مقایسه‌ی تأثیر آموزش خودمراقبتی توسط پرستار و همتا بر توان خودمراقبتی بیماران کاندید آنژیوگرافی

نوع مقاله : Original Article(s)

نویسندگان

1 دانشجوی کارشناسی ارشد پرستاری سالمندی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران

2 دانشیار، گروه پرستاری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران

3 استادیار، گروه آمار و اپیدمیولوژی، دانشکده‌ی بهداشت و تغذیه، مرکز تحقیقات بهداشت تغذیه، دانشگاه علوم پزشکی لرستان، خرم آباد، ایران

10.48305/jims.v41.i750.1184

چکیده

مقاله پژوهشی




مقدمه: آموزش به بیمار و افزایش توان خودمراقبتی در بیمار قلبی اهمیت دارند. هدف از این مطالعه، مقایسه‌ی تأثیر آموزش خودمراقبتی توسط پرستار و همتا بر توان خودمراقبتی بیماران کاندید آنژیوگرافی بود.
روش‌ها: طرح نیمه تجربی با پیش‌آزمون- پس‌آزمون در دو گروه بیمار کاندید آنژیوگرافی در بیمارستان تخصصی قلب شهید مدنی خرم‌آباد در سال 1401 انجام شد. نمونه‌گیری در دسترس و حجم نمونه 56 نفر بود. مداخله شامل آموزش خودمراقبتی به بیمار طی دو جلسه‌ی 30 دقیقه‌ای قبل و بعد از آنژیوگرافی توسط پرستار یا همتا بود. ابزار پژوهش، پرسش‌نامه‌ی توان خودمراقبتی کرنی و فلسچر (1979) بود. داده‌ها با آزمون Independent sample T-test و Paired T-test، Chi-Square، Fisher's exact test در سطح معنی‌داری کمتر از 0/05 تحلیل شدند.
یافته‌ها: نمونه‌ها شامل 28 زن (50 درصد) و 28 مرد (50 درصد)، اکثریت ‏متأهل (96/4 درصد)، با تحصیلات زیر دیپلم (75 درصد)، خانه‌دار و بیکار (48/2 درصد) و با وضعیت ‏درآمد متوسط (42/9 درصد) بودند. میانگین و انحراف معیار توان خودمراقبتی در دو گروه قبل از مداخله 12/56 ± 138/00 و 11/08 ± 133/11 (0/128 = P) و بعد از مداخله 36/26 ± 141/11 و 15/39 ± 139/11 (0/001 = P) بود. دو گروه از نظر اثربخشی آموزش، یکسان بودند (0/216 = P).
نتیجه‌گیری: آموزش توسط پرستار یا همتا، توان خودمراقبتی بیماران کاندید آنژیوگرافی را افزایش می‌دهد. ‏اثربخشی آموزش خودمراقبتی توسط پرستار یا همتا بر توان خودمراقبتی یکسان است. لذا بنا بر حجم کار ‏و تعداد پرستاران، نسبت پرستار به بیمار و وقت لازم برای مراقبت می‌توان در کنار آموزش خودمراقبتی ‏پرستار به بیمار، از همتا به عنوان آموزش‌دهنده استفاده ‏نمود.

تازه های تحقیق

حمید تقی نژاد: Google Scholar 

رسول محمدی: Google Scholar 

معصومه اطاقی: Google Scholar 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of the Effect of Self-Care Education by Nurse and Peer on Self-Care Ability of Candidate Patients for Angiography

نویسندگان [English]

  • Matineh Mobarakian 1
  • Hamid Taghinejad 2
  • Rasool Mohammadi 3
  • Masoumeh Otaghi 2
1 MSc Student, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
2 Associate Professor, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
3 Assistant Professor, Department of Biostatistics and Epidemiology, School of Health and Nutrition, Nutritional Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
چکیده [English]

Background: Patient education and enhancing self-care ability are important for cardiac patients. The study aimed to compare the effect of self-care education by nurses and peers on the self-care ability of Candidate patients
for angiography.
Methods: A quasi-experimental design with a pre-post-test was conducted in two groups of candidate patients for angiography in Shahid Madani Heart Hospital of Khorramabad in 2022. Sampling was convenient and the sample size was 56 people. The intervention included self-care education for the patient during two 30-minute sessions before and after angiography by a nurse or a peer. The research tool was Kearney and Flescher's self-care ability questionnaire (1979). Data were analyzed with t, Chi-square, and Fisher's exact tests at a significance level of less than 0.05.
Findings: The samples included 28 women (50%) and 28 men (50%), married (96.4%), with under-diploma education (75%), housewives or unemployed (48.2%), and with average income status (42.9%). The Mean ± SD of self-care ability in the two groups before intervention was 138.00 ± 12.56 and 133.11 ± 11.08 (P = 0.128), which after the intervention were reached 141.36 ± 11 and 139.11 ± 15.39 (P = 0.001). The two groups were the same in terms of education effectiveness (P = 0.216).
Conclusion: Self-care education by a nurse or peer increases the self-care ability of Candidate patients for angiography. The effectiveness of training by a nurse or a peer on self-care ability is the same. Therefore, depending on workload, the number of nurses, the ratio of nurse to patient, and the time required for caring, a peer can help or replace a nurse to educate the patient.

کلیدواژه‌ها [English]

  • Patients
  • Education
  • Self care
  • Angiography

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 750
بهمن و اسفند 1402
صفحه 1184-1191

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  • تاریخ دریافت: 18 آذر 1402
  • تاریخ پذیرش: 14 فروردین 1403

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