Scientific Journal of Nursing, Midwifery and Paramedical Faculty
فصلنامه پرستاری، مامایی و پیراپزشکی
SJNMP
Medical Sciences
http://sjnmp.muk.ac.ir
1
admin
2476-4841
2476-4841
10.29252/sjnmp
48604
fa
jalali
1400
9
1
gregorian
2021
12
1
7
2
online
1
fulltext
fa
تاثیر آموزش چند رسانه ای و پیگیری تلفنی بیمار و خانواده بر خودکارآمدی بیماران مبتلا به انفارکتوس میوکارد
The effect of multimedia education and telephone follow-up of patients and families on self-efficacy of patients with myocardial infarction
تخصصي
Special
پژوهشي
Research
<div style="text-align: justify;"><strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">چکیده</span></span></strong><br>
<strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">زمینه و هدف:</span></span></strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> انفارکتوس میوکارد یکی از شایعترین و خطرناکترین بیماریهای کشورهای صنعتی است</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">. از این رو بهکارگیری آموزشها و مداخلات مختلف با تمرکز بر بیمار و خانواده وی میتواند حائز اهمیت باشد.</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> ‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">این </span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">مطالعه</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">با هدف تعیین</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span style="font-family:B Mitra;"><span style="font-size:13.0pt;">تاثیر آموزش چندرسانهای</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">و پیگیری تلفنی بیمار و خانواده بر خودکارآمدی بیماران مبتلا به ‏انفارکتوس میوکارد انجام گردید.‏</span></span><span dir="LTR"><span style="font-size:13.0pt;"></span></span><br>
<strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">مواد و روشها:</span></span></strong> <span style="font-family:B Mitra;"><span style="font-size:13.0pt;">در این</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">مطالعه نیمه تجربی 60‏</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">بیمار مبتلا به</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">انفارکتوس</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">میوکارد</span></span> <span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‏ در بخش ‏</span></span><span dir="LTR"><span style="font-size:13.0pt;">CCU</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‏ بیمارستان هاجر شهرکرد‏ </span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> در سال 1398</span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">به</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">روش</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">نمونهگیری</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">در</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">دسترس</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">انتخاب</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">و به صورت تصادفی به دو گروه ‏مداخله (30 نفر) و کنترل</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">(30 نفر) تقسیم</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">شدند</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span dir="LTR"><span style="font-size:13.0pt;">.</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‏ در گروه مداخله کارگاه آموزشی از طریق نرمافزار چندرسانهای برای بیماران و عضو فعال خانواده برگزار شد. همچنین ‏مداخله تلفنی به مدت 1 ماه توسط پژوهشگر صورت گرفت. در گروه کنترل مداخلهای صورت نگرفت. خودکارآمدی بیماران قبل و 1 ماه ‏بعد از مداخله با استفاده از پرسشنامه خودکارآمدی شرر اندازهگیری شد. دادهها با استفاده از نرمافزار ‏</span></span><span dir="LTR"><span style="font-size:13.0pt;">SPSS-21 </span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‏ در سطح ‏معنیداری کمتر از</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‏05/0 مورد تجزیه و تحلیل قرار گرفتند. ‏</span></span><span dir="LTR"><span style="font-size:13.0pt;"></span></span><br>
<strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">یافتهها:</span></span></strong> <span style="font-family:B Mitra;"><span style="font-size:13.0pt;">میانگین امتیاز خودکارآمدی بین دو گروه کنترل و مداخله قبل از مداخله به ترتیب(0/24</span></span><span style="font-family:Cambria,serif;"><span style="font-size:13.0pt;">±</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> 2/92) و (0/43</span></span><span style="font-family:Cambria,serif;"><span style="font-size:13.0pt;">±</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> 2/93) بود که با یکدیگر تفاوت آماری معنیداری نداشتند. اما بعد از اجرای مداخله میانگین امتیاز خودکارآمدی بین دو گروه کنترل و مداخله به ترتیب (0/22</span></span><span style="font-family:Cambria,serif;"><span style="font-size:13.0pt;">±</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> 2/89) و (0/41</span></span><span style="font-family:Cambria,serif;"><span style="font-size:13.0pt;">±</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> 4/76) شد که این تفاوت معنیدار شد(0/001 </span></span><span dir="LTR"><span style="font-size:13.0pt;">≤</span></span> <span dir="LTR"><span style="font-size:13.0pt;">P</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">). </span></span><br>
<strong><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">نتیجهگیری:</span></span></strong> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">آموزش و پیگیری تلفنی در ارتقاء خودکارآمدی بیماران انفارکتوس میوکارد موثر بود.‏ توصیه</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">میشود</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">مداخلات</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">آموزشی</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">با رویکرد ‏</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">خانواده</span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;"> محور توسط پرستاران</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">در</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">بیماران انفارکتوس</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">میوکارد انجام</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span> <span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎</span></span></span><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">شود</span></span><span dir="LTR"><span style="font-family:B Mitra;"><span style="font-size:13.0pt;">‎.</span></span></span><br>
</div>
<div style="text-align: justify;"><strong>Abstract</strong><br>
<strong>Background & Aim:</strong> Myocardial infarction is one of the most common and dangerous diseases in industrialized countries. Therefore, it is important to apply various trainings and interventions focusing on the patient and family. The aim of this study was to determine the effect of multimedia education and telephone follow-up of patients and families on self-efficacy of patients with myocardial infarction. <span dir="RTL"></span><br>
<strong>Materials & Methods:</strong> In this quasi-experimental study, 60 patients with myocardial infarction in the CCU ward of Hajar Hospital in Shahrekord in 2019 by Available and randomly sampling method divided into intervention (n=30) and control (n=30). In the intervention group, a workshop was held through multimedia software for patients and active family members. The telephone intervention was performed by the researcher for 1 month. There was no intervention in the control group. Patients' self-efficacy was measured before and 1 month after the intervention using the Scherer self-efficacy questionnaire. Data were analyzed using descriptive and inferential statistics and SPSS 21 software at a significance level of less than 0.05.<span dir="RTL"></span><br>
<strong>Results:</strong> The mean score of self-efficacy between the control and intervention groups before intervention was (2/92<span dir="RTL">±</span>0/24) and (2/93<span dir="RTL">±</span>0/41), respectively, which were not statistically significant. But after the intervention, the mean score of self-efficacy between the control and intervention groups was (2/89<span dir="RTL">±</span>0/22) and (4/76<span dir="RTL">±</span>0/41), respectively, which was significant different (p≤0.001).<span dir="RTL"></span><br>
<strong>Conclusion:</strong> Training and follow-up were effective in improving the self-efficacy of patients with myocardial infarction. It is recommended that educational interventions with a family-centered approach be performed by nurses in patients with myocardial infarction.<br>
</div>
آموزش, پیگیری تلفنی, خودکارامدی, انفارکتوس میوکارد
Education, telephone follow-up, self-efficacy, myocardial infarction
12
22
http://sjnmp.muk.ac.ir/browse.php?a_code=A-10-410-1&slc_lang=fa&sid=1
shirin
madadkar
شیرین
مددکار
shirinmadadkar@gmail.com
10031947532846005189
10031947532846005189
Yes
Department of Nursing, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
گروه پرستاری، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران
kobra
noorian
کبری
نوریان
shirinmadadkar@gmail.com
10031947532846005190
10031947532846005190
No
Department of Operating Room, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
گروه اتاق عمل، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران