Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
4
1
gregorian
2022
7
1
21
4
online
1
fulltext
fa
ارزیابی وضعیت مشارکت و خودمختاری بیماران سکته مغزی در شهر کرمان در سال 1399:
یک مطالعه توصیفی
Evaluation of the Status of Participation and Autonomy of Stroke Patients in Kerman in 2020: A Descriptive Study
آمار و اپيدميولوژي
Statistics& Epidemiology
توصيفي
Description
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">سکته مغزی از شایعترین علل مرگ و میر و ناتوانی دستگاه عصبی محسوب میشود. بنابراین باید حیطههایی از زندگی که بیمار در آن مشارکت مطلوبی ندارد، مشخص شود. لذا هدف از مطالعه حاضر تعیین وضعیت مشارکت و خودمختاری بیماران سکته مغزی بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> مطالعه حاضر از نوع توصیفی است که در سال 1399 بر روی 384 بیمار سکته مغزی در شهر کرمان<b> </b>انجام پذیرفت.<b> </b>جهت ارزیابی وضعیت مشارکت و خودمختاری<b> </b>بیماران از پرسشنامه (</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">Impact on participation and autonomy; IPA-p</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) به صورت خودگزارش</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%"></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">دهی </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">استفاد شد. تجزیه و تحلیل داده­ها توسط آنالیز </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">واریانس یک­طرفه، رگرسیون خطی چندگانه، </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">آزمون </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">t</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> مستقل و آزمون همبستگی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">Pearson</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> صورت گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> در این مطالعه، میانگین و انحراف معیار نمره مشارکت کل پرسشنامه 23/0 </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%">±</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> 40/3 گزارش شد. بیشترین نمره مشارکت (69/0 </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%">±</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> 80/3) مربوط به حیطه </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">فعالیتهای داخل و یا اطراف منزل</span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و کمترین نمره مشارکت (88/0 </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%">±</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> 12/2) مربوط به حیطه </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">استفاده و مراقبت از پول خود بود. طبق آنالیز رگرسیون خطی چندگانه، میانگین نمره مشارکت و خودمختاری در مردان کمتر از زنان (</span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">371/0-</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> =</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">B</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">012/0</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> =</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">p</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) بود. وضعیت اقتصادی از بین تمام متغیرها، قویترین پیشبینی کننده گزارش شد. هم­چنین، متغیرهای تحت بررسی 4/30 درصد از تغییرات نمره مشارکت را تبیین کردند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد که بیماران سکته مغزی در نیمی از حیطههای پرسشنامه، مشارکت کمتر از 70 درصد داشتند. ضعیفترین حیطه، استفاده و مراقبت از پول خود بود. لازم است که با تمهیدات مناسب حیطههایی که بیماران در آن­ها دچار ضعف در مشارکت شدهاند را بهبود بخشید.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> مشارکت، خودمختاری، بیماری سکته مغزی، پرسشنامه </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%">IPA</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، کرمان</span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:110%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:150%">Background and Objectives:</span></span></b> <span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Stroke is one of the most important and common causes of death and nervous system failure, worldwide. Therefore, areas of life in which the patient does not participate well should be identified. Therefore, the aim of this study was to determine the status of participation and autonomy of stroke patients.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Materials and Methods: </span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">This is a descriptive study conducted in 2020 on 384 stroke patients in Kerman. Impact on Participation and Autonomy questionnaire (IPA-p) was used to assess the status of patients' participation and autonomy. Data were analyzed by one-way analysis of variance, multiple linear regression, independent t-test, and Pearson’s correlation test.</span></span><span dir="RTL" lang="FA" style="font-size:9.5pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Results:</span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%"> In this study, the total participation score of the questionnaire was reported 3.40±0.23. The highest participation score (3.80±0.69) was related to the area of activities inside or around the house and the lowest participation score (2.12±0.88) was related to the area of using and taking care of their money. According to multiple linear regression analysis, the mean score of participation and autonomy in men was lower than women (B=-0.371, p=0.012). The economic situation was reported to be the strongest predictor among all variables. The studied variables also explained 30.4 percentage of the changes in the participation score.</span></span><b><span dir="RTL" lang="FA" style="font-size:9.5pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Conclusion:</span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%"> The results of the present study showed that stroke patients had less than 70 percentage participation in half of the questionnaire areas. The weakest area was the use and care of their money. It is necessary to take appropriate measures to improve the areas in which patients have weak participation. </span></span><span dir="RTL" lang="FA" style="font-size:9.5pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Key words: </span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:150%">Participation, Autonomy, Stroke disease, IPA questionnaire, Kerman</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:135%">Funding: </span></span></b><span style="font-size:9.5pt"><span style="line-height:135%">This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:135%">Conflict of interest: </span></span></b><span style="font-size:9.5pt"><span style="line-height:135%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:150%">Ethical approval: </span></span></b><span style="font-size:9.5pt"><span style="line-height:150%">The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1398.075).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Askari Zakyeh, Rezaeian Mohsen, Ahmadinia Hasan, Iranmanesh Farhad, Vakilian Ali Reza, Vazirinejad Reza. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Evaluation of the Status of Participation and Autonomy of Stroke Patients in Kerman in 2020: A Descriptive Study. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2022; 21 (4): 397-412. [Farsi]</span></span></span></span></span></span></span><br>
مشارکت, خودمختاری, بیماری سکته مغزی, پرسشنامه IPA, کرمان
Participation, Autonomy, Stroke disease, IPA questionnaire, Kerman
397
412
http://journal.rums.ac.ir/browse.php?a_code=A-10-5660-1&slc_lang=fa&sid=1
Zakiyeh
Askari
زکیه
عسکری
askariz1396@gmail.com
6900319475328460050233
6900319475328460050233
Yes
Rafsanjan of Medical Sciences
دانشگاه علوم پزشکی رفسنجان
Mohsen
Rezaian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460050234
6900319475328460050234
No
Rafsanjan of Medical Sciences
علوم پزشکی رفسنجان
Hassan
Ahmadinia
حسن
احمدی نیا
h.ahmadinia@gmail.com
6900319475328460050235
6900319475328460050235
No
Rafsanjan of Medical Sciences
علوم پزشکی رفسنجان
Farhad
Iranmanesh
فرهاد
ایرانمنش
swt_f@yahoo.com
6900319475328460050236
6900319475328460050236
No
Kerman of Medical Sciences
علوم پزشکی رفسنجان
Alireza
Vakilian
علیرضا
وکیلیان
alirezavakilian7@gmail.com
6900319475328460050237
6900319475328460050237
No
علوم پزشکی کرمان
Reza
Vazirinejad
رضا
وزیری نژاد
rvazirinejad@yahoo.co.uk
6900319475328460050238
6900319475328460050238
No
Rafsanjan of Medical Sciences
علوم پزشکی رفسنجان