Journal of Gerontology
سالمندشناسی
joge
Medical Sciences
http://joge.ir
1
admin
2476-7301
2476-7301
10.22034/joge
fa
jalali
1402
5
1
gregorian
2023
8
1
8
2
online
1
fulltext
fa
بررسی نگرش پرستاران به رعایت اصول اخلاق حرفه ای در مراقبت های بالینی سالمندی
Attitude Clinical Care Ethics of Elderly Patients among Nurses
طب سالمندی
geriatric medicine
مروری
Review
<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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">مقدمه :</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">رعایت اصول اخلاق در مراقبت از سالمندان توسط پرستاران از اهمیت ویژه ای برخوردار است؛ اما میزان رعایت آن در محیط های بالینی متفاوت است. نگرش پرستاران یکی از عناصر مهم دخیل در آن محسوب می شود. هدف این مطالعه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بررسی </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بررسی نگرش </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">به </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">اخلاق حرفه ای مراقبت های </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بالینی</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> سالمندی </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">در پرستاران</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d"> بود. </span></span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d"></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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">روش:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مطالعه توصیفی حاضر، از نوع</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقطعی بود</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> که در سال 1397 انجام شد. جامعه پژوهش </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">183 پرستار مراکز تحت پوشش دانشگاه علوم پزشکی غرب گلستان بود. روش نمونه گیری به صورت سهمیه ای در </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">3 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شهرستان انجام شد. سهمیه ها بر اساس تعداد پرستاران هر بیمارستان متفاوت بود. ابزار مطالعه شامل اطلاعات دموگرافیک و پرسشنامه ی نگرش سنج به رعایت اصول اخلاقی مراقبت از سالمند بود. .داده</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نرم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">افزار</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> SPSS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> نسخه ی 16، امار توصیفی</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و آزمون های کای اسکور</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اسپیرمن ، فریدمن و رگرسیون رتبه ای در</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سطح</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">معنی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داری05/0></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تجزیه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تحلیل</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ش</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">د</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:red"></span></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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">یافته ها: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تعداد 142 نفر(6/77 درصد) از مجموع پرستاران زن بودند. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین سن جامعه </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">1/6 </span></span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">3/31 </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سال و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">نگرش به رعایت اصول اخلاقی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> (1/13</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">4/63) بود(15=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">IQR</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. تعداد 158 نفر (3<span style="color:black">/86 درصد</span>) در سطح نگرش متوسط و بالای رعایت اصول اخلاقی بودند. بالاترین حیطه رعایت اخلاق در نگرش پرستاران بر اساس آزمون فریدمن مربوط به <span style="color:#0d0d0d">همکاری و همدلی</span> (4/5=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Mean Rank</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بود.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> موثرترین حیطه در </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">رعایت اخلاق</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بر اساس<span style="color:#0d0d0d"> رگرسیون رتبهای </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">مربوط به </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">خوشرویی و ارزش گذاری</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">بیمار</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> (0001/0=</span></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">، 91/5=</span></span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">OR</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بود. آزمون کای اسکوار ارتباط معناداری بین رعایت اصول اخلاقی و متغیرهای جنسیت (003/0=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، تاهل (005/0=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، بخش محل کار پرستار(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">013/0=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، و وضعیت استخدام (001/0=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) نشان داد. </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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0d0d0d">نتیجه گیری:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مطالعه حاضر میزان متوسط و بالا <span style="color:black">رعایت اصول اخلاقی پرستاران را در مراقبت از بیماران سالمند نشان داد.</span> میزان رعایت اصول اخلاق مراقبتی را می توان با تدوین سیستم های ارزشیابی، تعدیل فعالیت های غیر ضروری پرستاران، رعایت تناسب جنسیت بیمار و پرستار و محور قرار دادن آموزش بیمار بهبود بخشید.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Introduction:</span></span></span></b><b> </b><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""><span style="color:black">Aging care ethics by nurses have a particular importance, but its extent is different in clinical nurses. The aim of this study was to examine ethics in nurses care of elderly patients in the western Golestan province.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods: </span></span></span></span></b><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""><span style="color:black">This cross-sectional study was conducted in 2017. The study population consisted of 183 nurses working in centers sheltered western Golestan University of Medical Sciences that took care of elderly patients. Quota sampling method was performed in 3 cities. Quotas on the number of nurses in each hospital were different. Data collection tools included demographic information and questionnaire for the Ethical Treatment of elderly care. Data were analyzed with SPSS version 16, descriptive statistics, chi-square test, and Spearman, Friedman and ordinal regression with the significant level of p< 0.05.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><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="">Total number of 142 cases (77.6%) nurses was female. The average ethics was 63.4±13.1 (IQR=15). The 158 individuals (86.3%) were in the moderate and high level of ethics. Cooperation and empathy (Mean Rank=5.4) had the highest area of ethics based on the Friedman test. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Kindness and valuating the patient aspect (P=0.0001, OR=5.91) had the most effective areas in ethics based on ordinal regression. A Chi-square test showed the significant relationship between ethics and gender (P=0.003), marital status (P=0.005), the nurses ward (P=0.013), and employment (P=0.001).</span></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 sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#0d0d0d">: The study showed that the ethics of nurses in the care of elderly patients was moderate and high. The ethics of care can be improved by developing evaluation systems, moderating non-essential activities of nurses, gender proportionality between patients and nurses and focusing on patient education.</span></span></span></span></span></span><br>
<br>
پرستار, اخلاق, بیمارستان, سالمند, مراقبت
Nurse, Ethic, Aging, Care
67
79
http://joge.ir/browse.php?a_code=A-10-733-2&slc_lang=fa&sid=1
peiman
fereidouni sarijeh
پیمان
فریدونی ساریجه
peimanfereidounisa@yahoo.com
10031947532846006982
10031947532846006982
No
Tehran University of Medical Sciences
علوم پزشکی تهران
mohammad
yadegari
محمد
یادگاری
10031947532846006983
10031947532846006983
No
Golestan University of Medical Sciences
دانشگاه علوم پزشکی گلستان
adeleh
gharathghani
عادله
قره طغانی
A.gharataghani@gmail.com
10031947532846006984
10031947532846006984
Yes
دانشگاه علوم پزشکی گلستان
Ali
Sadrollahi
علی
صدرالهی
10031947532846006985
10031947532846006985
No
مرکز آموزشی درمانی امیرالمومنین، دانشگاه علوم پزشکی گلستان، گرگان، ایران