تأثیر آموزش خانواده‌محور بر شاخص‌های آزمایشگاهی بیماران پس ‌ازآنفارکتوس حاد میوکارد

عسگری, پروانه; بهرام نژاد, فاطمه; گلی طالب, محمد; محمودی, مختار

نوع مقاله : مقاله پژوهشی

نویسندگان

¹ مربی، گروه پرستاری، دانشکدة پرستاری و مامایی، دانشگاه علوم پزشکی اراک، اراک، ایران

² استادیار، گروه پرستاری مراقبت ویژه، دانشکدة پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران

³ دانشجوی دکتری، گروه پرستاری، دانشکدة پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران

چکیده

اهدافانفارکتوس میوکارد یکی از علل اصلی مرگ و ناتوانی در دنیاست. تبعیت از برنامة درمانی گزینة مراقبتی مهم در این بیماران است؛ لذا، پژوهش حاضر باهدف تعیین تأثیر آموزش خانواده‌محور بر شاخص‌های آزمایشگاهی بیماران پس ‌از آنفارکتوس حاد میوکارد انجام شد.
مواد و روش‌هااین کارآزمایی بالینی از مهر تا اسفند 1393 در بخش مراقبت ویژة قلبی بیمارستان امیرکبیر شهر اراک انجام شد. نمونه‌های پژوهش 60 بیمار پس از بروز اولین سکتة قلبی بودند که به‎روش در دسترس انتخاب و به‌طور تصادفی در دو گروه کنترل (آموزش بیمارمحور: 30 نفر) و مداخله (آموزش خانواده‌محور: 30 نفر) قرارگرفتند. در بدو بستری، میزان قندخون و لیپیدهای خون (Chol,TG,HDL,LDL) بررسی شد. سپس، برای گروه مداخله آموزش بیمار به‌همراه عضو فعال خانواده از طریق رایانه در سه حیطة غذایی، دارویی، حرکتی در سه جلسة 30-45 دقیقه‌ای انجام شد. در گروه کنترل همان محتوای آموزشی فقط به بیمار (بدون حضور خانواده) داده شد. سه ماه پس از مداخله، موارد ذکرشده مجدد بررسی شد. در نهایت، تجزیه‌وتحلیل داده‌ها با استفاده آزمون‌های آماری کای دو، تی مستقل انجام شد.
یافته‌هایافته‌ها نشان داد که نتایج درمانی شامل میزان قند خون با 03/0P=، لیپیدهای خون شامل Chol,HDL,LDL,TG با 0001/0 P= در گروه خانواده‌محور اختلاف آماری معنا‌داری با گروه بیمارمحور داشت. این در حالی است که قبل از مداخله، در موارد ذکرشده تفاوت معناداری بین دو گروه وجود نداشت.
نتیجه‌گیریبا توجه به نتایج پژوهش، به‎نظر می‌رسد الگوی آموزشی خانواده‌محور بهبود شاخص‌های آزمایشگاهی بیماران دچار انفارکتوس میوکارد را به‌دنبال دارد. لذا، توصیه می‌شود مداخلات آموزشی مربوط به برنامة درمانی در این بیماران با مشارکت خانواده‌ها انجام شود.

کلیدواژه‌ها

موضوعات

پرستاری

عنوان مقاله [English]

Effect of Family-Centered Education on Laboratory Index of Patients after Acute Myocardial Infarction

نویسندگان [English]

Parvaneh Asgari ¹
Fatemeh Bahramnezhad ²
Mohammad Golitaleb ¹
Mokhtar Mahmoudi ³

¹ Instructor, Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran

² Assistant Professor, Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

³ Ph.D. Candidate, Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

چکیده [English]

Background & Objectives:Myocardial infarction is one of the main causes of death and disability in the world. Adherence of therapeutic regimen is an important caring option in these patients. This study has been conducted to determine the effect of family-centered education on laboratory index of patients after acute myocardial infarction.
Materials & Methods: This clinical trial was performed between October and March 2014 in CCUward of Amirkabir hospital of Arak. Research samples were 60 patients with 30-70 years old who had been selected by convenience method after the first heart attack and randomly assigned into two groups: control (patient-centered education: 30 individuals) and intervention (family-centered education: 30 individuals). On admission, blood sugar and blood lipids (Chol, TG, HDL, LDL) were examined. Theneducation to patients was done in the intervention group associated with close family member through computers in three domains (diet, pharmaceutical regimen and exercise program) in three sessions of 30-45 minutes and the same educational content were taught to the patient (without family members) in the control group. Three months after the intervention, all aforementioned items were recorded again in two groups and, finally, data were analyzed using independent t-test and Chi-square test.
Results: The results indicated that laboratory indexincluding blood sugar (P=0.03), blood lipids (P=0.0001) in the family-centered group was better than patient-centered group. However, there was not a significant difference between the two groups in aforementioned items before the intervention (P> 0.05).
Conclusion: According to the findings of this study, it seems that family-centered education model improves laboratory index of the patients with myocardial infarction. It is recommended that the educational interventions for the patients with myocardial infarction to be done with the participation of the family.

کلیدواژه‌ها [English]

family-centered education
laboratory index
multimedia software
myocardial infarction

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مجله دانشگاه علوم پزشکی سبزوار

تأثیر آموزش خانواده‌محور بر شاخص‌های آزمایشگاهی بیماران پس ‌ازآنفارکتوس حاد میوکارد

مراجع

مراجع

دوره 24، شماره 1
فروردین و اردیبهشت
فروردین و اردیبهشت 1396
صفحه 43-49

تأثیر آموزش خانواده‌محور بر شاخص‌های آزمایشگاهی بیماران پس ‌ازآنفارکتوس حاد میوکارد

مراجع

مراجع

دوره 24، شماره 1فروردین و اردیبهشتفروردین و اردیبهشت 1396صفحه 43-49

دوره 24، شماره 1
فروردین و اردیبهشت
فروردین و اردیبهشت 1396
صفحه 43-49