Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
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1735-2215
2008-188X
fa
jalali
1402
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gregorian
2023
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تأثیر پرستاری توانبخشی از راه دور بر منبع کنترل سلامت بیماران مبتلا به استئوآرتریت زانو: یک کارآزمایی بالینی تصادفی
Effect of tele-rehabilitation nursing on health locus of control in patients with knee osteoarthritis: A randomized clinical trial
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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.1pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">استئوآرتریت زانو یک بیماری مزمن، شایع و از علل اصلی ناتوانی حرکتی است. در این راستا بیماران مبتلا مشکلات بسیاری در انجام فعالیتهای روزمره زندگی و خودمراقبتی دارند. لذا اقدامات پرستاری توانبخشی از راه دور که منجر به ارتقای رفتارهای خودمراقبتی و در نتیجه تقویت منبع کنترل سلامت درونی در این بیماران میشود، مفید خواهد بود. این مطالعه با هدف تعیین تأثیر پرستاری توانبخشی از راه دور بر</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">منبع کنترل سلامت بیماران مبتلا به استئوآرتریت زانو انجام گرفته است</span></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><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"></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 b="" style="font-family:" 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 b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">در این مطالعه کارآزمایی بالینی تصادفی شده، تعداد 34 بیمار مبتلا به استئوآرتریت زانو مراجعهکننده به کلینیکهای شهر شیراز در سال 1401 به</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">روش تصادفی</span></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><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">سازی بلوکی در دو گروه 17 نفره قرار گرفتند. گروه مداخله تحت برنامه پرستاری توانبخشی از راه دور طی 8 جلسه قرار گرفت.<a name="_Hlk149237179"> گروه کنترل </a></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">مراقبت­های معمول را دریافت نمود.</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt"> مقیاس چند بعدی منبع کنترل سلامت در 3 نوبت برای هر دو گروه تکمیل شد.</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt"> دادهها با نرمافزار</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt"> SPSS </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">نسخه 26 در دو سطح آمار توصیفی و استنباطی تحلیل شدند</span></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: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 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="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">طبق نتایج تحلیل واریانس دو طرفه با اندازهگیریهای مکرر، میانگین نمره منبع کنترل درونی (باور درونی) در دو گروه و در سه مقطع زمانی بررسی شده تفاوت آماری معنادار داشت (001/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.1pt">). به عبارتی نمرات گروه مداخله طی روند زمانی و نسبت به گروه کنترل به صورت معناداری افزایش داشت</span></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></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 b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">بهکارگیری مراقبتهای پرستاری توانبخشی از راه دور با افزایش مسؤولیتپذیری بیماران از طریق تقویت منبع کنترل درونی در مورد وضعیت سلامت خود، میتواند سبب ارتقای خودمراقبتی گردد. توصیه میشود پرستاران از این روش در سایر بیماریهای مزمن استفاده نمایند.</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 b="" style="font-family:" yagut="">ثبت کارآزمایی بالینی:</span></span></i></b><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">IRCT20220216054038N1</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></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 b="" style="font-family:" 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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">K</span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">nee osteoarthritis as a common chronic illness leading to disability,</span></span> <span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">imposes numerous challenges on individuals in terms of daily living and self-care. Therefore, the implementation of tele-rehabilitation nursing interventions that foster patients' internal health locus of control and enhance the development of self-care behaviors may be useful. </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This study aimed to </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">determine the effect of tele-nursing rehabilitation </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">on the health <a name="_Hlk147002048">locus of </a>control in patients with knee osteoarthritis</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">In this randomized clinical trial study, a total of 34 patients with knee osteoarthritis referred to the </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">rehabilitation clinics affiliated with Shiraz University of Medical Sciences</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">in 2022</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">were enrolled. The intervention group participated in an 8-session tele-rehabilitation nursing program, while the control group received standard routine care. </span></span><span lang="EN" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The Multidimensional Health Locus of Control scale was administered to both groups on three separate occasions.</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> The data were subjected to descriptive and inferential statistical analyses using SPSS software version 26</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">.</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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><span style="color:black">According to the results from a two-way repeated measures analysis of variance (ANOVA), a statistically significant difference was observed solely in the trend of changes in the mean score of internal belief between the two groups and over the study time period (<i>P</i><0.001). Specifically, the scores of the intervention group exhibited a significant increase over time, surpassing those of the control group</span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">The implementation of tele-rehabilitation nursing care, which emphasizes patient responsibility for their internal health locus of control can improve self-care. Therefore, it is recommended</span></span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">that nurses employ this approach in managing additional chronic conditions.</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 new="" roman="" style="font-family:" times="">Clinical trial registry:</span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">IRCT20220216054038N1</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.2pt"></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 new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
استئوآرتریت زانو, سلامت از راه دور, منبع کنترل سلامت, پرستاری توانبخشی
knee osteoarthritis, telehealth, health locus of control, rehabilitation nursing
312
328
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4554-2&slc_lang=fa&sid=1
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Keshavarzian
فاطمه
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