The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1400
12
1
gregorian
2022
3
1
29
12
online
1
fulltext
fa
تاثیر الگوی توانمند سازی خانواده محور برمیزان تبعیت از رژیم غذایی در بیماران تحت همودیالیز
Effect of Family-Centered Empowerment Model on Diet Adherence in Hemodialysis Patients
پرستاری
Nursing
کارآزمایی بالینی
clinical trial
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تبعیت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">از</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">رژیم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">غذایی، محدودیت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مایعات</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بیماران</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مبتلا</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نارسایی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مزمن</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">کلیوی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">که</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تحت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">همودیالیز</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">قرار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دارند</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">امری ضروری</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میباشد. این مطالعه با هدف بررسی ارتباط بین الگوی توانمندسازی خانواده محور و تبعیت از رژیم غذایی در بیماران تحت همودیالیز صورت گرفته است.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">این مطالعه یک کارآزمایی بالینی شاهددار تصادفی بود که بر روی 60 بیمار تحت همودیالیز (30 نفر در هر گروه) در سال 1395 در مشهد انجام شد. نمونهها به روش در دسترس انتخاب و بهصورت تصادفی در دو گروه کنترل و آزمون، قرار گرفتند. در گروه آزمون الگوی توانمندسازی خانواده محور وگروه کنترل مراقبتهای رایج اجرا شد. ابزار مطالعه پرسشنامه جمعیت شناختی و تبعیت از رژیم غذایی بود که قبل و 6 هفته بعد از مطالعه توسط </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">افراد شرکتکننده در تحقیق</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تکمیل گردید. داده­ها با استفاده از نرمافزار</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">version 16 </span> <span dir="LTR" new="" roman="" style="font-family:" times="">SPSS</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و آزمونهای آماری تی مستقل، کای اسکوئر، من ویتنی و با سطح معنیداری 0/05></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">p</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تجزیه و تحلیل شدند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در مجموع 60 بیمار (24مرد و 36 زن) با میانگین سنی 16/77</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">50/93 سال وارد مطالعه شدند. میانگین نمره تبعیت از رژیم غذایی و مایعات قبل از مداخله بین دوگروه آزمون و کنترل تفاوت آماری معنیداری نداشت در حالیکه بعد از مداخله در گروه آزمون افزایش یافته بود که از لحاظ آماری معنیدار بود (0/001</span></span><span lang="FA" style="font-size:12.0pt">></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">گروهی که از الگوی توانمندسازی خانواده محور پیروی می­کردند، در مقایسه با گروه کنترل از رژیم غذایی و مایعات بیشتر تبعیت کردند، لذا انجام اقداماتی در جهت مشارکت خانواده بیماران احتمالاً با افزایش پذیرش تبعیت از رژیم غذایی و مایعات و بهبود نتایج درمان همراه خواهد بود.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Adherence to diet, fluid restriction is essential in the patients with chronic renal failure undergoing hemodialysis. The aim of this study was to investigate the relationship between family-centered empowerment model and diet adherence in hemodialysis patients.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b><span new="" roman="" style="font-family:" times=""> This study was a randomized controlled clinical trial that was performed on 60 patients undergoing hemodialysis (30 in each group) in 2016 in Mashhad City. Samples were selected by convenience sampling method and randomly assigned to control and test groups. In the experimental group, the family-centered empowerment model and the common care control group were implemented. A demographic questionnaire and adherence to diet was completed by the research participants before and 6 weeks after the study. Data were analyzed using SPSS software version 16 and independent t-test, Chi-square, Mann-Whitney with a significance level of p <0.05.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">A total of 60 patients (24 females and 36 males) with a mean age of 50.93± 16.77 years were included in the study. The mean score of diet adherence before the intervention was not statistically significant between the experimental and control groups, while after the intervention in the experimental group it was increased, which was statistically significant (p <0.001). </span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<b><span style="font-size:11.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span> </b><span style="font-size:11.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">The group that followed the family-centered empowerment model followed the diet and fluids more than the control group, so taking steps to involve the patients' families is likely to increase acceptance of diet and fluids and improve treatment outcomes</span></span></span></div>
توانمندسازی خانواده محور, تبعیت از رژیم غذایی, همودیالیز
Empowerment Family-center, Food diet adherence, Hemodialysis.
4393
4404
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4558-1&slc_lang=fa&sid=1
Mehdi
Ebrahim
مهدی
ابراهیمی
rasool.solaimani@yahoo.com