fa تحلیل مفهوم مراقبت از زخم فشاری در بیماران بستری در منزل با رویکرد واکر واوانت تخصصي Special كاربردي Applicable <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه: </span></span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">زخم فشاری یکی از مسائل مهم بالینی مرتبط با کیفیت خدمات و ایمنی بیمار است که در تمام محیط ‌های مختلف مراقبت ‌های بهداشتی رخ می‌دهد</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">. پژوهش</span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">حاضر</span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">با هدف</span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">تحلیل مفهوم مراقبت از زخم فشاری در سالمندان</span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">انجام</span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">شد</span></span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"><span style="color:black">.</span></span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">روش ها: </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">این</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مطالعه</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">که</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">از</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">رویکرد</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">واکرواوانت</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">برای</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مفهوم</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مراقبت از زخم فشاری در آن</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">استفاده</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شده</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">است.</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">یکی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">از روش های</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مفهوم پردازی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">است</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">که</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">توسعه</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">تئوری</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> کمک می کند. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جستجو</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مطالعات</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پایگاههای</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">اطلاعاتی&nbsp; </span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4">Google Scholar</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> و</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">موتورهای</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جستجوی</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4"> SID</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">، &nbsp;</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4">Magiran</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">،</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4">Iran Medex&nbsp; </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">،</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4"> Scopus Sciences</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">،</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4">PubMed</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بین</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">سال</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">های</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">2000</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">تا 2021</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&nbsp;به</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">زبان</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">فارسی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">انگلیسی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">انجام</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شد</span></span><span dir="LTR" style="font-size:14.0pt"><span style="font-family:CIDFont+F4">.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:16.0pt"><span b="" nazanin="" style="font-family:">یافته ها: </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مفهوم</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مراقبت</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">از زخم فشاری</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">یک</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">فرآیند پیچیده</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بین</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">تیم درمان می باشد که</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">به صورت ارتباطات بین رشته ای با</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">اشتراک</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">گذاشتن</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">اطلاعات، داشتن هدف</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مشترک، تصمیم گیری صحیح با توجه به پیش آگهی بیمار، درجه و نوع زخم، کیفیت زندگی و هزینه های درمانی در</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جهت دستیابی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بهترین</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مؤثرترین</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پیامد</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">باهم</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">همکاری</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">می کنند و ویژگی های آن شامل ارتباط بین حرفه ای، مراقبت مداوم، درمان موثر و مقرون به صرفه در جهت انتخاب بهترین تصمیم درمانی می باشد و با واژه های مانند ترمیم و بهبودی هم ردیف می باشد.</span></span><span lang="AR-SA" style="font-size:16.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتیجه گیری</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> :</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> مراقبت از زخم فشاری در</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">سالمندان،</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">می تواند</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">به</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیم</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مراقبتی</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شناخت</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیشتر</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مفهوم</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درک بهتر ویژگی های مراقبتی و مداخلات</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">لازم برای</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ترمیم زخم درسالمندان</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کمک</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کند و</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">محیط های</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزشی،</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پژوهشی</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بالینی موجب ارتقا مراقبت در سالمندان شود.</span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Introduction: pressure ulcer is one of the important clinical issues related to service quality and patient safety that occurs in all different health care settings. The aim of this study was to clarify and analyze the concept of pressure ulcer care in the elderly.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Methods: This study used the</span></span> <a name="_Hlk104098099"><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Walker and Avants </span></span></a><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">approach to develop the concept of pressure ulcer care. This approach is one of the methods of conceptualization that helps to develop the theory. Search studies were conducted in Google Scholar databases and search SID, Magiran, Iran Medex, Scopus Sciences, PubMed between </span></span><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">2000</span></span><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times=""> until 2021.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Findings: The analysis of related studies shows that the concept of pressure ulcer care is a complex process between the treatment team and health care professionals that is the form of interdisciplinary communication by sharing information, having a common goal, participation, and Correct decision according to the patient&#39;s prognosis, degree and type of wound, quality of life and treatment costs together to achieve the best and most effective outcome for the patient. And its features include interdisciplinary and professional communication, continuous care, effective and cost-effective treatment, and team members&#39; efforts for the best decision therapy and is synonymous with terms such as rehabilitation and recovery. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: the concept of pressure ulcer care in the elderly can help the care team to better understand this concept and the care features and interventions required for wound healing in the elderly. And educational, research and clinical environments to promote care in the elderly.</span></span></span></span></span></span><br> &nbsp; مراقبت در منزل- زخم فشاری – مراقبت از زخم - تحلیل مفهوم Home Care – pressure ulcer - Wound Care - Concept Analysis 40 49 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-1907-2&slc_lang=fa&sid=1 saeed ghasemi سعید قاسمی saeedghasemi5575@gmail.com 10031947532846005232 10031947532846005232 No Education and Research Management of Nezaja Health Department اداره بهداشت و درمان نزاجا Hosein Mahmoudi حسین محمودی h.mahmoudi53@gmail.com 10031947532846005233 10031947532846005233 Yes Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran دانشگاه علوم پزشکی بقیها..