fa تحلیلی برمداخلات توانمندسازی در سالمندان مبتلا به بیماری مزمن: مطالعه مروری مدیریت پرستاری nursing management & administration پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">مقدمه: </span></b><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">رشد جمعیت سالمندان جهان، منجر به افزایش میزان بیماری های مزمن خواهد شد.</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> مداخلات توانمندسازی برای کاهش هزینه های بهداشتی، کسب استقلال</span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">، خودکارآمدی</span><span lang="AR-SA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> و اخذ تصمیمات مرتبط با سلامتی حیاتی </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">می باشند.<b> </b>هدف از مطالعه حاضر، تحلیل مداخلات توانمندسازی در سالمندان مبتلا به بیماری مزمن است.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="color: black line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">مواد و روش ها</span></b><span lang="FA" style="color: black line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">: یک مطالعه مروری از نوع توصیفی جهت بررسی چگونگی توانمندسازی </span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">سالمندان مبتلا به بیماری مزمن انجام شد. جستجوی کامپیوتری و کتبی مقالات بدون در نظر گرفتن<font face="B Mitra"><font size="3"><span style="mso-spacerun: yes"> </span>محدودیت زمانی<span style="mso-spacerun: yes"> </span>از پایگاه های اطلاعاتی </font></font></span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">Pub Med</span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span>، </span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">Ovid</span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span>، </span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">Science Direct</span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span>، </span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">Elsevier</span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span>، </span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">IranMedex</span><span dir="rtl"></span><span style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span> <span lang="FA"><font face="B Mitra"><font size="3">انجام شد. پس از جستجو،<span style="color: black"> 20 مقاله براساس معیارهای پژوهش انتخاب شد. این مطالعات براساس چارچوب مرور مقالات</span></font></font></span></span><span style="color: black line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-bidi-language: FA" dir="ltr">Sidani & Braden </span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA"><span dir="rtl"></span><font size="3"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>مورد بررسی و نقد قرار گرفتند.<o:p /></font></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="color: black line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">یافته ها: </span></b><span lang="FA" style="color: black line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">تحلیل مطالعات،<b> </b></span><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">مواردی را<span style="color: black"><font size="3"><font face="B Mitra"> نشان داد که شامل عدم استفاده از چارچوب نظری خاص توانمندی، عدم وضوح معیارهای برآیند، عدم توجه به همه ابعاد توانمندسازی، عدم توجه به تاثیر متغیرهای جمعیت شناسی بر توانمندسازی و عدم پیگیری برنامه می باشد.<b><o:p /></b></font></font></span></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">نتیجه گیری</span></b><span lang="FA" style="line-height: 125% font-family: "B Mitra" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-bidi-language: FA">: با توجه به محدودیت های تعیین شده در مداخلات توانمندسازی، پیشنهاد می شود که در اجرای مداخلات توانمندسازی در بیماری های مزمن، به همه ابعاد توانمندسازی توجه شود.<o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="background: white margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt"><font style="background-color: rgb(255, 255, 255)"><b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font>Introduction: </font></span></b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">The growing number of older people in world, will increase chronic diseases. It is necessary empowerment interventions for reduce health costs, authority and self-efficacy attainment and informed health related decisions-making. The aim of this article was to critically analyze the findings of publish review empowerment interventions studies in older people with chronic diseases.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="background: white margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt"><font style="background-color: rgb(255, 255, 255)"><font><font><font><font><font><font><font><font><b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font><font>Materials and Methods:</font><i> </i></font></span></b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: "Times New Roman" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">This descriptive review was conducted to examine how empowerment is conceptualized across interventions. </span></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: Calibri mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-theme-font: minor-latin mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">Computerized and manual searches were conducted of articles </span></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: "Times New Roman" mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">regardless of the time limit.</span></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: Calibri mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-theme-font: minor-latin mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"> Computerized searches of Academic Search </span></font></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><font>Ovid, Science Direct, Elsevier and IranMedex<span dir="rtl"></span></font><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman" size="3"> </font></span></span></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: Calibri mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-theme-font: minor-latin mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">databases were conducted. </span></font></font><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-fareast-font-family: "Times New Roman" mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"><font>During</font><span style="color: rgb(34, 34, 34)"><font face="Times New Roman" size="3"> this search, 20 studies were found which met the inclusion criteria. These studies were assessed and criticized based on Sidani & Braden (1998) framework</font></span></span><b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><o:p /></span></b></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="background: white margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt"><font style="background-color: rgb(255, 255, 255)"><b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font>Findings</font></span></b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font>: Results showed that some studies did not use the theoretical frame and</font><font size="3"><font color="#222222"><font face="Times New Roman"><span style="mso-spacerun: yes"><font> </font></span>outcome of criteria were not clear too. In addition, all of empowerment dimensions effects of demographic variables on empowerment were neither considered, nor had a follow-up program.<o:p /></font></font></font></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="background: white margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 14.2pt"><b><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font style="background-color: rgb(255, 255, 255)">Conclusion: </font></span></b><a name="_GoBack"></a><span style="color: rgb(34, 34, 34) line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman""><font style="background-color: rgb(255, 255, 255)"> According empowerment interventions and its limitations, it is suggested that all empowerment dimensions should be considered in further research studies.<o:p /></font></span></p><font face="Times New Roman" size="3"> </font> توانمندسازی، سالمندی، بیماری مزمن Empowerment, Aging, Chronic Disease. 65 76 http://jhpm.ir/browse.php?a_code=A-10-270-2&slc_lang=fa&sid=1 Z Fotoukian زهرا فتوکیان 10031947532846001999 10031947532846001999 No Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. گروه پرستاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران F Mohammadi Shahboulaghi فرحناز محمدی شاهبلاغی F_mohammadi_2000@yahoo.com 10031947532846002000 10031947532846002000 Yes Member of Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. عضو مرکز تحقیقات مسائل روانی اجتماعی سالمندان، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران. M Fallahi Khoshknab مسعود فلاحی خشکناب 10031947532846002001 10031947532846002001 No Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. گروه پرستاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران