fa همبستگی حمایت اجتماعی درک شده و رفتارهای خودمراقبتی در بیماران مبتلا به نارسایی قلبی مدیریت پرستاری nursing management & administration پژوهشي Research <p align="right" style="direction: rtl" ><font face="tahoma,arial,helvetica,sans-serif" size="3"><p align="right" style="direction: rtl"><font face="Times New Roman"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">مقدمه</span></b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">: رفتارهای خودمراقبتی در بیماران مبتلا به نارسایی قلبی برای مدیریت<font size="3"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>مناسب بیماری ضروری است. حمایت اجتماعی می تواند روی پذیرش درمان و مراقبت در بیماران مبتلا به بیماری های مزمن تأثیر داشته باشد. این مطالعه با هدف تعیین همبستگی حمایت اجتماعی درک شده و رفتارهای خودمراقبتی در بیماران مبتلا به نارسایی قلبی انجام شد. <o:p /></font></font></span></p><p align="right" style="direction: rtl"><font face="Times New Roman"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl -ms-text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">مواد و روش ها</span></b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">: در این </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">مطالعه</span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">توصیفی-همبستگی، 170</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> بیمار مبتلا به نارسایی قلبی</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">بستری در بیمارستان های وابسته به دانشگاه علوم پزشکی شهیدبهشتی</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> با روش مبتنی بر هدف مورد مطالعه قرار گرفتند. اطلاعات به وسیله پرسشنامه اطلاعات جمعیت‌شناسی و مربوط به بیماری، </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">"</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">پرسشنامه حمایت اجتماعی درک شده""</span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra"" dir="ltr">Perceived Social Support Questionnaire</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>"</span><span lang="AR-SA" style="color: red line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">و "مقیاس اروپایی رفتار خودمراقبتی نارسایی قلبی" "</span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra"" dir="ltr">European Heart Failure Self-Care Behavior Scale</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>" در بیماران مبتلا به نارسایی قلبی جمع آوری شد. روایی محتوا و صوری ابزارها و <font face="B Mitra"><font size="3"><span style="mso-spacerun: yes"> </span>همچنین میزان پایایی ابزارها با استفاده از دو روش همسانی درونی و روش</font></font></span><span lang="AR-SA" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt">"</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> آزمون- باز آزمون</span><span lang="AR-SA" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt">"</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> اندازه گیری شد. اطلاعات در نوبت های کاری صبح و عصر، از طریق مصاحبه پژوهشگر با بیماران جمع آوری شد و توسط نرم افزار</span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra"" dir="ltr">SPSS </span><span dir="rtl"></span><span dir="rtl"></span><span style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span><font size="3"><font face="B Mitra"><span style="mso-spacerun: yes"> </span><span lang="AR-SA"><span style="mso-spacerun: yes"> </span>نسخه 18مورد تجزیه و تحلیل قرار گرفت.<o:p /></span></font></font></span></p><p align="right" style="direction: rtl"><font face="Times New Roman"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl -ms-text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">یافته ها</span></b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">: </span><font size="3"><span lang="AR-SA" style="font-family: "B Mitra" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><font face="B Mitra"><span style="mso-spacerun: yes"> </span>میانگین و انحراف معیار </font></span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نمره حمایت اجتماعی درک شده 7/16</span><span lang="AR-SA" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt">±</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">13/56 <font face="B Mitra"><span style="mso-spacerun: yes"> </span>و </font></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">میانگین و انحراف معیار</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> نمره رعایت رفتارهای خودمراقبتی 3/12</span><span lang="AR-SA" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt">±</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">35/39 بود. در زمینه ابعاد حمایت اجتماعی درک شده، بیشترین میزان حمایت مربوط به حمایت عاطفی بود. افراد مورد مطالعه بیشترین میزان حمایت عاطفی، ابزاری، اطلاعاتی و ارزیابی را از همسرخود دریافت می کردند. بر اساس نتایج آزمون ضریب همبستگی پیرسون بین حمایت اجتماعی درک شده و ابعاد آن با رعایت رفتارهای خودمراقبتی همبستگی مستقیم و معنی داری وجود داشت</span><span lang="AR-SA" style="font-family: "B Mitra" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">(</span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra"" dir="ltr">P<0.001</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>)<b>. <o:p /></b></span></font></p><p align="right" style="direction: rtl"><font face="Times New Roman"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl -ms-text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نتیجه گیری</span></b><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">: یافته های این پژوهش بیانگر همبستگی</span><font size="3"><span lang="AR-SA" style="font-family: "B Mitra" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">مستقیم و معنی دار حمایت اجتماعی درک شده و رفتارهای خودمراقبتی در بیماران مبتلا به نارسایی قلبی است. <b><u><span style="color: red"><o:p /></span></u></b></span></font></p><p align="right" style="direction: rtl"><font face="Times New Roman"> </font></p></font><p align="right" style="direction: rtl" > Introduction: Self-care behaviors of heart failure patients is essential for optimal disease management. Social support can influence treatment adherence of patients with chronic illnesses. The aim of this study was to determine correlation between perceived social support and self-care behaviors of patients with heart failure. Materials and Methods: In this descriptive correlational study, 170 patients with heart failure who were admitted in hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected with purposive sampling method. Data were collected with 3 instruments: 1- Demographic and clinical questionnaire, 2- "Perceived Social Support Questionnaire" 3- "European Heart Failure Self-Care Behavior Scale". Content and face validity of instruments were evaluated. Reliability of instruments were evaluated with internal consistency and test re-test methods. The range of Cronbach's alpha of "Perceived Social Support Questionnaire" in various dimensions were 0.84-0.91 and with test re-test method reliability values was 0.92. Also reliability of "European Heart Failure Self-Care Behavior Scale" with internal consistency and test re-test methods was 0.84 and 0.91 respectively. Data for this study were collected in morning and evening shifts through interview and were analyzed with SPSS/18 software. Findings: Results showed mean scores of perceived social support and self-care behaviors was 56.13±16.7 and 39.35±12.3 respectively. Subjects received the largest amount of emotional, instrumental, informational and appraisal support from their spouse. The largest part of perceived social support was related to emotional support. Based on Pearson correlation coefficient test There was a direct and significant correlation between perceived social support and its dimensions with self-care behaviors (p<0.001). Conclusion: The findings suggest a direct and significant correlation with perceived social support and self-care behaviors in patients with heart failure. نارسایی قلبی، حمایت اجتماعی درک شده، رفتارهای خودمراقبتی Heart failure, Perceived social support, Self-Care behaviors. 27 34 http://jhpm.ir/browse.php?a_code=A-10-314-1&slc_lang=fa&sid=1 Z Alizadeh زینب علیزاده 10031947532846002244 10031947532846002244 No Department of Nursing, School of Nursing & Midwifery, Arak University of Medical Sciences, Arak, Iran. گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اراک، اراک، ایران T Ashktorab طاهره اشک تراب t_ashktorab@sbmu.ac.ir 10031947532846002245 10031947532846002245 Yes Department of Medical-Surgical, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran گروه داخلی- جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران M Nikravan Mofrad ملاحت نیک روان مفرد 10031947532846002246 10031947532846002246 No Department of Medical-Surgical, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران F Zayeri فرید زایری 10031947532846002247 10031947532846002247 No , Department of Biostatics, School of Paramedics, Shahid Beheshti University of Medical Sciences, Tehran, Iran. گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران