تأثیر مداخله‌ی روانشناختی مبتنی بر اپلیکیشن موبایل بر خودکارآمدی و خودپنداره‌ی بیماران تحت کوله‌سیستکتومی لاپاراسکوپی

نوع مقاله : Original Article(s)

نویسندگان

1 مرکز تحقیقات مامایی پرستاری جامعه‌نگر، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

2 گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

10.48305/jims.v42.i770.0469

چکیده

مقاله پژوهشی




مقدمه: خودکارآمدی و خودپنداره از عوامل روانشناختی مؤثر بر نتایج جراحی و بهبودی بیماران هستند. این پژوهش با هدف بررسی اثربخشی مداخله‌ی روانشناختی مبتنی بر اپلیکیشن موبایل در بهبود خودکارآمدی و خودپنداره‌ی بیماران کاندید کوله‌سیستکتومی لاپاراسکوپی انجام شد.
روش‌ها: در این مطالعه‌ی نیمه‌تجربی، 60 کاندید کوله‌سیستکتومی لاپاراسکوپی در سال 1401 در شهرکرد به روش بلوک‌های جایگشتی به دو گروه تقسیم شدند.گروه مداخله به مدت دو ماه از مداخله‌ی روانشناختی مبتنی بر اپلیکیشن موبایل استفاده کردند و گروه شاهد، فقط مراقبت‌های معمول بیمارستان را دریافت کردند. داده‌ها با استفاده از دو پرسش‌نامه‌ی خودکارآمدی عمومی Sherer و خودپنداره‌ی Rogers در سه مرحله، قبل، بلافاصله و دو ماه بعد از مداخله جمع‌آوری شدند و با پارامترهای آمار توصیفی و آزمون‌های آمار استنباطی تجزیه و تحلیل شدند.
یافته‌ها: قبل از مداخله، میانگین نمره‌ی خودکارآمدی در گروه مداخله و شاهد به‌ترتیب 9/30 ± 62/70 و 22/7 ± 59/50 بود و میانگین نمره‌ی خودپنداره در گروه مداخله و شاهد به‌ترتیب 45/3 ± 10/69 و 3/19 ± 10/63 بود که تفاوت آماری معنی‌داری بین گروه‌ها از نظر خودکارآمدی (0/14 = P) و خودپنداره (0/13 = P) وجود نداشت اما بلافاصله بعد از مداخله میانگین نمره‌ی خودکارآمدی (0/04 = P) و خودپنداره (0/04 = P) بین دو گروه تفاوت معنی‌داری داشت، همچنین دو ماه بعد از مداخله، تفاوت میانگین نمره‌ی خودکارآمدی (0/01 = P) و خودپنداره (0/01 = P) دو گروه معنی‌دار بود.
نتیجه‌گیری: مداخله‌ی روانشناختی مبتنی بر اپلیکیشن موبایل می‌تواند به عنوان یک مداخله‌ی اثربخش برای بهبود خودکارآمدی و خودپنداره‌ی بیماران کاندید کوله‌سیستکتومی لاپاراسکوپی استفاده شود.

تازه های تحقیق

فاطمه علی‌اکبری: Google Scholar, PubMed

شهریار صالحی تالی: Google Scholar, PubMed

هادی رئیسی: Google Scholar, PubMed

زهرا کریم‌زاده: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Psychological Intervention Based on Mobile Application on Self-Efficacy and Self-Concept of Patients Undergoing Laparoscopic Cholecystectomy: Original Article

نویسندگان [English]

  • Fatemeh Aliakbari 1
  • Shahriyar Salehi Tali 1
  • Hadi Raeisi Shahraki 2
  • Zahra Karimzadeh 1
1 Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Epidemiology and Biostatistics, School of Health Shahrekord University of Medical Sciences, Iran
چکیده [English]

Background: Self-efficacy and self-concept are psychological factors that affect the results of surgery and the recovery of patients. The study aimed to investigate the effectiveness of psychological intervention based on mobile applications in improving the self-efficacy and self-concept of laparoscopic cholecystectomy candidates.
Methods: In this semi-experimental study, 60 candidates for laparoscopic cholecystectomy in Shahrekord in 2022 were divided into two groups using permutation blocks. The intervention group used a psychological intervention based on a mobile application for two months, and the control group received only the usual hospital care. Data were collected using two questionnaires, the general self-efficacy of Sherer and the self-concept of Rogers in three stages, before, immediately, and two months after the intervention, and analyzed with descriptive statistics parameters and inferential statistics tests.
Findings: Before the intervention, the average self-efficacy score in the intervention and control groups was 62.70 ± 9.30 and 59.50 ± 7.22, respectively, and the average self-concept score in the intervention and control groups was 10.69 ± 3.45 and 10.63 ± 3.19, respectively, that no was statistically significant difference between the groups in terms of self-efficacy (P = 0.14) and self-concept (P = 0.13). But, immediately after the intervention, the average score of self-efficacy (P = 0.04) and self-concept (P = 0.04) had a statistically significant difference between the two groups. Also, two months after the intervention, the difference in the two groups' mean self-efficacy scores (P = 0.01) and self-concept (P = 0.01) was significant.
Conclusion: Psychological intervention based on mobile application can be used as an effective intervention to improve the self-efficacy and self-concept of laparoscopic cholecystectomy candidates.

کلیدواژه‌ها [English]

  • Mobile application
  • Self-concept
  • Self-efficacy
  • Cholecystectomy
  • Psychological intervention

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مجله دانشکده پزشکی اصفهان
دوره 42، شماره 770
هفته 2، مرداد
مرداد و شهریور 1403
صفحه 469-477

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سابقه مقاله

  • تاریخ دریافت: 05 خرداد 1403
  • تاریخ پذیرش: 17 شهریور 1403

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