fa مقایسه‌ی تاثیر آموزش چهره به چهره و ویدئویی رژیم غذایی برکیفیت زندگی بیماران تحت همودیالیز: کارآزمایی بالینی تخصصي Special پژوهشی-کمی Quantitative-Research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تبعیت از رژیم غذایی در بیماران دیالیزی از چالش&shy;های مهم مراقبتی است که کیفیت زندگی را تحت تاثیر قرار می&shy;دهد. آموزش با تغییر سطح آگاهی، نگرش و عملکرد می&shy;تواند موجب تغییر در رفتار گردد. لذا این مطالعه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">هدف</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقایسه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تاثیر</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">دو</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">آموزش چهره&shy;به&shy;چهره و ویدئویی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">رژیم غذایی برکیفیت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">زندگی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بیماران</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تحت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">همودیالیز</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">انجام شد.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش کار:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> این پژوهش یک کارآزمایی بالینی دو سوکور است که سال 1396-1395 در شهر مشهد بر روی 180 بیمار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">همودیالیزی که بر اساس معیارهای ورود انتخاب و به طور تصادفی در سه گروه آموزش چهره&shy;به&shy;چهره، ویدئویی وکنترل قرار گرفتند، انجام گردید. مداخله شامل</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">:</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> آموزش رژیم&shy;غذایی 45-30 دقیقه 2 مرتبه به فاصله یک هفته بود. داده&shy;ها به وسیله پرسشنامه اطلاعات دموگرافیک و کیفیت زندگی </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SF-36</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> قبل از مداخله و به فاصله یک و نیم ماه بعد از مداخله تکمیل گردید. تجزیه و تحلیل داده</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&shy; </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">ها با استفاده از نرم افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> نسخه 16 و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">آمار توصیفی و تحلیلی با </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">آزمون</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&shy;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">های آماری آنالیز واریانس یک طرفه، کای دو، کروسکال والیس انجام و سطح معنی داری کم&shy;تر از 05/0 در نظر گرفته شد.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یافته&shy;ها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> آزمون آنالیز واریانس یک طرفه نشان داد که قبل از مداخله سه گروه در ابعاد وضعیت جسمانی، محدودیت جسمی، خستگی، محدودیت روانی، عملکرد اجتماعی، درد و سلامت عمومی باهم تفاوت آماری معنی&shy;داری نداشتند و تنها در بعد حس خوب بودن تفاوت آماری معنی&shy;داری داشتند(009/0=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">، ولی بعد از مداخله در تمام ابعاد به جزء وضعیت جسمانی باهم</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> تفاوت آماری معنی&shy;داری داشتند</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> (05/0</span></span><span lang="FA" style="font-size:12.0pt">></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) و با انجام تست تعقیبی توکی مشخص شد که این تفاوت در گروه ویدئویی با دو گروه چهره&shy;به&shy;چهره و کنترل معنی&shy;دار بود ولی بین دو گروه &nbsp;چهره&shy;به&shy;چهره و کنترل تفاوت آماری معنی&shy;داری مشاهده نشد.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy;گیری</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">:نتایج به دست آمده نشان داد که نمره کل کیفیت زندگی بعد از مداخله در گروه آموزش ویدئویی بیشتر از گروه چهره&shy;به&shy;چهره &nbsp;&nbsp;می&shy;باشد، لذا</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">کارگیری</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش آموزشی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">ویدئویی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">توسط</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مراقبین</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بهداشتی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">جهت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">ارتقاء</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">کیفیت زندگی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بیماران همودیالیزی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">توصیه می&shy;شود.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Adherence to diet in dialysis patients is one of the important care challenges that affect the quality of life.</span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Education can change behavior by changing the level of awareness, attitude, and practice.</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Therefore, this study aimed to compare the effect of face-to-face and video-based diet training on the quality of life of patients undergoing hemodialysis.</span></span><span style="font-size:12.0pt"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: This study is a double-blind clinical trial conducted with 180 eligible hemodialysis patients in Mashhad in 2016 and 2017. They were randomly assigned to three groups face-to-face training, video-based training, and control. The intervention included two 30- to 45-minute sessions of diet training held once biweekly. Data were collected using a demographics form and the Quality of Life (SF-36) Questionnaire at baseline and 1.5 months after the intervention. Data were analyzed in SPSS software version 16 Descriptive and analytical statistics were performed using one-way ANOVA, Chi-square, and Kruskal-Wallis. The significance level was set at p < 0.05</span></span><span new="" roman="" style="font-family:" times="">.</span><span dir="RTL" style="font-family:"Arial",sans-serif" lang="AR-SA"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">One-way analysis of the variance test showed that before the intervention of the three groups in the dimensions of physical condition, physical limitation, fatigue, mental limitation, social functioning, pain and general health were not statistically significant and only in the sense of well-being were statistically significant differences. (P=0.009), but after the intervention, there was a statistically significant difference in all dimensions except physical condition (P <0.05) and by Tukey post hoc test, it was found that this difference was in the video group with two groups of faces. It was significant for face and control, but no statistically significant difference was observed between the two groups of face to face and control.</span></span><span dir="RTL" style="font-family:"Arial",sans-serif" lang="AR-SA"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The results showed that the total score of the quality of life after the intervention was higher in the video training group than in the face-to-face group. Therefore, the use of video-based training by health care providers to improve the quality of life of hemodialysis patients is recommended.</span></span> <span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span> نارسایی کلیوی, کیفیت زندگی, آموزش, رژیم غذایی Kidney failure, quality of life, film education, diet 32 45 http://jne.ir/browse.php?a_code=A-10-1477-1&slc_lang=fa&sid=1 Tahereh Baloochi Beydokhti طاهره بلوچی بیدختی akbari.r69@yahoo.com 100319475328460024060 100319475328460024060 No Gonabad University of Medical Sciences دانشگاه علوم پزشکی گناباد rasool solaimanimoghaddam رسول سلیمانی مقدم rasool.solaimani@yahoo.com 100319475328460024061 100319475328460024061 Yes Birjand University of Medical Sciences دانشگاه علوم پزشکی بیرجند Abolfazl Ghadimifar ابوالفضل قدیمی فر m.ebrahimi202086@yahoo.com 100319475328460024062 100319475328460024062 No Gonabad University of Medical Sciences دانشگاه علوم پزشکی گناباد