fa تغییرات فشار داخل جمجمه ناشی از برخی فعالیت‌های بهداشتی – مراقبتی پژوهشي Research <p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><roundrect id="_x0000_s1026" style="MARGIN-TOP: 1.55pt Z-INDEX: -1 LEFT: 0px MARGIN-LEFT: 10.5pt WIDTH: 456.1pt POSITION: absolute HEIGHT: 379.45pt TEXT-ALIGN: left" arcsize="1083f" ><textbox style="mso-next-textbox: #_x0000_s1026" ><table cellspacing="0" cellpadding="0" width="100%"><tbody><tr><td style="BORDER-RIGHT: #ece9d8 BORDER-TOP: #ece9d8 BORDER-LEFT: #ece9d8 BORDER-BOTTOM: #ece9d8 BACKGROUND-COLOR: transparent"><div><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 0cm 0pt TEXT-ALIGN: left" align="right"><span lang="AR-SA" style="FONT-FAMILY: "></span></p><p></p><p></p><p><font size="2"> </font></p></div></td></tr></tbody></table></textbox /><wrap anchorx="page" ></roundrect /><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 14pt LINE-HEIGHT: 115% FONT-FAMILY: ">خلاصه</span></b><b><span lang="FA" style="FONT-SIZE: 14pt LINE-HEIGHT: 115% FONT-FAMILY: "></span></b></font></p><p></p><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><font face="Arial"><b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">سابقه و هدف: </span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ارزیابی بیمار</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ان</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> برای پی بردن به علایم افزایش فشار داخل جمجمه از مهم</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">‌</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ترین عملکردهای پرستار می‌باشد، و یکی از مشکلات عمده کادر درمانی در مراقبت از بیماران ن</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">و</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">رولوژیک، پی بردن به فشار داخل جمجمه و پیشگیری از آسیب ثانویه ناشی از آن است.</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">این مطالعه توصیفی </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">به منظور بررسی تغییرات فشار داخل جمجمه ناشی از فعالیت‌های مراقبتی</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">-</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> بهداشتی در بیماران بخش مراقبت‌های ویژه بیمارستان نمازی شیراز صورت گرفت.</span></font></p><p></p><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><font face="Arial"><b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مواد و روش‌ها:</span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">در این مطالعه </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">توصیفی </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اثر 19 فعالیت با 1620 تکرار، بر روی فشار داخل جمجمه 6 بیمار مبتلا به ضربه مغزی بررسی شد. جهت گردآوری داده‌ها از چک لیست پژوهشگر ساخته پس از تعیین روایی و پایایی مناسب استفاده شد و تجزیه تحلیل داده‌ها با استفاده از شاخص‌های مرکزی، <span style="mso-spacerun: yes"> </span>پراکندگی، <span style="mso-spacerun: yes"> </span>ضریب همبستگی اسپیرمن و ویلکاکسون صورت گرفت.</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "></span></font></p><p></p><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><font face="Arial"><b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">نتایج:</span></b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">نتایج حاصل از این پژوهش نشان دا</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">د که </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">از 18 فعالیت باقی</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">‌</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مانده که اختلاف معنی‌داری در فشار داخل جمجمه را نشان دادند، فعالیت</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">:</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> تعویض پانسمان محل ورود کاتتر پایش فشار داخل جمجمه با میانگین</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> فشار</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> 62/9 بیشترین، و فعالیت</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">:</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> بررسی واکنش مردمک به نور با تاباندن نور به چشم چپ با میانگین</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> فشار</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> 40/1 کمترین میانگین اختلاف فشار را به خود اختصاص دادند. نتایج هم‌چنین نشان داد که </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">فعالیت: </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">تعویض پانسمان محل ورود کاتتر پایش فشار داخل جمجمه و </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">فعالیت </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">گذاشتن سوند در مثانه به ترتیب با 17/0 و 8/0 کمترین و بیشترین ضرایب همبستگی را به خود اختصاص دادند.</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "></span></font></p><p></p><p class="MsoNormal" dir="rtl" style="MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify"><font face="Arial"><b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">نتیجه‌گیری:</span></b><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اگر چه به دنبال اجرای 18 فعالیت بهداشتی</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">- </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مراقبتی</span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">انجام شده، از لحاظ آماری اختلاف معنی‌داری در فشار داخل جمجمه قبل و بعد از انجام فعالیت‌ها مشاهده شد، </span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">اما </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">افزایش فشار در مورد همه فعالیت‌ها موقت بوده و در مدت زمان کمتر از یک دقیقه به حد پایه و قبل از اجرای فعالیت برگشته است.</span></font></p><p></p><p class="MsoNormal" dir="rtl" style="TEXT-JUSTIFY: kashida MARGIN: 0cm 21.25pt 0pt LINE-HEIGHT: 115% TEXT-ALIGN: justify TEXT-KASHIDA: 0%"><font face="Arial"><b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">واژه‌های کلیدی: </span></b><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">فشار داخل جمجمه، فعالیت‌های بهداشتی</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">- </span><span lang="AR-SA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">مراقبت</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: ">ی</span><span lang="FA" style="FONT-SIZE: 12pt LINE-HEIGHT: 115% FONT-FAMILY: "> <b /></span></font></p><p></p> <p> <strong> Changes of Intracranial Pressure Due to Some Curative and Hygienic Activities </strong></p><p> <strong> A. Mahmoodi Rad </strong>MSc<strong>¹, M. Foroozi </strong>MSc<strong>^2*, S. Mohamad alizaheh </strong>MSc<strong>³</strong> </p><p> <strong> 1- Academic Member, School of Nursing, Lar, Iran </strong></p><p> <strong> 2- Academic Member, School of Nursing and Midwifery, Kerman, Iran </strong></p><p> <strong> 3- Academic Member, School of Nursing and Midwifery, Kerman, Iran </strong></p><p>  </p><p> <strong> Background: </strong>Evaluation the patients for determining the sings of increasing intracranial pressure (ICP) is one of the most important nursing activities. One of the problems in caring the patients with neurological disorders is finding the intracranial pressure and prevention of its secondary complications. </p><p>  The aim of this descriptive comparative survey was to evaluate the alterations of intracranial pressure due to some curative and health activities in patients admmitted to intensive care unit of Shiraz Namazee hospital. </p><p> <strong> Materials and Methods: </strong>In this study the effects of 18 health care activities with 1620 repeats were evaluate in 6 patients with increased ICP due to head injuries . </p><p>  A researcher- made check list was used for data collection after determining proper reliability and validity. Central and descriptive tendency, Spearman coefficient and Wilcoxon tests were used for data analysis. </p><p> <strong> Results: </strong>The results of this survey showed that from 18 activities that showed significant difference in ICP, dressing change of catheter site. had highest pressure differential mean (9.62) and activity of pupil reaction of left eye to light had lowest pressure differential mean (1.40) respectively. The results also showed that among 1620 repeated activities only three were associated with decreased ICP. </p><p>  The result showed that, dressing change of catheter insertion site and inserting angiochat had lowest and highest correlation coefficients 0.17 and 0.8 respectively. </p><p> <strong> Conclusion: </strong>Although arising ICP has seen after implementation of 18 health care activities but the raise was transient and reconvert in less than one minute. </p><p> <strong> </strong></p><p> <strong> Key words: </strong>Intracranial pressure, Curative and hygienic activities<strong></strong> </p><p> <strong><i> </i></strong></p><p> <strong><i> * Corresponding author:Tel: </i></strong><strong><i>(0341)3220796 </i></strong><strong><i>, Fax:(0341)3220765, E-mail: forozy@yahoo.com </i></strong><strong><i></i></strong></p><p> <strong><i> Journal of Rafsanjan University of Medical Sciences and Health Services, 2005, 4(2): 111-121 </i></strong></p><p> <strong><i> </i></strong></p><p> <strong><i> </i></strong></p> Intracranial pressure, Curative and hygienic activities 111 121 http://journal.rums.ac.ir/browse.php?a_code=A-10-112-1&slc_lang=fa&sid=1 A. Mahmoodi Rad عبدالرضا محمودی راد 690031947532846002748 690031947532846002748 Yes M. Foroozi منصوره فروزی forozy@yahoo.com 690031947532846002749 690031947532846002749 No S. Mohamad alizaheh سکینه محمدعلیزاده 690031947532846002750 690031947532846002750 No