Iranian Journal of Rehabilitation Research in Nursing
نشریه پژوهش توانبخشی در پرستاری
IJRN
Medical Sciences
http://ijrn.ir
1
admin
2383-434X
2383-4358
8
10.22034/ijrn
14
8888
13
fa
jalali
1401
12
1
gregorian
2023
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fulltext
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تأثیر پرستاری از راه دور بر میزان اضطراب و کیفیت زندگی بیماران ترخیص شده مبتلا به کووید-19
The Effect of Telemedicine on Anxiety and Quality of Life of Patients with Covid-19
سایر موضوعات
Other topics
پژوهشي
Research
<br>
<span style="font-family:nasimYW;"><span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">مقدمه: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">شیوع بالای کووید-19 و</span></span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">بروز استرس و اضطراب، کیفیت زندگی در بیماران مبتلا به کووید-19</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">را</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">کاهش می</span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">دهد، بنابراین پرستاری از راه دور جهت ارتقاء کیفیت زندگی در این بیماران امری مهم تلقی می</span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">شود.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">پژوهش حاضر به منظور بررسی تأثیر پرستاری از راه دور بر میزان اضطراب و کیفیت زندگی بیماران مبتلا به کووید-19 ترخیص شده از بیمارستان امام خمینی آمل در سال 1400 انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">روش کار:</span></span></span></b><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">این پژوهش از نوع نیمه تجربی قبل-بعد با گروه شاهد می</span></span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">باشد. جامعه پژوهش شامل بیماران مبتلا به کووید-19 ترخیص شده از بیمارستان امام خمینی (ره) آمل می</span></span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">باشد. 64 بیمار مبتلا به کووید-19 به روش در دسترس انتخاب و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">به طور تصادفی به روش بلوک</span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">های چهارتایی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin=""> در دو گروه تقسیم شدند.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">ابزار گرد­آوری داده­ها شامل اطلاعات جمعیت شناختی، پرسشنامه مقیاس اضطراب بیماری کرونا و پرسشنامه کیفیت زندگی می</span></span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">باشد. مداخله پژوهش به صورت ارائه بسته خدمات </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">پرستاری از راه دور به مدت یک ماه در طی هشت جلسه، هفته</span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">‎</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">ای دو بار و هر بار به مدت</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin=""> نیم ساعت در گروه مداخله بعد از ترخیص انجام شد. بعد از </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">گذشت یک ماه از آموزش، مجددا</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin=""> پرسشنامه کیفیت زندگی و ابزار اضطراب بیماری کرونا در گروه مداخله تکمیل شد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">دادهها پس از جمعآوری توسط نرم افزار آماری 25</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">SPSS-</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin=""> و آزمونهای آماری توصیفی و تحلیلی مورد تجزیه و تحلیل قرار گرفتند.</span></span></span><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">یافته‎ها: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">نتایج آزمون تی زوجی نشان داد میانگین نمره اضطراب درحیطه روانی (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">) و جسمانی (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">) در گروه مداخله پس از مداخله بطور معناداری کاهش یافته است.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin=""> همچنین </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">میانگین نمره کیفیت زندگی حیطه سلامت جسمانی (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">)، حیطه سلامت روانی (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">)، حیطه روابط اجتماعی (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">)، حیطه سلامت محیط (</span></span></span><span dir="LTR" lang="EN-GB" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" times="">p<0.001</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">) بعد از مداخله در گروه مداخله بطور معناداری افزایش یافت.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">نتیجه‎گیری: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="">نتایج این مطالعه نشان داد که آموزش پرستاری از راه دور می‎تواند میزان اضطراب بیماران کرونایی را کاهش داده و همچنین باعث افزایش حیطه‎های مختلف کیفیت زندگی این بیماران شود.</span></span></span></span></span></span></span></span><br>
</span>
<span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The high prevalence of covid-19 and the occurrence of stress and anxiety reduce the quality of life in patients with covid-19, so remote nursing is considered important to improve the quality of life in these patients. The present study was conducted to investigate the effect of remote nursing on the level of anxiety and quality of life of patients with covid-19 discharged from Imam Khomeini Amol Hospital in 2021.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Method</span></span></span></b><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">S</span></span></span></b><b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> This is a semi-experimental before-after study with a control group. The research population includes patients with covid-19 discharged from Imam Khomeini (RA) Amol Hospital. 64 patients with covid-19 were selected by the available method and randomly divided into two groups by quadruple block method. The data collection tools include demographic information, the Corona Disease Anxiety Scale questionnaire and the quality of life questionnaire. The intervention of the research was carried out in the form of providing a package of remote nursing services for one month during eight sessions, twice a week and each time for half an hour in the intervention group after discharge. After one month of training, the quality of life questionnaire and the Corona disease anxiety tool were completed again in the intervention group. After collecting the data, they were analysed by SPSS-25 statistical software and descriptive and analytical statistical tests.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Findings:</span></span></span></b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The results of the paired t-test showed that the average anxiety score in the mental (p<0.001) and physical (p<0.001) areas in the intervention group decreased significantly after the intervention. Also, the average score of quality of life in physical health (p<0.001), mental health (p<0.001), social relations (p<0.001), environmental health (p<0.001) significantly increased in the intervention group after the intervention.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span lang="EN-GB" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The results of this study showed that telenursing education can reduce the anxiety of corona patients and also increase the quality of life of these patients.</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
آموزش از راه دور, اضطراب, کیفیت زندگی,کووید-19
Telenursing, Anxiety, Quality of life, Covid-19
1
9
http://ijrn.ir/browse.php?a_code=A-10-641-1&slc_lang=fa&sid=1
Hamid Reza
Khanke
حمیدرضا
خانکه
hamid.khankeh@ki.se
100319475328460011270
100319475328460011270
No
Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
استاد، مرکز تحقیقات سلامت در حوادث و بلایا، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران
Abolfazl
Rahgoi
ابوالفضل
رهگوی
ab.rahgoi@uswr.ac.ir
100319475328460011271
100319475328460011271
No
Instructor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
مربی، گروه پرستاری، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران
Akbar
Biglarian
اکبر
بیگلریان
abiglarian@uswr.ac.ir
100319475328460011272
100319475328460011272
No
Associate Professor, Statistic and computer Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
دانشیار، گروه آمار و کامپیوتر، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران
Samaneh
Kavianpour
سمانه
کاویانپور
sama71kavianpour@gmail.com
100319475328460011273
100319475328460011273
Yes
MSc Student of Rehabilitation Nursing, Department of Nursing, School of Rehabilitation Sciences University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
دانشجوی کارشناسی ارشد پرستاری توانبخشی، گروه پرستاری، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایرانsama71kavianpour@gmail.com