Journal of Torbat Heydariyeh University of Medical Sciences
مجله دانشگاه علوم پزشکی تربت حیدریه
jmsthums
Medical Sciences
http://jms.thums.ac.ir
1
admin
2716-9669
2716-9669
10.61882/jmsthums
fa
jalali
1401
12
1
gregorian
2023
3
1
10
4
online
1
fulltext
fa
واضح سازی مفهوم مراقبت تسکینی در بیماران مبتلا به انسداد مزمن ریه: یک مطالعه تحلیل مفهوم
Clarifying the concept of palliative care in patients with chronic obstructive pulmonary disease: a concept analysis study
عمومى
General
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><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 style="font-family:"B Nazanin"">زمینه و هدف:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مراقبت تسکینی رویکرد مفیدی برای غلبه بر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">علائم بیماری و ارتقاء کیفیت زندگی در مبتلایان به بیماری مزمن انسدادی ریه است. این مراقبت به اندازه کافی در عمل اجرا نمی شود یا</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> صرفا برای بیماران</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> مبتلا به سرطان انجام می­شود. علاوه بر این چالش­های زیادی درباره این مفهوم وجود دارد. پژوهش حاضر با هدف تحلیل مفهوم<b> </b>مراقبت تسکینی در بیماران مبتلا به انسداد مزمن ریه انجام شد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><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 style="font-family:"B Nazanin"">روش</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">‎</span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">ها: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مطالعه حاضر با رویکرد </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">واکر و آوانت </span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">در هشت مرحله با جستجو مطالعات از پایگاه­های معتبر با استفاده از </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">کلیدواژه­های</span></span> <span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Palliative care</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">"</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">"</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">,"</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">chronic obstructive pulmonary disease</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">","</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">integrated palliative care</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">",</span></span> <span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">"</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">COPD</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Yu Gothic",sans-serif">"</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">انجام شد. معیارهای ورود مقالات معتبر انگلیسی بین سال­های 2000 تا2022 بود. در نهایت 9 مقاله مرتبط با مفهوم، </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مورد </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">تحلیل قرار گرفت.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><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 style="font-family:"B Nazanin"">نتایج: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مراقبت تسکینی در بیماران مبتلا به انسداد مزمن ریه مفهوم پیچیده و چند ­بعدی است. ضعف تدریجی و پیشرونده ناشی از بیماری مزمن، اقدامات درمانی غیر موثر، وابستگی جسمانی به مراقبت از خود، ترس از مرگ و جدایی قریبالوقوع از اعضای خانواده، رنج جسمی، روحی و روانی، نیاز به مراقبت تسکینی را برای این بیماران و خانواده آن ها ضروری می سازد، در نتیجه نیاز به حمایت مستمر از تیم چند رشته­ای تا هنگام مرگ و پس از آن را می طلبد.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><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 style="font-family:"B Nazanin"">نتیجهگیری: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">تعریف مفهومی به دست آمده از مراقبت<b> </b>تسکینی در بیماران انسدادی مزمن ریه، می­تواند به تیم سلامتی در شناخت بیشتر این مفهوم در جهت ایجاد آسایش و رفاه بیمار و خانواده از طریق کنترل و تسکین علائم، بهبود کیفیت زندگی و نهایتا مرگ با عزت کمک نماید</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="tab-stops:right 35.45pt"><span style="punctuation-wrap:simple"><span style="text-autospace:none"><span style="vertical-align:baseline"><span style="font-family:"Calibri",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">Background and aim</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">: Palliative care is a useful approach to overcome the symptoms of the disease and improve the quality of life of patients with chronic obstructive pulmonary disease. This care is not implemented sufficiently or it is only implemented in cancer patients. The current study aimed to analyze the concept of palliative care in patients with chronic obstructive pulmonary disease.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="tab-stops:right 35.45pt"><span style="punctuation-wrap:simple"><span style="text-autospace:none"><span style="vertical-align:baseline"><span style="font-family:"Calibri",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">Method</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">: The present study was conducted with the Walker and Avant approach in eight steps by searching for studies from reliable databases using the keywords "palliative care", "chronic obstructive pulmonary disease", "integrated palliative care", "COPD". The inclusion criteria of accurate english articles were between 2000 and 2022. Finally, 9 articles related to the concept were analyzed.</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="tab-stops:right 35.45pt"><span style="punctuation-wrap:simple"><span style="text-autospace:none"><span style="vertical-align:baseline"><span style="font-family:"Calibri",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">Results</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin"">:</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">Palliative care is a complex and multidimensional concept in patients with chronic obstructive pulmonary disease. Due to progressive weakness caused by chronic disease, Ineffective treatment, Inability to take care of oneself, Fear of death And separation from the family, physical, emotional and psychological problems require palliative care for the patients and their families.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="tab-stops:right 35.45pt"><span style="punctuation-wrap:simple"><span style="text-autospace:none"><span style="vertical-align:baseline"><span style="font-family:"Calibri",sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif">: The conceptual definition of palliative care in patients with chronic obstructive pulmonary disease can help healthcare providers to better understand this concept for the well-being of the patient and family through the relief of symptoms, improvement of quality of life and finally death with dignity.</span></span></span></span></span></span></span></span></span></span></span></span><br>
تحلیل مفهوم, مراقبت تسکینی, بیماری مزمن انسدادی ریه, عملکرد پرستاری, واکر و آوانت
Concept analysis, palliative care, chronic obstructive pulmonary disease, nursing practice, Walker and avant
77
90
http://jms.thums.ac.ir/browse.php?a_code=A-10-1310-1&slc_lang=fa&sid=1
Heshmati far
N
نرجس
حشمتی فر
nheshmatifar@yahoo.com
100319475328460012815
100319475328460012815
No
Mashhad University of Medical Sciences
دانشگاه علوم پزشکی مشهد
Heidary
A
عباس
حیدری
100319475328460012814
100319475328460012814
Yes
Mashhad University of Medical Sciences
دانشگاه علوم پزشکی مشهد