fa تاثیر اجرای الگوی توانمند سازی خانواده محور برمقیاس‌های عملکردی کیفیت زندگی زنان مبتلا به سرطان پستان تحت شیمی درمانی بیماریهای پستان Breast Diseases پژوهشي Research <p dir="RTL" style="margin-top:6.0pt;text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;">مقدمه:</span></strong><span style="font-family:b nazanin;"> ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﺷﺎیﻊ&rlm;ﺗﺮیﻦ ﺳﺮﻃﺎن در ﺑﯿﻦ زﻧﺎن اﺳﺖ. سرطان و درﻣﺎنﻫﺎی آن از ﺟﻤﻠﻪ ﺷﯿﻤﯽدرﻣﺎﻧﯽ ﻋﻼیﻢ و ﻋﻮارض ﺟﺎﻧﺒﯽ وسیعی بوجود می&rlm;آورد و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ بیمار و خانواده را ﺗﺤﺖاﻟﺸﻌﺎع ﻗﺮار ﻣﯽدﻫﺪ. لذا آنها</span> <span style="font-family:b nazanin;">نیاز به</span> <span style="font-family:b nazanin;">دانش،</span> <span style="font-family:b nazanin;">درک و توانمندی بیشتری</span> <span style="font-family:b nazanin;">نسبت</span> <span style="font-family:b nazanin;">به</span> <span style="font-family:b nazanin;">عوامل</span> <span style="font-family:b nazanin;">تاثیرگذار</span> <span style="font-family:b nazanin;">بر</span> <span style="font-family:b nazanin;">کیفیت</span> <span style="font-family:b nazanin;">زندگیشان</span> <span style="font-family:b nazanin;">دارند. این مطالعه با هدف بررسی تاثیر اجرای الگوی توانمند سازی خانواده- محور بر</span> <span style="font-family:b nazanin;">مقیاس&rlm;های</span> <span style="font-family:b nazanin;">عملکردی</span> <span style="font-family:b nazanin;">کیفیت زندگی زنان مبتلا به سرطان پستان تحت شیمی درمانی انجام شد. </span></p> <p dir="RTL" style="margin-top:6.0pt;text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;">&nbsp;روش بررسی:</span></strong><span style="font-family:b nazanin;"> این</span> <span style="font-family:b nazanin;">پژوهش</span> <span style="font-family:b nazanin;">مطالعه&rlm;ای</span> <span style="font-family:b nazanin;">نیمه</span> <span style="font-family:b nazanin;">تجربی</span> <span style="font-family:b nazanin;">از</span> <span style="font-family:b nazanin;">نوع</span> <span style="font-family:b nazanin;">کاربردی</span> <span style="font-family:b nazanin;">است</span> <span style="font-family:b nazanin;">که</span> <span style="font-family:b nazanin;">با</span> <span style="font-family:b nazanin;">انتخاب</span> <span style="font-family:b nazanin;">70</span> <span style="font-family:b nazanin;">زن مبتلا به سرطان پستان تحت شیمی&shy;&shy;درمانی در</span> <span style="font-family:b nazanin;">دو</span> <span style="font-family:b nazanin;">گروه</span> <span style="font-family:b nazanin;">مداخله</span> <span style="font-family:b nazanin;">و</span> <span style="font-family:b nazanin;">کنترل</span> <span style="font-family:b nazanin;">از</span> <span style="font-family:b nazanin;">طریق</span> <span style="font-family:b nazanin;">نمونه&rlm;گیری</span> <span style="font-family:b nazanin;">مبتنی</span> <span style="font-family:b nazanin;">بر</span> <span style="font-family:b nazanin;">هدف</span> <span style="font-family:b nazanin;">انجام</span> <span style="font-family:b nazanin;">شد. ابزارهای</span> <span style="font-family:b nazanin;">پژوهش</span> <span style="font-family:b nazanin;">شامل پرسشنامه&rlm;های اطلاعات</span> <span style="font-family:b nazanin;">جمعیت شناختی، اطلاعات مربوط به بیماری و درمان و کیفیت زندگی می&rlm;باشد (</span><span dir="LTR">QLQ-C30, QLQ-Br23</span><span style="font-family:b nazanin;">). الگو در</span> <span style="font-family:b nazanin;">گروه مداخله</span> <span style="font-family:b nazanin;">اجرا</span> <span style="font-family:b nazanin;">و</span> <span style="font-family:b nazanin;">پس</span> <span style="font-family:b nazanin;">آزمون</span> <span style="font-family:b nazanin;">یک</span> <span style="font-family:b nazanin;">ماه</span> <span style="font-family:b nazanin;">بعد</span> <span style="font-family:b nazanin;">از اتمام</span> <span style="font-family:b nazanin;">مداخله</span> <span style="font-family:b nazanin;">انجام</span> <span style="font-family:b nazanin;">شد.</span></p> <p dir="RTL" style="margin-top:6.0pt;text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;">یافته&rlm;ها: </span></strong><span style="font-family:b nazanin;">این الگو <span style="border:none windowtext 1.0pt;padding:0in;background:white;">سبب ارتقای مقیاس&rlm;های عملکردی </span>عمومی<span style="border:none windowtext 1.0pt;padding:0in;background:white;"> (جسمانی، نقش، ذهنی، احساسی و اجتماعی) در گروه </span>مداخله<span style="border:none windowtext 1.0pt;padding:0in;background:white;"> شد</span></span><span dir="LTR" style="border:none windowtext 1.0pt;padding:0in;background:white;">(P<0.05) </span><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:b nazanin;">. در مقیاس&rlm;های</span></span> <span style="font-family:b nazanin;">عملکردی</span> <span style="font-family:b nazanin;">اختصاصی در</span> <span style="font-family:b nazanin;">دو</span> <span style="font-family:b nazanin;">گروه</span> <span style="font-family:b nazanin;">بعد</span> <span style="font-family:b nazanin;">از</span> <span style="font-family:b nazanin;">مداخله</span> <span style="font-family:b nazanin;">در</span> <span style="font-family:b nazanin;">ابعاد</span> <span style="font-family:b nazanin;">تصویر</span> <span style="font-family:b nazanin;">بدنی،</span> <span style="font-family:b nazanin;">عملکرد</span> <span style="font-family:b nazanin;">جنسی</span> <span style="font-family:b nazanin;">و</span> <span style="font-family:b nazanin;">لذت جنسی</span> <span style="font-family:b nazanin;">تفاوت</span> <span style="font-family:b nazanin;">معنی&rlm;داری دیده نشد </span><span dir="LTR" style="border:none windowtext 1.0pt;padding:0in;background:white;">(P>0.05)</span><span style="font-family:b nazanin;"> ولی</span> <span style="font-family:b nazanin;">در</span> <span style="font-family:b nazanin;">بعد</span> <span style="font-family:b nazanin;">نگرش</span> <span style="font-family:b nazanin;">به</span> <span style="font-family:b nazanin;">آینده در گروه</span> <span style="font-family:b nazanin;">مداخله</span> <span style="background:white;"><span style="font-family:b nazanin;">بهبود</span></span>&nbsp;<span style="background:white;"><span style="font-family:b nazanin;">حاصل شد.</span></span></p> <p dir="RTL" style="margin-top:6.0pt;text-align:justify;direction:rtl;unicode-bidi:embed;"><span style="font-family:b nazanin;">&nbsp;<strong>نتیجه&rlm;گیری:</strong></span> <span style="font-family:b nazanin;">اجرای</span> <span style="font-family:b nazanin;">الگوی</span> <span style="font-family:b nazanin;">توانمندسازی</span> <span style="font-family:b nazanin;">خانواده محور</span> <span style="font-family:b nazanin;">در ارتقا مقیاس&rlm;های</span> <span style="font-family:b nazanin;">عملکردی (به غیر از ابعاد تصویر بدنی، عملکرد جنسی و لذت جنسی)</span> <span style="font-family:b nazanin;">کیفیت زندگی زنان مبتلا به سرطان پستان تحت شیمی درمانی</span> <span style="font-family:b nazanin;">مؤثر</span> <span style="font-family:b nazanin;">بوده</span> <span style="font-family:b nazanin;">است</span><span dir="LTR">.</span></p> <p><strong>Introduction:</strong> Breast cancer is known as the most prevalent cancer among women. The cancer and its treatments including chemotherapy impose many symptoms and side effects and impress the patients&rsquo; life quality and family members. Therefore, they need the knowledge, understanding and abilities rather than factors influencing the quality of their lives. This study has been accomplished to explore the effect of family-centered empowerment model on the functional scales quality of life in women with breast cancer undergoing chemotherapy.</p> <p><strong>Methods:</strong> The present study is a clinical trial, a quasi-experimental study. The selection of 70 women with breast cancer undergoing chemotherapy in both intervention and control groups was done through purposive sampling. The research tools included demographic questionnaire, questionnaire information about the disease and treatment and quality of life are two standard questionnaires (QLQ-C30, QLQ-Br23). Family-centered empowerment model in the intervention group and post-test one month after the intervention examined.</p> <p><strong>Results: </strong>The results showed that the implementation of model improving the general functional scales (physical, role, cognitive, emotional and social) for patients in the intervention group (P<0.05). The specific function of scales in the two groups after the intervention in terms of body image, sexual performance and sexual pleasure, there was no significant difference (P>0.05) but after coming back attitude was improved in the intervention group.</p> <p><strong>Conclusion:</strong> The results showed that the implementation of the empowerment family- centered on the promotion of general and specific functional scale (with the exception of the aspects of body image, sexual function and sexual pleasure) quality of life for women with breast cancer undergoing chemotherapy was effective.</p> کیفیت زندگی, الگوی توانمندسازی خانواده محور, سرطان پستان, شیمی درمانی, زنان. Quality of life, Family-centered Empowerment, Breast Cancer, Chemotherapy. 61 72 http://ijbd.ir/browse.php?a_code=A-10-504-2&slc_lang=fa&sid=1 Hengameh Shirvani هنگامه شیروانی 00031947532846002982 00031947532846002982 No Department of Nursing, Tarbiat Modares University, Tehran, Iran ﮔﺮوه ﭘﺮﺳﺘﺎری، داﻧﺸﮕﺎه ﺗﺮﺑﯿﺖ ﻣﺪرس، ﺗﻬﺮان، ایﺮان Fatemeh Alhani فاطمه الحانی alhani_f@modares.ac.ir 00031947532846002983 00031947532846002983 Yes : Department of Nursing, Tarbiat Modares University, Tehran, Iran ﮔﺮوه ﭘﺮﺳﺘﺎری، داﻧﺸﮕﺎه ﺗﺮﺑﯿﺖ ﻣﺪرس، ﺗﻬﺮان، ایﺮان Ali Montazeri علی منتظری 00031947532846002984 00031947532846002984 No Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran مرکز تحقیقات سنجش سلامت، پژوهشکده علوم بهداشتی جهاد دانشگاهی، تهران، ایران