Avicenna Journal of Clinical Medicine
مجله پزشكي باليني ابن سينا
Avicenna J Clin Med
Medical Sciences
http://sjh.umsha.ac.ir
1
admin
2588-722X
2588-7238
-
10.53208/ajcm
-
-
-
fa
jalali
1402
6
1
gregorian
2023
9
1
30
2
online
1
fulltext
fa
بررسی رابطهی سلامت معنوی با تابآوری و اضطراب ناشی از درد زخم سوختگی
Relationship between Spiritual Health, Burn Pain Anxiety, and Resilience in Burn Patients
پرستاري
Nursing
پژوهشي
Original
<span style="font-family:Tahoma;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.2pt">سابقه و هدف:</span></span></span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">درد ناشی از زخم سوختگی حین اجرای رویههای درمانی باعث اضطراب در بیماران میشود. سلامت معنوی و تابآوری از عوامل مؤثر بر اضطراب هستند. هدف از این مطالعه تعیین رابطهی سلامت معنوی با تابآوری و اضطراب ناشی از درد زخم در بیماران دچار سوختگی است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">مواد و روشها</span></span></span></span></span></span></b><b><span b="" lang="AR-SA" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">:</span></span></span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">در</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">این مطالعهی مقطعی، 213 بیمار دچار سوختگی دارای معیار ورود به مطالعه، بهروش نمونهگیری تصادفی انتخاب شدند. برای گردآوری دادهها از پرسشنامههای اطلاعات دموگرافیک، سلامت معنوی پولوتزین و الیسون، تابآوری کانردیویدسون و اضطراب درد سوختگی استفاده شده است. تحلیل دادهها با استفاده از آزمونهای تی و آنالیز واریانس یکطرفه و نرمافزار </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">SPSS</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt"> نسخهی 21، در سطح معنیداری (0/05</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">P≤</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">) انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">یافتهها</span></span></span></span></span></span></b><b><span b="" lang="AR-SA" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">:</span></span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">نتایج نشان داد اکثر بیماران مرد (62/91 درصد) با میانگین سنی 12/72 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria=""><span style="letter-spacing:-.2pt">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt"> 38/21 سال بودهاند. نمرهی میانگین و انحراف معیار سلامت معنوی، اضطراب درد زخم و تابآوری بهترتیب 21/20 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria=""><span style="letter-spacing:-.2pt">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt"> 73/63، 16/18 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria=""><span style="letter-spacing:-.2pt">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt"> 52/83 و 13/51 </span></span></span><span lang="FA" style="font-size:10.0pt"><span cambria=""><span style="letter-spacing:-.2pt">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt"> 58/24 به دست آمد. بین سلامت معنوی و تابآوری (0/001=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">، 0/384=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">r </span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">) و بین تابآوری و اضطراب ناشی از درد زخم (0/045=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">، 0/138-=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">r</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">)</span></span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">ارتباط معنیداری وجود داشت؛ اما بین سلامت معنوی و اضطراب ناشی از درد زخم ارتباط معناداری دیده نشد (0/702=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">، 0/026-=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" times=""><span style="letter-spacing:-.2pt">r</span></span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">نتیجهگیری:</span></span></span></span></span></span></b><b> </b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><span style="letter-spacing:-.2pt">با توجه به وجود درد بیماران دچار سوختگی حین رویههای درمانی و همچنین وجود ارتباط بین سلامت معنوی و تابآوری و اضطراب درد میتوان با ارتقای سلامت معنوی، تابآوری بیماران را بگذرانند و با افزایش تابآوری، اضطراب آنها را کاهش داد و موجب شد که بیماران راحتتر دوران سوختگی را پشت سر بگذارند.</span></span></span></span></span></span></span></span><br>
</span>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Objective:</span></span></span></span></b> <span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:">Burn pain during therapeutic procedures causes anxiety in patients. Spiritual health and resilience are factors affecting anxiety. The present study aimed to determine the relationship between spiritual health with resilience and wound pain anxiety in burn patients.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:"><span style="color:#274cc3">Materials and Methods:</span></span></span></b> <span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:">In this cross-sectional study, 213 patients were selected by random sampling method. Demographic information, Polotzin and Ellison's spiritual health questionnaire, Connor-Davidson Resilience Scale, and Burns Specific Pain Anxiety Scale were used to collect data. T-tests and one-way analysis of variance were used to analyze the collected data. Data analysis was performed using SPSS software (version 21).</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:">The findings showed that most patients were male (62.91%) with an average age of 38.21 ± 12.72. The average scores of spiritual health, wound pain anxiety, and resilience were 73.63 ± 21.20, 52.83 ± 16.18, and 58.24 ± 13.51, respectively. Although a significant relationship was found between spiritual health and resilience and between resilience and wound pain anxiety, no significant relationship was seen between spiritual health and wound pain anxiety.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:"><span style="color:#274cc3"><span style="letter-spacing:.1pt">Conclusion:</span></span></span></span></b> <span style="font-size:9.0pt"><span lt="" optima="" std="" style="font-family:">Burn patients suffer a lot of pain during procedures such as dressings. Considering the relationship between spiritual health, burn pain anxiety and resilience, educational workshops are suggested to increase spiritual health, resilience and better tolerance during hospitalization.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="tab-stops:127.85pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"> </span></span></span></span></span><br>
اضطراب, تابآوری, درد, سلامت معنوی, سوختگی
Anxiety, Burn, Pain, Resilience, Spiritual Health
121
127
http://sjh.umsha.ac.ir/browse.php?a_code=A-12-2353-2&slc_lang=fa&sid=1
Mohammad
Farzanehfar
محمد
فرزانهفر
100319475328460018950
0009-0008-4849-0834
No
Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
کمیتهی تحقیقات دانشجویی، دانشگاه علوم پزشکی همدان، همدان، ایران
Arezou
Karampourian
آرزو
کرمپوریان
a.karampourian@umsha.ac.ir
100319475328460018951
100319475328460018951
Yes
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Urology and Nephrology Research Center, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
گروه پرستاری داخلیجراحی، دانشکدهی پرستاری و مامایی، مرکز تحقیقات اورولوژی و نفرولوژی، مرکز تحقیقات مراقبت بیماریهای مزمن در منزل، دانشگاه علوم پزشکی همدان، همدان، ایران
Salman
Khazaei
سلمان
خزایی
100319475328460018952
100319475328460018952
No
Department of Epidemiology, School of Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
گروه اپیدمیولوژی، دانشکدهی بهداشت، مرکز تحقیقات علوم بهداشتی، دانشگاه علوم پزشکی همدان، همدان، ایران
Mahnaz
Khatiban
مهناز
خطیبان
100319475328460018953
100319475328460018953
No
Department of Medical -Surgical Nursing, School of Nursing and Midwifery, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
گروه پرستاری داخلیجراحی، دانشکدهی پرستاری و مامایی، مرکز تحقیقات مراقبت از مادر و کودک، دانشگاه علوم پزشکی همدان، همدان، ایران