بررسي ميزان آگاهي و نوع نگرش مراقبين بيماران مبتلا به اختلالات رواني ازروش هاي طب مكمل و دارو درماني

Vest gating knowledge and attitudes of caregivers of patients affected by mental disorders towards complementary medicine treatments in health centers affiliated to Isfahan University of Medical Sciences in 2014

ﺳﺎﺑﻘﻪ ﻭ ﻫﺪﻑ: ﺍﺧﺘﻼﻝ ﺭﻭﺍﻧﻲ ﺑﺎ ﺗﻈﺎﻫﺮﺍﺕ ﺭﻭﺍﻧﺸﻨﺎﺧﺘﻲ ﻭ ﺭﻓﺘﺎﺭﻱ ﻭ ﻳﺎ ﺁﺷﻔﺘﮕﻲ ﺩﺭ ﻛﺎﺭﻛﺮﺩ ﻣﺸﺨﺺ ﻣﻴﺸﻮﺩ. ﺩﺭ ﺭﻭﺍﻥ ﭘﺰﺷﻜﻲ، ﺩﺭﻣﺎﻥ ﺩﺍﺭﻭﻳـﻲ ﺑـﻪ ﻋﻨـﻮﺍﻥ ﺧـﻂ ﻣﻘـﺪﻡ ﺩﺭﻣﺎﻥ ﺑﻴﻤﺎﺭﻱ ﻫﺎﻱ ﺭﻭﺍﻧﻲ ﺗﻠﻘﻲ ﻣﻲ ﺷﻮﺩ، ﺑﻪ ﺍﻋﺘﻘﺎﺩ ﺑﺴﻴﺎﺭﻱ ﺍﺯ ﺻﺎﺣﺐ ﻧﻈﺮﺍﻥ، ﻋﻼﻭﻩ ﺑﺮ ﺍﻳﻨﻜﻪ ﺩﺭﻣﺎﻥ ﻫﺎﻱ ﺩﺍﺭﻭﻳﻲ ﺑﺮﺍﻱ ﺩﺭﻣﺎﻥ ﺑﻴﻤﺎﺭﺍﻥ ﻛﺎﻓﻲ ﺑﻪ ﻧﻈﺮ ﻧﻤﻲ ﺭﺳﺪ، ﺑﻴﻤﺎﺭﺍﻥ ﻭ ﺧﺎﻧﻮﺍﺩﻩ ﻫﺎ ﻧﻴﺰ ﺑﻪ ﺩﻧﺒﺎﻝ ﭘﻴﺪﺍ ﻛﺮﺩﻥ ﺩﺭﻣﺎﻥ ﻫﺎﻱ ﺟﺎﻳﮕﺰﻳﻦ ﻫﺴﺘﻨﺪ ﻛﻪ ﺭﻭﺷﻬﺎﻱ ﻃﺐ ﻣﻜﻤﻞ ﺟﺰء ﺍﻳﻦ ﺩﺭﻣﺎﻥ ﻫﺎﺳﺖ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺍﻫﻤﻴﺖ ﺧﺎﻧﻮﺍﺩﻩ ﺑﻴﻤﺎﺭﺍﻥ ﺩﺭ ﺍﻣـﺮ ﺗـﺪﺍﻭﻡ ﺩﺭﻣﺎﻥ،ﻛﻴﻔﻴﺖ ﻭ ﺍﺛﺮﺑﺨﺸﻲ ﺁﻥ ﺑﺮﺭﺳﻲ ﺁﮔﺎﻫﻲ ﻭ ﻧﮕﺮﺵ ﺁﻧﺎﻥ ﺩﺭ ﻣﻮﺭﺩ ﺩﺭﻣﺎﻥ ﻫﺎﻱ ﻣﻮﺟﻮﺩ ﻣﻮﺛﺮ ﺧﻮﺍﻫﺪ ﺑﻮﺩ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺍﺯ ﻧﻮﻉ ﺗﻮﺻﻴﻔﻲ ﺑﻮﺩﻩ ﻛﻪ ﺑﺮﺭﻭﻱ 181 ﻧﻔﺮ ﺍﺯ ﻣﺮﺍﻗﺒﻴﻦ ﺑﻴﻤﺎﺭﺍﻥ ﺭﻭﺍﻧﻲ ﻣﺮﺍﺟﻌﻪ ﻛﻨﻨﺪﻩ ﺑﻪ ﻣﺮﺍﻛﺰ ﺁﻣﻮﺯﺷﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷـﻜﻲ ﺍﺻﻔﻬﺎﻥ ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﺍﺳﺖ. ﺟﻤﻊ ﺁﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺑﻮﺳﻴﻠﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ ﻛﻪ ﺍﻋﺘﺒﺎﺭ ﺳﻨﺠﻲ ﻣﺤﺘـﻮﺍﻳﻲ ﻭ ﺭﻭﺍﻳـﻲ ﺁﻟﻔـﺎ ﻛﺮﻭﻧﺒـﺎﺥ 0/78 ﺗﺎﻳﻴـﺪ ﺷـﺪﻩ، ﺍﻧﺠـﺎﻡ ﺷـﺪﻩ ﺍﺳﺖ.ﻣﻴﺰﺍﻥ ﺁﮔﺎﻫﻲ ﻭ ﻧﮕﺮﺵ ﺑﻪ ﺩﺍﺭﻭ ﺩﺭﻣﺎﻧﻲ ﻭ ﻃﺐ ﻣﻜﻤﻞ ﺗﻌﻴﻴﻦ ﻭ ﻧﻘﺶ ﻋﻮﺍﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ ﺁﻥ ﺑﺎ ﺁﺯﻣﻮﻥ ﻛﺎﻱ ﺩﻭ ﻣﻮﺭﺩ ﻗﻀﺎﻭﺕ ﺁﻣﺎﺭﻱ ﻗﺮﺍﺭ ﮔﺮﻓﺖ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﺍﺯ ﻣﺠﻤﻮﻉ181 ﻧﻔﺮ ﺷﺮﻛﺖ ﻛﻨﻨﺪﻩ 55/2 % ﺯﻥ ﻭ ﺑﻘﻴﻪ ﻣﺮﺩ ﺑﻮﺩﻧﺪ.ﻧﻤﺎﻱ ﺳـﻨﻲ ﺁﻥ 40 ﺗـﺎ50 ﺳـﺎﻝ ﻭ ﺑـﻪ ﻣﻴـﺰﺍﻥ 5/31 ﺩﺭﺻـﺪ ﻭ ﺗﺤﺼـﻴﻼﺕ 35/9% ﺩﺭ ﺳـﻄﺢ ﻣﺘﻮﺳﻄﻪ ﺑﻮﺩ. ﺗﺤﻘﻴﻖ ﺭﻭﻱ ﺗﻌﺪﺍﺩ181 ﻧﻔﺮ ﻣﺮﺍﻗﺒﻴﻦ ﺑﻴﻤﺎﺭﺍﻥ ﺭﻭﺍﻧﻲ ﺍﻧﺠﺎﻡ ﮔﺮﻓﺖ. ﻣﻴﺰﺍﻥ ﺁﮔﺎﻫﻲ ﺧﻮﺏ ﻧﺴﺒﺖ ﺑﻪ ﺩﺍﺭﻭ ﺩﺭﻣﺎﻧﻲ33/1 ﺩﺭﺻﺪ ﻭ ﻧﮕﺮﺵ ﺁﻥ15/5 ﺩﺭﺻﺪ ﺑﻮﺩ ﻭ ﺩﺭ ﻣﻮﺭﺩ ﻃﺐ ﻣﻜﻤﻞ ﺑﻪ ﺗﺮﺗﻴﺐ 9/4 ﻭ 14/9 ﺩﺭﺻﺪ ﺑﻮﺩ. ﺗﺤﺼﻴﻼﺕ ﻭ ﺷﻐﻞ ﺑﺎ ﻣﻴﺰﺍﻥ ﺁﮔﺎﻫﻲ ﺍﺯ ﻃﺐ ﻣﻜﻤﻞ ﻧﻘﺶ ﺩﺍﺷﺘﻪ ﺍﺳﺖ. ) p=0/02( ﻭ ﺳﻦ ﻭ ﺷﻐﻞ ﺑﺎ ﻧﮕـﺮﺵ ﻣﺜﺒﺖ ﺑﻪ ﻃﺐ ﻣﻜﻤﻞ ﻧﻘﺶ ﺩﺍﺷﺘﻪ ﺍﺳﺖ) p=0/06(. ﻧﺘﻴﺠﻪ ﮔﻴﺮﻱ:ﺍﺯﺁﻧﺠﺎ ﻛﻪ ﻳﻜﻲ ﺍﺯﻣﻬﻤﺘﺮﻳﻦ ﻋﻮﺍﻣﻞ ﺍﺭﺗﻘﺎﻱ ﺳﻴﺮ ﺑﻬﺒﻮﺩﻱ ﺑﻴﻤﺎﺭ ﻭ ﭘﻴﺸﮕﻴﺮﻱ ﺍﺯﻋﻮﺩ ﺑﻴﻤﺎﺭﻱ ﻛﻪ ﺑﻪ ﺑﺴـﺘﺮﻱ ﻫـﺎﻱ ﻣﺠـﺪﺩ ﻣﻨﺘﻬـﻲ ﻣﻴﺸـﻮﺩ، ﺁﮔـﺎﻫﻲ ﻭ ﻧﮕـﺮﺵ ﻣﺮﺍﻗﺒﻴﻦ ﺑﻪ ﺩﺭﻣﺎﻥ ﺍﺳﺖ ﻟﺬﺍ ﺍﺣﺘﻤﺎﻻﺑﺮﻧﺎﻣﻪ ﺭﻳﺰﻱ ﺩﺭ ﺟﻬﺖ ﺍﻓﺰﺍﻳﺶ ﺍﮔﺎﻫﻲ ﻭ ﺑﺎﻻﺑﺮﺩﻥ ﺳﻄﺢ ﻧﮕﺮﺵ ﺍﻳﻦ ﮔﺮﻭﻩ ﺍﺯ ﮔﻴﺮﻧﺪﮔﺎﻥ ﺧﺪﻣﺎﺕ ﺑﻬﺪﺍﺷﺘﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﺿﺮﻭﺭﻱ ﺑﻪ ﻧﻈـﺮ ﻣﻴﺮﺳﺪ

Background and Purpose: At the present time, for treatment of patients with mental disorders, authentic medical world’s resources emphasize on association of non-drug complementary medical treatments with herbal treatments. Regarding the fact that patients’ families are considered as both recipient and provider care units, they are the most important audience of health system and they play amajor role in patient’s recovery. Therefore, investigation about their knowledge and attitudes towards the existed treatments could be extremely effective for continuation and quality improvement of the treatment. Methods and Materials: The current research is a descriptive analytical cross-sectional, one-staged study. It was performed on 181 of caregivers who took care of patients affected by mental disorders who visited one of the health, educational centers of Isfahan University of Medical Sciences. For data collection, the researcher questionnaire was used; reliability and validity of the questionnaires were approved by content approval method and Cronbach’s Alpha 0.78, respectively. Data were analyzed by SPSS software, version 21. Conclusion: According to the results, caregivers had an average level of knowledge and attitudes towards complementary treatment. Since knowledge and attitudes of caregivers are considered to be as one of the most important factors in improvement of patient’s recovery and prevention of illness relapse, therefore, planning seems necessary to increase knowledge and change attitudes of caregivers who receive health and treatment services. Results: Out of the total 181 participants, there were 100 female (55.2%) and the rest were male. Fifty seven patients aged 40-49 and 65 (35.9%) had intermediate education. The results revealed that knowledge and attitudes of most of the caregivers towards complementary treatment were average. Results of the statistical findings showed that there is a meaningful relationship between demographic characteristics of occupation and educational level and the level of knowledge and attitudes of the caregivers (p=0.02).