Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1403
10
1
gregorian
2025
1
1
30
4
online
1
fulltext
fa
تأثیر مراقبت پرستاری مبتنی بر نظریه اورلاندو بر سطح اضطراب موقعیتی بیماران تحت جراحی بایپس سرخرگ کرونری
Effect of Orlando’s theory-based nursing care on the level of situational anxiety in patients undergoing coronary artery bypass grafting
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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">اضطراب یک مشکل روانی مهم مرتبط با جراحی بای­پس سرخرگ کرونری است. از جمله روش­های مداخله­ای پرستاران جهت کاهش اضطراب، استفاده از مدل­ پرستاری اورلاندو است. مطالعه حاضر با هدف تعیین تأثیر مراقبت پرستاری مبتنی بر نظریه اورلاندو بر سطح اضطراب موقعیتی بیماران تحت جراحی بای­پس سرخرگ کرونری انجام گرفته است</span></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><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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: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 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=""><span style="color:black">مطالعه حاضر از نوع کارآزمایی بالینی است که در سال ۱۴۰۲ در بیمارستان فاطمه</span></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=""><span style="color:black">الزهرا (س) ساری انجام یافت. تعداد ۷۰ بیمار تحت جراحی بای­پس سرخرگ کرونری به روش نمونه­گیری در دسترس وارد مطالعه شدند و به طور تصادفی در گروه مداخله (۳۵ نفر) و کنترل (۳۵ نفر) قرار گرفتند. گروه مداخله علاوه بر مراقبت­های معمول بخش، مراقبت پرستاری مبتنی بر نظریه اورلاندو را در عصر روز قبل از جراحی دریافت کردند. گروه کنترل فقط مراقبت­های معمول بخش را دریافت کردند. اضطراب بیماران قبل از مداخله و صبح روز جراحی با استفاده از پرسشنامه اضطراب موقعیتی </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Spielberger</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> سنجیده شد. داده­ها با استفاده از آزمون­های دقیق فیشر،­ کای</span></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=""><span style="color:black">دو، </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">t</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> مستقل و زوجی در نرم</span></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=""><span style="color:black">افزار </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> نسخه 21 تجزیه و تحلیل شد</span></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: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 b="" style="font-family:" 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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">قبل از مداخله بین میانگین نمره اضطراب موقعیتی بیماران تحت جراحی بای­پس سرخرگ کرونری در گروه مداخله و کنترل (به ترتیب 75/6</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">02/58 ، 51/7</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">79/55) تفاوت معناداری مشاهده نشد (31/1=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">t</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 196/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">). اما بعد از مداخله، تفاوت معناداری بین میانگین نمره اضطراب موقعیتی در دو گروه (به ترتیب 29/5</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">29/49 ، 52/6</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">08/59) وجود داشت (001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">)، به طوری که میزان اضطراب موقعیتی در گروه مداخله نسبت به گروه کنترل کاهش معناداری داشته است</span></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></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 b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتـایج نشان داد استفاده از مدل اورلاندو می­تواند باعث کاهش اضطراب بشود. لذا توصیه می­شود مدیران پرستاری از برنامـه آموزشی مبتنـی بـر این مدل جهت کاهش اضطراب موقعیتی بیماران تحت جراحی بای­پس سرخرگ کرونری استفاده نمایند.</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="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">ثبت کارآزمایی بالینی:</span></span></span></i></b><i> </i><a name="_Hlk159011495"><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">IRCT20230528058319N1</span></span></span></i></a><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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 dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Anxiety is a significant psychological concern for patients undergoing coronary artery bypass graft (CABG) surgery. Orlando's nursing theory offers a framework for nursing interventions to mitigate this anxiety. This study aimed to evaluate the effect of a nursing intervention based on Orlando's theory on the level of situational anxiety in patients undergoing CABG</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">This clinical trial was conducted in 2023 at Fatemeh-Zahra Hospital in Sari. A convenience sample of 70 patients scheduled for CABG was recruited and randomly assigned to either an intervention group (n=35) or a control group (n=35). The intervention group received nursing care based on Orlando's theory the evening before surgery, in addition to standard care. The control group received only standard care. Situational anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) (assessing situational anxiety) before the intervention and again on the morning of the surgery. Data were analyzed using Fisher's exact test, Chi-square test, independent <i>t</i>-tests, and paired t-tests in SPSS version 21</span></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: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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><span style="color:black">Before the intervention, there was no statistically significant difference in mean situational anxiety scores between the intervention and control groups (t=1.31, <i>P</i>=0.196). However, following the intervention, a statistically significant difference was observed between the two groups (49.29</span></span></span><span style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">5.29 vs 59.08</span></span></span><span style="font-size:10.0pt"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">6.52;</span></span></span> <i><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></i><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><0.001). Specifically, the intervention group demonstrated a significant reduction in situational anxiety compared to the control group</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 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 style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The results suggest that a nursing intervention based on Orlando's theory can effectively reduce situational anxiety in patients undergoing CABG. Therefore, it is suggested that nursing managers consider implementing educational programs based on this model to address situational anxiety in CABG patients</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Clinical trial registry: </span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">IRCT20230528058319N1</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: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 new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
مراقبت پرستاری, اضطراب, جراحی بای پس سرخرگ کرونری
nursing care, anxiety, coronary artery bypass grafting
405
417
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4740-2&slc_lang=fa&sid=1
Mobarakeh
Abbasi Firoozjah
مبارکه
عباسی فیروزجاه