Military Caring Sciences
علوم مراقبتی نظامی
MCS
Medical Sciences
http://mcs.ajaums.ac.ir
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2025
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مقایسهی تأثیر استفاده از سه روش محافظ گوش، محافظ چشم و اجرای پروتکل زمان آرام بر میزان اضطراب بیماران بستری در بخشهای مراقبت ویژه قلبی بیمارستانهای منتخب آجا تهران در سال 1403
Comparison of the Effect of Earplugs, Blindfolds and Quiet Time Protocol on Anxiety in patients Admitted to Intensive Cardiac Care Unit in Selected Aja Hospitals in Tehran, 2024
پرستاری داخلی - جراحی
Internal-surgery Nursing
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> روشهای مختلفی برای کاهش اضطراب بیماران بستری در بخش ویژه قلبی وجود دارد اما چالش اصلی انتخاب روش اثربخش و مفید میباشد.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">هدف:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> مقایسه تأثیر استفاده از سه روش محافظ گوش، محافظ چشم و اجرای پروتکل زمان آرام بر میزان اضطراب بیماران بستری در بخشهای مراقبت ویژه قلبی هدف این مطالعه بود.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روشها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> این مطالعه نیمه تجربی چهار گروهه بود که بر روی بیماران قلبی بستری در بخشهای مراقبت ویژه قلبی بیمارستانهای منتخب آجا در سال 1403 انجام شد. 84 نفر بیمار در چهار گروه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">21 نفره</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">شامل </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">گروه </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">پروتکل زمان آرام، محافظ </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">چشم، محافظ گوش و کنترل قرار گرفتند</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> مداخله از ساعت 24 شب دوم بستری الی 6 صبح روز بعد، به مدت 3 شب </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">با استفاده از ابزار فرم مشخصات جمعیت شناختی و پرسشنامه اضطراب </span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">DASS-21</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> اجرا شد. (بدون اجرای مداخله در گروه کنترل).</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">دادهها با نرمافزار آماری </span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> نسخه 21</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">تحلیل شدند. (0/05</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">></span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافتهها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> قبل از مداخله بین میانگین نمرات </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">اضطراب</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">چهار گروه تفاوت آماری معنیداری وجود نداشت</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">. قبل از انجام مداخله میانگین اضطراب در گروه محافظ چشم (1/82</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">11/76)، در گروه محافظ گوش</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">(2/21</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">10/72)، در گروه پروتکل زمان آرام (</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">2/72</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">10/15) و </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">در گروه کنترل</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">(2/45</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">11/05)</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بود. پس از انجام مداخله میانگین اضطراب در گروه محافظ چشم</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">(</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">1/24</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">5/89)</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">، در گروه محافظ گوش (1/57</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">5/66)، در گروه پروتکل زمان آرام (2/13</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">7/65)</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">و در گروه کنترل (1/92</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">±</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">10/70)</span></span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بود. </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بین گروه محافظ چشم و گروه پروتکل زمان آرام </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">(0/005 =</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> و بین گروه محافظ گوش و گروه پروتکل زمان آرام </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">(0/014=</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> اختلاف معناداری وجود داشت</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">.</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجهگیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> با</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">توجه</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">به اثربخشی هر سه روش در کاهش اضطراب بیماران بستری در این مطالعه، به کار بستن این روشها برای کمک به بیماران بستری در بخش مراقبت ویژه قلبی ضمن تلاش برای شناساندن پروتکل زمان آرام توصیه میشود.</span></span></span></span></span></span></span></span></span></span></div>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Introduction:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Various methods have been used to help patients, but the main challenge is choosing an effective and useful method.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Objective:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Aim of this study was Comparison of the effect of earplugs, blindfolds and Quiet Time Protocol on anxiety in patients admitted to Intensive Cardiac Care Unit</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods:</span></span></span></span></b> <span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">A four-group quasi-experimental study conducted on cardiac patients hospitalized in the cardiac intensive care units of selected Aja hospitals in 1403. 84 patients were assigned to four groups of 21 people, including the quiet time protocol, blindfold, ear protection and control groups. The intervention was implemented from midnight on the second night of hospitalization to 6 am the next day for 3 nights using the demographic characteristics form and DASS-21 anxiety questionnaire. (No intervention was performed in the control group). Data were analyzed with SPSS version 21 statistical software. (P<0.05).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Before the intervention, there was no statistically significant difference between the mean anxiety scores (P>0.05). Before the intervention, the average anxiety level was(11/76±1/82) in the blindfold group, (10/72±2/21) in the earplug group, (10/15±2/72) in the quiet time protocol group and (11/05±2/45) in the control group. After the intervention, the average anxiety level was (5/89±1/24) in the blindfold group, (5/66±1/57) in the earplug group, (7/65±2/13) in the quiet time protocol group and (10/70±1/92) in the control group. There was a significant difference between the eye protection group and the quiet time protocol group (P=0.005) and between the ear protection group and the quiet time protocol group (P=0.014).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Given the effectiveness of all three methods in reducing anxiety in hospitalized patients in this study, it is recommended to use these methods to help patients hospitalized in the intensive cares while trying to introduce the quiet time protocol.</span></span></span></span></span></span></span></span> <div></div>
اضطراب, بخش مراقبت ویژه قلبی, پروتکل زمان آرام, محافظ چشم, محافظ گوش
Anxiety, Blindfolds, Earplugs, Intensive Cardiac Care Unit, Quiet Time Protocol
47
55
http://mcs.ajaums.ac.ir/browse.php?a_code=A-10-729-1&slc_lang=fa&sid=1
Parisa
Hashemi Shahraki
پریسا
هاشمی شهرکی
phashemi625@gmail.com
100319475328460018431
100319475328460018431
No
Intensive Care Nursing Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
گروه پرستاری مراقبتهای ویژه، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران
Fatemeh
Fatemeh
فاطمه
کلروزی
fkalroozi1385@yahoo.com
100319475328460018432
100319475328460018432
Yes
Pediatric Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran,
گروه پرستاری کودکان، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران
Maryam
Nezamzadeh
مریم
نظام زاده
nezamzadeh_maryam@yahoo.com
100319475328460018433
100319475328460018433
No
Military Nursing Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran
گروه پرستاری نظامی، دانشکده پرستاری، دانشگاه علوم پزشکی ارتش، تهران، ایران
Mohammad Hassan
Kazemi-Galougahi
محمد حسن
کاظمی گلوگاهی
kazemigalougahi@yahoo.com
100319475328460018434
100319475328460018434
No
Social Medicine Department, School of Medicine, Aja University of Medical Sciences, Tehran, Iran
دانشکده پزشکی، دانشگاه علوم پزشکی آجا، تهران، ایران