fa تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت نفس کودکان دارای مثانۀ نوروژنیک پرستاری Nursing پژوهشي اصیل Original Research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><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:150%"><span b="" nazanin="" style="font-family:"> مداخلات پرستاری توانبخشی موجب افزایش استقلال کودکان مبتلا به مثانۀ نوروژنیک و حس کنترل و اعتماد به نفس </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">آنان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">می‌شود.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">لذا این مطالعه با هدف تعیین تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت نفس کودکان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مبتلا به اختلال مثانه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> نوروژنیک انجام پذیرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><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="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">روش کار:</span></span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> این مطالعه نیمه تجربی پیش‌آزمون-پس‌آزمون روی 100 کودک مبتلا به مثانه نوروژنیک مراجعه کننده به بیمارستان آموزشی درمانی شهید هاشمی‌نژاد تهران در سال 1404 انجام شد. نمونه‌گیری به صورت در دسترس بود و با تخصیص تصادفی به دو گروه مداخله و کنترل تقسیم شدند. گروه مداخله آموزش توانبخشی را 6 هفته دریافت نمودند و در گروه کنترل مداخله‌ای انجام نشد. پرسشنامه</span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">&lrm;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">های کیفیت زندگی کودکان وارنی و همکاران (2003) و عزت نفس کوپر اسمیت (1967) قبل و بعد از مداخله تکمیل شد. داده‌ها با نرم‌افزار </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">SPSS</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> نسخه 24 و آزمون‌های تی‌مستقل، کای‌اسکوئر، ویلکاکسون، آنکووا و یو‌من‌ویتنی در سطح معنی‌داری 05/0</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P<</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> تحلیل شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><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="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته</span></span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">نمره کیفیت زندگی در گروه آزمون (قبل </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">15/14</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">60/47</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">، بعد </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">18/13</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">14/52</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">) و کنترل (قبل </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">13/14</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">36/47</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">، بعد </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">10/14</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">94/47</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">) بود. نمره کل عزت نفس در گروه آزمون (قبل </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">33/7</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">90/26</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">، بعد90/5</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span cambria="" style="font-family:"><span style="letter-spacing:-.3pt">&plusmn;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">68/31) و کنترل (قبل </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">50/6</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">20/27</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">، بعد </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">47/7</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%">&plusmn;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">66/28</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.3pt">) بود. </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">آزمون</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> آنکووا بعد از مداخله بین دو گروه آزمون و کنترل از نظر نمره کل کیفیت زندگی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">(000/0=</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> و عزت نفس </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">(043/0=</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> اختلاف معنی‌داری نشان داد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">نتیجه‌گیری:</span></span></span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتایج نشان‌دهنده تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت به نفس کودکان مبتلا به مثانه نوروژنیک بود. بنابراین این روش، یک راهکار ساده و ارزان در جهت افزایش کیفیت زندگی و عزت نفس این کودکان ضروری است.</span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Background and Objectives:</span></b> <span new="" roman="" style="font-family:" times="">Rehabilitation nursing interventions increase the independence of these children</span> <span new="" roman="" style="font-family:" times="">with neurogenic bladder and their sense of control and self-confidence. Therefore, this study was conducted to determine the effect of rehabilitation nursing on the quality of life and self-esteem of children with neurogenic bladder.</span><span dir="RTL" lang="FA" style="background:yellow"><span style="font-family:"B Nazanin""></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="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></b><span new="" roman="" style="font-family:" times=""> This quasi-experimental pre-test-post-test study was conducted on 100 children with neurogenic bladder referred to Shahid Hasheminejad Hospital in Tehran in 2025. Sampling was available and they were randomly divided into two intervention and control groups. The intervention group received rehabilitation education for 6 weeks. No intervention was performed in the control group. The Varney et al. (2003) and Cooper Smith (1967) children&#39;s quality of life questionnaires were completed before and after the intervention. The data were analyzed with SPSS version 24 software significance level of P<0.05.</span><span style="background:yellow"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><span new="" roman="" style="font-family:" times=""> The total score of quality of life in the experimental group was (before 47.60&plusmn;14.15, after 52.14&plusmn;13.18) and the control group was (before 47.36&plusmn;14.13, after 47.94&plusmn;14.10). The total score of self-esteem in the experimental group was (before 26.90&plusmn;7.33, after 31.68&plusmn;5.90) and the control group was (before 27.20&plusmn;6.50, after 28.66&plusmn;7.47). The ANCOVA test after the intervention showed a significant difference between the experimental and control groups in terms of total score of quality of life (P=0.000) and self-esteem (P=0.043).</span><span style="background:yellow"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="tab-stops:236.25pt"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Conclusions:</span></b><span new="" roman="" style="font-family:" times=""> The results showed the effect of rehabilitation nursing on the quality of life and self-esteem of children with neurogenic bladder. <span style="background:yellow"></span></span></span></span></span></span></span><br> &nbsp; پرستاری توانبخشی, کیفیت زندگی, عزت نفس, کودکان, مثانۀ نوروژنیک. Rehabilitation Nursing, Quality of Life, Self-Esteem, Children, Neurogenic Bladder. 0 0 http://nmj.umsha.ac.ir/browse.php?a_code=A-10-2525-1&slc_lang=fa&sid=1 maryam sofali مریم سوفالی maryam.soofali@iau.ir 100319475328460029131 100319475328460029131 No Islamic Azad University, Aliabad Katul branch دانشگاه آزاد اسلامی واحد علی آباد کتول akram sanagoo اکرم ثناگو akramsanagoo@gmail.com 100319475328460029132 100319475328460029132 Yes Golestan University of Medical Sciences دانشگاه علوم پزشکی گلستان Raziyeh Naderkhani راضیه نادرخانی rnaderkhani@iau.ac.ir 100319475328460029133 100319475328460029133 No Islamic Azad University, Aliabad Katul branch دانشگاه آزاد اسلامی واحد علی آباد کتول