نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی کارشناسی ارشد پرستاری، کمیته تحقیقات و فناوری دانشجویی، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
2 استادیار بیماریهای قلب و عروق، گروه بیماریهای قلب و عروق، دانشکده پزشکی، بیمارستان حشمتیه، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
3 دانشجوی دکتری، گروه اپیدمیولوژی و آمار، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، ایران
4 استادیار بیماریهای قلب و عروق، گروه بیماریهای قلب و عروق، دانشکده پزشکی، بیمارستان حشمت، دانشگاه علوم پزشکی گیلان، رشت، ایران
5 استاد، گروه پرستاری، دانشکده پرستاری و مامایی، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
چکیده
زمینه و هدف: کمبود تبعیت از رژیمدرمانی در بیماران سکته قلبی میتواند عوارض این بیماری را افزایش دهد. افسردگی بعد از سکته قلبی ممکن است تأثیرات متفاوتی بر میزان تبعیت از رژیمدرمانی گذارد از اینرو این مطالعه با هدف بررسی ارتباط افسردگی بعد از سکته قلبی با تبعیت از رژیمدرمانی انجام شد.
مواد و روشها: مطالعه همبستگی بر روی 200 بیمار مبتلا به سکته قلبی مراجعهکننده در بیمارستان حشمت رشت و حشمتیه سبزوار انجام شد. نمونهگیری به روش در دسترس از مهر 1400 آغاز و در اردیبهشت 1401 به پایان رسید. جمعآوری داده از بیمارانی که یک ماه از سکته قلبی آنها گذشته و مبتلا به افسردگی خفیف و متوسط بودند با استفاده از پرسشنامه افسردگی بک و پرسشنامه تبعیت از درمان مدانلو صورت گرفت. دادهها با نرمافزار spss نسخه 26 تجزیه و تحلیل گردید.
یافتهها: 13 درصد از بیماران دارای تبعیت از درمان ضعیف و 86 درصد دارای تبعیت از درمان متوسط بودند. نتایج آزمون تی تست نشان داد میانگین نمره تبعیت از رژیمدرمانی در افرادی که دارای افسردگی بعد از سکته قلبی بودند بیشتر از افراد غیرافسرده بود و این اختلاف، معنیدار بود (001/0<P).
نتیجهگیری: بیماران مبتلا به افسردگی بعد از سکته قلبی، تبعیت بیشتری از رژیمدرمانی داشتند که بهنظر میرسد با توجه به ماهیت بیماری سکته قلبی این نتیجه بهدست آمده باشد ولی با توجه به تفاوت نتیجه با مطالعات دیگر تحقیقات بیشتری در این زمینه توصیه میشود.
تازه های تحقیق
https://scholar.google.com/citations?hl=fa&user=9Z8gehcAAAAJ
https://www.ncbi.nlm.nih.gov/myncbi/farid.sohrabi.p.1/bibliography/public/
https://scholar.google.com/citations?user=bULrIIYAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=Hosseinzadeh+Kassani+P&cauthor_id=34979435
https://scholar.google.com/citations?user=Wt54-cQAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=Mahdavifar+N&cauthor_id=32185152
https://scholar.google.com/citations?user=TNBl86wAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=Gholipour+M&cauthor_id=39717166a
https://scholar.google.com/citations?user=aaBUOKkAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/mostafa.rad.1/bibliography/public
کلیدواژهها
موضوعات
عنوان مقاله [English]
The Relationship between Post-Myocardial Infarction Depression and Adherence to the Treatment
نویسندگان [English]
- Farid Sohrabi 1
- Payman Hosseinzade 2
- Neda Mahdavifar 3
- Mahboobeh Gholipour 4
- Mostafa Rad 5
1 MSc Student, Student Research Committee, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Assistant Professor of Cardiology, Department of Cardiology, School of Medicine, Heshmatieh Hospital, Sabzevar, Sabzevar University of Medical Sciences, Sabzevar, Iran.
3 Ph.D Candidate, Department of Epidemiology and Biostatistics, School of Health, Tehran University of Medical Sciences, Tehran, Iran
4 Assistant Professor of Cardiology, Department of Cardiology, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran
5 5. Associate Professor, Department of Nursing, School of Nursing and Midwifery, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]
Introduction: Post myocardial infarction (MI) depression can significantly impact treatment adherence. This study aims to investigate the relationship between post-MI depression and adherence to the treatment.
Materials and Methods: A correlational study was conducted on 200 patients with MI referred to Heshmat Hospital in Rasht and Heshmatieh Hospital in Sabzevar. Sampling was performed using a convenience method from March 2021 to March 2022. Data collection targeted patients experiencing mild to moderate depression one month after their heart attack, utilizing the Beck Depression Inventory and Modanlo Treatment Adherence Questionnaire. Data analysis was conducted using SPSS-26.
Results: Among the participants, 13% exhibited poor treatment adherence, while 86% demonstrated moderate adherence. The results of the t-test indicated that the average adherence score for individuals with post-MI depression was significantly higher than that of non-depressed individuals (P < 0.001).
Conclusion: Patients experiencing post-MI depression showed greater adherence to treatment, potentially reflecting the psychological impact of their condition. Due to the divergence of these results from other studies, further research is recommended.
کلیدواژهها [English]
- Adherence to treatment
- Depression
- Myocardial infarction
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