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Three Specific Ways, in Which the Nursing Conceptual Model of, Martha Rogers Can Be Used to Improve Nursing Practice.

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‫دﮐﺘﺮ ﻃﻮﺑﯽ ﮐﺎﻇﻤﯽ- ﻏﻼﻣﺮﺿﺎ ﺷﺮﯾﻒزاده‬

‫ﺗﻐﯿﯿﺮات ده ﺳﺎﻟﻪ ﻣﻮرﺗﺎﻟﯿﺘﯽ و ﻋﻮاﻣﻞ ﺧﻄﺮ ﺑﯿﻤﺎرﯾﻬﺎی ﻗﻠﺒﯽ ...‬

‫ﺗﻐﯿﯿﺮات ده ﺳﺎﻟﻪ ﻣﻮرﺗﺎﻟﯿﺘﯽ و ﻋﻮاﻣﻞ ﺧﻄﺮ ﺑﯿﻤﺎرﯾﻬﺎی ﻗﻠﺒﯽ‬
‫در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﻧﻔﺎرﮐﺘﻮس ﺣﺎد ﻣﯿﻮﮐﺎرد در ﺑﯿﺮﺟﻨﺪ )3731 ﺗﺎ 2831(‬
‫دﮐﺘﺮ ﻃﻮﺑﯽ ﮐﺎﻇﻤﯽ1- ﻏﻼﻣﺮﺿﺎ ﺷﺮﯾﻒزاده‬

‫2‬

‫ﭼﮑﯿﺪه‬

‫‪D‬‬

‫زﻣﯿﻨﻪ و ﻫﺪف: اﻧﻔﺎرﮐﺘﻮس ﺣﺎد ﻣﯿﻮﮐﺎرد از ﻋﻠﻞ ﻣﻬﻢ ﻣﻮرﺗﺎﻟﯿﺘﯽ و ﻣﻮرﺑﯿﺪﯾﺘﯽ در ﺟﻮاﻣﻊ ﭘﯿﺸﺮﻓﺘﻪ و در ﺣﺎل ﺗﻮﺳﻌﻪ‬
‫ﻣﯽﺑﺎﺷﺪ؛ آﮔﺎﻫﯽ از ﺗﻐﯿﯿﺮات در روﻧﺪ اﯾﻦ ﺑﯿﻤﺎری و ﻋﻮاﻣﻞ ﺧﻄﺮ آن ﻣﯽﺗﻮاﻧﺪ راﻫﮑﺎرﻫﺎی ﻣﻨﺎﺳﺒﯽ را ﺟﻬﺖ ﻣﺪاﺧﻼت‬
‫ﻫﻤﻪ ﺟﺎﻧﺒﻪ ﭘﯿﺶ روی ﻗﺮار دﻫﺪ؛ ﺑﻪ ﻫﻤﯿﻦ دﻟﯿﻞ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ روﻧﺪ ﺗﻐﯿﯿﺮات اﻧﻔﺎرﮐﺘﻮس ﻣﯿﻮﮐﺎرد در‬
‫ﻃﯽ 01 ﺳﺎل اﺧﯿﺮ در ﺷﻬﺮ ﺑﯿﺮﺟﻨﺪ اﻧﺠﺎم ﺷﺪ.‬
‫روش ﺑﺮرﺳﯽ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﯿﻔﯽ- ﺗﺤﻠﯿﻠﯽ ﺗﻤﺎم ﭘﺮوﻧﺪهﻫﺎی ﺑﯿﻤﺎرﺳﺘﺎﻧﯽ اﻓﺮادی ﮐﻪ ﺑﺎ ﺗﺸﺨﯿﺺ اﻧﻔﺎرﮐﺘﻮس‬
‫ﺣﺎد ﻣﯿﻮﮐﺎرد در ﻃﯽ ﺳﺎﻟﻬﺎی 3731 ﺗﺎ 2831 در ﺑﯿﻤﺎرﺳﺘﺎﻧﻬﺎی وﻟﯽ ﻋﺼﺮ )ﻋﺞ( و اﻣﺎم رﺿﺎ )ع( ﺑﯿﺮﺟﻨﺪ ﺑﺴﺘﺮی ﺷﺪه‬
‫ﺑﻮدﻧﺪ، ﻣﻮرد ﺑﺮرﺳﯽ ﻗﺮار ﮔﺮﻓﺖ. ﺟﻬﺖ اﻧﺠﺎم ﺗﺤﻘﯿﻖ، ﭘﺮﺳﺸﻨﺎﻣﻪای ﺣﺎوی اﻃﻼﻋﺎت ﻣﻮرد ﻧﯿﺎز ﺗﻨﻈﯿﻢ و ﺗﻮﺳﻂ دو‬
‫ﭘﺮﺳﺘﺎر آﻣﻮزش دﯾﺪه و زﯾﺮ ﻧﻈﺮ ﻣﺘﺨﺼﺺ ﻗﻠﺐ و ﻋﺮوق ﺗﮑﻤﯿﻞ ﮔﺮدﯾﺪ؛ اﻃﻼﻋﺎت ﺟﻤﻊآوری ﺷﺪه ﺑﺎ اﺳﺘﻔﺎده از‬
‫ﻧﺮماﻓﺰار آﻣﺎری ‪ SPSS‬و آزﻣﻮﻧﻬﺎی آﻣﺎری ‪ t‬و ‪ Chi-Square‬در ﺳﻄﺢ 50/0=‪ α‬ﻣﻮرد ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺘﻨﺪ.‬
‫ﯾﺎﻓﺘﻪﻫﺎ: از 819 ﺑﯿﻤﺎر ﺑﺴﺘﺮیﺷﺪه ﺑﺎ ﺗﺸﺨﯿﺺ اﻧﻔﺎرﮐﺘﻮس ﻣﯿﻮﮐﺎرد، 48 ﻧﻔﺮ )1/9%( ﻓﻮت ﮐﺮده ﺑﻮدﻧﺪ. روﻧﺪ ﺗﻐﯿﯿﺮات‬
‫ﻣﻮرﺗﺎﻟﯿﺘﯽ در ﻃﯽ اﯾﻦ 01 ﺳﺎل، ﻧﺸﺎﻧﮕﺮ ﮐﺎﻫﺶ ﺗﺪرﯾﺠﯽ ﻣﯿﺰان ﻣﺮگ و ﻣﯿﺮ داﺧﻞ ﺑﯿﻤﺎرﺳﺘﺎﻧﯽ ﺑﻮد )از 7/41% در‬
‫ﺳﺎل 3731 ﺑﻪ 6% در ﺳﺎل 2831( . در اﯾﻦ ﻣﻄﺎﻟﻌﻪ از ﮐﻞ ﺑﯿﻤﺎران، 913 ﻧﻔﺮ )7/43%( ﻓﺎﻗﺪ ﻋﺎﻣﻞ ﺧﻄﺮ ﺑﻮدﻧﺪ و 995‬
‫ﻧﻔﺮ )3/56%( ﺣﺪاﻗﻞ ﯾﮏ ﻋﺎﻣﻞ ﺧﻄﺮ داﺷﺘﻨﺪ. ﻧﺘﺎﯾﺞ ﺑﺮرﺳﯽ روﻧﺪ ﺗﻐﯿﯿﺮات در ﺷﯿﻮع ﻋﻮاﻣﻞ ﺧﻄﺮ در ﺑﯿﻤﺎران، ﻧﺸﺎﻧﮕﺮ‬
‫اﻓﺰاﯾﺶ در ﺷﯿﻮع ﻫﻤﻪ ﻋﻮاﻣﻞ ﺑﻮد؛ اﻓﺰاﯾﺶ ﺷﯿﻮع دو ﻋﺎﻣﻞ ﻫﯿﭙﺮﻟﭙﯿﺪﻣﯽ )2/81% در ﺳﺎل 3731، 1/03% در ﺳﺎل‬
‫2831، 100/0<‪ (P‬و ﺳﯿﮕﺎر )2/81% در ﺳﺎل 3731، 5/32% در ﺳﺎل 2831، 30/0=‪ (P‬در ﻃﯽ اﯾﻦ ده ﺳﺎل از ﻧﻈﺮ‬
‫آﻣﺎری ﻣﻌﻨﯽدار ﺑﻮد.‬
‫ﻧﺘﯿﺠﻪﮔﯿﺮی: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ روﻧﺪ رو ﺑﻪ اﻓﺰاﯾﺶ ﺷﯿﻮع ﻋﻮاﻣﻞ ﺧﻄﺮ ﺑﯿﻤﺎرﯾﻬﺎی ﻗﻠﺒﯽ در ﺑﯿﻤﺎران ﺑﺎ اﻧﻔﺎرﮐﺘﻮس ﺣﺎد‬
‫ﻣﯿﻮﮐﺎرد در ﻃﯽ ده ﺳﺎل، ﻃﺮاﺣﯽ و اﺟﺮای ﺑﺮﻧﺎﻣﻪﻫﺎی ﻣﺪاﺧﻠﻪای

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...Harvard ManageMentor | Marketing Essentials | Printable Version Page 1 of 70 Click here for a definition of marketing; ways to analyze market opportunities, plan a marketing program, launch new products or services, and put your marketing program into action; and the nature of direct marketing and relationship marketing. Click here to discover the steps for conducting market research. Click here for tips on building a marketing orientation in your group or firm, selecting the right marketing-communications mix, creating effective advertising, designing powerful sales promotions, launching a potent online marketing effort, and evaluating your group's or firm's sales representatives. Click here for forms and worksheets that help you calculate the lifetime value of a customer, perform a SWOT or breakeven analysis, fill out a product profile, and create a marketing plan. Click here to see how far you've come in learning about marketing and ways to improve it in your work group or firm. If you'd like to dig more deeply into this topic, click here for an annotated list of helpful resources. Summary This topic helps you http://www.harvardmanagementor.com/demo/demo/market/print.htm 05/25/2003 Harvard ManageMentor | Marketing Essentials | Printable Version l l l l Page 2 of 70 grasp the basic elements of a marketing strategy and plan create a marketing orientation in your group or firm understand and navigate the steps in the marketing process plan...

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