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

بررسی تأثیر ارائه مراقبت حمایتی بر حالات خلقی، سلامت عمومی، شایستگی مراقبان و نیازهای مراقبت حمایتی مراقبان بیماران سرطانی تحت شیمی‌درمانی: راهنمای مطالعۀ کارآزمایی بالینی تصادفی شده

https://doi.org/10.22034/ethic.2024.2035202.1083
دوره 13، شماره 2
مهر 1403
صفحه 118-126
آموزش و اخلاق در پرستاری

نوع مقاله : پروتکل مطالعه (protocol study)

نویسندگان

نفیسه اسماعیل پور 1
مهدی کریم یار جهرمی 2
فروغ میری 3
محسن حجت 2

1 مربی پرستاری سلامت جامعه، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جهرم، جهرم، ایران

2 استادیار پرستاری، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جهرم، ایران

3 گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جهرم، ایران

چکیده
مقدمه: در عصر حاضر، با پیشرفت‌هایی که در علم انجام گرفته است، نشان داد که بیشتر بیماران سرطانی بیش از 5 سال پس از تشخیص زنده می‌مانند و بسیاری از آن­ها در این مدت، به مراقبان خود متکی هستند. سلامت، کیفیت زندگی و بقای بیماران سرطانی به توانایی و ویژگی‌های مراقبان آن­ها وابسته است؛ اما مطالعات نشان دادند که مراقبان بیماران سرطانی، حمایت کمی دریافت می­کنند. هدف از پژوهش حاضر، ارزیابی اثربخشی اجرای برنامۀ مراقبت حمایتی بر حالات خلقی، سلامت عمومی، شایستگی مراقبان و نیازهای مراقبت حمایتی مراقبان بیماران سرطانی تحت شیمی درمانی بوده است.
روش­ کار: پژوهش حاضر، یک کارآزمایی تصادفی کنترل شدۀ دوسوکور بود که در مرکز شیمی درمانی بیمارستان پیمانیه جهرم انجام شد. نمونه­ گیری تصادفی برای شرکت­ کنندگان تعیین و سپس مراقبان، به ‌طور تصادفی در دو گروه مداخله (30 نفر) و کنترل (30 نفر) قرار گرفتند. شرکت‌کنندگان در گروه مداخله، علاوه بر مراقبت‌های معمول، برنامۀ مراقبت‌های حمایتی را نیز دریافت کردند. گردآوری داده‌ها، توسط مقیاس نیازهای مراقبت حمایتی، مشخصات حالات خلقی، سلامت عمومی و مقیاس شایستگی مراقب در ابتدا، بلافاصله و یک ماه پس از مداخله انجام گرفت؛ همچنین پرسشنامه، نیازهای مراقبت حمایتی توسط بیماران در ابتدا، بلافاصله و یک ماه پس از مداخله تکمیل شد. داده ­ها توسط IBM SPSS 16.0 ، مورد تجزیه و تحلیل قرار گرفت و از آزمون­ های اندازه ­گیری مکرر، کای دو، فریدمن، من­ویتنی و تی مستقل استفاده شد.
بحث: نتایج پژوهش حاضر نشان دادند که اجرای برنامۀ مراقبت حمایتی بر حالات خلقی، سلامت عمومی، شایستگی و نیازهای مراقبت حمایتی مراقبان بیماران سرطانی تحت شیمی درمانی مؤثر بوده است. می­ توان گفت که داشتن نقش مراقب برای یک فرد، باعث بروز نیازهای جدید می­ گردد که اگر این نیازها برطرف نشود، شاهد اضطراب، خستگی و کاهش کیفیت زندگی در مراقب خواهیم بود؛ بنابراین توصیه می‌شود، پرستاران بخش‌های آنکولوژی و شیمی درمانی در این زمینه، آموزش لازم را دریافت و توانمند گردند و از طرفی دیگر، تصمیم‌گیران نظام سلامت و مدیران نیز به مراقبان بیماران سرطانی توجه بیشتری کنند.
کد آر سی تی: IRCT20230128057252N1

کلیدواژه‌ها

مراقبت حمایتی
حالات خلقی
سلامت عمومی
شایستگی
شیمی درمانی
مراقبان
موضوعات

عنوان مقاله English

Investigating the effect of providing supportive care on mood states, general health, caregivers' competence and supportive care needs of caregivers of cancer patients undergoing chemotherapy: randomized clinical trial study guide

نویسندگان English

Nafiseh Esmaeilpour 1
Mahdi Karimyar Jahromi 2
Frough Miri 3
Mohsen Hojat 2
1 Department of Nursing, School of Nursing & Midwifery Jahrom University of Medical Sciences
2 Assistant Professor of Nursing Department of Nursing, School of Nursing & Midwifery Jahrom University of Medical Sciences, Jahrom, Iran
3 Department of Nursing, School of Nursing & Midwifery Jahrom University of Medical Sciences, Jahrom, Iran
چکیده English

Introduction: In today's era, with the advances made in science, it has been shown that most cancer patients survive more than 5 years after diagnosis and many of them rely on their caregivers during this time. Health, quality of life and survival of cancer patients depend on the ability and characteristics of their caregivers; but studies have shown that caregivers of cancer patients receive little support. The aim of the current research was to evaluate the effectiveness of the implementation of supportive care program on mood states, general health, competence of caregivers and supportive care needs of caregivers of cancer patients undergoing chemotherapy.
Methods & Materials: The current study was a double-blind randomized controlled trial that was conducted in the chemotherapy center of Peymaniye Hospital in Jahrom. Random sampling was determined for the participants and then the caregivers were randomly assigned to two groups of intervention (30 people) and control (30 people). Participants in the intervention group, in addition to usual care, also received the supportive care program. Data collection was done by the scale of supportive care needs, characteristics of mood states, general health and caregiver competence scale at the beginning, immediately and one month after the intervention; Also, the questionnaire, supportive care needs were completed by the patients at the beginning, immediately and one month after the intervention. The data was analyzed by IBM SPSS 16.0 and repeated measurement tests, chi-square, Friedman, Man-Whitney and independent t tests were used.
Discussion: The results of the present study showed that the implementation of the supportive care program was effective on mood states, general health, competence and supportive care needs of caregivers of cancer patients undergoing chemotherapy. It can be said that having the role of a caregiver for a person causes new needs to arise, and if these needs are not met, we will witness anxiety, fatigue and a decrease in the quality of life of the caregiver; Therefore, it is recommended that the nurses of the oncology and chemotherapy departments receive the necessary training and be empowered in this field, and on the other hand, the decision makers of the health system and managers pay more attention to the caregivers of cancer patients.
RCT code: IRCT20230128057252N1

کلیدواژه‌ها English

  • Supportive Care
  • Mood States
  • General Health
  • Competence
  • Chemotherapy
  • Caregivers
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