عوامل موثر در تبعیت از رژیم درمانی و ارتباط باور بهداشتی و آگاهی با آن در بیماران زن مبتلا به نارسایی قلبی
محورهای موضوعی : زن و خانواده
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
کلید واژه: تبعیت, رژیم درمانی, باور بهداشتی, بیماری نارسایی قلبی,
چکیده مقاله :
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
Introduction: Heart failure as one of the most common chronic disease in the world imposes high costs on health system. Promotion of treatment regimen compliance is more effective factor in order to prevent heart failure and increase the survival of patients. This study was conducted to determine heart failure compliance with treatment regimen and related factors contains health belief and knowledge.Methods: This study was a descriptive – analytic study that 250 women patients with chronic heart failure completed the questionnaire, that was included 4 sections of demographic and clinical variables, revised heart failure compliance, heart failure knowledge scale and heart failure belief scale. Data analyses were performed using descriptive and analytical statistical methods, independent t test, ANOVA, chi-2, Pearson correlation coefficient tests, and logistic regression by the software SPSS version 22.Results: The most of patients had mean level compliance from their treatment regime and good knowledge about their illness. There was a significant relationship between patients, s belief and compliance advantages and disadvantages. The results showed significant relationship between some demographic characteristics and treatment regime.Conclusion: In this research, compliance with medication, sodium restriction, physician visit were high. The most of patients had a little knowledge about their illness self-care. Emphasis in self-care methods such as daily weighting, the kinds of self-controlling in order to prevent worsening signs and symptoms of heart failure is particularly important.
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- Buckle, J., Sharkey, p., Myriski P., Smout, R., Horn, S., (2017), Improving Outcomes for Patients Hospitalized with CHF, Managed Care Quarterly, 10 (6), p: 30-40.
- Carlson, B., Riegel, B., Moser, D., (2011), Self-care Abilities of Patients with Heart Failure, Heart and Lung: The Journal of Acute and Critical Care, 30 (5), p: 351 - 359.
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- Chung, M.L., Lennie, T.A., Dejong, M., W.U., Riegel, B., Moser, D.K., (2018), Patients Differ in their Abillity to Self monitor Adherence to a Low-sodium diet versus Medication, Journal of Cardiac Failure, 14 (5), p: 114-120.
- Chung, M.L., Moser, D.K., Lennie, T.A., (2013), Adherence to the Low Sodium Diet in Patients with Heart Failure is Best when Family members also Follow the Diet. Journal of Cardiac Failure, 15 (9), p: 43-53.
- Dehganzadeh, Shadi., Jaefaragaee, Fatemeh., Shishegaran, Maesume., (2015), Treatment Admission and Effective factors in Heart Failure Patients, Nursing Research, 9 (4), p: 36-46.[In Persian]
- Evagelista, L.S., Berg, J., Dracup, K., (2014), Relationship between Psychosocial Variables and Compliance in Patients with Heart Failure, Heart and Lung Journal, 30 (4), p: 294-301.
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- Franco, G., Biagio,F., Battista, Z.G., Giuseppe, S., Ercole, V., (2014), Adherence to Guidelines in the Treatment of Patients with Chronic Heart Failure, Journal of Cardiovascular Medicine, 15 (1), p: 491-7.
- Hamidi, Azar., Rshidlamir, Amir., Khanjei, Rambod., (2020), The Effect of Aerobic-resistance Training on Plasma Levels of bFGF in coronary Artery Disease After CABG, Journal of Arak University of Medical Science, 23 (3), p: 314 -324.
- Hekmatpour, D., Mohammadi, E., Ahmadi, f., Arefi, S.H., (2015), Termination of professional responsibility: Exploring the process of discharging patients with Heart Failure from hospitals, International Journal of Nursing practice, 16 (3), p: 389-96. [In Persian]
- Hekmatpour, D., Mohammadi, E., Ahmadi, F., Arefi, S.H., (2018), Non-C0mpliance factors of Congestive Heart Failure Patient Readmitted in Cardiac Care Units, Iranian Journal of Critical Nursing, 3(4), P: 91-98.
- Heo, S., Moser, D.K., Lennie, T.A., Riegel, B., Chung, M.L., (2013), Gender differences and Factors related to Self-care Behaviors: A Cross-sectional Correlational Study of Patients with Heart Failure. International Journal of Nursing Studies, 45 (12), p: 1807-1815.
- 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.
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