Journal of Gerontology
سالمندشناسی
joge
Medical Sciences
http://joge.ir
1
admin
2476-7301
2476-7301
10.22034/joge
fa
jalali
1405
7
1
gregorian
2026
10
1
11
3
online
1
fulltext
fa
"تبیین نقش حمایت خانواده در گذار مراقبت سالمندان بر اساس نظریه گذار ملیس"
Explaining the Role of Family Support in the Care Transition of Older Adults Based on Meleis’ Transitions Theory
مراقبت های سالمندی
elderly care
پژوهشي اصیل
Original research
<div class="WordSection1"><span style="page:WordSection1"><span style="font-size:12pt"><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-family:"B Nazanin"">مقدمه</span></b><b><span lang="FA" style="font-family:"B Nazanin"">: </span></b><span lang="AR-SA" style="font-family:"B Nazanin"">انتقال از بیمارستان به منزل یکی از مراحل حساس و پرخطر در مراقبت از سالمندان است که با افزایش احتمال بستری مجدد، افت عملکرد و نارضایتی بیماران همراه است. حمایت خانوادگی بهعنوان عامل مهمی در موفقیت این فرآیند شناخته میشود، اما شواهد کافی درباره نقش آن در کیفیت گذار مراقبت سالمندان ایرانی وجود ندارد</span><span lang="FA" style="font-family:"B Nazanin"">. </span><span lang="AR-SA" style="font-family:"B Nazanin"">این مطالعه با هدف تعیین ارتباط حمایت خانوادگی با کیفیت گذار مراقبت در سالمندان ترخیصشده از بیمارستان و تبیین این ارتباط بر اساس نظریه گذار ملیس انجام شد</span><span dir="LTR" style="font-family:"Times New Roman",serif">.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><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-family:"B Nazanin"">روش کار: </span></b><span lang="AR-SA" style="font-family:"B Nazanin"">این مطالعه توصیفی</span><span lang="AR-SA" style="font-family:"Times New Roman",serif">–</span><span lang="AR-SA" style="font-family:"B Nazanin"">همبستگی از نوع مقطعی در سال </span><span lang="FA" style="font-family:"B Nazanin"">۱۴۰۴</span><span lang="AR-SA" style="font-family:"B Nazanin""> بر روی </span><span lang="FA" style="font-family:"B Nazanin"">۱۳۰</span><span lang="AR-SA" style="font-family:"B Nazanin""> سالمند </span><span lang="FA" style="font-family:"B Nazanin"">۶۰</span><span lang="AR-SA" style="font-family:"B Nazanin""> سال و بالاتر ترخیصشده از دو بیمارستان شهرستان خوی انجام شد. دادهها با پرسشنامههای مشخصات جمعیتشناختی، کیفیت گذار مراقبت</span><span dir="LTR" style="font-family:"Times New Roman",serif"> (CTM-15) </span><span lang="AR-SA" style="font-family:"B Nazanin"">و حمایت خانوادگی جمعآوری و با نرمافزار</span><span dir="LTR" style="font-family:"Times New Roman",serif"> SPSS </span><span lang="AR-SA" style="font-family:"B Nazanin"">نسخه </span><span lang="FA" style="font-family:"B Nazanin"">۲۶</span><span lang="AR-SA" style="font-family:"B Nazanin""> و آزمونهای همبستگی پیرسون، تی مستقل، تحلیل واریانس و رگرسیون خطی چندمتغیره تحلیل شد</span><span lang="FA" style="font-family:"B Nazanin"">.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><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-family:"B Nazanin"">یافتهها: </span></b><span lang="AR-SA" style="font-family:"B Nazanin"">نتایج نشان داد بین حمایت خانوادگی و کیفیت گذار مراقبت رابطه مثبت و معناداری وجود دارد</span> <span lang="AR-SA" style="font-family:"B Nazanin"">(52/0 </span><span dir="LTR" style="font-family:"Times New Roman",serif">r =</span><span lang="AR-SA" style="font-family:"B Nazanin"">؛ 001/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> P <</span><span lang="AR-SA" style="font-family:"B Nazanin"">)</span> <span dir="LTR" style="font-family:"Times New Roman",serif">. </span><span lang="AR-SA" style="font-family:"B Nazanin"">حمایت خانوادگی بهتنهایی </span><span lang="FA" style="font-family:"B Nazanin"">۲۷</span><span lang="AR-SA" style="font-family:"B Nazanin""> درصد</span> <span lang="AR-SA" style="font-family:"B Nazanin"">از واریانس کیفیت گذار مراقبت را تبیین کرد (</span> <span lang="AR-SA" style="font-family:"B Nazanin"">001/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> P <</span><span lang="AR-SA" style="font-family:"B Nazanin""> ؛</span><span lang="FA" style="font-family:"B Nazanin"">27/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> R² =</span><span lang="AR-SA" style="font-family:"B Nazanin"">). و در مدل رگرسیون چندمتغیره، پیشبینیکننده معنادار کیفیت گذار مراقبت بود</span> <span lang="AR-SA" style="font-family:"B Nazanin"">. (001/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> P <</span><span lang="AR-SA" style="font-family:"B Nazanin"">؛</span><span lang="FA" style="font-family:"B Nazanin"">۹۵</span><span lang="FA" style="font-family:"Times New Roman",serif">٪</span> <span lang="AR-SA" style="font-family:"B Nazanin"">66/0-30/0</span><span dir="LTR" style="font-family:"Times New Roman",serif">CI:</span><span lang="FA" style="font-family:"B Nazanin""> ؛ 48/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> B =</span><span lang="FA" style="font-family:"B Nazanin"">؛52/0</span><span dir="LTR" style="font-family:"Times New Roman",serif"> β =</span><span lang="FA" style="font-family:"B Nazanin"">) </span><span lang="AR-SA" style="font-family:"B Nazanin"">همچنین تمامی ابعاد حمایت خانوادگی با کیفیت گذار مراقبت همبستگی مثبت و معنادار داشتند.</span><span dir="LTR" style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><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-family:"B Nazanin"">نتیجهگیری: </span></b><span lang="AR-SA" style="font-family:"B Nazanin"">تقویت حمایت خانوادگی از طریق مشارکت فعال خانواده در برنامهریزی ترخیص، آموزش مراقبین و توسعه خدمات پیگیری پس از ترخیص میتواند به ارتقای کیفیت مراقبت پس از ترخیص کمک کند</span><span lang="FA" style="font-family:"B Nazanin"">.</span></span></span></span></span></span></span></div>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">Introduction</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">: The transition from hospital to home is one of the most critical and high-risk stages in the care of older adults, associated with an increased likelihood of hospital readmission, functional decline, and patient dissatisfaction. Family support is recognized as an important factor in the success of this process; however, sufficient evidence regarding its role in the quality of care transition among Iranian older adults is lacking.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">Objective</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">: This study aimed to determine the relationship between family support and the quality of care transition among older adults discharged from hospital and to explain this relationship based on Meleis’ Transitions Theory.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">Methods:</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"> This descriptive-correlational cross-sectional study was conducted in 2025 on 130 older adults aged 60 years and above who had been discharged from two hospitals in Khoy city. Data were collected using a demographic characteristics questionnaire, the Care Transitions Measure (CTM-15), and a family support questionnaire. Data analysis was performed using SPSS software version 26 and statistical tests including Pearson correlation, independent t-test, analysis of variance, and multiple linear regression.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">Results</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">: The results showed a significant positive relationship between family support and the quality of care transition (r = 0.52, P < 0.001). Family support alone explained 27% of the variance in care transition quality (R² = 0.27, P < 0.001) and remained a significant predictor in the multiple regression model (β = 0.52, B = 0.48, 95% CI: 0.30–0.66, P < 0.001). In addition, all dimensions of family support showed significant positive correlations with the quality of care transition.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">Conclusion</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif">: Strengthening family support through active family involvement in discharge planning, caregiver education, and the development of post-discharge follow-up services may help enhance the quality of post-discharge care.</span></span></span></span></span></span><br>
سالمندان, حمایت خانوادگی, گذار مراقبت, ترخیص از بیمارستان, نظریه گذار ملیس
aged, Family support, Transitional care, Hospital discharge, Meleis’ Transitions Theory
0
0
http://joge.ir/browse.php?a_code=A-10-945-1&slc_lang=fa&sid=1
mina
hassanpoor
مینا
حسن پور
hassanpoor.mina1988@gmail.com
10031947532846009809
10031947532846009809
No
Islamic Azad University, Urmia Branch
دانشگاه آزاد اسلامی واحد ارومیه
monireh
rezaei moradaala
منیره
رضایی مراداعلی
m.rezaei@iaurmia.ac.ir
10031947532846009810
10031947532846009810
No
Islamic Azad University, Urmia Branch
دانشگاه آزاد اسلامی واحد ارومیه
hossein
rahimyan
حسین
رحیمیان
rahimyanhossein2022@gmail.com
10031947532846009811
10031947532846009811
Yes
Islamic Azad University, Urmia Branch
دانشگاه آزاد اسلامی واحد ارومیه