fa تأثیر مداخله آموزشی مبتنی بر تئوری رفتار برنامه ریزی شده بر بهبود نحوه مراقبت از نوزاد نارس توسط مادر نوزادان Neonatology پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: باورهای نادرست مادران</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">مراقبت از</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نوزاد نارس می</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تواند سبب</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">عملکرد مراقبتی نامناسب آنان</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">شود.</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">هدف مطالعه</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">حاضر، تعیین تأثیر آموزش بر اساس سازه های تئوری رفتار برنامه ریزی شده بر عملکرد مادران</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه مراقبت از نوزاد نارس خود در سال 1391 می باشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش کار</span></b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: این مطالعه از نوع نیمه تجربی است. دو بیمارستان تحت پوشش دانشگاه علوم پزشکی تهران به صورت تصادفی انتخاب و به گروه آزمون و کنترل تقسیم شدند. از هر بیمارستان 45 مادر دارای نوزاد نارس به صورت نمونه گیری آسان انتخاب شدند. در این مطالعه، ابزار گردآوری اطلاعات شامل پرسش نامه خود</span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">ساخته برای سنجش سازه های تئوری رفتار برنامه ریزی شده و چک لیست مشاهده ای برای سنجش عملکرد مادران بود. پیش آزمون در روز اول بستری نوزاد جهت سنجش سازه های تئوری و عملکرد مادران انجام شد. مداخله آموزشی بر مبنای نتایج پیش آزمون طراحی و برای گروه آزمون اجرا شد. زمان ترخیص نوزاد،</span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">هر دو گروه مجدداً پرسش نامه های مربوطه را تکمیل کردند. داده ها با نرم افزار آماری </span><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">SPSS</span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> و آزمون های تی مستقل و تی زوجی</span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">تحلیل شدند.</span><span lang="FA" style="font-family: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته‌ها:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 13pt mso-bidi-language: FA"> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">میانگین نمره قصد (02/0</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>)، نگرش (001/0</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p<</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>)، هنجارهای انتزاعی (002/0</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>)، کنترل رفتاری درک شده (001/0</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p<</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) و همچنین عملکرد کلی مادران در مراقبت از نوزاد نارس (001/0</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) در گروه آزمون، افزایش معنی داری نسبت به گروه کنترل، در مرحله پس از مداخله داشت.</span><span lang="FA" style="font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه</span></b><b><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt" dir="ltr">‌</span></b><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گیری</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: اجرای مداخله آموزشی بر اساس سازه های تئوری رفتار برنامه ریزی شده یک استراتژی موثر برای بهبود نحوه مراقبت از نوزاد نارس توسط مادر می باشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background: </span></b><span lang="EN-AU" style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ansi-language: EN-AU">I</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">ncorrect belief of mothers in regard to taking for care of their premature neonates could lead to poor care performance.</span><font size="3"><span style="color: black font-family: "Times New Roman","serif"">The purpose of this study was to evaluate the effect </span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">of education based on the theory of planned behavior of structures on the performance of the mothers, in the care of premature infants in 2013.</span></font><span style="font-size: 13pt mso-bidi-font-family: "B Mitra""><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Methods</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">: </span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">This survey was a quasi-experimental study. Two hospitals affiliated to Tehran University of Medical Sciences were randomly selected and divided into control and test groups. Then, 45 mothers were selected by simple sampling method from each hospital. Instruments for gathering data were designed based on </span><font size="3"><span style="color: black font-family: "Times New Roman","serif" mso-bidi-font-family: Nazanin">theory of planned behavioral constructs and observational checklist for assessing function of mother</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA"> for care of premature infants</span><span style="color: black font-family: "Times New Roman","serif" mso-bidi-font-family: Nazanin">. </span><span style="font-family: "Times New Roman","serif" mso-bidi-font-family: Nazanin">Educational program was designed according of pre-test results and performed in the experimental group.</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA"> </span><span style="font-family: "Times New Roman","serif" mso-bidi-font-family: Nazanin">Two groups were followed-up </span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">to the discharge of the neonates. Data was analyzed by SPSS statistical software (version 16) and </span><span style="color: black font-family: "Times New Roman","serif"">independent sample t-tests and student’s t test for paired sample.</span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 12pt" dir="rtl"><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Results:</span></b><span style="font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><font face="Calibri"> </font></span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Significant improvements were observed in the mean score of attitude (p<0.0001), subjective norms (p=0.002), perceived behavioral control (p<0.0001), intention (p=0.02) and </span><font size="3"><span style="color: black font-family: "Times New Roman","serif"">overall</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA"> performance of mothers to take care of premature infant (p=0.001) in the experimental group </span></font><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt">as compared to the control group.</span><span style="font-family: "Times New Roman","serif" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Conclusions: </span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Implementing educational intervention based on theory of planned behavior constructs may be an effective strategy</span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt"> for improving</span><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA"> the performance of mothers to care of premature neonate.</span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 12pt" dir="rtl"><o:p /></span></p><font face="Times New Roman" size="3"> </font> نوزاد نارس، بخش مراقبت ویژه نوزادان، آموزش، تئوری رفتار برنامه ریزی Prematurity, Neonatal intensive care unit, Education, Theory of planned behavior 39 48 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1488&slc_lang=fa&sid=1 Mahin Ghasemi مهین قاسمی 3900319475328460025048 3900319475328460025048 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Tahereh Dehdari طاهره دهداری 3900319475328460025049 3900319475328460025049 Yes Iran University of Medical Sciences دانشگاه علوم پزشکی ایران Parisa Mohagheghi پریسا محققی 3900319475328460025050 3900319475328460025050 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران Mahmood Reza Gohari محمودرضا گوهری 3900319475328460025051 3900319475328460025051 No Iran University of Medical Sciences دانشگاه علوم پزشکی ایران