fa مقایسه دیدگاه پرستاران و بیماران از رفتار مراقبتی در بخش­های مراقبت ویژه بیمارستان های آموزشی و درمانی دانشگاه علوم پزشکی گلستان در سال 1400    عمومى General پژوهشی-کمی Quantitative-Research <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مقدمه:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">&quot;رفتار مراقبتی&quot;، عملی است که در راستای رفاه بیمار انجام می شود.&nbsp; درک پرستاران و بیماران از رفتار مراقبتی ممکن است متفاوت باشد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">هدف از این مطالعه مقایسه دیدگاه پرستاران و بیماران از رفتار مراقبتی در بخش</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&shy;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">های مراقبت ویژه بیمارستان های آموزشی و درمانی دانشگاه علوم پزشکی گلستان ویژه بوده است.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">روش کار:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">این </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مطالعه توصیفی- تحلیلی، مقطعی در سال 1400 در بخش های مراقبت&shy; ویژه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> (</span></span></span><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">ICU</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">، </span></span></span><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">CCU</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">، همودیالیز)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> بیمارستان&shy;های آموزشی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> و</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> درمانی دانشگاه علوم پزشکی گلستان اجرا شد. از روش نمونه گیری تصادفی خوشه ای، برای انتخاب مراکز درمانی و از نمونه&shy;گیری تمام شماری برای پرستاران (149 نفر) و نمونه گیری در دسترس برای بیماران (145 نفر) استفاده گردید. ابزار گرداوری داده ها پرسشنامه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">رفتار مراقبتی پرستاران</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> دارای 42 گویه و پنج </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">حیطه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> با پاسخ های لیکرت شش تایی بود. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">داده ها </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">با استفاده از </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">SPSS</span></span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نسخه 18، آ</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">زمون های آماری من ویتنی، کراسکال والیس، ضریب همبستگی اسپیرمن در سطح معنی داری </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">05/0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">&nbsp; تحلیل شدند.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">یافته ها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">: </span></span></span>&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">میانگین نمره کل رفتار مراقبتی از دیدگاه پرستاران 65/14 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">07/229 و از دیدگاه بیماران 92/19 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">79/208 بود. نمره رفتار مراقبتی در هر یک از پنج حیطه در پرستاران به طور قابل ملاحظه ای بیشتر از بیماران بوده و این تفاوت از نظر آماری معنی دار است (001/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">). </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b>&nbsp;</b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نتیجه‌گیری:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">تفاوت دیدگاه بیماران و پرستاران در مورد رفتار مراقبتی موید آن است هر چند پرستاران مراقبت را به خوبی انجام می‌دهند، اما از نظر بیماران، پرستاران نتوانسته‌اند انتظارات آن‌ها را برآورده سازند. </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br> <br> <span dir="LTR"></span> <span dir="LTR"></span> <pre style="text-align:justify"> <span style="font-size:10pt"><span style="line-height:115%"><span courier="" new="" style="font-family:"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b><b> </b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&quot;Caring behavior&quot; are actions that are performed for the well-being of the patient. Nurses and patients&#39; perceptions of caring behavior may differ.</span></span></span> <span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The aim of this study was c</span></span></span><span lang="X-NONE" new="" roman="" style="font-family:" times="">omparison of </span><span new="" roman="" style="font-family:" times="">n</span><span lang="X-NONE" new="" roman="" style="font-family:" times="">urses&rsquo; and patients&#39; perspective on caring behaviors in intensive care units of educational and medical hospitals affiliated Golestan University of Medical Sciences</span><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></pre> <pre style="text-align:justify"> <span style="font-size:10pt"><span style="line-height:115%"><span courier="" new="" style="font-family:"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: This descriptive- analytical, cross-sectional study was performed in 2021 in intensive care units (ICU, CCU, hemodialysis) in educational and medical centers of </span></span></span><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Golestan </span></span></span><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">University of Medical Sciences. Cluster and census random sampling were used to select hospitals and nurses, respectively. The patients</span></span></span> <span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">entered into the study by convenience sampling.</span></span></span> <span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Data collected using Caring Behavior Inventory (CBI) questionnaire consisting of 42 questions and five domains (respect for others, ensuring human presence, communication and positive attitude, knowledge and professional skills and attention to other experiences) with six-point Likert responses. Data were analyzed using Mann-Whitney, Kruskal-Wallis, and Spearman correlation coefficient tests.</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></pre> <pre style="text-align:justify"> <span style="font-size:10pt"><span style="line-height:115%"><span courier="" new="" style="font-family:"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: 149 nurses and 145 patients were studied. The mean of&nbsp;nurses&rsquo; caring behaviors from the nurses and patients&rsquo; perspectives were 229.07&plusmn;14.65 and 208.79&plusmn;19.92 respectively. The CBI&rsquo; scores in each of five domains were significantly higher in nurses than patients (P-value <0.001).</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></pre> <pre style="text-align:justify"> <span style="font-size:10pt"><span style="line-height:115%"><span courier="" new="" style="font-family:"><b><span lang="X-NONE" style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span lang="X-NONE" style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">:</span></span></span><span style="font-size:11.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> The difference between patients&#39; and nurses&#39; perception about caring behaviors confirms that although nurses&#39; perspective is that they perform care well, but from patients&#39; point of view, nurses have not been able to meet their expectations.</span></span></span></span></span></span></pre> بخش مراقبت ویژه, رفتار مراقبتی, مراقبت بیمار , پرستار  Intensive Care Units, Caring behaviours, Patient care, Nurse 23 31 http://jne.ir/browse.php?a_code=A-10-563-4&slc_lang=fa&sid=1 Zeinab zare زینب زارع royazare1365@gmail.com 100319475328460022477 100319475328460022477 No Golestan University of Medical Sciences دانشگاه علوم پزشکی گلستان akram sanagoo اکرم ثناگو akramsanagoo@gmail.com 100319475328460022478 100319475328460022478 No Golestan University of Medical Sciences دانشگاه علوم پزشکی گلستان nasser behnampour ناصر بهنام پور 100319475328460022479 100319475328460022479 No Golestan University of Medical Sciences دانشگاه علوم پزشکی گلستان leila jouybari لیلا جویباری jouybari@goums.ac.ir 100319475328460022480 100319475328460022480 Yes Golestan University of Medical Sciences دانشگاه علوم پزشکی گلستان