fa بررسی وضعیت خودکارآمدی خواب و حمایت اجتماعی درک شده بیماران دارای کیفیت خواب ضعیف پس از جراحی بای پاس عروق کرونر بهداشت عمومی Public Health موردنگاري case report <p><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0cm 0cm 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-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">: </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">با توجه به شیوع اختلال خواب در بیماران قلبی و اهمیت شناخت عوامل موثر بر آن،<b> </b>هدف مطالعه حاضر، تعیین وضعیت خودکارآمدی خواب و حمایت اجتماعی درک شده در بیماران دارای کیفیت خواب ضعیف پس از جراحی بای پاس عروق کرونر در سال 1392 می باشد.<b><o:p /></b></span></p><p><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">روش کار: </span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">این مطالعه از نوع توصیفی </span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt">–</span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> تحلیلی بود. ابتدا 100 بیمار دارای اختلال خواب مراجعه کننده به کلینیک بازتوانی مرکز قلب تهران با روش نمونه گیری آسان انتخاب و پرسشنامه های حمایت اجتماعی و خودکارآمدی خواب را تکمیل کردند. داده های جمع آوری شده توسط نرم افزار </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">SPSS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> و آزمون‌های </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">One way-ANOVA</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> ، </span><span dir="ltr"></span><span dir="ltr"></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Times New Roman"><span style="mso-spacerun: yes"> </span>Independent samples t test</font></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">و </span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">Pearson correlation</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> تحلیل شدند.<o:p /></span></p><p><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">یافته‌ها:</span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> نتایج نشان داد که خودکارآمدی خواب بیماران برای انجام انواع رفتارهای افزایش دهنده کیفیت خواب پایین بود. مثلا تنها 37 درصد بیماران مطمئن بودند که می توانند افکار منفی خود را پس از دراز کشیدن در رختخواب متوقف کنند. 34 درصد به خود اطمینان داشتند که با وجود نداشتن یک خواب با کیفیت شبانه، نمی گذارند فعالیت های روزانه شان مختل شود. 27 درصد بیان کردند که می توانند پس از یک خواب نامطلوب شبانه، احساس ناراحتی نکنند. در زمینه حمایت اجتماعی نیز نتایج بیانگر کم بودن بعد حمایت مالی ملموس</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">بود. سایر ابعاد حمایت اجتماعی در سطح خوبی قرار داشت. بین خودکارآمدی خواب و حمایت اجتماعی درک شده همبستگی معنی دار وجود داشت (28/0</span><span dir="ltr"></span><span dir="ltr"></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>= </span><span dir="rtl"></span><span dir="rtl"></span><span style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span><span style="mso-spacerun: yes"><font face="B Mitra" size="2"> </font></span></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">r</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span><font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>004/0</font></font></span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-language: FA mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p = </span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span>). <o:p /></span></p><p><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">نتیجه گیری: </span></b><span lang="FA" style="font-family: "B Mitra" font-size: 10pt mso-bidi-language: FA mso-ansi-font-size: 9.0pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">در طراحی مداخلات برای افزایش کیفیت خواب بیماران، باید خودکارآمدی آنان جهت انجام رفتارهای ارتقاء دهنده سلامت خواب را افزایش داد. <o:p /></span></p><p><font face="Times New Roman" size="3"> </font></p> <p> <strong>Background:</strong> Given the prevalence of sleep disorders among patients with heart disease and importance of recognizing determinants of it, the purpose of this study was to determine the status of sleep self-efficacy and perceived social support in patients with poor sleep quality after coronary bypass surgery in 2013. </p><p><strong>Methods:</strong> This is a cross-sectional study. First, 100 patients whit poor sleep quality referred to the cardiac rehabilitation clinic of Tehran Heart Center were selected through simple sampling method and completed questionnaires of sleep self-efficacy and interpersonal support evaluation list–short form. Data were analyzed by the SPSS and one way-ANOVA, independent samples t test and Pearson correlation coefficient. </p><p><strong>Results:</strong> The results indicated that sleep self-efficacy of patients for performing various sleep health promoting behaviors was low. For example, only 37% of patients were confident to themselves ability for turning out negative thoughts after lying in bed. Some 34% of them were confident that not allow a poor night's sleep interfere with daily activities. About 27% of them stated that awake after a poor night's sleep without feeling upset about it. The result also showed that acquired tangible assets support domain of patients was low. Other domains of social support were satisfactory. There was a significant relation between perceived social support and sleep self-efficacy (p=0.004, r= 0. 28). <strong>Conclusion: In</strong> developing interventions for increasing sleep quality of patients may be increase their sleep self-efficacy to performing sleep health promoting behaviors. </p> کیفیت خواب, جراحی بای پاس عروق کرونر, خودکارآمدی خواب, حمایت اجتماعی Sleep quality, Coronary artery bypass surgery, Sleep self-efficacy, Social support 33 42 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1607&slc_lang=fa&sid=1 Soheila Ranjbaran سهیلا رنجبران 3900319475328460027512 3900319475328460027512 No Tehran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی تهران، تهران، ایران Tahereh Dehdari طاهره دهداری 3900319475328460027513 3900319475328460027513 Yes Iran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی ایران، تهران، ایران Mahmood Mahmoodi Majdabadi محمود محمودی مجدآبادی 3900319475328460027514 3900319475328460027514 No Tehran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی تهران، تهران، ایران KHosro Sadeghniiat-Haghighi خسرو صادق نیت حقیقی 3900319475328460027515 3900319475328460027515 No Tehran University of Medical Sciences, Tehran, Iran دانشگاه علوم پزشکی تهران، تهران، ایران