fa بررسی تاثیر استرس بر شاخص های همودینامیک بیماران بستری در بخش مراقبت ویژه قلب تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><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 b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" nazanin="" style="font-family:"><span style="color:black">بستری در بخش مراقبت های ویژه قلبی رویدادی استرس زاست که می تواند بر روند بهبودی بیمار تاثیر نامطلوبی </span></span></span></span><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" nazanin="" style="font-family:">داشته باشد. توجه به تغییرات شاخص های همودینامیک و عوامل مرتبط با آن از اولویت های مراقبت از این بیماران است</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" nazanin="" style="font-family:">&rlm;این مطالعه با هدف تعیین </span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" nazanin="" style="font-family:">تاثیر استرس بر شاخص های همودینامیک بیماران بستری در بخش مراقبت ویژه قلب </span></span></span><span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" nazanin="" style="font-family:">انجام شد.</span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><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 b="" nazanin="" style="font-family:">روش‌ کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> پژوهش حاضر یک مطالعه ی توصیفی- همبستگی می باشد که جامعه پژوهشی آن را بیماران بستری در بخش مراقبت های ویژه قلب بیمارستان امام خمینی تهران در نیمه ی دوم سال 1400 تشکیل می دادند. &rlm;210 بیمار به روش در دسترس و بر اساس معیارهای ورود انتخاب شدند. جهت جمع آوری داده ها از پرسشنامه های مشخصات دموگرافیک بیماران و </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DASS</span></span><span dir="LTR" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">-21</span></span> <span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">&nbsp;استفاده شد. داده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها با نرم افزار 16</span></span><span dir="LTR" style="font-size:12.0pt">SPSS</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تحلیل شدند.</span></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 sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یافته ها:</span></span></b><i> </i><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین سن بیماران 89/13</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">85/5</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">۳</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> سال بود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">71/65 درصد بیماران مرد، ۳8/92 درصد متاهل و 47/50 درصد دارای تحصیلات زیردیپلم بودند</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. میانگین استرس بیماران 57/9</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">8</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">۱/</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">22 در محدوده ی متوسط بدست آمد. 76/14 درصد استرس عادی، 61/27 درصد خفیف، 04/۳9 درصد متوسط، 80/۱۳ درصد شدید و 79/4 درصد بسیار شدید داشتند. همبستگی بین استرس بیماران با شاخص های همودینامیک مانند فشارخون سیستولیک </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(001/0</span></span><span dir="LTR" style="font-size:12.0pt">P<</span> <span dir="LTR" style="font-size:12.0pt">,</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 726/0=</span></span><span dir="LTR" style="font-size:12.0pt">r</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، فشار متوسط شریانی (001/0</span></span><span dir="LTR" style="font-size:12.0pt">P<</span> <span dir="LTR" style="font-size:12.0pt">,</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ۴۳۵/0=</span></span><span dir="LTR" style="font-size:12.0pt">r</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، ضربان قلب (001/0</span></span><span dir="LTR" style="font-size:12.0pt">P<</span> <span dir="LTR" style="font-size:12.0pt">,</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ۳۱۱/0=</span></span><span dir="LTR" style="font-size:12.0pt">r</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و تعداد تنفس بیماران (00</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">۲</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">/</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0=</span></span><span dir="LTR" style="font-size:12.0pt">P</span> <span dir="LTR" style="font-size:12.0pt">,</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ۲۵۵/0=</span></span><span dir="LTR" style="font-size:12.0pt">r</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) معنی دار بود به گونه ای که با افزایش استرس تمام این شاخص ها بالا می رفتند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></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 sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></b> &nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میزان استرس بیماران بستری در بخش مراقبت ویژه قلبی در حد متوسط بود اما باتوجه به اثراتی که بر روند بهبودی و شاخص های همودینامیک دارد باید مدیریت شود، لذا پیشنهاد می گردد پرستاران شاغل در بخش های مراقبت ویژه در بررسی های خود به عوارض روانشناختی و به تبع آن به شاخص های همودینامیک توجه نمایند.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Hospitalization in the cardiac care unit (CCU) is a stressful event that can adversely affect the patient&#39;s recovery process. Another factor that may be affected by stress is hemodynamic indices. The aim of this study was to determine the effect of stress on hemodynamic indices in patients admitted to the CCU.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span sans-serif="" style="font-family:Calibri,"><b>&nbsp;</b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The present study is a descriptive correlational study in which the research population consisted of patients admitted to the CCU of Imam Khomeini Hospital in Tehran in the second half of 1400. 210 patients were selected by Convenience Sampling and based on inclusion criteria. Patients&#39; demographic questionnaires and DASS-21 were used to collect data. Data were analyzed using SPSS 16 software.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,">&nbsp;<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 style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The mean age of patients was 53.85 &plusmn;13.89 years. 65.3% of patients were male, 91.3% were married and 48% had undergraduate education. The mean stress of patients was 22.81 &plusmn;9.57 in the moderate range.</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">14.76% had normal stress, 27.61% had mild stress, 39.04% had moderate stress, 13.80% had severe stress and 4.79% had very severe stress. Correlation between patients&#39; stress with hemodynamic indicators such as systolic blood pressure (P <0.001, r = 0.726), mean arterial pressure (P <0.001, r = 0.435), heart rate (P <0.001, 311) R = 0) and respiratory rate (P = 0.002, r = 0.255) were significant, so that with increasing stress, all these indicators increased.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span sans-serif="" style="font-family:Calibri,"><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="">:</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The stress level of patients admitted to </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">CCU </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">was moderate, but according to the effects on the recovery process and hemodynamic indicators should be managed, it is recommended that nurses working in CCU in their examination to psychological complications and consequently it should pay attention to hemodynamic indicators.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> &nbsp; استرس, بخش مراقبت ویژه, بیمار, شاخص همودینامیک Stress, CCU, Patient, Hemodynamic Index 30 38 http://ijpn.ir/browse.php?a_code=A-10-1998-1&slc_lang=fa&sid=1 Mona Baloo مونا بالو moona.ballo@yahoo.com 27900319475328460014667 27900319475328460014667 No دانشگاه آزاد اسلامی، تهران، ایران Nooshin Abbasi abianeh نوشین عباسی ابیانه Nooshin.abbasi@yahoo.com 27900319475328460014668 27900319475328460014668 Yes دانشگاه آزاد اسلامی، تهران، ایران Ladan Fattahmoghaddm لادن فتاح مقدم Ladanfatahmoghdam@gmail.com 27900319475328460014669 27900319475328460014669 No دانشگاه آزاد اسلامی، تهران، ایران