Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1405
1
1
gregorian
2026
4
1
32
1
online
1
fulltext
fa
تأثیر برنامه خودمدیریتی مبتنی بر تئوری شناختی- اجتماعی بر اضطراب و کیفیت خواب بیماران مبتلا به سندرم حاد کرونری: یک کارآزمایی بالینی تصادفی شده
The effect of a self-management program based on social cognitive theory on anxiety and sleep quality in patients with acute coronary syndrome: A randomized clinical trial
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">اضطراب و اختلال خواب بر </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">تندرستی</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> بیماران مبتلا به سندرم حاد کرونری اثرات نامطلوبی دارد.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> مطالعه حاضر با هدف تعیین تأثیر خودمدیریتی مبتنی بر نظریه شناختی- اجتماعی بر اضطراب و کیفیت خواب بیماران مبتلا به سندرم حاد کرونری انجام گرفته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">مطالعه کارآزمایی بالینی حاضر در سال 1403 در مورد </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">72 فرد </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">مبتلا به سندرم حاد کرونری بستری در بخشهای مراقبت ویژه قلبی بیمارستان هاجر شهرکرد انجام یافت. نمونهها بهصورت تدریجی و در دسترس انتخاب و به روش تصادفی به دو گروه 36 نفری مداخله و کنترل تخصیص داده شدند و پرسشنامه اضطراب </span></span></i><i><span dir="LTR" style="font-size:10.0pt">Beck</span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> و کیفیت خواب </span></span></i><i><span dir="LTR" style="font-size:10.0pt">Pittsburgh</span></i><i><span style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> را تکمیل کردند. مداخله بهصورت آموزش مجازی برای گروه مداخله طی 6 جلسه 30 دقیقهای انجام یافت. گروه کنترل مراقبتهای معمول را دریافت نمودند. قبل، بلافاصله و 8 هفته پس از مداخله داده­ها جمع­آوری شد. تحلیل دادهها با استفاده از آزمونهای مجذور کای و من</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span gothic="" ms="" style="font-family:"></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">ویتنی در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt">SPSS</span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> نسخه 20 انجام گرفت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">قبل از مداخله در دو گروه مداخله و کنترل، اختلاف معناداری در نمره اضطراب و کیفیت خواب مشاهده نشد (05/0<</span></span></i><i><span dir="LTR" style="font-size:10.0pt">p</span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">. کیفیت خواب دو گروه بعد از مداخله نسبت به زمان قبل از مداخله تفاوت معناداری نشان داد (05/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt">p</span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">). اما اضطراب بیماران بعد از مداخله نسبت به قبل از مداخله تفاوت معناداری نداشت </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">(05/0<</span></span></i><i><span dir="LTR" style="font-size:10.0pt">p</span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">با توجه به تأثیر مداخله مبتنی بر نظریه شناختی- اجتماعی در کیفیت خواب بیماران مبتلا به سندروم حاد کرونری، انجام این مداخله در کنار مداخلات معمول برای بیماران یاد شده توصیه می</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span gothic="" ms="" style="font-family:"></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">شود و برای کاهش سطح اضطراب آنان انجام مطالعات دیگری لازم است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">.</span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">ثبت کارآزمایی بالینی: </span></span></i></b><i><span dir="LTR" style="font-size:10.0pt">IRCT20240626062258N1</span></i><i><span dir="LTR" style="font-size:10.0pt"></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><i><span dir="LTR" style="font-size:10.0pt"></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></b> <span style="font-size:10.0pt"><span style="color:#0f1115">Anxiety and sleep disorders have adverse effects on the well-being of patients with acute coronary syndrome. This study aimed to determine the effect of self-management based on Social Cognitive Theory on anxiety and sleep quality in patients with acute coronary syndrome</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></b> <span style="font-size:10.0pt"><span style="color:#0f1115">This clinical trial was conducted in 2024 on 72 patients with acute coronary syndrome hospitalized in the cardiac intensive care units of Hajar Hospital, Shahrekord. Participants were enrolled sequentially and conveniently and were randomly assigned to two groups of 36 (intervention and control). They completed the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Index. The intervention group received virtual education in six 30-minute sessions. The control group received routine care. Data were collected before, immediately after, and 8 weeks after the intervention. Data analysis was performed using chi-square and Mann-Whitney tests in SPSS version 20</span></span><span style="font-size:10.0pt"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="color:#0f1115">Before the intervention, there was no significant difference in anxiety scores or sleep quality between the two groups (<i>P</i>>0.05). After the intervention, sleep quality showed a significant difference compared to before the intervention (<i>P</i><0.05). However, anxiety levels did not show a significant difference after the intervention compared to before (<i>P</i>>0.05)</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="color:#0f1115">Considering the effect of the intervention based on Social Cognitive Theory on sleep quality in patients with acute coronary syndrome, this intervention is recommended in addition to conventional care for these patients. Further studies are needed to reduce their anxiety levels</span></span><span style="font-size:10.0pt">.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt">Clinical trial registry: </span></b><span style="font-size:10.0pt"><span style="color:#0f1115">IRCT20240626062258N1</span></span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black"></span></span></b></span></span></span></span><br>
خودمدیریتی, نظریه شناختی- اجتماعی, اضطراب, کیفیت خواب, سندرم حاد کرونری
self-management, social cognitive theory, anxiety, sleep quality, acute coronary syndrome
15
26
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3817-2&slc_lang=fa&sid=1
Shirmohammad
Davoodvand
شیرمحمد
داودوند