Shahroud University of Medical Sciences, Shahroud, Iran.
Shahid Beheshti University of Medical Sciences, Iran.
Nurs Ethics. 2018 Aug;25(5):618-627. doi: 10.1177/0969733016664970. Epub 2016 Sep 30.
Heart failure is a major growing problem and affects not only patients but also their families and community networks and reduces the functional capacity of patients and impairs their social life.
This study was conducted to investigate relationship between illness-related worries and social dignity in patients with heart failure.
The study had a descriptive-analytic design, and data collection was carried out by means of two specific questionnaires. Participants and context: A total of 130 inpatients from cardiac wards in hospitals affiliated with Tehran and Shahid Beheshti University of Medical Sciences participated. Ethical consideration: This study was approved by the Research Committee of Shahid Beheshti University of Medical Sciences.
The highest mean score of illness-related worries was attributed to the dimension of patient's worry of physical-mental complications, and the least mean score was related to the dimension of the worry about the future of disease. The highest mean score of social dignity was associated with the dimension of social communication and support, and the least is attributed to the dimension of burden to others (economic). Pearson's statistical test showed a significant correlation (r = 0.455, p < 0.05) between the score of illness-related worries and social dignity.
As the result of this study showed that reducing illness-related worries in patients with heart failure can improve their social dignity, using strategies to decrease worries and promote social dignity in these patients is recommended.
This study affirms the importance of careful evaluation of individual patients to determine their needs related to dignity. We hope these results will help to promote actions by patient-care staff that honor and support patient dignity, resulting in benefits to patients and developing the quality of care based on human rights.
心力衰竭是一个日益严重的问题，不仅影响患者，还影响其家庭和社区网络，降低患者的功能能力，损害其社会生活。
本研究旨在探讨心力衰竭患者疾病相关担忧与社会尊严之间的关系。
本研究采用描述性分析设计，通过两种特定的问卷进行数据收集。
共有 130 名来自德黑兰和沙希德·贝赫什提大学医学科学附属医院心脏病房的住院患者参与了这项研究。
本研究得到了沙希德·贝赫什提大学医学科学研究委员会的批准。
疾病相关担忧的最高平均得分为患者对身心并发症的担忧维度，而最低平均得分为对疾病未来的担忧维度。社会尊严的最高平均得分为社会沟通和支持维度，而最低得分为对他人（经济）的负担维度。Pearson 统计检验显示，疾病相关担忧得分与社会尊严之间存在显著相关性（r = 0.455，p < 0.05）。
由于本研究表明，降低心力衰竭患者的疾病相关担忧可以提高他们的社会尊严，因此建议在这些患者中使用策略来减少担忧并促进社会尊严。
本研究证实了仔细评估个体患者以确定其与尊严相关需求的重要性。我们希望这些结果将有助于促进患者护理人员的行动，尊重和支持患者的尊严，从而使患者受益并根据人权提高护理质量。
