Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1404
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gregorian
2025
4
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31
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تأثیر آموزش خانواده محور بر تبعیت از رژیم دارویی در بیماران با کاردیومیوپاتی: کارآزمایی بالینی
Impact of family-centered education on medication adherence in patients with cardiomyopathy: A 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:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.2pt">عدم تبعیت از رژیم دارویی یکی از شایعترین مشکلات در روند</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.2pt"> درمان </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.2pt">بیماران مبتلا به کاردیومیوپاتی بوده و اغلب آن­ها نیازمند کمک فرد دیگری برای رفع این مشکل هستند. این پژوهش با هدف تعیین تأثیر آموزش خانواده محور بر تبعیت از رژیم دارویی در بیماران با کاردیومیوپاتی 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:-.2pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"></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:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">این مطالعه یک کارآزمایی بالینی کنترل­دار است. با روش نمونهگیری در دسترس تعداد 80 نفر <a name="_Hlk165992495">از بیماران مراجعه</a></span></span></i><i><span lang="AR-SA" 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="">کننده به درمانگاه نارسایی قلب</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> انستیتو آموزشی، تحقیقاتی و درمانی قلب و عروق شهید رجایی تهران در سال 1402 انتخاب و به­طور تصادفی به دو گروه 40 نفری تقسیم شدند. روش کار به صورت ارایه محتوای آموزش خانواده محور به گروه مداخله<a name="_Hlk165989983"> </a>طی دو جلسه 30 دقیقه­ای و بررسی تأثیر این مداخله بر میزان تبعیت از رژیم دارویی با استفاده از ابزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="background:#fcfcf9"><span new="" roman="" style="font-family:" times=""><span style="color:black">Morisky</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> پس از 2 هفته بود<a name="_Hlk165992705">. </a>گروه کنترل آموزش­های معمول بیمارستان را دریافت کردند. تجزیه و تحلیل دادهها در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> نسخه 22 و با استفاده از آمار توصیفی و استنباطی 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></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><a name="_Hlk149217265"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span b="" style="font-family:" yagut=""><span style="color:black">دو گروه از نظر ویژگیهای جمعیت</span></span></span></span></i></a><i><span lang="AR-SA" 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 style="background:white"><span b="" style="font-family:" yagut=""><span style="color:black">شناختی و بیماری تفاوت معناداری با هم نداشتند (05/0<</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""><span style="color:black">p</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span b="" style="font-family:" yagut=""><span style="color:black">). </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">میانگین و انحراف معیار </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نمره تبعیت از رژیم دارویی قبل از مداخله در گروه کنترل و مداخله به ترتیب 19/1</span></span></i><i><span dir="LTR" style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0in"><span new="" roman="" style="font-family:" times=""><span style="text-transform:uppercase">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="text-transform:uppercase">00/5</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> و 05/1</span></span></i><i><span dir="LTR" style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0in"><span new="" roman="" style="font-family:" times=""><span style="text-transform:uppercase">±</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="text-transform:uppercase">35/4 بود (</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">12/0</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="text-transform:uppercase">=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="text-transform:uppercase">)</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">.<span style="background:white"><span style="color:black"> بعد از مداخله، تفاوت میانگین نمره </span></span></span></span></i><a href="https://www.sid.ir/search/paper/%D8%AA%D8%A8%D8%B9%DB%8C%D8%AA%20%D8%AF%D8%A7%D8%B1%D9%88%DB%8C%DB%8C/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="text-decoration:none"><span style="text-underline:none">تبعیت دارویی</span></span></span></span></span></span></i></a><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">بین دو گروه کنترل (19/1</span></span></i><i><span dir="LTR" style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0in"><span new="" roman="" style="font-family:" times=""><span style="text-transform:uppercase">±</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">10/5) و مداخله (78/0</span></span></i><i><span dir="LTR" style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0in"><span new="" roman="" style="font-family:" times=""><span style="text-transform:uppercase">±</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">43/6) معنادار بود (001/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p=</span></span></i><i><span lang="AR-SA" 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></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">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">برنامه آموزشی خانواده محور بر میزان تبعیت دارویی بیماران با کاردیومیوپاتی تأثیرات مثبت داشته و باعث افزایش تبعیت دارویی در این بیماران شده است. پرستاران می­توانند از ظرفیت بالقوه اعضای خانواده در آموزش بیماران و کمک به بهبود تبعیت دارویی و در نتیجه ارتقای کیفیت زندگی بیماران استفاده کنند</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">.</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="">ثبت کارآزمایی بالینی: </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">IRCT20230216057433N1</span></span></i><i><span dir="LTR" style="font-size:10.0pt"></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 dir="LTR" style="font-size:10.0pt"></span></i></span></span></span></span></span></span></span><br>
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<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:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""><span style="color:black">Medication adherence remains a significant challenge in the management of patients with cardiomyopathy, with many patients relying on external support systems to maintain compliance. The study aimed to assess the impact of family-centered educational interventions on medication adherence among patients with cardiomyopathy</span></span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 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 style="background:#fcfcf9"><span new="" roman="" style="font-family:" times=""><span style="color:black">This controlled clinical trial employed convenience sampling to select 80 patients attending the Heart Failure Clinic at Shahid Rajaee Hospital in Tehran in 2023. Participants were randomly assigned to two groups of 40 each. The intervention consisted of two 30-minute family-centered education sessions delivered to the intervention group, while the control group received standard informational care. Medication adherence was assessed using the Morisky Medication Adherence Scale two weeks post-intervention. Data were analyzed with SPSS version 22, using both descriptive and inferential statistics</span></span></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:-.3pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="background:#fcfcf9"><span new="" roman="" style="font-family:" times=""><span style="color:black">The groups were comparable regarding demographic variables and disease characteristics (<i>P</i>>0.05). Prior to the intervention, the mean (±SD) medication adherence scores were 5.00±1.19 for the control group and 4.35±1.05 for the intervention group (<i>P</i>=0.12). Post-intervention, adherence scores improved significantly in the intervention group, with a mean (±SD) of 6.43±0.78 compared to 5.10±1.19 in the control group (<i>P</i>=0.001)</span></span></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><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 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="background:#fcfcf9"><span style="color:black">Family-centered educational programs can effectively enhance medication adherence in patients with cardiomyopathy. The results highlight the valuable role nurses play in leveraging the potential of family members to provide education and support to patients, ultimately contributing to improved quality of life</span></span></span><span style="font-size:10.0pt">.</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 new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="color:black">Clinical trial registry:</span></span></b> <span style="font-size:10.0pt">IRCT20230216057433N1</span><span style="font-size:10.0pt"><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 new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br>
کاردیومیوپاتی, تبعیت دارویی, آموزش خانواده محور
cardiomyopathy, medication adherence, family-centered nursing
59
72
http://hayat.tums.ac.ir/browse.php?a_code=A-10-887-3&slc_lang=fa&sid=1
Hanieh
Gholamnejad
حانیه
غلامنژاد