fa بررسی تاثیر بخور درمانی بر سرفه و خشونت صدا ناشی از خروج لوله داخل نای در سالمندان بعد از جراحی قلب عمومى General پژوهشي Research <a name="OLE_LINK43"></a><a name="OLE_LINK34"></a><a name="OLE_LINK33"><strong><span style="font-family:b mitra;"><span style="font-size:11.0pt;">زمینه و هدف:</span></span></strong></a> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خشونت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">صدا و سرفه</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;">از پیامدهای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">شایع</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">است</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">که</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;">دنبال</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خروج لوله داخل نای </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">رخ</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;">دهد</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;"> بخوردرمانی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">دارای خاصیت ضد التهابی است.</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بنابراین هدف از مطالعه حاضر به منظور بررسی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> تأثیر</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بخوردرمانی بر</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خشونت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">صدا و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سرفه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بعد</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خروج لوله داخل نای لوله تراشه</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;">سالمندان تحت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">اعمال</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">جراحی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بای پس شریان کرونر </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">بود</span></span><span dir="LTR"><span style="font-size:11.0pt;">.</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;">در</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;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">کارآزمایی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بالینی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">80 سالمند</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">تحت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">جراحی</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">پس</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">عروق</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">کرونر</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;">روش نمونه گیری</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">تصادفی به دو گروه مداخله و شاهد تقسیم شدند</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;">سالمند</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مداخله</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بعد</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;">خروج لوله داخل نای </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">تحت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بخور</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">درمانی</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> قرار گرفتند. </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">گروه شاهد مراقبت های جاری بخش را دریافت کردند.</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بعد</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;"> خروج لوله داخل نای </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">شدت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سرفه و</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">خشونت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">صدا</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">&nbsp;با معیار چهار امتیازی </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">درگروههای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مداخله و شاهد </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">داده ها </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">سنجش و </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">ثبت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">گردید. در</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">زمانهای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">بلافاصله</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> بعد، 12،6، 18، 24 ساعت بعد از خروج لوله داخل نای </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;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">مداخله و شاهد </span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">ثبت</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> و اندازه گیری شد.</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;">میزان اثر کاهش شدت سرفه توسط بخور 51/0- می باشد. بخوردرمانی 6/0 برابر می تواند عدم احتمال به سرفه را کم کند(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;">&nbsp;،597/0</span></span><span dir="LTR"><span style="font-size:11.0pt;"> Exp(B)=</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">) . میزان اثر کاهش شدت خشونت صدا توسط بخور درمانی51/0- می باشد.<a name="_Hlk9388803">بخوردرمانی 5/0 برابر می تواند عدم احتمال به خشونت صدار را کم کند</a> (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;">&nbsp;،517/0</span></span><span dir="LTR"><span style="font-size:11.0pt;"> Exp(B)=</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;">)</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;">بخوردرمانی شدت</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">سرفه و خشونت صدا بعد</span></span><span style="font-family:b mitra;"><span style="font-size:11.0pt;"> خروج لوله داخل نای</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">لوله تراشه</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;">سالمند را می تواند</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">کاهش</span></span> <span style="font-family:b mitra;"><span style="font-size:11.0pt;">می دهد.</span></span><br> &nbsp;<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;"> خروج لوله داخل نای </span></span></span><span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">،</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">بخوردرمانی، خشونت</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">صدا</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:11.0pt;">، سرفه، سالمندی، جراحی قلب</span></span></span> <strong>Background and Aim:</strong> Hoarseness and coughing are common complications following endotracheal extubation. It has been stated that humidifier therapy has anti-inflammatory properties. Therefore, the present study has been conducted in order to determine the effect of humidifier therapy on hoarseness and coughing following endotracheal extubation in the elderly undergoing coronary artery bypass surgery.<br> <strong>Methods:</strong> In a clinical trial, 80 elderly patients undergoing coronary artery bypass surgery were selected using convenience sampling. They were randomly divided into two control and experimental groups. The elderly patients in the experimental group were exposed to humidifier therapy after tracheal extubation. The control group received routine care. The intensity of cough and hoarseness were measured in both groups, after tracheal extubation. The severity of cough and hoarseness were recorded in both groups immediately after intervention, 6, 12, 18, and 24 hours after extubation. For analyzing the data, U Mann Whitney, chi-squared and independent t-tests were performed using SPSS version 21.<br> <strong>Results:</strong> The effect of reducing the severity of coughing by humidifier therapy is -0.51% (P=0.001). Actually, humidifier therapy can reduce the probability of not coughing by 0.6% (P=0.001). Also, the effect of reducing hoarseness with humidifier therapy is -0.51%. Humidifier therapy can reduce the possibility of not hoarsening by 0.5%.<br> <strong>Conclusions: </strong>The findings of the present study reveal that humidifier therapy can decrease cough and hoarseness in the elderly patients after Endotracheal Extubation.<br> &nbsp;<br> <em>Keywords: </em>Endotracheal Extubation, Humidifier Therapy,, Hoarseness, Cough, Elderly, &nbsp;Coronary Artery Bypass Surgery خروج لوله داخل نای , بخوردرمانی, خشونت صدا , سرفه, سالمندی, جراحی قلب Endotracheal Extubation, Humidifier Therapy,, Hoarseness, Cough, Elderly,  Coronary Artery Bypass Surgery 44 52 http://jccnursing.com/browse.php?a_code=A-10-1-29&slc_lang=fa&sid=1 Maryam Sadat Nasorollahi مریم سادات نصرالهی 10031947532846003769 10031947532846003769 No Critical Care Nursing, Shahed University, Tehran, Iran پرستاری مراقبت وبژه، دانشکده پرستاری، دانشگاه شاهد، تهران، ایران Nahid Rejeh ناهید رژه 10031947532846003770 10031947532846003770 Yes Elderly Care Research Center, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran مرکز تحقیقات مراقبت های سالمندی،دانشکده پرستاری، دانشگاه شاهد، تهران، ایران Majideh Heravi-Karimooi مجیده هروی کریموی 10031947532846003771 10031947532846003771 No Elderly Care Research Center, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran مرکز تحقیقات مراقبت های سالمندی،دانشکده پرستاری، دانشگاه شاهد، تهران، ایران سید داوود تدریسی 10031947532846003772 10031947532846003772 No Nursing Education and Management, School of Nursing, Baqiytallah University of Medical Sciences, Tehran, Iran دانشکده پرستاری، دانشگاه علوم پزشکی بقیه اهلل، تهران، ایران Alireza Sarlak علیرضا سرلک 10031947532846003773 10031947532846003773 No Nursing, Rajaie Cardiovascular, Medical and Research Center, Tehran, Iran مرکز آموزشی، تحقیقاتی و درمانی قلب و عروق شهید رجایی، دانشگاه علوم پزشکی ایران، تهران، ایران