Feyz Medical Sciences Journal
مجله علوم پزشکی فيض
Feyz Med Sci J
Medical Sciences
http://feyz.kaums.ac.ir
29
journal29
3060-5806
3060-5814
fa
jalali
1400
5
1
gregorian
2021
8
1
25
4
online
1
fulltext
fa
بررسی سطح آگاهی و عملکرد همراهان در زمینه اقدامات اوّلیه در مواجهه با بیماران مبتلا به سندروم حادّ کرونری
A survey on the knowledge and performance of patients' companions about primary measures in patients with acute coronary syndrome
medicine, paraclinic
medicine, paraclinic
كاربردي
Applicable
<strong><span style="font-family:B Zar;"><span style="font-size:9.0pt;">سابقه و هدف:</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">چگونگی عملکرد همراهان بیمار در سندروم حادّ کرونری در دقایق اوّلیه بروز علائم نقش مهمّی در پیش</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آگهی بیماری و مرگ</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">ومیر ناشی از آن دارد.</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> هدف از این مطالعه تعیین </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آگاهی و عملکرد همراهان از اقدامات اوّلیه و عوامل مرتبط با آن در مبتلایان به سندروم حادّ کرونری مراجعه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">کننده به بیمارستان شهید بهشتی کاشان در سال 99 بود.</span></span></strong><strong><span dir="LTR"><span style="font-family:BMitra,serif;"><span style="font-size:9.0pt;"></span></span></span></strong><br>
<strong><span style="font-family:B Zar;"><span style="font-size:9.0pt;">مواد و روش</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Zar;"><span style="font-size:9.0pt;">ها:</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">در یک مطالعه مقطعی، </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">400 نفر از همراهان بیماران با سندروم حادّ کرونری مراجعه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">کننده به بیمارستان شهید بهشتی کاشان در سال 1399،</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> به روش</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">نمونه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">گیری</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">مستمر انتخاب شدند. اطلاعات مربوط به سطح آگاهی و نحوه عملکرد همراهان </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">در دقایق اوّلیه بروز سندروم، </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">با استفاده از پرسشنامه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">های</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">محققساخته جمع</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آوری گردید</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">.</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> داده</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">های</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">جمع</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آوریشده</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">با استفاده از</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> آزمون</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">های </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آماری کای</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">اسکوئر، دقیق فیشر و ضریب همبستگی پیرسون تحلیل</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">شد.</span></span></strong><br>
<strong><span style="font-family:B Zar;"><span style="font-size:9.0pt;">نتایج:</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> نتایج نشان داد میانگین سنّ نمونه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">های مورد بررسی 67/11</span></span></strong><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">±</span></span><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">42/40 سال بود. اکثر همراهان مورد مطالعه زن (9/62 درصد)، خانه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">دار (7/52 درصد) و از اقوام درجه یک بیمار (5/93 درصد) بودند. تحصیلات اکثر آن</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">ها (5/40 درصد) زیر دیپلم بود و بیشتر در محدوده شهری (1/89 درصد) زندگی می</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">کردند. میزان آگاهی اکثر همراهان شرکت</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">کننده در این مطالعه در سطح خوب (</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">3/54% درصد)</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> بود، اما سطح عملکرد بیشتر آن</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">ها در حدّ</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">نامطلوب (</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">1/36</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> درصد) بود. بین آگاهی و</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">عملکرد، رابطه معنی</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">دار بود </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">(143/0</span></span></strong><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">r</span></span></span><strong><span dir="LTR"><span style="font-family:BMitra,serif;"><span style="font-size:9.0pt;">=</span></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">)</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> (005/0</span></span></strong><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">=</span></span><em><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">). همچنین بین</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">آگاهی</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">و</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">عملکرد همراهان با سن و</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">سطح</span></span></strong> <strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">تحصیلات</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">شان ارتباط معنی</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">دار مشاهده شد. </span></span></strong><br>
<strong><span style="font-family:B Zar;"><span style="font-size:9.0pt;">نتیجهگیری:</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"> علی</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">رغم آگاهی خوب نمونه</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">ها، عملکرد بیشتر آن</span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;">ها در مواجهه با بیماران نامطلوب بود. </span></span></strong><strong><span style="font-family:B Lotus;"><span style="font-size:9.0pt;"></span></span></strong>
<strong>Background</strong>: Patient's companions in the early minutes of symptoms plays an important role in the prognosis of the disease and its mortality in acute coronary syndrome. This study aimed to determine the knowledge and performance of patients' companions about primary measures in patients with acute coronary syndrome referred to Kashan Shahid Beheshti Hospital in 2020.<br>
<strong>Materials and Methods:</strong> This cross-sectional study was conducted on 400 companions of patients with acute coronary syndrome referred to Shahid Beheshti Hospital in Kashan in 2020 who were selected by continuous sampling method. Level of knowledge and performance of the companions was collected using researcher-made questionnaires with the guidance of the researcher. The collected data were analyzed using Chi-Square and Exacta Fisher and Pearson Correlation Coefficients tests.<br>
<strong>Results:</strong> The results showed that average age of the samples was 40.42±11.67 years. Most of the studied companions were female (62.9%), housewives (52.7%) and first-degree relatives (93.5%). Most of them (40.5%) were under diploma and mostly lived in urban areas (89.1%). Knowledge of most of the participants in the study about the necessary initial measures in the face of patients with acute coronary syndrome at a good level (54.3%) ,but performance level was undesirable (36.1%). There was a significant relationship between knowledge and performance of the companions (r=0.043) (<em>P</em>=0.005). Also, there was a significant relationship between knowledge and performance of the companions with their age and educational level.<br>
<strong>Conclusion</strong>: Despite the good knowledge level of the studied units, their performance in dealing with patients was at an undesirable level.
آگاهی, عملکرد, همراهان بیمار, سندروم حادّ کرونر
Knowledge, Performance, Patients' companions, Acute coronary syndrome
1109
1117
http://feyz.kaums.ac.ir/browse.php?a_code=A-10-3937-1&slc_lang=fa&sid=1
Mansour
Dianati
منصور
دیانتی
mandianati@gmail.com
2900319475328460047114
2900319475328460047114
No
Kashan University of Medical Sciences
دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Hoseyn
Akbari
حسین
اکبری
Akbari1350-h@yahoo.com
2900319475328460047115
2900319475328460047115
No
Kashan University of Medical Sciences
گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Mahmonir
Karimian
ماه منیر
کریمیان
monirekarimian20@gmail.com
2900319475328460047116
2900319475328460047116
Yes
Kashan University of Medical Sciences
دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کاشان، کاشان، ایران