از نقاهت و ایجاد تعامل بین وزارت کار، بهداشت و درمان با سازمان‌های بیمه</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">‌</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">گر به تسهیل بازگشت به کار افراد پس از جراحی قلب کمک نمایند</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 b="" style="font-family:" yagut=""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt">Background & Aim:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The availability of information regarding people&#39;s experiences of returning to work after heart surgery, taking into account the socio-cultural context of Iranian society, is limited. The aim of this study is to discover the process of returning to work after heart surgery</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">A qualitative study using the grounded theory approach was conducted between 2021 and 2022. Through purposive and theoretical sampling, 21 participants who had undergone heart surgery and were in the process of returning to work were selected. </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">They were chosen from the cardiac surgery ward of Amiralmomenin Hospital in Kordkuy, as well as among patients seeking treatment from cardiac surgeons in Golestan province.</span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Data were collected through </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">conducting </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">semi-structured interviews and</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> taking</span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> field notes. Data analysis was </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">conducted using </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">the method proposed by Corbin and Strauss in 2015</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">&quot;Feeling of doubt about return-to-work&quot;, &quot;perceived psycho-social support&quot;, &quot;personal and occupational factors&quot;, &quot;unfavorable consequences of heart surgery&quot; and &quot;limited support from governmental/non-governmental institutions&quot; were determined as contextual factors influencing the process of return-to-work.</span></span></span> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Moreover, &quot;effort to adjust the job&quot;, &quot;situation evaluation&quot; and &quot;self-management&quot; were introduced as strategies, while &quot;adaptability to the job&quot; were identified as the consequence of returning to work. Finally, the core variable of the study was determined to be &quot;the thoughtful effort to match the job&quot;</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Based on the results, it was determined that several individual and environmental factors influence the process of return-to-work for people who have undergone heart surgery. To facilitate a successful return to work, it is crucial to provide psycho-social support from both the family and work environment. It is recommended that policy makers in the health and social affairs sectors take active steps to empower people during the post-recovery period.</span></span> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Additionally, fostering collaboration between the Ministries of Labor and Health, as well as insurance organizations, can greatly facilitate the return to work of individuals after heart surgery</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></b></span></span></span></span></span><br> &nbsp; بازگشت به کار, جراحی گرفت بای‌پس قلبی, گرندد تئوری return-to-work, coronary artery bypass grafting, grounded theory 203 216 http://hayat.tums.ac.ir/browse.php?a_code=A-10-1861-11&slc_lang=fa&sid=1 Ali Pourhabib علی پورحبیب 0000-0002-6355-1980 No Dept. of Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran; Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran گروه آموزشی پرستاری، دانشکده پرستاری و مامایی رامسر، دانشگاه علوم پزشکی بابل، بابل، ایران؛ مرکـز تحقیقات مراقبت‌های پرستاری، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران Zahra Fotokian زهرا فتوکیان 0000-0002-9274-7413 No Dept. of Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran; Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran گروه آموزشی پرستاری، دانشکده پرستاری و مامایی رامسر، دانشگاه علوم پزشکی بابل، بابل، ایران؛ مرکـز تحقیقات مراقبت‌های پرستاری، پژوهشکده سلامت، دانشگاه علوم پزشکی بابل، بابل، ایران Zahra Sabzi زهرا سبزی sabzi@goums.ac.ir 0000-0001-8320-9528 Yes Dept. of Child and Family Health Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Iran گروه آموزشی پرستاری بهداشت کودک و خانواده، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گلستان، ایران Khadijeh Yazdi خدیجه یزدی 0000-0002-4311-1419 No Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Iran; Nursing Care Research Center, Golestan University of Medical Sciences, Golestan, Iran گروه آموزشی پرستاری داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گلستان، ایران؛ مرکز تحقیقات مراقبت‌های پرستاری، دانشگاه علوم پزشکی گلستان، گلستان، ایران