بررسي تأثير تله‌نرسينگ بر بار مراقبتي مراقبين خانوادگي بيماران كوويد-19

Investigating the Effect of Tele-Nursing on the Care Burden of Family Caregivers of COVID- 19 Patients

زمينه و هدف: اثرات كوويد-19 نه ‌تنها در زندگي بيماران اختلال ايجاد مي‌كند بلكه افراد مراقبت‌كننده را نيز گرفتار مي‌نمايد. اين مطالعه با هدف تعيين تأثير تله‌نرسينگ بر بار مراقبتي مراقبين‌خانوادگي بيماران كوويد-19، ترخيص شده از بيمارستان 22 بهمن شهر خواف طراحي و اجرا شد. روش‌ها: اين مطالعه نيمه تجربي بر روي 120 مراقب خانوادگي بيمار كوويد-19، انجام شد. نمونه‌ها به روش در دسترس انتخاب و به دو گروه مداخله و كنترل به صورت مساوي تقسيم شدند. در گروه مداخله آموزش از طريق تله‌نرسينگ مبتني بر بار مراقبتي، طي مدت يك ماه انجام شد و براي گروه كنترل، مداخله‌اي صورت نگرفت. هر دو گروه قبل و يك ماه پس از اجراي مداخله، پرسشنامه‌ي بارمراقبتي زاريت را تكميل كردند. يافته‌ها: در مراقبين گروه مداخله، ميانگين نمره‌ي فشار ‌مراقبتي در كل و مؤلفه‌هاي آن بعد از مداخله نسبت به قبل از آن كاهش معناداري داشت (0/001>P) ولي در گروه كنترل ميانگين نمره فشار مراقبتي در كل و مؤلفه‌هاي آن (به جز فشار عيني) قبل و بعد از مداخله تفاوت معناداري نداشت (0/05

Background and aim: The effects of COVID-19 not only disrupt patients' lives, but also affect caregivers. The aim of this study was to determine the effect of tele-nursing on the care burden of family caregivers of COVID-19 patients discharged from 22 Bahman Khaf Hospital. Methods: This quasi-experimental study was performed on 120 family caregivers of COVID-19 patients from the beginning of May 2020 to the end of October 2020. Samples were selected by Convenience Sampling and were randomly divided into two equal groups (intervention and control). In the intervention group, training was performed through care load-based tele-nursing for a period of one month while no intervention was performed for the control group. Both groups completed the Zarit Care Questionnaire before and one month after the intervention. Results: In the experimental group, the mean score of total care pressure and its components after the intervention was significantly lower than before (p <0.001), but in the control group, the mean score of total care pressure and its components (except objective pressure before and after the intervention) was not significantly different (P> 0.05). Conclusion: Tele-nursing training reduces the burden of care in family caregivers of COVID-19 patients. Therefore, it is suggested that health managers, by creating appropriate policies, put the implementation of the tele-nursing process in the family caregivers of COVID-19 patients on their agenda.