other بررسی ارتباط بار مراقبتی و استرس درک شده مراقبین خانوادگی بیماران مبتلا به سکته مغزی: یک مطالعه توصیفی عمومى General پژوهشي Research <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">زمینه و هدف</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal"> <a name="_Hlk228198694">بار مراقبتی و استرس درک شده در مراقبین</a></span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">خانوادگی</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">بیماران مبتلا به سکته</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">مغزی</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">از</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">مولفه</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">های</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">تاثیرگذار</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">در</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">مراقبت</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">با</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">کیفیت</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">از</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">این</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">بیماران</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">می</span></span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="font-weight:normal">باشد. بنابراین مطالعه حاضر با </span></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">هدف تعیین </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">ارتباط </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">بار مراقبتی و استرس درک شده مراقبین</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">خانوادگی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">بیماران</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">سکته</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">مغزی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="font-weight:normal">انجام شده است.</span></span></span></span><br> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مواد و روش ها</span></span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">در این </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">پژوهش توصیفی تحلیلی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">60 نفر از مراقبین خانوادگی </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">بیماران<b> </b>مبتلا به<b> </b>سکته</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مغزی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">در بیمارستان آیت الله کاشانی شهرستان شهرکرد سال 1404</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مورد بررسی قرار گرفتند. بار مراقبتی و استرس درک شده نمونه ها با استفاده از </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">پرسشنامه</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">بار مراقبتی </span></span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">Zarit</span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">و پرسشنامه استاندارد استرس درک شده کوهن </span></span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">PSS-14</span></span> &nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مورد بررسی قرار گرفت. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">جهت ارزیابی وضعیت عملکرد بیمار مبتلا به سکته مغزی نیز به عنوان یکی از معیار های ورود از مقیاس </span></span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">Modified Rankin Scale</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> استفاده گردید. داده ها با استفاده از نرم افزار </span></span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">Spss</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> نسخه 21 (فراوانی، میانگین و انحراف معیار،</span></span></span></span> <span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">t </span></span>&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مستقل، هبستگی پیرسون و رگرسیون خطی) در سطح معنی داری کمتر از 05/0 مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span arial="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">یافته&shy; ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> نتایج مطالعه نشان داد میانگین و انحراف معیار نمرات <a name="_Hlk228199908">بار مراقبتی<b> </b>و استرس درک شده<b> </b></a>به ترتیب 7/73&nbsp;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">&plusmn;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">&nbsp;50/01&nbsp; و 4/24&nbsp;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span cambria="" style="font-family:"><span style="color:black">&plusmn;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">&nbsp;29/30 بود که به این ترتیب بار مراقبتی و استرس درک شده بالاتر از حد متوسط داشتند. همچنین مشخص شد که بین بار مراقبتی<b> </b>و استرس درک شده آن ها ارتباط آماری مستقیم و معنادار آماری وجود</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">دارد </span></span></span></span>&nbsp;<span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">(p=0/003)</span></span><span b="" lang="FA" mitra="" style="font-family:"><span style="color:black"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">&nbsp;.(r=0/304)</span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجه&shy; گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> یافته ها نشان دهنده ارتباط بین افزایش بار مراقبتی و استرس درک شده مراقبین </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">خانوادگی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">بیماران<b> </b>مبتلا به<b> </b>سکته</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مغزی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">می باشد.</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">پیشنهاد</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">می شود</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">که ارائه دهندگان</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مراقبتهای</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">بهداشتی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">با</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">ارائه</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">آموزشهای</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مناسب؛</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">بر</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">کاهش بار مراقبتی و استرس درک شده</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">آنها</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">تمرکز</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">و </span></span></span></span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">به</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">این</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">ترتیب در</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">افزایش</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">پایداری</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">و</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">ثبات</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">جسمی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">و</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">روانی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">آنها</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">نقش</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">مؤثری</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">ایفا</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">کنند</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Background and Objective: </span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">Caregiving burden and perceived stress in family caregivers of stroke patients are influential components in providing quality care to these patients. Therefore, the present study aimed to determine the correlation between caregiving burden and perceived stress in family caregivers of stroke patients.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span dir="RTL" lang="AR-SA" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods:</span></span></b> <span new="" roman="" style="font-family:" times=""><span style="color:black">In this descriptive-analytical study, 60 family caregivers of stroke patients were studied at Ayatollah Kashani Hospital in Shahrekord in 2025. The caregiving burden and perceived stress of the samples were examined using the Zarit Caregiving Burden Questionnaire and the Cohen PSS-14 Standard Perceived Stress Questionnaire. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span new="" roman="" style="font-family:" times=""><span style="color:black">The Modified Rankin Scale was also used as one of the inclusion criteria to assess the functional status of stroke patients. The data were analyzed using SPSS version 21 software (frequency, mean and standard deviation, independent t-test, Pearson correlation and linear regression) at a significance level of less than 0.05.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Results: </span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">The results of the study showed that the mean and standard deviation of the scores of caregiving burden and perceived stress were 50.01 &plusmn; 7.73 and 29.30 &plusmn; 4.24, respectively, which means that caregiving burden and perceived stress were above average. It was also found that there was a direct and statistically significant relationship between caregiving burden and perceived stress (p=0/003) (r=0/304).</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span dir="RTL" lang="AR-SA" new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion: </span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">Increased caregiving burden can lead to increased perceived stress among family caregivers of stroke patients. It is suggested that healthcare providers focus on reducing their caregiving burden and perceived stress by providing appropriate training, thus playing an effective role in increasing their physical and psychological stability.</span></span></span></span></span><br> &nbsp; بار مراقبتی, استرس درک شده, مراقبین خانوادگی, سکته مغزی Caregiver burden, perceived stress, family caregivers, stroke 51 59 http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1062-4&slc_lang=other&sid=1 Shirin Madadkar Dehkordi شیرین مددکار دهکردی 10031947532846002431 10031947532846002431 Yes