fa بررسی تأثیر اجرای مداخله مبتنی بر مراقبت پیگیر بر عوارض دارویی و کیفیت زندگی در مبتلایان به پرکاری تیروئید 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">زمینه و هدف: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">بیماران با پرکاری تیروئید به یک برنامه مبتنی بر پیگیری با هدف بهبود نگرش در ارتقای کیفیت زندگی و آگاهی از عوارض دارویی نیازمندند، بنابراین مطالعه حاضر با هدف تعیین تأثیر اجرای مداخله مبتنی بر مراقبت پیگیر بر عوارض دارویی و کیفیت زندگی در مبتلایان به پرکاری تیروئید </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">انجام‌</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">یافته </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">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></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 b="" style="font-family:" 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 b="" style="font-family:" yagut="">مطالعه حاضر از نوع نیمه تجربی است که برروی 75</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">بیمار مبتلا به پرکاری تیروئید</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> مراجعه</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="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کننده به درمانگاه غدد بیمارستان امام خمینی (ره) و شریعتی تهران در سال 1400 به روش تصادفی</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="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">سازی بلوکی در دو گروه 38 نفره انجام گرفته است.</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">گروه مداخله تحت مدل مراقبت پیگیر قرار گرفتند و گروه کنترل مراقبت‌های معمول را دریافت نمودند. پرسشنامه‌های عوارض دارویی و کیفیت زندگی قبل و بعد از مداخله توسط هر دو گروه تکمیل شد.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> داده‌ها با استفاده از نرم</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="">افزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> نسخه 25 در دو سطح آمار توصیفی و استنباطی تحلیل شدند</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><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="">طبق </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نتایج آنالیز کوواریانس </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">میانگین نمره کیفیت زندگی و عوارض دارویی در دو گروه </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">بعد از انجام مداخله </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">تفاوت آماری معنادار داشت (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> به عبارت دیگر نمرات کیفیت زندگی در همه ابعاد آن (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> بعد از مداخله </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">و در گروه مداخله به صورت معناداری از گروه کنترل بیش</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="">تر بود (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">). همچنین عوارض دارویی و ابعاد آن بعد از مداخله در گروه آزمون به صورت معناداری نسبت به گروه کنترل کم</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="">تر بود (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</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="">نتایج نشان داد که اجرای مدل مراقبت پیگیر سه ماه بعد از مداخله، تأثیر مطلوبی بر کیفیت زندگی و کاهش عوارض دارویی در بیماران مبتلا به پرکاری تیروئید داشته است</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" 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> &nbsp; <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="">Patients with hyperthyroidism need targeted interventions aimed at improving their quality of life and increasing awareness of potential drug side effects. This study aimed to investigate the effect of an intervention based on the continuous care model on drug side effects and quality of life in patients with hyperthyroidism</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:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This quasi-experimental study was conducted in 2021 on 75 hyperthyroid patients attending the endocrine clinics of Imam Khomeini Hospital and Shariati Hospital in Tehran. Participants were allocated into two groups of 38 patients each, using block randomization. The intervention group received care based on the continuous care model, while the control group received routine care. Data collection employed questionnaires assessing drug side effects and quality of life, administered before and after the intervention. Data were analyzed using SPSS version 25, employing both descriptive and inferential statistical methods</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times="">Analysis of covariance showed significant differences between the groups in both quality of life and drug side effects scores (<i>P</i><0.001). Post-intervention, the mean quality of life scores across all dimensions were significantly higher in the intervention group compared to the control (<i>P</i><0.001). Conversely, the mean scores for drug side effects and their respective dimensions were significantly lower in the intervention group following the intervention (<i>P</i><0.001)</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:14pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><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">The findings suggest that implementing a continuous care model over a three-month period can positively influence the quality of life and decrease drug side effects among patients with hyperthyroidism</span><span style="font-size:10.0pt">.</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 new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> &nbsp; مدل مراقبت پیگیر, کیفیت زندگی, عوارض دارویی, پرکاری تیروئید continuous care model, quality of life, drug side effects, hyperthyroidism 73 88 http://hayat.tums.ac.ir/browse.php?a_code=A-10-4864-2&slc_lang=fa&sid=1 Kolsoum Abdolahi کلثوم عبدالهی abdollahi.k@umsu.ac.ir 0009-0002-9757-6227 Yes Dept. of Medical Surgical Nursing, Mahabad School of Nursing, Urmia University of Medical Sciences, Urmia, Iran گروه آموزشی پرستاری داخلی جراحی، دانشکده پرستاری مهاباد، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران Soghra Rabizadeh صغرا ربیع‌زاده 0000-0002-3752-302X No Dept. of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, Iran گروه آموزشی داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران؛ مرکز تحقیقات غدد و متابولیسم، دانشگاه علوم پزشکی تهران، تهران، ایران Shima Haghani شیما حقانی 0000-0002-1334-975X No Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات مراقبت‌های پرستاری و مامایی، پژوهشکده مدیریت سلامت، دانشگاه علوم پزشکی ایران، تهران، ایران Amir Mohammad Chekeni امیر محمد چکنی 0000-0002-6538-7045 No Student Research Committee, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران