fa تاثیراجرای برنامه خودمدیریتی مبتنی بر مدل A5 بر شدت درد سالمندان مبتلا به کمر درد مزمن غیر اختصاصی : مطالعه کارآزمایی بالینی تخصصي Special پژوهشی-کمی Quantitative-Research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقدمه : </span></span></span></b><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:">کمــردرد مزمــن از شــایع ترین انواع دردهای اسکلتی عضلانی درسالمندان می باشد. </span></span></span></span><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:">برنامه آموزش خود مدیریتی</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> مبتنی بر مدل </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">A</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">5</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">پیامدهـای مثبـتی </span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در </span></span></span></span><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:">کنترل مشکلات سالمندان داشته است</span></span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:#00b050">. </span></span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">این پژوهش با هدف تعیین تاثیراجرای برنامه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">خودمدیریتی مبتنی بر مدل </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">A</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">5</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> بر شدت درد سالمندان مبتلا به کمر درد مزمن غیر اختصاصی انجام شد.</span></span></span><span dir="LTR" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span arial="" style="font-family:"><span style="color:#00b050"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">روش کار<span style="color:#00b050">: </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">ای</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">ن مطالعه کارآزمایی بالینی بر روی۶4 سالمند </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مبتلا به کمر درد مزمن غیر اختصاصی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> مراجعه کننده به کلینیک های </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تخصصی وفوق تخصصی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تحت پوشش دانشگاه علوم پزشکی آبادان در سال1401</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">انجام شد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">بیماران با روش تصادفی‌سازی بلوکی به </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">دو </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">گروه آزمون وکنترل تخصیص داده شدند.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در گروه آزمون</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">برنامه آموزشی خود مدیریتی مبتنی بر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مدل </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">A</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">5</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">طــی شش هفتــه اجرا و مــدت هشت هفته</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">پــیگیــری انجام شد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">ابزار</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">پژوهش</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مطالعه،</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقیاس دیداری ســنجش شــدت درد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">بودکه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">قبل</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">از</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مداخله</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">سپس چهار </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و هشت هفته بعد</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">د</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">وگروه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تکمیل</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">شد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">داده ها</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">استفاده</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">از</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نرم افزار</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> SPSS </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">22</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تجزیه وتحلیل</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">شد.</span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:#00b050"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">یافته ها :</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">میانگیـن شدت درد بیـن دو گـروه آزمون و کنترل قبـل از اجـرای مداخله تفـاوت معنـاداری مشـاهده</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نشـد، درحالـی کـه بیـن دو گـروه، پـس از اجـرای مداخلـه در میانگیـن شدت درد تفـاوت معنـاداری مشـاهده شـد </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">(001/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> P</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> ). </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">همچنیـن یافتـه هـا بیانگـر آن بـود کـه بهبـودی معنـاداری در میانگیـن شدت درد قبـل، چهار وهشت هفته بعـد از اجـرای</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مداخلـه درگـروه مداخلـه وجـود داشـت </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">(001/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> )</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:BMitra">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نتیجه گیری :</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">اجرای برنامه خود مدیریتی مبتنی بر</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> مدل </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">A</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">5</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> در سالمندان مبتلا به کمردرد مزمن &nbsp;غیراختصاصی اثربخش بوده </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و <span style="color:black">می تواند موجب کاهش شدت درد گردد</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">، لذا این روش </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">خود مدیریتی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">می تواند توسط پرستاران به عنوان یک روش حمایتی وغیردارویی درکنترل کمردرد مزمن غیراختصاصی به کارگرفته شود.</span></span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Chronic back pain is one of the most common types of musculoskeletal pain in the elderly. The self-management </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">based of<b> </b>the<b> </b></span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">5A training program for problem control has positive consequences for the elderly. This study aimed to evaluate the impact of the self-management-based</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> of<b> </b></span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">5A program on the </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">non-specific </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">chronic low back pain of elderly patients.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> This clinical trial study was performed on 66 elderly</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> patients with </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">non-specific </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">chronic low back pain refereed in the specialized and super-specialized clinics of Abadan University of Medical Sciences<span style="background:white">, 2022</span>. </span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The&nbsp;</span></span></span></span><span style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0in"><span style="background:white"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">block randomization method assigned the patients t</span></span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">o the experimental and control groups. </span></span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The experimental group was trained in self-management programs based 5A model for 6 weeks and followed up for 8 weeks. &nbsp;</span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The scale was measured&nbsp;</span></span></span></span><strong><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span style="font-weight:normal">in two groups</span></span></span></span></strong><strong>&nbsp;</strong><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">before intervention,4 weeks, and 8 weeks after intervention. </span></span></span></span>&nbsp;<span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Data analysis using SPSS 22 software.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">There was no significant difference in the average pain between the experimental and control groups before the intervention, while there was a significant difference between the two groups</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> (P <0.001). In addition, the results showed that there was a significant difference in mean </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">pain</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> score between the two groups </span></span></span><span style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">after four and eight weeks</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">(P < 0.001).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="font-family:Calibri,sans-serif"><b><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The implementation of the self-management program based on the </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">5A</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> model in the elderly with non-specific chronic back pain is effective and can reduce the pain intensity, so nurses can use this self-management method as a supportive and non-pharmacological method in the control of non-specific chronic low back pain.</span></span></span></span></span></span><br> <br> &nbsp; سالمند, درد, کمردرد, مدیریت درد, مدل A5 Elderly, Low back pain, Pain management, 5A model. 22 33 http://jne.ir/browse.php?a_code=A-10-33-5&slc_lang=fa&sid=1 Leila Soleimani لیلا سلیماتی اصل leila.soleimaniasl@shahed.ac.ir 100319475328460027884 100319475328460027884 No Shahed University دانشجوی کارشناسی ارشد پرستاری سالمندی،دانشکده پرستاری و مامایی، دانشگاه شاهد، تهران، ایران Nahid Rejeh ناهید رژه nrejeh@yahoo.com 100319475328460027885 100319475328460027885 Yes Shahed University استاد، مرکز تحقیقات مراقبت های سالمندی، دانشکده پرستاری و مامایی ، دانشگاه شاهد، تهران، ایران Mehdi karimian مهدی کریمیان karimianm1@yahoo.com 100319475328460027886 100319475328460027886 No Abadan University دانشگاه علوم پزشکی آبادان Seyed Davood Tadrisi سیدداوود تدریسی std@yahoo.com 100319475328460027887 100319475328460027887 No Baqiyatallah University of Medical sciences دانشگاه علوم پزشکی بقیه اله