fa تأثیر برقراری ارتباط با بیمار با استفاده از مدل پپلائو در رضایت‌مندی بیماران از کیفیت خدمات پرستاری در بخش مراقبت‌های ویژه قلبی پرستاری nursing پژوهشي Research <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; text-align: justify;"><span style="font-family:b titr;">چکیده</span></p> <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; text-align: justify;"><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">زمینه و ه</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">دف</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">: افزایش رضایت بیماران از کیفیت خدمات پرستاری </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">به برنامه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ریزی نیاز دارد. لذا در این مطالعه از مدل پپلائو در جهت برنامه ریزی افزایش رضایت‌مندی بیماران از کیفیت خدمات پرستاری در بخش مراقبت‌های ویژه قلبی استفاده شد.و نتایج مورد بررسی قرار گرفت. </span></span></p> <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; text-align: justify;"><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش بررسی</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">: پژوهش حاضر مطالعه</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ی نیمه تجربی بود. جامعه مورد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مطالعه </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">شامل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بیماران بستری در بخش مراقبت‌های ویژه قلبی بیمارستان علی بن ابیطالب رفسنجان در سال 1394</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بودند </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">با استفاده از روش نمونه گیری آسان و غیر تصادفی،</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> در آن</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> 68 بیمار انتخاب شدند و در گروه‌های مداخله </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">(34)</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و کنترل (34) قرار گرفتند</span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;">.</span></span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ابزار مطالعه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پرسشنامه استاندارد 21 سؤالی رضایت</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">مندی از کیفیت خدمات پرستاری </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">(PSNCQQ)</span></span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بود</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">. داده</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ها با استفاده از آزمون</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">های</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Chi-squared test </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">، </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Mann-Whithney</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> و </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Fisher</span></span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نرم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افزار آماری </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> نسخه </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">16 </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تجزیه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحلیل شدند.</span></span></p> <p dir="RTL" style="margin-bottom: 0.0001pt; line-height: normal; text-align: justify;"><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافته</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ها</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">:. نتایج </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نشان داد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">رضایت بیماران از کیفیت ارائه خدمات پرستاری پس از اجرای مداخله </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">به طور معنی‌داری (05/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;">< </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">)</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افزایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافت. در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">حیطه</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ها</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">دانش و مهارت پرستاری </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">(05/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;">< </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">)</span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">، </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">اخلاق پرستاری </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">(05/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;"><</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">)، </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ارتباط با بیمار </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">(05/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;">< </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">) و آموزش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">(05/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:10.0pt;">< </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">) نیز تفاوت معنی‌داری بین گروه مداخله و کنترل وجود داشت.</span></span></p> <p style="text-align: justify;"><strong><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نتیجه‌گیری</span></span></span></strong><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> کلی: </span></span></span><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">می‌توان از مدل پپلائو </span></span></span>&nbsp;<span style="background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-attachment:initial;background-origin:initial;background-clip:initial;"><span style="font-family:times new roman,serif;"><span style="font-size:10pt;">(</span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Peplau)</span></span><span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">جهت افزایش رضایت‌مندی بیماران از کیفیت خدمات پرستاری ارائه</span></span></span> <span dir="RTL"><span style="font-family:b lotus;"><span style="font-size:10.0pt;">شده در بخش مراقبت‌های ویژه قلبی استفاده کرد.</span></span></span></p> <p style="text-align: justify;"><strong>Abstract</strong></p> <p style="text-align: justify;"><strong>Background & Aims:</strong> Increasing patients&rsquo; satisfaction with the quality of nursing services requires planning. Therefore, in the present study, Peplau model was used for planning to increase patients&rsquo; satisfaction with the quality of provided nursing services at the cardiac intensive care unit and the results were evaluated.</p> <p style="text-align: justify;"><strong>Material & Methods:</strong> The present study was a semi- experimental research. Study population included all the patients who were hospitalized at the cardiac intensive care unit of the Ali-Ibn-Abitaleb hospital of Rafsanjan in 2015. Participants were selected through simple non-randomized sampling and were allocated into two groups of intervention (34) and control (34). Data gathering tool was the standard 21- item Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ). Data were analyzed using SPSS 16 and Chi-square test, Mann-Whitney test, and Fisher&rsquo;s exact test.</p> <p style="text-align: justify;"><strong>Results:</strong> Results showed that after the intervention, patients&rsquo; satisfaction with the quality of provided nursing services was significantly increased (P < 0.05). Also, in the domains of nursing skills and knowledge (P < 0.05), nursing ethics (P <0.05), communication with patients (P < 0.05) and education (P < 0.05) a significant difference was observed between the intervention and the control group after the intervention.</p> <p style="text-align: justify;"><strong>Conclusions:</strong> Peplau model could be used to increase patients&rsquo; satisfaction with the quality of provided nursing services at the cardiac intensive care units.</p> پرستار, مراقبت پرستاری, مدل پرستاری رضایت‌مندی بیمار Nurse, Nursing Care, Nursing model, Patient Satisfaction 36 45 http://ijn.iums.ac.ir/browse.php?a_code=A-10-1511-2&slc_lang=fa&sid=1 F Hosieni فاطمه حسینی 10800319475328460018301 10800319475328460018301 No MS in Community Health Nurse, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran کارﺷﻨﺎس ارﺷﺪ ﭘﺮﺳﺘﺎری، ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺮاﻗﺒﺖ ﺳﺎﻟﻤﻨﺪی، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ رﻓﺴﻨﺠﺎن، رﻓﺴﻨﺠﺎن، ایران A Ravari علی راوری 10800319475328460018302 10800319475328460018302 Yes Assistant prof., Geriatric Care Research Center of Nursing, Faculty of Nursing & Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. (*Corresponding author( Tel: 09131917852 Email: Dr.ravari@rums.ac.ir استادیار، دکتری پرستاری، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران. (*نویسنده مسئول) شماره تماس: 09131917852 Emai: Dr.ravari@rums.ac.ir A Akbari علی اکبری 10800319475328460018303 10800319475328460018303 No Instructor, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran ﻣﺮﺑﯽ، ﮐﺎرﺷﻨﺎس ارﺷﺪ ﭘﺮﺳﺘﺎری، ﮔﺮوه داﺧﻠﯽ ﺟﺮاﺣﯽ، داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ رﻓﺴﻨﺠﺎن. رﻓﺴﻨﺠﺎن، ایران