Avicenna Journal of Nursing and Midwifery Care
مجله مراقبت پرستاری و مامایی ابن‌سینا
Avicenna J Nurs Midwifery Care
Medical Sciences
http://nmj.umsha.ac.ir
1
admin
2676-5748
2676-5748
8
10.53208/ajnmc
14
۱۲۴/۲۱۰۹
fa
jalali
1405
2
1
gregorian
2026
5
1
34
2
online
1
fulltext
fa
تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت‌نفس کودکان دارای مثانۀ نوروژنیک
Effect of Rehabilitation Nursing on the Quality of Life and Self-Esteem of Children with Neurogenic Bladder
پرستاری
Nursing
پژوهشي اصیل
Original Research
<div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-family:Tahoma;"><span style="line-height:2;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">سابقه و هدف:</span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt">مداخلات پرستاری توانبخشی موجب افزایش استقلال کودکان مبتلا به مثانۀ نوروژنیک و حس کنترل و اعتماد به ‏نفس </span><span lang="FA" style="font-size:10.0pt">آنان </span><span lang="AR-SA" style="font-size:10.0pt">می‌شود.</span> <span lang="AR-SA" style="font-size:10.0pt">لذا این مطالعه با هدف تعیین تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت‏ نفس کودکان </span><span lang="AR-SA" style="font-size:10.0pt">مبتلا به اختلال مثانۀ نوروژنیک</span><span lang="AR-SA" style="font-size:10.0pt"> انجام پذیرفت.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">مواد و روش‌‌ها:</span></span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"> این مطالعۀ نیمه‏تجربی پیش‌آزمون-پس‌آزمون روی 100 کودک مبتلا به مثانۀ نوروژنیک مراجعه‏کننده به بیمارستان آموزشی-درمانی شهید هاشمی‌نژاد تهران در سال 1404 انجام شد. نمونه‌گیری به‏صورت 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 dir="LTR" lang="AR-SA" style="font-size:10.0pt">‎</span><span lang="AR-SA" style="font-size:10.0pt">های کیفیت زندگی کودکان وارنی و همکاران (2003) و عزت‏نفس کوپر اسمیت (1967) قبل و بعد از مداخله تکمیل شد. داده‌ها با نرم‌افزار </span><span dir="LTR" style="font-size:10.0pt">SPSS</span><span lang="AR-SA" style="font-size:10.0pt"> نسخۀ 24 و آزمون‌های تی‌مستقل، کای‌اسکوئر، ویلکاکسون، آنکووا و یو‌من‌ویتنی در سطح معنی‌داری 05/0</span><span dir="LTR" style="font-size:10.0pt">P<</span><span style="font-size:10.0pt"> تحلیل شد.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">یافته‌ها:</span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">نمرۀ کیفیت زندگی در گروه آزمون (قبل </span></span><span lang="AR-SA" style="font-size:10.0pt">15/14</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">60/47</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">، بعد </span></span><span lang="AR-SA" style="font-size:10.0pt">18/13</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">14/52</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">) و کنترل (قبل </span></span><span lang="AR-SA" style="font-size:10.0pt">13/14</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">36/47</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">، بعد </span></span><span lang="AR-SA" style="font-size:10.0pt">10/14</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">94/47</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">) بود. نمرۀ کل عزت‏ نفس در گروه آزمون (قبل </span></span><span lang="AR-SA" style="font-size:10.0pt">33/7</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">90/26</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">، بعد90/5</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">±</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">68/31) و کنترل (قبل </span></span><span lang="AR-SA" style="font-size:10.0pt">50/6</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">20/27</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">، بعد </span></span><span lang="AR-SA" style="font-size:10.0pt">47/7</span><span lang="AR-SA" style="font-size:10.0pt">±</span><span lang="AR-SA" style="font-size:10.0pt">66/28</span><span lang="AR-SA" style="font-size:10.0pt"><span style="letter-spacing:-.3pt">) بود. </span></span><span lang="AR-SA" style="font-size:10.0pt">آزمون</span><span lang="AR-SA" style="font-size:10.0pt"> آنکووا بعد از مداخله بین دو گروه آزمون و کنترل ازنظر نمرۀ کل کیفیت زندگی </span><span lang="AR-SA" style="font-size:10.0pt">(000/0=</span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="AR-SA" style="font-size:10.0pt">)</span><span lang="AR-SA" style="font-size:10.0pt"> و عزت‏نفس </span><span lang="AR-SA" style="font-size:10.0pt">(043/0=</span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="AR-SA" style="font-size:10.0pt">)</span><span lang="AR-SA" style="font-size:10.0pt"> اختلاف معنی‌داری نشان داد.</span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="color:#0a8510"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">نتیجه‌گیری:</span></span></span></span></span></b> <span lang="FA" style="font-size:10.0pt">نتایج نشان‌دهندۀ تأثیر پرستاری توانبخشی بر کیفیت زندگی و عزت‏ نفس کودکان مبتلا به مثانۀ 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><br>
</div>
<div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-family:Tahoma;"><span style="line-height:2;"><span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Background and Objective:</span></span></span></b> <span style="font-size:9.0pt">Rehabilitation nursing interventions can enhance the independence of children</span> <span style="font-size:9.0pt">with neurogenic bladder and their sense of control and self-confidence. Therefore, the present 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="font-size:9.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Materials and Methods:</span></span></span></b> <span style="font-size:9.0pt">This quasi-experimental</span> <span style="font-size:9.0pt">study with a pre-test-post-test design was performed on 100 children with neurogenic bladder who were referred to Shahid Hasheminejad Hospital in Tehran in 2025. Convient sampling method was used, and the participants were randomly divided into two intervention and control groups. The intervention group received rehabilitation education for 6 weeks. No intervention was administered to the control group. The Varney et al. (2003) and Cooper Smith (1967) children's quality of life questionnaires were completed before and after the intervention. The collected data was analyzed in SPSS software (version 24). </span><span style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Results:</span></span></span></b> <span style="font-size:9.0pt">The total score of quality of life in the experimental group was 47.60 ± 14.15 before the intervention and 52.14 ± 13.18 afterward, whereas the control group scored 47.36 ± 14.13 before and 47.94 ± 14.10 afterward. The total score of self-esteem in the experimental group was 26.90 ± 7.33 at pretest and 31.68 ± 5.90 at posttest, compared to 27.20 ± 6.50 and 28.66 ± 7.47 in the control group, respectively. 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 (<i>p</i>=0.000) and self-esteem (<i>p</i>=0.043).</span><span style="font-size:9.0pt"><span style="font-family:Optima"></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="color:black"><b><span style="font-size:9.0pt"><span style="color:#0a8510"><span style="letter-spacing:-.15pt">Conclusion:</span></span></span></b> <span style="font-size:9.0pt">The findings demonstrated that rehabilitation nursing is effective in improving the quality of life and self-esteem of children with neurogenic bladder.</span></span></span></span></span></span></span></div>
پرستاری توانبخشی, کیفیت زندگی, عزت‌نفس, کودکان, مثانۀ نوروژنیک
Children, Neurogenic Bladder, Quality of Life, Rehabilitation Nursing, Self-Esteem
156
165
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
100319475328460030330
100319475328460030330
No
akram
sanagoo
اکرم
ثناگو
akramsanagoo@gmail.com
100319475328460030331
100319475328460030331
Yes
Raziyeh
Naderkhani
راضیه
نادرخانی
rnaderkhani@iau.ac.ir
100319475328460030332
100319475328460030332
No