Journal of Hayat
حیات
Hayat
Medical Sciences
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1735-2215
2008-188X
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2022
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بررسی وضعیت آسایش مددجویان با اختلال روانپزشکی بستری در بخشهای روانپزشکی بیمارستان شهید دکتر لواسانی شهر تهران در سال 1399
Comfort status of the hospitalized patients with mental disorders in the psychiatric wards of Lavasani social security hospital in Tehran in 2020
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""><span style="color:black"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با توجه به این</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">که</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">آسایش هدف نهایی کلیه فرآیندهای پرستاری است، مطالعه حاضر با هدف تعیین وضعیت آسایش مددجویان بستری با اختلال روانپزشکی انجام گرفته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.3pt">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"></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""><span style="color:black"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این پژوهش از نوع توصیفی- مقطعی است که با شرکت 275 مددجوی بستری در بخشهای روانپزشکی بیمارستان شهید دکتر لواسانی در سال 99 در تهران انجام گرفته است. نمونهگیری به صورت مستمر بود. مددجویان پرسشنامههای جمعیتشناختی و ابزار آسایش افراد بستری در بخش روانپزشکی را تکمیل نمودند. دادهها با استفاده از آمار توصیفی و استنباطی، آزمونهای آماری تیمستقل، آنالیز واریانس و آزمون تعیینی شفه در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">SPSS</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 24 در سطح معناداری 05/0</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="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> تحلیل شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">.</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="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">یافتهها</span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">: </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">9/66% (184 نفر) بیماران مرد بودند.</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">نمره آسایش کلی مددجویان 76/128 بود که براساس امتیازبندی از عدد 38 تا 190 میزان آسایش بیشتر از میانه بود</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">.</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> بیشترین امتیاز در ابعاد آسایش به ترتیب</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">حیطه فرهنگیاجتماعی (55/91</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif"">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">20/65</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)، </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">حیطه روانی معنوی </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">(</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">50/31</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif"">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">19/64</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">، حیطه فیزیکی </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">(</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">06/37</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif"">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">22/58</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) و </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">حیطه محیطی </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">(</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">39/22</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif"">±</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">19/49</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">بوده است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">. آزمون تعیینی شفه نشان داد که نمره آسایش در مددجویانی که میزان درآمدشان کفایت میکند به طور معناداری (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"">) بالاتر بوده است. همچنین </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مددجویانی که شغل آنها کارمند است نمره آسایش بیشتری نسبت به سایرین کسب نمودهاند (</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">017/0=</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="letter-spacing:-.1pt">.</span></span></span></i></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="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.3pt">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مددجویان کمترین آسایش را در حیطه محیطی و بالاترین آسایش را در حیطه فرهنگی- اجتماعی کسب کردند بنابراین توصیه میشود که برنامهریزی و اجرای کلیه مداخلات پرستاری با هدف حفظ و بهبود آسایش در حیطه محیطی بخشهای روانپزشکی انجام گیرد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.3pt">.</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""><span style="color:black"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></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="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></b> <a name="_Hlk65752168"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Comfort is the ultimate goal in all the nursing processes. The aim of the study </span></span></a><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">is to examine the comfort status of the hospitalized patients with mental disorders</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.1pt">.</span></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="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">This study is a descriptive, cross-sectional study that was conducted on 275 patients hospitalized in the psychiatric wards of Lavasani hospital in Tehran in 2020. The study subjects were selected using the convenience sampling method.</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""> The </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">patients completed a demographic form and the comfort questionnaire of psychiatric patients. Data were analyzed using descriptive and inferential statistics, independent <i>t</i>-test, analysis of variance, and the Scheffe test through the SPSS software version 24 at a significance level of 0.05</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></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="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">A total of 184 patients (66.9%) were male. The overall comfort score was 128.76, which was more than median based on the score from 38 to 190.</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="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">The highest scores in the dimensions of comfort, were respectively sociocultural domain (65.</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">20</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">±91.55), psychospiritual domain (64.19±31.50), physical domain (58.22±37.06), and environmental domain (49.19±22.39). The Scheffe test showed that the comfort score for the patients with sufficient income was</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">significantly higher (<i>P</i><0.001). Also, the patients who were employees had a higher comfort score compared to others (<i>P</i>=0.017)</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></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="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><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="font-family:"Times New Roman","serif"">The patients gained the least comfort score in the environmental domain, and the most comfort score in the</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">sociocultural domain. Therefore, devising and implementing all nursing interventions are recommended with the aim of maintaining and improving comfort in the environment of psychiatric departments.</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.3pt"></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="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br>
آسایش, بیماران, اختلال روانپزشکی
comfort, patients, psychiatric disorders
199
215
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3717-2&slc_lang=fa&sid=1
Om Leila
Jafarbegloo
ام لیلا
جعفربگلو