Journal of Hayat
حیات
Hayat
Medical Sciences
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1735-2215
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1401
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2022
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تأثیر تصویر ذهنی هدایت شده بر اضطراب کودکان کاندید لوزهبرداری
Effect of guided imagery on anxiety of the children candidate for tonsillectomy
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">لوزهبرداری یکی از شایعترین اعمال جراحی کودکان است. اضطراب قبل از عمل در کودکان یکی از نگرانیهای مراقبان و مدیریت آن </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">بخش مهمی از مراقبتهای پرستاری است. این مطالعه با هدف تعیین تأثیر تصویر ذهنی هدایت شده بر اضطراب کودکان کاندید لوزهبرداری انجام یافته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در این کارآزمایی بالینی تعداد 70</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">کودک 7 تا 12 ساله کاندید لوزهبرداری در بخش گوش و حلق و بینی بیمارستان امیرکبیر شهر اراک در سال 1400 در دو گروه مداخله و کنترل قرار گرفتند. از </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">پرسشنامه اطلاعات جمعیتشناختی و ابزار چهرهای بررسی اضطراب، جهت گردآوری دادهها استفاده شد.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> در گروه کنترل، اضطراب یک ساعت قبل و 15 دقیقه قبل از عمل بررسی شد. در گروه </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">آزمون یک ساعت قبل از عمل و پس از تکمیل پرسشنامه، </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">کودک</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> به مدت 15 دقیقه با هندزفری به یک فایل صوتی گوش داد و آن را در ذهن خود تجسم نمود. سپس مجدداً ابزار بررسی اضطراب تکمیل شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B 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:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B 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 style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">میانگین اضطراب قبل از مداخله در گروه آزمون 79/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">31/4 و در گروه کنترل 87/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">06/4 بود که با یکدیگر اختلاف معنادار آماری نداشتند. میانگین اضطراب بعد از مداخله در گروه آزمون 89/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">83/3 و در گروه کنترل 90/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:Symbol">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">89/4 بود که نشان میدهد میانگین اضطراب کودکان دو گروه بعد از مداخله با یکدیگر اختلاف معنادار آماری داشته است (001/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p<</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مداخله صورت گرفته موجب کاهش اضطراب کودکان قبل از عمل کاندید لوزهبرداری شد. این مداخله فرآیندی آسان و بیخطر است و میتواند به عنوان روشی مؤثر به کار گرفته شود</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">ثبت کارآزمایی بالینی: </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">IRCT20211008052701N1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Tonsillectomy is one of the most common pediatric surgeries.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Preoperative anxiety in children is one of the concerns of caregivers, and its management is an important part of nursing care.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">The aim of this study was to investigate the effect of guided imagery on anxiety in children candidate for tonsillectomy</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">In this clinical trial, 70 children aged 7 to 12 years, candidates for tonsillectomy in the ENT ward of Amirkabir hospital in Arak in 2021 were divided into experimental or control groups.</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""> A </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">demographic information form and the face anxiety scale were used to collect the data.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">In the control group, anxiety was assessed one hour before and 15 minutes before the surgery.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">In the experimental group, one hour before the operation and after completing the questionnaire, the child was asked to listen to an audio file with the hands-free for 15 minutes and visualize it in his mind.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Then, the anxiety scale was completed again</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.2pt">The mean score of anxiety before the intervention was 4.31±0.79 in the experimental group and 4.06±0.87 in the control group, which had no statistically significant difference.</span></span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.2pt">The mean score of anxiety after the intervention was 3.83±0.89 in the experimental group and 4.89 ± 0.90 in the control group, which showed the mean score of anxiety of children after the intervention had a statistically significant difference between the two groups (<i>P</i></span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.2pt"><</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.2pt">0.001)</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">The preoperative intervention reduced preoperative anxiety in the children </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">candidate for </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">tonsillectomy.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">This intervention is an easy and safe process and can be used as an effective method</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Clinical trial registry: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">IRCT20211008052701N1</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
کودک, لوزهبرداری, اضطراب, تصویر ذهنی هدایت شده
Child, tonsillectomy, anxiety, guided imagery
173
183
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4101-2&slc_lang=other&sid=1
Mahdie
Ajerloo
مهدیه
آجرلو