Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1404
1
1
gregorian
2025
4
1
31
1
online
1
fulltext
fa
بررسی ارتباط خستگی مهرورزی و خستگی آلارم پرستاران با ایمنی بیمار در بخش های مراقبت ویژه
The relationship between nurses’ compassion fatigue and alarm fatigue with patient safety in ICUs
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""><span style="color:black">امروزه</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">پرستاران سطوح بالایی از</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">خستگی را تجربه می­کنند که اختلال قابل توجهی در عملکرد آنان در مراقبت به عنوان عامل مؤثر بر ایمنی بیمار ایجاد می­کند.</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">لذا این پژوهش با هدف تعیین ارتباط خستگی آلارم و مهرورزی در پرستاران با ایمنی بیمار در بخش­های مراقبت ویژه انجام گرفته است</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"></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:-.2pt">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""><span style="color:black">مطالعه حال حاضر از نوع مقطعی با رویکرد توصیفی- تحلیلی است که در سال 1402 در مورد 248 پرستار شاغل در بخش­های مراقبت ویژه بیمارستان­های استان گلستان که به روش نمونه</span></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="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">گیری طبقه­ای با تخصیص متناسب انتخاب شدند، انجام گرفت. داده­ها با استفاده از چک­لیست اطلاعات جمعیتشناختی و سه پرسشنامهایمنی بیمار، خستگی آلارم، خستگی مهرورزی جمعآوری و </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">در نرم­افزار </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">SPSS</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> نسخه 22 در سطح معناداری 05/0 با استفاده از مدل رگرسیون خطی یک متغیره و چندگانه مورد تجزیه و تحلیل قرار گرفت</span></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:-.2pt">.</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""><span style="color:black">یافته­ها نشان داد </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">میانگین نمره خستگی مهرورزی 20/25</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">13/86، میانگین خستگی آلارم 38/7</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">67/22 و میانگین ایمنی بیمار 67/13</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">23/62 بوده است </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">بین خستگی آلارم و خستگی مهرورزی ارتباط معنادار وجود داشت (001/0</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">p<</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) اما بین دو متغیر خستگی مهرورزی (101/0=</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">r</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">، </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">112/0</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><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">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) و خستگی آلارم (090/0=</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">r</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">، 158/0=</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">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) با ایمنی بیمار ارتباط معناداری مشاهده نشد. همچنین، با استفاده از رگرسیون خطی چندگانه ارتباط معناداری بین سابقه کاری (031/0=</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">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">)، میزان درآمد (012/0=</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">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) و نوع استخدام پرستاران (039/0=</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">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) با ایمنی بیمار مشاهده شد</span></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="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">با توجه به درجات متوسط خستگی مهرورزی و خستگی آلارم، نمرهایمنی بیمار در وضعیت مطلوب بوده است که نشان</span></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="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">دهنده تلاش پرستاران برای ارایه مراقبتهای ایمن با وجود خستگی ناشی از عوامل کاری است</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</span></span></i><i><span dir="LTR" style="font-size:10.0pt"></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></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:black">Nurses today experience high levels of fatigue that significantly impair their performance in delivering care, thereby affecting patient safety. This research aimed to determine the relationship between nurses’ compassion fatigue and alarm fatigue with patient safety in intensive care units (ICUs)</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:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">This cross-sectional, descriptive-analytical study was conducted in 2023 among 248 nurses working in the ICUs of hospitals in Golestan. A stratified sampling method with proportional allocation was employed. Data collection involved a demographic information checklist and three questionnaires assessing patient safety, alarm fatigue, and compassion fatigue. Data were analyzed using SPSS version 22, with a significance level set at <i>P</i><0.05. Both univariate and multiple linear regression analyses were applied</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.2pt">.</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:-.3pt"><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:black">The mean scores were as follows: compassion fatigue (86.13±25.20), alarm fatigue (22.67±7.38), and patient safety (62.23±13.67). A significant correlation was found between alarm fatigue and compassion fatigue (<i>P</i><0.001). However, no significant relationship was observed between compassion fatigue (r=0.101, <i>P</i>=0.112) or alarm fatigue (r=0.090, <i>P</i>=0.158) with patient safety. Multiple linear regression analysis revealed significant associations between patient safety and work experience (<i>P</i>=0.031), income level (<i>P</i>=0.012), and employment type (<i>P</i>=0.039)</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:-.3pt">.</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="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="color:black">Despite moderate levels of compassion and alarm fatigue, patient safety remained within acceptable ranges, indicating that nurses continued to provide safe care even amidst occupational fatigue risks</span></span><span style="font-size:10.0pt">.<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"><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>
ایمنی بیمار, خستگی مهرورزی, خستگی آلارم, پرستاران, بخش مراقبتهای ویژه
patient safety, compassion fatigue, alarm fatigue, nurses, intensive care units
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58
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4689-2&slc_lang=fa&sid=1
Amin
Mahzoon
امین
محزون