Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1404
4
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gregorian
2025
7
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31
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online
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fulltext
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نقش پیش بینیکننده هوش معنوی در نگرش نسبت به مرگ و مراقبت از بیمار در حال مرگ در پرستاران بخش های مراقبت ویژه
The predictive role of spiritual intelligence on attitudes towards death and care for dying patients among intensive care unit nurses
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><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=""><span style="color:black">نگرش پرستاران نسبت­­ به مرگ، روند مراقبتی آن­ها را متأثر می­سازد. در این میان، هوش معنوی با ارتقای معنای زندگی و ­­مرگ، شاید نگرش نسبت به مرگ را در مراقبت پرستاران ارتقا دهد. لذا مطالعه حاضر با­ هدف تعیین نقش پیش­بینی</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">کننده هوش معنوی در نگرش نسبت به مرگ و مراقبت از بیمار در حال مرگ در پرستاران بخش­های مراقبت ویژه 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:-.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><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><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="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">مطالعه </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">توصـیفی- تحلیلـی حاضر در سال 1402 در دانشگاه علوم پزشکی شیراز در مورد 200 پرستار بخش­ مراقبت ویژه انجام گرفت. داده­ها با استفاده از </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">پرسشنامه­های جمعیت</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">شناختی، نگرش نسبت به مرگ (</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">DAPR</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">)</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></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">هوش معنوی </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">King</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> و</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> مراقبت از بیمار در حال مرگ (</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">EOLCAS</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">) جمع­آوری و در نرم­افزار </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> نسخه 16 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:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><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">ماتریس ضرایب همبستگی نشان داد بین هوش معنوی و مراقبت از بیمار در حال مرگ رابطه مثبت و معنادار (265/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">r</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 001/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">) و بین هوش معنوی و نگرش نسبت به مرگ نیز رابطه مثبت و معنادار (360/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">r</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 001/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">) وجود داشته است. از میان ابعاد هوش معنوی فقط بعد تفکر وجودی انتقادی نقش پیش­گویی</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">کننده نگرش نسبت به مرگ (207/1=</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">β</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 001/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">) و ارزیابی مراقبت از بیمار در حال مرگ (880/0=</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:black">β</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">، 001/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">) را داشت</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:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><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">از آن جا که هوش معنوی می­تواند در بهبود نگرش نسبت به مرگ و مراقبت از بیمار در حال مرگ نقش داشته باشد، لذا به مسؤولان پرستاری توصیه می­شود که به</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"> ابعاد معنویت در مراقبت از بیماران در حال مرگ توجه داشته باشند</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">.</span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><i><span dir="LTR" style="font-size:10.0pt"></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black">Background & Aim:</span></span></b> <span lang="EN" style="font-size:10.0pt">Nurses’ attitudes towards death affect their caregiving practices.</span> <span lang="EN" style="font-size:10.0pt">Spiritual intelligence, by promoting a deeper understanding of the meaning of life and death, may improve the nurses’ attitudes towards death.</span> <span lang="EN" style="font-size:10.0pt">This study aimed to investigate the predictive role of spiritual intelligence on attitudes towards death and care for dying patients among intensive care unit (ICU) nurses</span><span style="font-size:10.0pt"><span style="color:black">.</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="vertical-align:top"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black">Methods & Materials:</span></span></b> <span lang="EN" style="font-size:10.0pt">This descriptive-analytical study was conducted in 2023 at Shiraz University of Medical Sciences, involving a sample of 200 ICU nurses. Data were collected using instruments, including demographic questionnaires, the Death Attitude Profile-Revised (DAPR), King’s Spiritual Intelligence Scale, and the End-of-Life Care Assessment Scale (EOLCAS). Data were analyzed using SPSS software version 16</span><span style="font-size:10.0pt">.</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="vertical-align:top"><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="layout-grid-mode:line">Results:</span></span></span></b> <span lang="EN" style="font-size:10.0pt">Correlation analysis showed a statistically significant positive relationship between spiritual intelligence and both caring for dying patients (<i>P</i><0.01, r=0.265) and attitudes towards death</span> <span lang="EN" style="font-size:10.0pt">(<i>P</i><0.001, r=0.360).</span> <span lang="EN" style="font-size:10.0pt">Among the dimensions of spiritual intelligence, critical existential thinking emerged as a significant predictor of attitudes towards death (<i>P</i><0.001, β=1.207) and evaluation of dying patient care (<i>P</i><0.001, β=0.880)</span><span style="font-size:10.0pt"><span style="color:black">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><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:-.1pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="letter-spacing:-.1pt">The findings suggest that spiritual intelligence may play a vital role in shaping positive attitudes towards death and improving the quality of care for dying patients. It is recommended that nursing managers incorporate strategies to enhance spirituality in clinical practice to optimize end-of-life care</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="color:black"></span></span></span></span></span></span></span><br>
نگرش نسبت به مرگ, مراقبت, بیمار در حال مرگ, هوش معنوی, بخش مراقبت ویژه, پرستاران
attitude to death, care, patient, spirituality, intensive care unit, nurses
122
136
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4767-2&slc_lang=fa&sid=1
Somayeh
Mohammadi
سمیه
محمدی