آموزش و اخلاق در پرستاری
Education and Ethics In Nursing ISSN: 2322-5300

بررسی تأثیر آموزش خودمراقبتی بر ادراک از بیماری وکنترل عوارض بیماری دربیماران مبتلا به کووید 19

https://doi.org/10.22034/ethic.2024.2026117.1045
دوره 13، شماره 1
فروردین 1403
صفحه 52-60
آموزش و اخلاق در پرستاری

نوع مقاله : مقاله پژوهشی اصیل

نویسندگان

مریم غزی 1
شهرام مولوی نژاد 1
نسرین الهی 1
سعید قنبری 2

1 مرکز تحقیقات مراقبت پرستاری در بیماری های مزمن، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپوراهواز، اهواز، ایران

2 گروه آمار و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران

چکیده
مقدمه: بیماران مبتلا به کووید 19، بر اثر خطرناک بودن سیر بیماری، با مشکلاتی در رفتار خودمراقبتی و کیفیت زندگی روبه ­رو می­ شوند؛ بنابراین پژوهش حاضر، با هدف بررسی تأثیر آموزش خودمراقبتی بر ادراک از بیماری و کنترل عوارض بیماری، در بیماران مبتلا به کووید 19،  انجام شد.
روش­کار: در این پژوهش نیمه تجربی، 54  بیمار مبتلا به کووید19، مراجعه کننده به بیمارستان رازی اهواز، بر اساس معیارهای ورود، انتخاب شدند و سپس به صورت بلوک­ های جایگشتنی تصادفی شده، در دو گروه مداخله و کنترل، قرار گرفتند. گروه مداخله، برنامۀ آموزشی خودمراقبتی را طی 4 جلسۀ 30 دقیقه ­ای(روزانه) و به­صورت فردی، پذیرفتند؛ در­حالی­که گروه کنترل، مراقبت­های روتین را دریافت کردند. رفتار خود مراقبتی در دو گروه، قبل و بعد از شروع مداخله، مقایسه گردید. ابزار گردآوری داده­ ها، شامل: پرسشنامۀ مشخصات دموگرافیک و پرسشنامۀ کوتاه ادراک بیماری، بود. تجزیه و تحلیل داده ­ها با استفاده از تست­های آماری در نرم افزار spss23 ، انجام شد.
یافته­ ها: تفاوت رتبۀ کلی ادراک بیماری در گروه مداخله  و کنترل، به ترتیب 33/30 و 67/24، بود که از نظر آماری معنادار، نبود(185/0p=).
نتیجه­ گیری: مداخلات آموزشی، در ارتقای رفتارهای خود مراقبتی و درک از بیماری، در بیماران مبتلا به کووید19، مؤثر است؛ بنابراین پیشنهاد می­ شود که پرستاران، در جهت انجام میانجی­ گری­های پرستاری که مرتبط با درک مریض، نسبت به بیماری است، بررسی و در زمینۀ نیاز به اصلاح عقاید وی، تلاش کنند.

کلیدواژه‌ها

خودمراقبتی
بیماری حاد
درک
کووید 19
بیماری عفونی

عنوان مقاله English

Investigating the effect of self-care training on disease perception and control of disease complications in patients with covid-19

نویسندگان English

Maryam Ghezi 1
Shahram Molavynejad 1
Nasrin Elahi 1
saeed Ghanbari 2
1 Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Statistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, iran
چکیده English

Introduction:
Due to the dangerous course of the disease, patients with covid-19 face problems in self-care behavior and quality of life, this study was conducted with the aim of investigating the effect of self-care training on the perception of the disease and controlling the complications of the disease in patients with covid-19.
Materials and Methods:
In this semi-experimental study, 54 patients with COVID-19 referred to Razi Ahvaz Hospital were selected based on the inclusion criteria, and then they were divided into two intervention and control groups as randomized replacement blocks. The intervention group received the self-care training program during four sessions of 30 minutes (daily) individually. The control group received routine care. Self-care behavior in two groups was compared before and after the intervention. The data collection tool included a demographic profile questionnaire and a short disease perception questionnaire. Data analysis was done using statistical tests in spss23 software.
Results:
The difference in the overall rank of disease perception in the intervention and control groups was 30.33 and 24.67, respectively, which was not statistically significant (p=0.185).
Conclusion:
Educational intervention effectively improves self-care behaviors and understanding of the disease of patients with COVID-19. Therefore, it is suggested that nurses should check the patient's engagement and beliefs about the disease to carry out nursing interventions and modify his beliefs based on the patient's needs.

کلیدواژه‌ها English

  • self-care
  • critical disease
  • perception
  • COVID-19
  • infectious disease
  1. Davoodi M, Heydari A. Review of towards the Ethical Challenges Experienced by Nurses providing care to patients with COVID-19. Education and Ethics In Nursing. 2021;10(1-2):43-53.
  2. World Health O. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance, 13 March 2020. Geneva: World Health Organization; 2020 2020. Contract No.: WHO/2019-nCoV/clinical/2020.4.
  3. Labaf A, Jalili M, Jaafari Pooyan E, Mazinani M. Management of Covid-19 Crisis in Tehran University of Medical Sciences Hospitals: Challenges and Strategies. Journal of School of Public Health and Institute of Public Health Research. 2021;18(4):355-72.
  4. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020;8(5):475-81.
  5. Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020;148:e98.
  6. Yang M, Qu C, Zhang Z, Guo H, Guo X, Yang L, et al. Relationships between Dark Triad and negative emotions during COVID-19 lockdown: The chain mediating roles of negative coping and state boredom. Curr Psychol. 2022:1-13.
  7. Fiske A, Schneider A, McLennan S, Karapetyan S, Buyx A. Impact of COVID-19 on patient health and self-care practices: a mixed-methods survey with German patients. BMJ Open. 2021;11(9):e051167.
  8. Yaraghchi A, Rezaei O, Mandegar MH, Bagherian R. The Relationship Between Illness Perception and Quality of life in Iranian Patients with Coronary Artery Bypass Graft. Procedia - Social and Behavioral Sciences. 2012;46:3329-34.
  9. Gupta SK, Lakshmi PVM, Kaur M, Rastogi A. Role of self-care in COVID-19 pandemic for people living with comorbidities of diabetes and hypertension. J Family Med Prim Care. 2020;9(11):5495-501.
  10. Moosapour SA, Elahi N, Tahery N, Haghighizadeh MH, Ehsanpour A. Comparing the effect of self-care education and pain self-management on the nature of pain and quality of life in patients with sickle cell disease. Journal of Hayat. 2022;27(4):431-45.
  11. WHO. WHO guideline on self-care interventions for health and well-being, 2022 revision. Geneva: World Health Organization; 2022. Licenese. 2022.
  12. Ahmadi Z, Bahmani L, Farahani Nia M, Haghani H. Effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension. Cardiovascular Nursing Journal. 2018;7(1):42-9.
  13. Varghese JJ, Aithal VU, Rajashekhar B. Self-care and clinical management of persons with laryngectomy during COVID-19 pandemic: a narrative review. Support Care Cancer. 2021;29(12):7183-94.
  14. Luis E, Bermejo-Martins E, Martinez M, Sarrionandia A, Cortes C, Oliveros EY, et al. Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model. BMJ Open. 2021;11(12):e048469.
  15. Saffari M, vahedian-azimi A, Mahmoudi h. Nurses’ Experiences on Self-Protection when caring for COVID-19 patients. Journal of Military Medicine. 2022;22(6):570-9.
  16. Erisian, Z, Torkan, H, Mokarian, F. Simple and Multiple Relationships of Emotional Regulation, Pain Self-efficacy and Perception of Disease with Psychological Well-being in Breast Cancer Women. Journal of Clinical Psychology. 2019;11(1):49-59.
  17. seyyedrasooli a, parvan k, rahmani a, rahimi z. Effect of illness perception promoting interventions on treatment adherence in hemodialysis patients: A randomized controlled trial. Critical Care Nursing. 2013;6(2):81-90.
  18. Masaeli N, Bagherian R, Kheirabadi G, Khedri A, Mahaki B. Psychometric Properties of the Persian Version of the Brief Illness Perception Questionnaire in Chronic Diseases. Journal of Research in Rehabilitation Sciences. 2019;14(6):332-7.
  19. Long B, Carius BM, Chavez S, Liang SY, Brady WJ, Koyfman A, et al. Clinical update on COVID-19 for the emergency clinician: Presentation and evaluation. The American Journal of Emergency Medicine. 2022;54:46-57.
  20. Farzaneh Maftoon, Mojgan sharifan, Fatemeh Naghizadeh Moghari. Self-care in health system: Prevention and management dimensions. Payesh (Health Monitor) Journal. 2018;17(4):361-70.
  21. Mehraeen E, Hayati B, Saeidi S, Heydari M, Seyedalinaghi S. Self-Care Instructions for People Not Requiring Hospitalization for Coronavirus Disease 2019 (COVID-19). Arch Clin Infect Dis. 2020;15(COVID-19):e102978.
  22. Tavakoly Sany SB, Esmaeily A, Lael-Monfared E, Tehrani H, Ferns G, Jafari A. Organizing framework to investigate associations between diabetes knowledge, health literacy, and self-care behaviors in patients with type 2 diabetes based on the extended parallel process model. J Diabetes Metab Disord. 2020;19(2):1283-92.
  23. Wallin E, Hultström M, Lipcsey M, Frithiof R, Rubertsson S, Larsson IM. Intensive care-treated COVID-19 patients' perception of their illness and remaining symptoms. Acta Anaesthesiol Scand. 2022;66(2):240-7.
  24. Taheri- Kharameh Z, Hazavehei Vahedi SMM, Ramezani T, Vahedi A, Khoshro M. The Assessment of Illness Perception and Adherence to Therapeutic Regimens among Patients With Hypertension. Journal of Education and Community Health. 2016;3(2):9-15.
  25. Mirzaian S, Madadkar Dehkordi S, Karimiankakolaki Z, Mohammadi P. The Effect of Spiritual Self-Care virtual Training on Anxiety Caused by Corona in Final Year Nursing Students. Complementary Medicine Journal. 2023;12(4):40-9.
  26. Khoshravesh S, Bahmani A, Taymoori P, Pakpour A. Relationship between Health Responsibility and Self-Care Behaviors related to COVID-19 in Citizens of Kurdistan Province. Scientific Journal of Kurdistan University of Medical Sciences. 2022;27(3):89-102.
  27. Saeidnia HR, Ausloos M, Mohammadzadeh Z, Babajani A, Hassanzadhh M. Mobile-Based Self-Care Application for COVID-19: Development Process Using the ADDIE Model. Stud Health Technol Inform. 2022;289:110-3.
  28. Heydari M, Mehraeen E, Javaherikiyan E, Mehrabi N, Langarizadeh M, Aghamohammadi V, et al. Design, development and evaluation of a mobile-based self-care application for patients with COVID-19 not requiring hospitalization; a study of Northwest of Iran. BMC Med Inform Decis Mak. 2023;23(1):280.
  29. Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First Case of 2019 Novel Coronavirus in the United States. N Engl J Med. 2020;382(10):929-36.
  30. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. Jama. 2020;323(13):1239-42.
  31. Moulaei K, Bahaadinbeigy K, Mashoof E, Dinari F. Design and development of a mobile-based self-care application for patients with depression and anxiety disorders. BMC Med Inform Decis Mak. 2023;23(1):199.
  32. Moulaei K, Sheikhtaheri A, Ghafaripour Z, Bahaadinbeigy K. The Development and Usability Assessment of an mHealth Application to Encourage Self-Care in Pregnant Women against COVID-19. J Healthc Eng. 2021;2021:9968451.


         

صفحه اصلی

راهنمای نویسندگان

ارسال مقاله

تماس با ما