تاثير اجراي نظريه ارتباطات بين فردي پپلائو بر استرس بيماران تحت همودياليز

EFFECTS OF PEPLAU’S THEORY OF INTERPERSONAL RELATIONS ON STRESS OF HEMODIALYSIS PATIENTS'

ﻴﺶﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺑﻴﻤﺎﺭﺍﻥ ﺗﺤﺖ ﻫﻤﻮﺩﻳﺎﻟﻴﺰ ﺑﺎ ﻋﻮﺍﻣﻞ ﺍﺳﺘﺮﺱﺯﺍﻱ ﺯﻳﺎﺩﻱ ﺍﺯﺟﻤﻠﻪ ﻣﺸﮑﻼﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺩﺭﻣﺎﻥ، ﺩﺭﺩ، ﺍﺣﺴﺎﺱ ﻋﺪﻡﮐﻔﺎﻳﺖ ﻭ ﻧﺎﺁﺭﺍﻣﻲ، ﻣﺤﺪﻭﺩﻳﺖ ﺗﻐﺬﻳﻪ، ﺧﺴﺘﮕﻲ ﻭ ﺿﻌﻒ ﻣﻮﺍﺟﻪ ﻣﻲﺑﺎﺷﻨﺪ. ﻟﺬﺍ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎﻫﺪﻑ ﺗﻌﻴﻴﻦ ﺗﺄﺛﻴﺮ ﮐﺎﺭﺑﺮﺩ ﻧﻈﺮﻳﻪ ﺍﺭﺗﺒﺎﻃﺎﺕ ﺑﻴﻦ ﻓﺮﺩﻱ ﭘﭙﻼﺋﻮ ﺑﺮ ﺍﺳﺘﺮﺱ ﺑﻴﻤﺎﺭﺍﻥ ﺗﺤﺖ ﻫﻤﻮﺩﻳﺎﻟﻴﺰ ﺍﻧﺠﺎﻡ ﮔﺮﺩﻳﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﮐﺎﺭ: ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﮐﺎﺭﺁﺯﻣﺎﻳﻲ ﺑﺎﻟﻴﻨﻲ ﺑﺮ ﺭﻭﻱ 66 ﺑﻴﻤﺎﺭ ﻫﻤﻮﺩﻳﺎﻟﻴﺰﻱ ﻣﺮﺍﺟﻌﻪﮐﻨﻨﺪﻩ ﺑﻪ ﻣﺮﮐﺰ ﺁﻣﻮﺯﺷﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﻃﺎﻟﻘﺎﻧﻲ ﺍﺭﻭﻣﻴﻪ ﺍﻧﺠﺎﻡ ﺷﺪ. ﻧﻤﻮﻧﻪﮔﻴﺮﻱ ﺗﺼﺎﺩﻓﻲ ﺳﺎﺩﻩ ﺍﺯ ﻣﻴﺎﻥ ﻟﻴﺴﺖ ﺑﻴﻤﺎﺭﺍﻥ ﻫﻤﻮﺩﻳﺎﻟﻴﺰﻱ ﺍﻧﺠﺎﻡ ﻭ ﭘﻴﺶﺁﺯﻣﻮﻧﻲ ﺍﺯ ﺁﻥﻫﺎ ﺑﻪ ﻋﻤﻞ ﺁﻣﺪ ﻭ ﺳﭙﺲ ﻧﻤﻮﻧﻪﻫﺎ ﺑﻪﻃﻮﺭ ﺗﺼﺎﺩﻓﻲ ﺑﻪ ﺩﻭ ﮔﺮﻭﻩ ﺁﺯﻣﻮﻥ ﻭ ﮐﻨﺘﺮﻝ ﺗﺨﺼﻴﺺ ﺩﺍﺩﻩ ﺷﺪﻧﺪ. ﺍﺑﺰﺍﺭ ﮔﺮﺩﺁﻭﺭﻱ ﺩﺍﺩﻩﻫﺎ ﺷﺎﻣﻞ ﺩﻭ ﺑﺨﺶ ﺍﻃﻼﻋﺎﺕ ﺟﻤﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ ﻭ ﭘﺮﺳﺸﻨﺎﻣﻪ )21-DASS( ﺑﻮﺩ. ﺩﺭ ﻣﺮﺣﻠﻪ ﻣﺪﺍﺧﻠﻪ، ﻧﻈﺮﻳﻪ ﺍﺭﺗﺒﺎﻁ ﺩﺭﻣﺎﻧﻲ ﭘﭙﻼﺋﻮ ﺑﺮ ﺭﻭﻱ ﺑﻴﻤﺎﺭﺍﻥ ﮔﺮﻭﻩ ﺁﺯﻣﻮﻥ ﻭ ﺑﻪﺻﻮﺭﺕ ﻓﺮﺩﻱ ﺍﺟﺮﺍ ﻭ ﺩﻭ ﻫﻔﺘﻪ ﭘﺲ ﺍﺯ ﺍﺗﻤﺎﻡ ﻣﺪﺍﺧﻠﻪ، ﺁﺯﻣﻮﻥ ﻣﺠﺪﺩ ﺑﻪ ﻋﻤﻞ ﺁﻣﺪ. ﺩﺍﺩﻩﻫﺎ ﺍﺯ ﻃﺮﻳﻖ ﻧﺴﺨﻪ 20 ﻧﺮﻡﺍﻓﺰﺍﺭ S ﻭ ﺁﺯﻣﻮﻥﻫﺎﻱ ﻣﺠﺬﻭﺭ ﮐﺎﻱ، ﺗﻲ ﻣﺴﺘﻘﻞ ﻭ ﺯﻭﺟﻲ ﺗﺤﻠﻴﻞ ﮔﺮﺩﻳﺪ. ﻳﺎﻓﺘﻪﻫﺎ: ﺗﺠﺰﻳﻪﻭﺗﺤﻠﻴﻞ ﺩﺍﺩﻩﻫﺎ ﺗﻔﺎﻭﺕ ﺁﻣﺎﺭﻱ ﻣﻌﻨﻲﺩﺍﺭﻱ ﺭﺍ ﺩﺭ ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮﻩ ﺍﺳﺘﺮﺱ ﺑﻴﻦ ﺩﻭ ﮔﺮﻭﻩ ﺁﺯﻣﻮﻥ ﻭ ﮐﻨﺘﺮﻝ ﻗﺒﻞ ﺍﺯ ﺍﺟﺮﺍﻱ ﻧﻈﺮﻳﻪ ﺍﺭﺗﺒﺎﻃﺎﺕ ﺑﻴﻦ ﻓﺮﺩﻱ ﭘﭙﻼﺋﻮ ﻧﺸﺎﻥ ﻧﺪﺍﺩ )0/217= p(. ﺍﻣﺎ ﭘﺲ ﺍﺯ ﻣﺪﺍﺧﻠﻪ ﺗﻔﺎﻭﺕ ﺁﻣﺎﺭﻱ ﻣﻌﻨﻲﺩﺍﺭﻱ ﺩﺭ ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮﻩ ﺍﺳﺘﺮﺱ ﺑﻴﻦ ﺩﻭ ﮔﺮﻭﻩ ﻭﺟﻮﺩ ﺩﺍﺷﺖ )0/001

Background and Aims: Hemodialysis patients are facing a lot of stressors such as problems related to the treatment, pain, feeling of inadequacy and unrest, dietary limitation, fatigue and weakness. This study aimed to determine the effect of Peplau’s theory of interpersonal relations on stress of hemodialysis patientschr('39'). Materials and Methods: The clinical trial study was conducted on 66 patients with hemodialysis were referred to the Urmia Taleghani University Hospital. The pre-test was taken, then the samples were randomly assigned to intervention and control groups. Data collection instrument consists of two parts demographic characteristics and “21 questioned depression, anxiety and stress scale (DASS21)". Peplau’s nursing theory applied individually to the intervention group members. Then two weeks after intervention, post-test was performed. Data was analyzed using Chi square test, independent t-test and paired t-test statistics by SPSS statistical software, version 20. Results: Results showed that the difference in overall mean stress scores between experimental and control groups, before implementing the Peplau’s theory of interpersonal relationship was not significant (p=0.217). But a significant difference was shown in mean scores of stress between two groups after intervention (P>0.001). Conclusion: Based on the results from this study, it can be concluded that correct use of Peplau’s theory of interpersonal relations can lead to reducing hemodialysis patientschr('39') stress. Therefore, it is suggested, patientschr('39') stress can be reduce with use of this low-cost model.