fa تاثیر آموزش خودمراقبتی بر عزت نفس و کنترل بی اختیاری ادراری سالمندان ساکن خانه های سالمندان ایران (ایلام و سنندج) در سال 1396 عمومي General مقطعی (Cross sectional) Cross sectional <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">پدیده ی سالمندی با نقص عملکرد سیستم های مختلف بدن همراه است و </span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">با افزایش سن سالمندی تغییراتی در ابعاد مختلف سلامتی آنان از جمله ضعف جسمی، روانی، عقلی و انواع بیماری ها، به وجود خواهند آمد، لذا با توجـه بـه ایـن تغییـرات، سالمند مستعد آسـیب و کـاهش کیفیـت زنـدگی بـوده و نیازمند توجه و رعایت و همچنین برخورداری از الگـوی مراقبتی ویژه می باشد</span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">(18, 19)</span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">این</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تغییرات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">بسیار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تدریجی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">فردی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">می</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">باشند</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عبارتند</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">از: ضعف</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عضلات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">صاف</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">آتروفی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عضلات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">مخطط،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تغییرات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">سیستم</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عروق</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">قلب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ریه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ها،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">شامل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">برون</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ده قلب،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">سختی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عروق</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تجمع</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">چربی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">دیواره</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">آنها</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">قابلیت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ارتجاعی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ریه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و...،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">پوکی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">شکنندگی استخوانها،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">قدرت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">انعطاف</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">مفاصل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">دامنه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">ی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">حرکت،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کندی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">حرکات،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تغییرات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">سیستم</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عصبی مثل کاهش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">سرعت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">هدایت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">عصبی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">نرونها،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تأخیر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">پاسخ</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">درکی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">رفتاری،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">کوتاهی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">خواب،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">زوال</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">حس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">تعادل و ... می باشد</span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">(20)</span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">. </span></span><span style="font-family:B Nazanin;"><span style="font-size:14.0pt;">از مهمترین سیستم های درگیر در سالمندان که منجر به بروز مشکلات متعددی برای فرد سالمند و خانواده می شود، سیستم ادراری- تناسلی است</span></span><strong><span dir="LTR"><span style="font-size:14.0pt;"></span></span></strong> <strong><em>Backgrond Information:</em></strong> Aging accompanies with deficiencies in different organs of the body. The most important organ that subjected to different problems in elderly age is the genitourinary system. Studies show that urinary incontinence exerts a great influence on physical, social, emotional and psychological activities of the patients; because this illness is considered embarrassing by patients which results in isolation from the society, self-esteem and life quality reduction. From among the mentioned therapeutic interventions, conservative interventions, especially interventions about life style and physical and behavioral interventions are highly recommended for urinary incontinence treatment that can be used in a self-care manner for the aged suffering from urinary incontinence.<br> &nbsp;<br> <strong><em>Purpose:</em></strong> The current study was conducted in order to assess the effect of self-care training program on self-esteem and urinary incontinence in elderly men dwelling in Ilam and Sanandaj Nursing Homes in 2017 .<span dir="RTL"></span><br> &nbsp;<br> <strong><em>Subject population & method:</em></strong> The present study is a semi-experimental research. The sample consisted of 61 elderly men who suffered from urinary incontinence and dwelt in the rehabilitation and maintenance centers of two cities in the west of Iran. Samples were selected based on an available sample selection method and randomly divided in test and control groups. Data collection tools included Rosenberg Self-Esteem Scale Questionnaire (RSES), Questionnaire for Urinary Incontinence Diagnosis (QUID), International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), and a demographic information form. Data were analyzed by SPSS 18 software. <span dir="RTL"></span><br> &nbsp;<br> <strong><em>Findings</em></strong><em>:</em> The results of QUID and ICIQ questionnaires indicated that there was a significant difference between two groups after the intervention (P <0.001). Also, there was a significant difference between the mean scores of self-esteem in the experimental group compared to the control group after intervention (P <0.001).<span dir="RTL"></span><br> &nbsp;<br> <strong><em>Conclusion:</em></strong> The results of current study indicated that samples in the experimental group had a significant improvement in control of incontinence and self-esteem compared to the control group. The training and application of these interventions by nurses of the elderly men can be useful in improving the urinary incontinence, quality of life and self-esteem in elderly men dwelling in nursing homes.<span dir="RTL"></span>&nbsp; ادرار ,سالمندی,عزت نفس Self-care, self-esteem, urinary incontinence, elderly, nursing home 0 0 http://newresearch.medilam.ac.ir/browse.php?a_code=A-10-2395-2&slc_lang=fa&sid=1 milad azizi میلاد عزیزی milad.azizi1366@yahoo.com 5969952702 100319475328460021475 Yes Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran گروه آموزشی پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران Arman Azadi آرمان آزادی arman7azadi@yahoo.com 6419881773 100319475328460021476 No Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran گروه آموزشی پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران Masoumeh Otaghi معصومه اطاقی masoome.otaghi@gmail.com 4500747729 100319475328460021477 No Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran گروه آموزشی پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران