عوامل موثر در تبعیت از رژیم درمانی و ارتباط باور بهداشتی و آگاهی با آن در بیماران زن مبتلا به نارسایی قلبی
الموضوعات :
نایله عزتی
1
(عضوهیئت علمی(مربی)، گروه پرستاری، اتاق عمل و هوشبری، دانشکده پزشکی، واحد تبریز، دانشگاه آزاد اسلامی ، تبریز، ایران.(نویسنده مسئول)ne_ezzati@iaut.ac.ir)
الکلمات المفتاحية: تبعیت, رژیم درمانی, باور بهداشتی, بیماری نارسایی قلبی,
ملخص المقالة :
نارسایی قلبی از شایع‌ترین بیماری‌های مزمن دنیا است وهزینه‌های زیادی به سیستم‌های بهداشتی دارد. ارتقای پذیرش رژیم درمانی روش موثر در پیشگیری از نارسایی قلبی و افزایش بقای بیماران است. این مطالعه با هدف بررسی درمان و باور بهداشتی و آگاهی در بیماران مبتلا به نارسایی قلب انجام گرفت.این پژوهش یک مطالعه توصیفی همبستگی بود که 250 بیمار مبتلا به نارسایی قلبی پرسش‌نامه‌ها را تکمیل کردند. پرسش‌نامه‌ها شامل 4 بخش متغیرهای دموگرافیک و بالینی، پرسش‌نامه اصلاح شده تبعیت درمان نارسایی قلب، مقیاس آگاهی و باور نارسایی قلب بود. در تجزیه و تحلیل داده‌ها از نرم افزار SPSS 22 آمار توصیفی و استنباطی، تی مستقل، آنووا، خی دو، ضریب همبستگی پیرسون، رگرسیون لجستیک استفاده شد. اکثریت واحدهای پژوهش دارای پذیرش متوسط از رژیم درمانی بوده و اکثریت آگاهی از نارسایی قلب داشتند. در این پژوهش بین باور بیماران از منافع و منابع پذیرش درمان ارتباط معنی‌دار مشاهده گردید نتایج حاکی از آن بود که میان تبعیت رژیم درمانی و برخی مشخصات دموگرافیک ارتباط معنی‌دار آماری وجود داشت. نتایج پژوهش نشان داد که تبعیت در حیطه‌های رژیم دارویی، محدودیت سدیم و قرار ملاقات با پزشک بالا بود. اکثریت بیماران آگاهی کمی درباره بیماری خود و رژیم نارسایی قلب داشتند. تاکید بر روش های خودمراقبتی مانند توزین روزانه، توضیح بیمار درباره چگونگی توجه به خودکنترلی در راستای پیشگیری از تشدید علایم نارسایی قلب از اهمیت بسزایی برخوردار است. مداخلات درمانی و مراقبتی در راستای مشکلات تجربه شده بیماران طراحی شوند.واژه های کلیدی: تبعیت، رژیم درمانی ، باور بهداشتی، آگاهی، بیماری نارسایی قلبی
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- Heo, S., Moser, D.K., Lennie, T.A., Zambroski, C.H., Chung, M,L., (2017), A Comparison of Health – related Quality of Life between Older adults with Heart Failure and Healthy Older adults, Heart and Lung: The Journal of Acute and Critical Care, 36 (1), p: 36 (10). P: 16-24.
- Heydan, J., (2018), Introduction to Health Behavior Theory, London, Jones and Bartlett Publishers.
- Jaarsma, T., Abusaad, H.H., Dracup, K., Halfens, R., (2014), Self-care Behavior of Patients with Heart Failure, Scandinavian Journal of Caring Science, 14 (2), p: 112-119.
- Jaarsma, T., Nikolova-simons, M., Vanderwal, M.H., (2012), Nurses, Strategies to Address self- care aspects related to Medication; Adherence and Symptom Recognition in Heart Failure patients: An In depth look, Heart and Lung: The Journal of Acute and Critical Care, 21 (32), p: 583-930.
- Jaarsma, T.,Stromberg, A., Matensson, J., Dracup, K., (2013), Development and Testing of the European Heart Failure Self-care Scale, European Journal of Heart Failure, 5 (3), p: 363-370.
- Joekes, k.S., Maes, M.,(2017), Predicting Quality of Life and Self – management from Dialyze Support and Overprotection after Myocardial Infarction, British Journal of Health Psychology, 12 (4), p: 473 -489.
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