Critical Care Nursing
پرستاری مراقبت ویژه
jccnursing
Medical Sciences
http://jccnursing.com
1
admin
2008-336X
2008-3084
10.30491
14
8888
13
fa
jalali
1397
9
1
gregorian
2018
12
1
11
4
online
1
fulltext
fa
بررسی میزان ﺧﻮد ﮐﺎرآﻣﺪی و فاکتورهای مرتبط با آن درمبتلایان به آنژین صدری مراجعه کننده به ﺑﯿﻤﺎرﺳﺘﺎن ﻫﺎی ﻣﻨﺘﺨﺐ ﺷﻬﺮ تهران در ﺳﺎل 1397
Examining the Level of Self-efficacy and its Related Factors in Patients with Angina Pectoris Disease Referring to Selected Hospitals in Tehran During 2018
عمومى
General
پژوهشي
Research
<strong>زمینه و هدف:</strong> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">در </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">میان بیماری­های</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">قلبی،</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">آنژین صدری شایع­ترین است. جهت ارتقای سلامت مبتلایان به </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">آنژین صدری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">، می توان عواملی نظیر خودکارآمدی را مدنظر قرار داد . با این وجود نتایج مطالعات پیشین در زمینه فاکنورهای مرتبط با خودکارآمدی بیماران </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">آنژین صدری</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> متفاوت است. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">لذا </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">هدف این مطالعه تعیین سطح خودکارآمدی و عوامل مرتبط با آن در بیماران </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">آنژین صدری</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بوده است. </span></span><br>
<strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">روش</span></span></strong><strong><span dir="LTR"><span style="font-size:11.0pt;"></span></span></strong><strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">ها:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> این مطالعه از نوع توصیفی - </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">مقطعی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بود ؛ 270 بیمار مبتلا به آنژین صدری در بیمارستان های منتخب شهر تهران در سال 1397 به روش در دسترس بررسی شدند. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">جمع</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">آوری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">داده</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">ها</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">طریق</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مصاحبه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">استفاده</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">فرم اطلاعات</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">دموگرافیک</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">پرسشنامه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خودکارآمدی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خود</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مراقبتی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سالیوان</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">تکمیل گردید. پرسشنامه ها شامل اطلاعات دموگرافیک، پرسشنامه برای تجزیه و تحلیل داده ها از روش های آماری توصیفی و استنباطی از طریق نرم افزار</span></span><span dir="LTR"><span style="font-size:11.0pt;"> SPSS </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">نسخه20</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و مورد تجزیه و تحلیل قرار گرفت.</span></span><br>
<strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">یافتهها: </span></span></strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">دامنه</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> امتیاز خودکارآمدی بیماران آنژین صدری</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> امتیاز(0-52) با میانگین 39/7</span></span><span style="font-family:cambria,serif;"><span style="font-size:11.0pt;">±</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">07/31 در حد متوسط بود. بیشترین امتیاز بر اساس ابعاد پرسشنامه خودکارآمدی سالیوان مربوط به بعد</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> اطمینان از حفظ عملکرد وروابط</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> 85/3</span></span><span style="font-family:cambria,serif;"><span style="font-size:11.0pt;">±</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">54/11و کمترین امتیاز مربوط به بعد </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">توانائی در کنترل علائم بیماری35/3</span></span><span style="font-family:cambria,serif;"><span style="font-size:11.0pt;">±</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">57/9</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> به دست آمد. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">براساس نتایج آزمون کای اسکوئر</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">ارتباط آماری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">معناداری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">را</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بین</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سن،</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">جنس، وضعیت تاهل</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خودکارآمدی بیماران</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> آنژین صدری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">نشان</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">نداد</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">،</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">اما عوامل سطح</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">تحصیلات. (001/0=</span></span><span dir="LTR"><span style="font-size:11.0pt;">p</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">). </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">وضعیت اشتغال</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> (001/0=</span></span><span dir="LTR"><span style="font-size:11.0pt;">p</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> ،</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">وضعیت اقتصادی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> (001/0=</span></span><span dir="LTR"><span style="font-size:11.0pt;">p</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">،</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مدت زمان ابتلاء به بیماری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">(002/0=</span></span><span dir="LTR"><span style="font-size:11.0pt;">p</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و نوع بیماری زمینه ای</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">(009/0=</span></span><span dir="LTR"><span style="font-size:11.0pt;">p</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">ارتباط آماری معناداری وجود داشت. </span></span><br>
<strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">نتیجهگیری: </span></span></strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">توجه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">اینکه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بیماران</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> آنژین صدری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">رفتارهای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خود</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مراقبتی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خود</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">کارآمدی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بالایی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">برخوردار نبودند</span></span><span dir="LTR"><span style="font-size:11.0pt;"> . </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">پیشنهاد</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">می</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">شود</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">عوامل</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">موثر</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خودکارآمدی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بیماران </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">آنژین صدری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مورد</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بیشتری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">قرار</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">گرفته</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">جهت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مقابله</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">عوامل</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">اقدامات</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">لازم</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">گیرد</span></span><strong><span dir="LTR"><span style="font-size:11.0pt;">.</span></span></strong><br>
<br>
<strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">کلیدواژهها:</span></span></span></strong><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> آنژین صدری، </span></span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">بیماری</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">های</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">قلبی</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">عروقی، بیماری</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">عروق</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">کرونر،</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">خودکارآمدی</span></span></span>
<strong>Background and Aim: </strong>Among all the different types of cardiovascular diseases, the angina pectoris disease has been considered to be the most prevalent. In order to promote the health status of those who are struggling with this disease, different factors such as self-efficacy can be considered. However, the results of previous research in regards to the factors of self-efficacy of angina pectoris patients is extremely diverse. The aim of the present study was to determine the level of self-efficacy and its related factors in patients with angina pectoris disease referring to the selected hospitals of Tehran in 2018.<br>
<strong>Methods:</strong> This cross-sectional descriptive-analytic study was performed on 270 patients with angina pectoris disease referring to the selected hospitals in Tehran who were selected using the convenient sampling method. Data collection was conducted through an interview using a two-part questioner: demographic information and self-efficacy Sullivan scale in patients with angina pectoris. The statistical analysis of data using descriptive and analytical statistics was performed in SPSS software version 20.<br>
<strong>Results: </strong>The range of self-efficacy score in patients was 0 to 52 with a mean score of 31.07±17.7. Therefore, 39% of patients had a moderate level of self-efficacy. The highest score was related to the dimension of “maintain function” (11.54±3.85) and the lowest score was related to the “control symptoms”(9.57±3.35). The results of the chi-square test revealed no significant relationship between age, sex, marital status, situation, with level of self-efficacy. This is while it showed a significant relationship between education level (P= 0.001), employment status (P= 0.001), economic situation (P= 0.007), duration of having the disease (P= 0.02), kind of disease (P= 0.009), with the level of self-efficacy in patients with angina pectoris disease.<br>
<strong>Conclusion: </strong>Considering the fact that patients with angina pectoris disease did not have high levels of self-efficacy, it is recommended that the factors affecting self-efficacy in the examined patients be further investigated. Finally, necessary steps should be taken in order to deal with these factors.<br>
<br>
<em>Keywords:</em> Angina Pectoris, Cardiovascular Diseases, Coronary Artery Disease, Self-efficacy
آنژین صدری, بیماری های قلبی عروقی, بیماری عروق کرونر, خودکارآمدی
Angina Pectoris, Cardiovascular Diseases, Coronary Artery Disease, Self-efficacy
9
16
http://jccnursing.com/browse.php?a_code=A-10-1-24&slc_lang=fa&sid=1
Abozar
Ejadi
یاسر
ایجادی
10031947532846003747
10031947532846003747
No
Shahed University, Tehran, Iran
دانشکده پرستاری و مامایی، دانشگاه شاهد، تهران، ایران
Nahid
Rejeh
ناهید
رژه
10031947532846003748
10031947532846003748
Yes
Elderly Care Research Center, Shahed University, Tehran, Iran
گروه پرستاری، مرکز تحقیقات مراقبتهای سالمندی، دانشکده پرستاری و مامایی، دانشگاه شاهد، تهران، ایران
Majideh
Heravi- Karimooi
مجیده
هروی کریموی
10031947532846003749
10031947532846003749
No
Elderly Care Research Center, Shahed University, Tehran, Iran
گروه پرستاری، مرکز تحقیقات مراقبتهای سالمندی، دانشکده پرستاری و مامایی، دانشگاه شاهد، تهران، ایران
Seyed Davood
Tadrisi
سید
داوود تدریسی
10031947532846003750
10031947532846003750
No
Faculty of Nursing, Baqiyatallah University of Medical sciences, Tehran, Iran
دانشکده پرستاری، دانشگاه علوم پزشکی بقیه اله)عج( ، تهران، ایران