تآثیر حضور حمایتی خانواده بر سیر بهبودی بیماران زن مبتلا به بیماری های قلبی عروقی
محورهای موضوعی : زن و خانواده
نایله عزتی
1
(مربی، گروه پرستاری، دانشکده پزشکی دانشگاه آزاد اسلامی، واحد تبریز، تبریز، ایران)
کلید واژه: بیماری های قلبی عروقی, بهبودی بیمار, حمایت خانواده, بخش ویژه,
چکیده مقاله :
امروزه مراقبت جامع، مراقبت از خانواده و بیمار را در بر می‌گیرد. بر اساس نظریه و اصول اعتباربخشی ملاقات به عنوان یکی از نیازهای غیر درمانی بیماران، نوعی ایجاد تغییر از دیدگاه بیماری‌محور به دیدگاه بیمارمحور است. هدف از این مطالعه تاثیر حضور حمایتی خانواده بر سیر بهبودی بیماران زن مبتلا به بیماری های قلبی عروقی در بخش مراقبت ویژه است. مواد و روش ها :این پژوهش یک مطالعه نیمه تجربی است. جامعه پژوهش 140 نفر از بیماران زن مبتلا به بیماری های قلبی عروقی در بیمارستان های منتخب تبریز در سال 96-1395 ، به روش نمونه گیری مبتنی بر هدف انتخاب و در دو گروه کنترل و آزمون مورد مطالعه قرار گرفت. ابزار گردآوری داده ها پرسش نامه مشتمل بر دو بخش ویژگی های دموگرافیک و معیار ارزیابی فیزیولوژی حاد و سلامتی مزمن آپاچی دو بود. جهت روایی ابزار از روش سنجش اعتبار محتوا و برای تأیید پایایی از ضریب آلفای کرون باخ استفاده گردید. در تجزیه و تحلیل داده ها از نرم افزار آماری SPSS22، آمار توصیفی و آزمون های آماری تی مستقل، تی زوج، آنالیز واریانس یک طرفه، من ویتنی و کای اسکور استفاده گردید.نتایج نشانگر کاهش معنی‌دار شدت بیماری در گروه مداخله نسبت به گروه کنترل بود، به این معنی که حضور حمایتی خانواده بیمار در بخش مراقبت ویژه توانسته سبب تغییرات مثبت در روند بهبودی بیمار شود. همچنین، نتایج نشان از کاهش معنی‌دار عوارض بیماری در بیماران گروه مداخله نسبت به گروه کنترل بود (005/0< p ). در پژوهش حاضر از روش حضور خانواده محور با هدف بالا بردن حساسیت بیمار و خانواده نسبت به بیماری و روند درمان استفاده شد. به کار گیری مداخلات خانواده محور حائز اهمیت می‌باشد. چتر حمایتی خانواده و افراد مهم در زندگی بیماران می‌تواند آنان را در مواجهه و سازگاری بهتر با عوارض و پیامدهای بیماری یاری دهد.
The effect of family support presence on the recovery of women with cardiovascular disease in the intensive care units. Today, comprehensive care covers family and patient care. Based on the theory and principles of accreditation, Meeting as one of the patients' non-therapeutic needs, is a kind of change from a patient-centered perspective to a patient-centered perspective. The purpose of this study was to investigate the effect of family support presence on the recovery of women with cardiovascular disease in the intensive care units. Materials and methods: This research is a semi-experimental study. The research population was 140 women with cardiovascular disease in selected hospitals in Tabriz in 1395-96 were selected by objective sampling method and were studied in two groups of control and intervention. Data collection tool was a questionnaire containing two parts of demographic characteristics and a measure of the acute physiology and acute health of Apache Two. Content validation was used to validate the tool and to confirm the reliability of the Cronbach's alpha coefficient. Data were analyzed in SPSS-22 by using descriptive statistics, independent t-test, t-test, one-way ANOVA, Mann-Whitney and Chi-square tests. The results showed a significant reduction in the severity of the disease in the intervention group compared to the control group. The presence of the patient's family support in the intensive care unit can lead to positive changes in the patient's recovery process. Also, the results showed a significant reduction in the complications of the disease in the intervention group compared to the control group. In the present study, family-centered approach was used to raise the patient's and family's sensitivity to the disease and the treatment process. It is important to use family-centered interventions. Supporting families and individuals in the lives of patients can help a person to better deal with the complications and consequences of the disease.
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