other بررسی موانع اجرای مراقبت تسکینی در بخش‌های انکولوژی کودکان از دیدگاه پرستاران و پزشکان در بیمارستان‌های منتخب دانشگاه‎های علوم پزشکی شهر تهران عمومى General پژوهشي Research <div style="text-align: justify;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"> یکی از مهمترین دغدغه‌های مرتبط با کودکان مبتلا به سرطان توجه ویژه به افزایش کیفیت زندگی می&lrm;باشد که از مهمترین روش‌های ارتقای آن، مراقبت تسکینی می‌باشد. مطالعه حاضر با هدف بررسی موانع اجرای مراقبت تسکینی در بخش‌های انکولوژی کودکان از دیدگاه پرستاران و پزشکان شاغل در بخش‌های انکولوژی کودکان انجام شد.</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">مواد و روش‌ها:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">نمونه‌های این مطالعه‌ی توصیفی شامل؛ کلیه پرستاران و پزشکان شاغل در بخش‌های انکولوژی کودکان </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">بیمارستان‌های منتخب دانشگاه‌های علوم پزشکی شهر تهران</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"> بود که به روش تمام شماری </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">از ابتدای مهرماه ۱۳۹۹ تا آبان ماه ۱۳۹۹ </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">انجام شد. ابزار جمع‌آوری داده‌ها پرسشنامه‌ی مشخصات دموگرافیک و پرسشنامه‌ی پژوهشگر ساخته‌ی موانع مراقبت تسکینی</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">با ۳۱ گویه بود و </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">داده‌ها </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">با استفاده از</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"> آمار توصیفی و آزمون تحلیل واریانس یک طرفه مورد تجزیه و تحلیل قرار گرفت.</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"> بر اساس یافته‌ها؛ عدم وجود مشاور مراقبت تسکینی (38%)، عدم وجود بخش مجزا (38%)، کمبود پرسنل (27%)، تمایل خانواده به درمان‌های نگهدارنده‌ی زندگی (24%) و ناراحتی والدین از به جلو انداختن مرگ (24%) در اجرای مراقبت تسکینی ممانعت ایجاد می‌کند. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black">نتیجه‌گیری:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:&quot;B Nazanin&quot;"><span style="color:black"> در مطالعه حاضر، عوامل سازمانی و مدیریتی و نیز عوامل مرتبط با نقص دانش خانواده که مستقیما با آموزش و حمایت آنها از سوی کارکنان درمانی قابل حل است، به عنوان موانع اجرای مراقبت تسکینی در بخش‌های انکولوژی کودکان از دیدگاه پزشکان و پرستاران شاغل در این بخش‌ها شناخته شد. بنابراین، به نظر می‌رسد این امر نیاز به برنامه‌ریزی در سطوح بالای مدیریتی دارد. </span></span></span></span></span></span></span></div> <div class="WordSection1" style="text-align: justify;"><span style="page:WordSection1"><span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">Background and Objectives:</span></span></span></b> <span lang="EN" style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">One of the most important concerns related to children with cancer is to pay special attention to increasing the quality of life, which is one of the most important ways to improve it, palliative care<b>.</b></span></span></span> <span lang="EN" style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">The present study was conducted with the aim of investigating the barriers to implementing palliative care in pediatric oncology departments from the perspective of nurses and doctors working in pediatric oncology departments.</span></span></span><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">Materials and Methods</span></span></span></b><b><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">: </span></span></span></span></b><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">The population of this descriptive study include; All the nurses and doctors working in the pediatric oncology departments of selected hospitals of medical sciences universities in Tehran, which was carried out by the full enumeration method. The data collection tool was a questionnaire of demographic characteristics and a researcher-made questionnaire of palliative care obstacles. The data were analyzed using descriptive statistics and </span></span></span></span><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">one-way </span></span></span></span><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">ANOVA and t-test.</span></span></span></span><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black"></span></span></span></span></span><br> <span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">Results:</span></span></span></span></b><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black"> <span style="background:white">According to the findings; Lack of a palliative care consultant (38%), lack of a separate department (38%), lack of staff (27%), family&#39;s desire for life-sustaining treatments (24%) and parents&#39; discomfort with delaying death (24%) It hinders the implementation of palliative care.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="font-family:&quot;Times New Roman&quot;,serif"><b><span style="font-size:11.0pt"><span style="background:white"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black">Conclusion:</span></span></span></span></b><span style="font-size:11.0pt"><span style="font-family:&quot;Times New Roman Italic&quot;,serif"><span style="color:black"> <span style="background:white">In the present study, organizational and managerial factors as well as factors related to the family&#39;s lack of knowledge, which can be solved directly with their training and support from medical staff, as obstacles to the implementation of palliative care in pediatric oncology departments from the perspective of doctors and nurses working in this Sections were identified. Therefore, this seems to require planning at the top management levels.</span></span></span></span></span></span></span></div> مراقبت تسکینی, نئوپلاسم, کودکان, سرطان. Palliative care, Cancer, pediatric, neoplasm 51 60 http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1-198&slc_lang=other&sid=1 Maryam Momeny Ourimi مریم مؤمنی اوریمی 10031947532846001586 10031947532846001586 No MSc in Nursing Shahid Beheshti University of Medical Sciences, Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Maryam Mahdizadeh-Shahri مریم مهدی‎زاده شهری 10031947532846001587 10031947532846001587 Yes MSc in Nursing Shahid Beheshti University of Medical Sciences, Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Dr Lida Nikfarid لیدا نیک فرید 10031947532846001588 10031947532846001588 No Assistant Professor of Nursing Shahid Beheshti University of Medical Sciences, Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Dr Arash Ghanbarian آرش قنبریان 10031947532846001589 10031947532846001589 No Medical Doctor epidemiologist Shahid Beheshti University of Medical Sciences, SBMU Research Institute for Endocrine Sciences, Tehran, Iran. Nahid Naseri ناهید ناصری 10031947532846001590 10031947532846001590 No MSc in Nursing Ahvaz Jondishapur University of Medical Sciences, Department of Pediatric Nursing, School of Nursing and Midwifery, Ahvaz, Iran.