بررسی سطح سواد سلامت و توان خودمراقبتی در بیماران مبتلابه نارسایی قلبی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس پرستاری، گروه پرستاری، واحد مهاباد، دانشگاه آزاد اسلامی، مهاباد، ایران

2 گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه آزاد اسلامی واحد مهاباد، دانشگاه آزاد اسلامی، مهاباد، ایران

چکیده

زمینه و هدف: خودمراقبتی یکی از مهم‌ترین ارکان زندگی و موفقیت در درمان بیماران مبتلابه نارسایی قلبی محسوب می‌گردد، از سوی دیگر، اولین گام و مؤثرترین عامل بر خودمراقبتی، سواد سلامت می‌باشد بنابراین هدف از تحقیق حاضر، بررسی رابطه و سطح سواد سلامت با توان خودمراقبتی در بیماران مبتلابه نارسایی قلبی می‌باشد.
مواد و روش‌ها: پژوهش حاضر با رویکردی توصیفی-همبستگی در بین 105 بیمار مبتلابه نارسایی قلبی مراجعه‌کننده به بیمارستان امام مهاباد در سال ۹۵-۱۳۹۴ که به‌صورت تصادفی ساده انتخاب شدند، انجام گردید. داده‌ها به‌وسیله دو پرسشنامه استاندارد خودمراقبتی در بیماران نارسایی قلبی (SCHFI V6.2) و سواد سلامت ایرانیان (HELIA) گردآوری شدند. اطلاعات به‌وسیله نرم‌افزار SPSS و آزمون‌های پیرسون، رگرسیون خطی، Chi square تجزیه‌وتحلیل شدند.
یافته‌ها: میانگین سنی شرکت‌کنندگان 12/81±60/74 سال بود. سطوح سواد سلامت با توجه به پرسشنامه HELIA، 61/9درصد در سطح متوسط، 28/6درصد ناکافی و 6/5درصد مطلوب بود. در حیطه خودمراقبتی به ترتیب، زیرمقیاس حفظ خودمراقبتی با میانگین 5/24±21/37، اعتماد به خود در زمینه خودمراقبتی با 3/78±15/39و مدیریت خودمراقبتی 4/18±15/01بود. بین سواد سلامت کلی و سه زیر مقیاس خودمراقبتی با سن، تحصیلات و شغل رابطه معنی‌داری وجود داشت(0/005>p). آزمون‌های آماری ارتباط مثبت و معنی‌داری بین ابعاد سواد سلامت با زیر مقیاس‌های خودمراقبتی نشان داد (0/001>p). بُعد دسترسی و ارزیابی سواد سلامت پیشگویی‌کننده‌های بهتری برای حیطه‌های خودمراقبتی شناخته شدند.
نتیجه‌گیری: با توجه به ارتباط ابعاد سواد سلامت و حیطه‌های خودمراقبتی در بیماران نارسایی قلبی، ایجاد واحدهای در مراکز درمانی برای شناسایی فاکتورهای مرتبط با آن‌ها جهت شناخت نقاط قوت و ضعف در نحوه‌ی خودمراقبتی بیماران توصیه می‌شود.

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