fa بررسی وضعیت احساس تنهایی و خودمراقبتی در سالمندان تحت درمان با همودیالیز در مرکز دیالیز شهروند ساری درسال 1402 پرستاری nursing پژوهشي-کامل Research(Original) <span style="line-height:2;"><span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">افرادی که در برنامه درمانی همودیالیز مزمن قرار می</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">گیرند، به دلیل سبک زندگی خود، روزانه با مشکلات مختلفی مواجه می</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">شوند که به طور قابل توجهی کیفیت زندگی</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">شان را کاهش می</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">دهد. خـودمراقبتـی در ارتقـا رفتارهـای سـلامتی و تاخیر در رسـیدن بـه مراحـل آخـر بیمـاری تاثیـر دارد. از آن</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">جا که خودمراقبتی امری قابل</span></span> <span lang="FA"><span b="" style="font-family:" zar="">ارتقا،</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> آموزش و فراگیر است، لذا این مطالعه، با هدف بررسی ارتباط بین احساس تنهایی و خودمراقبتی در سالمندان تحت درمان با همودیالیز انجام شد.</span></span><span lang="FA"><span style="font-family:"B Zar""></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><span b="" koodak="" style="font-family:">مواد و روش</span></span><span lang="FA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="FA"><span b="" koodak="" style="font-family:">ها:</span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">در این مطالعه مقطعی، 138 </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">سالمند </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">تحت درمان با همودیالیز</span></span> <span lang="FA"><span b="" style="font-family:" zar="">مراجعه</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="FA"><span b="" style="font-family:" zar="">کننده</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> به </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">مرکز دیالیز شهروند ساری، از طریق سرشماری انتخاب شدند. ابزار گردآوری داده</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">ها شامل </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">پرسشنامه عوامل اجتماعی- دموگرافیک،</span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">مقیاس استاندارد خودمراقبتی سالمندان(</span></span><span dir="LTR" style="font-size:10.0pt">Aging&rsquo;s Self-Care Scale</span><span lang="AR-SA"><span b="" style="font-family:" zar="">)</span></span><span lang="FA"><span b="" style="font-family:" zar=""> و</span></span> <span lang="AR-SA" style="font-size:13.0pt"><span b="" style="font-family:" zar="">مقیاس </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">احساس تنهایی راسل(</span></span><span dir="LTR" style="font-size:10.0pt">UCLA Loneliness Scale</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.3pt">) بود.</span></span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> تجزیه و تحلیل داده</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">ها با نرم</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">افزار </span></span><span dir="LTR" style="font-size:10.0pt">SPSS</span><span lang="AR-SA"><span b="" style="font-family:" zar=""> نسخه 2</span></span><span lang="FA"><span b="" style="font-family:" zar="">2</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> و با استفاده از آمار توصیفی و استنباطی انجام شد </span></span><span lang="FA"><span b="" style="font-family:" zar="">و سطح معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="FA"><span b="" style="font-family:" zar="">داری نیز 0/05</span></span><span dir="LTR" style="font-size:10.0pt">P&le;</span><span b="" style="font-family:" zar=""> در نظر گرفته شد.<span style="color:#0e101a"></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="color:black">یافته</span></span></span><span lang="FA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="color:black">ها:</span></span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">میانگین سنی سالمندان شرکت</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="AR-SA"><span b="" style="font-family:" zar="">کننده 6/28</span></span><span lang="AR-SA"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">68/67 سال بود و اکثریت شرکت کنندگان (51/4درصد) زن بودند. </span></span><span lang="FA"><span b="" style="font-family:" zar="">نتایج ضریب همبستگی پیرسون نشان داد بین نمره مجموع خودمراقبتی با احساس تنهایی (0/14-=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA"><span b="" style="font-family:" zar="">، 0/108=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) و نمره خودمراقبتی جسمی با احساس تنهایی (0/03-=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA"><span b="" style="font-family:" zar="">، 0/694=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) و نمره خودمراقبتی حین بیماری با احساس تنهایی (0/11=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA"><span b="" style="font-family:" zar="">، 0/218=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) ارتباط معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="FA"><span b="" style="font-family:" zar="">داری مشاهده نشد، اما نمره خودمراقبتی معنوی با احساس تنهایی (0/33-=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA"><span b="" style="font-family:" zar="">، 0/001=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) و نمره خودمراقبتی اجتماعی با احساس تنهایی (0/20-=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA"><span b="" style="font-family:" zar="">، 0/018=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) ارتباط منفی و معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="FA"><span b="" style="font-family:" zar="">داری وجود داشت به طوری که با افزایش نمره احساس تنهایی، نمره خودمراقبتی معنوی و اجتماعی کاهش می</span></span><span b="" lang="AR-SA" style="font-family:" zar="">‌</span><span lang="FA"><span b="" style="font-family:" zar="">یابد.</span></span><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="color:black"></span></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="color:black">استنتاج:</span></span></span> <span b="" lang="AR-SA" style="font-family:" zar="">نتایج این تحقیق بر لزوم توجه به نیازهای عاطفی و اجتماعی سالمندان همودیالیزی در کنار نیازهای جسمانی، برای ارتقای کیفیت زندگی تاکید دارد. ارائه دهندگان مراقبت‌های بهداشتی و سیاست گذاران باید مداخلات خودمراقبتی، به ویژه در جنبه‌های معنوی و اجتماعی را برای کاهش تنهایی و ارتقای بهزیستی سالمندان همودیالیزی در برنامه‌های مراقبتی بگنجانند.</span><span lang="FA" style="font-family:"B Zar""></span></span></span></span><br> &nbsp; <span style="line-height:2;"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.1pt">Background and purpose:</span></span></span></b> <span style="font-size:10.0pt"><span style="color:black">Individuals undergoing chronic hemodialysis face various daily challenges due to their unique lifestyle, which significantly reduces their quality of life. Self-care plays a crucial role in improving health behaviors and delaying the progression to the final stages of the disease. Since self-care is comprehensive, learnable, and improvable, this study aimed to investigate the relationship between loneliness and self- care in elderly patients undergoing hemodialysis.</span></span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:">Materials and methods:</span></span></b> <span style="font-size:10.0pt"><span style="color:black">This cross-sectional study involved 138 elderly patients undergoing hemodialysis at the Citizen Dialysis Center&nbsp;in Sari, selected through a census method. Data collection tools included a socio-demographic questionnaire, the Standardized Elderly Self-Care Scale, and the Russell Loneliness Scale. Data were analyzed using SPSS version 22, employing both descriptive and inferential statistics. The significance level was set at P&le; 0.05.</span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif"></span></span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:">Results:</span></span></b> <span style="font-size:10.0pt"><span style="color:black">The average age of the participants was 68.67&plusmn;6.28 years, and the majority (51.4%) were female. Pearson correlation analysis revealed no significant association between total self-care scores and loneliness (r=0.14,P=0.108), physical self-care scores and loneliness (r=-0.03,p=0.694), or illness-related self-care scores and loneliness (r=0.11,P=0.218). However, a significant negative correlation was observed between spiritual self-care scores and loneliness (r=-0.33,P=0.001) and between social self-care scores and loneliness (r=-0.20,P=0.018). As loneliness scores increased, spiritual and social self-care scores declined.</span></span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:">Conclusion</span>:</span></b> <span style="font-size:10.0pt"><span style="color:black">The findings underscore the importance of addressing the emotional and social needs of elderly hemodialysis patients along with their physical health needs to enhance their overall quality of life. Healthcare providers and policymakers should&nbsp;implement&nbsp;self-care interventions, particularly those emphasizing spiritual and social aspects, into care plans for elderly hemodialysis patients to reduce&nbsp;the negative impact of loneliness and promote&nbsp;their well-being.</span></span></span><br> &nbsp; خودمراقبتی, احساس تنهایی, سالمندان, همودیالیز self-care, loneliness, elderly, hemodialysis 78 89 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-17719-1&slc_lang=fa&sid=1 Samaneh Abedi سمانه عابدی samaneh.abedi25@gmail.com 1003194753284600176354 1003194753284600176354 No MSc Student in Geriatric Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran دانشجوی کارشناسی ارشد پرستاری سالمندی، کمیته تحقیقات دانشجویی، دانشکده پرستاری مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران Mahboubeh Yaghoubian محبوبه یعقوبیان yaghobian2005@yahoo.com 1003194753284600176355 1003194753284600176355 No Assistant Professor, Department of Nursing, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه پرستاری، دانشگاه علوم پزشکی مازندران، ساری، ایران Abolfazl Hossein Nattaj ابوالفضل حسین نتاج hosseinnataj.a@gmail.com 1003194753284600176356 1003194753284600176356 No Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran استادیار، آمار زیستی، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت دانشگاه علوم پزشکی مازندران، ساری، ایران Ehteram Sadat Ilali احترام السادات ایلالی paradis2082000@yahoo.com 1003194753284600176357 1003194753284600176357 Yes Associate Professor, Department of Geriatric Nursing, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، سالمندشناسی، گروه پرستاری سالمندی، دانشکده پرستاری و مامایی نسیبه ساری، دانشگاه علوم پزشکی مازندران، ساری، ایران