بررسی مقايسه‌اي نیازهای مراقبت معنوی مادران کودکان کم‌تر از 14 سال مبتلا به سرطان در مراحل تشخیص و انتهایی بیماری

زمانه جاودان‌پور--- کارشناسی ارشد پرستاری کودکان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران,
اکرم‌السادات سادات‌حسینی--- استادیار، گروه پرستاری کودکان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران. (نویسنده مسؤول),
محمدعلی چراغی--- استاد، دانشگاه علوم پزشکی تهران، تهران، ایران,
عباس مهران--- مربی، گروه بهداشت جامعه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران

چکیده


380

زمینه و هدف: مراقبت معنوی از طریق شناسایی نیازهای مراقبتی مددجویان امکان‌پذیر می‌گردد. این مطالعه، با هدف بررسی مقایسه‌ای نیازهای مراقبت معنوی، مادران کودکان مبتلا به سرطان در مرحله تازه تشخیص و مرحله پایانی بیماری انجام شده است.

مواد و روش‌ها: این مطالعه توصیفی ـ تحلیلی بر روی 400 نفر از مادران کودکان زیر 14سال مبتلا به سرطان در مرحله تازه تشخیص و مراحل پایانی بیماری، بستری در بخش‌های خون و انکولوژی کودکان بیمارستان‌های شهر تهران در سال 95-1394 صورت گرفت. ابزار جمع‌آوری داده‌ها شامل پرسشنامه سنجش نيازهاي معنوي بيمار (Spirit) بود که به فارسی ترجمه و اعتبارسنجی شد. داده‌ها با استفاده از نرم‌افزار SPSS 18 تجزیه و تحلیل شد.

ملاحظات اخلاقی: پس از توضیح درباره اهداف مطالعه، رضایت آگاهانه کتبی مادران برای شرکت در مطالعه اخذ گردید.

یافته‌ها: سطح نیازهای مراقبت معنوی در گروه مرحله نهایی به طور معنی‌داری بالاتر از گروه تازه تشخیص بود (p<0/001)، در حالی که تمایل به دریافت مراقبت معنوی در مادران گروه تازه تشخیص به دریافت مراقبت معنوی، به طور معنی‌داری بیشتر بود (p<0/05). ارتباط معنی‌داری بین میزان درآمد ماهیانه و نیاز مراقبت معنوی (p<0/001) در گروه تازه تشخیص، و نیز بین متغیر سابقه ابتلا و نیاز مراقبت معنوی (p<0/05) درگروه مرحله نهایی وجود داشت. مادران نیازهای مراقبت معنوی‌شان، را به صورت درون‌مایه‌های نیازهای مراقبتی حمایتی اجتماعی، اطلاعاتی، عاطفی ـ روانی، معنوی و عملی ـ جسمی گزارش نمودند.

نتیجه‌گیری: یافته‌های مطالعه بر نیازهای مراقبت معنوی و نیز تمایل دریافت مراقبت معنوی، در هر دو گروه مورد مطالعه دلالت دارد. از این رو پیشنهاد می‌شود، مراقبت معنوی در پروتکل مراقبت جامع این بیماران و خانواده‌هایشان قرار گیرد.


موضوع


نیاز معنوی؛ مراقبت معنوی؛ کودک؛ سرطان؛ پرستاری

تمام متن:

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