ﻠﺠﻣ هﮋﻳو ﺖﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪ
هرود 2 هرﺎﻤﺷ ، 3 ، ﺰﻴﻳﺎﭘ 1388
تﺎﺤﻔﺻ : 113 ﺎﺗ 115
لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ :
يﺮﻴﺼﻧ ﻢﻴﻫاﺮﺑا .
ﺖﺳاﻮﺧرد مﺎﻤﺗ ﻲﻧﺎﺸﻧ ﻪﺑ ﺪﻳﺎﺑ ﺎﻫ
rezanf2002@yahoo.com ﺪﻧﻮﺷ هدﺎﺘﺳﺮﻓ
.
ﻪﻟﺎﻘﻣ ﺖﻓﺎﻳرد :
29 / 10 / 87 ﻪﻟﺎﻘﻣ شﺮﻳﺬﭘ :
1 / 11 / 88
ﻲﻳﺎﻧﺍﻮﺗ ﺖﺒﻗﺍﺮﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻲﻳﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ
ﻩﮋﻳﻭ
ﯼﺮﻴﺼﻧ ﻢﻴﻫﺍﺮﺑﺍ MSc*
، ﺎﺒﺗﺎﺑﺎﺑ ﻦﻴﺴﺣ ﺭ
۱ﻱﺯﺭﺩ ،MSc ﻱﻮﻀﺗﺮﻣ ﻒﺳﻮﻳ MSc۲
ﭘ ﻩﺪﻜﺸﻧﺍﺩ*
ﻲﮑﺷﺰﭘﺍﺮﻴ ، ﻥﺍﺮﻳﺍ ،ﯼﺭﺎﺳ ،ﻥﺍﺭﺪﻧﺯﺎﻣ ﯽﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ
ﻩﺪﻜﺸﻧﺍﺩ۱
ﻪﻴﻘﺑ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻱﺭﺎﺘﺳﺮﭘ ﺍ
)...
ﺞﻋ
،(
ﻥﺍﺮﻳﺍ ،ﻥﺍﺮﻬﺗ
ﻥﺍﺮﻳﺍ ،ﻞﺑﺎﺑ ،ﻥﺍﺭﺪﻧﺯﺎﻣ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻜﺷﺰﭘﺍﺮﻴﭘ ﻩﺪﻜﺸﻧﺍﺩ۲
ﻩﺪﻴﮑﭼ
ﺍ ﺪﻫ ﺍ ﻑ : ﻪﻳﺍﺭﺍ ﻞﻜﺷ ﺨﻣ ﻱﺎﻫ ﻪﺑ ،ﺎﻫﻭﺭﺍﺩ ﻒﻠﺘ ﺎﻬﻧﺁ ﻝﻮﻠﺤﻣ ﻞﻜﺷ ﻩﮋﻳﻭ
ﻪﺑ ﻪﻛ ﻲﻠﻴﻣ ﺕﺭﻮﺻ ﻲﻠﻴﻣ ،ﻡﺮﮔ
ﻲﮐﺍ ﻥﻻﺍﻭ ﺎﻳ ﺖﻈﻠﻏ / ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﺪﺻﺭﺩ
ﻲﻣ ﺮﻴﮔ ﻧ ﺭﺎﻤﻴﺑ ﻪﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻂﺳﻮﺗ ﻻﻮﻤﻌﻣ ﻭ ﺪ ﺿﺮﻋ
ﻲﻣ ﻪ ﺩﻮﺷ ﻲﻣ ﺪﺷﺎﺑ ﺎﻄﺧ ﻉﻮﻗﻭ ﺎﺸﻨﻣ ﺪﻧﺍﻮﺗ .
ﻪﺑ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺕﺎﺒﺳﺎﺤﻣ ﻱﺎﻄﺧ ﻲﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ
ﺶﺨﺑ ﺭﺩ ﻑﺮﺼﻣ ﺩﺭﻮﻣ ﻝﻮﻠﺤﻣ ﻱﺎﻫﻭﺭﺍﺩ ﺖﺒﻗﺍﺮﻣ
ﺪﺷ ﻡﺎﺠﻧﺍ ﻩﮋﻳﻭ .
ﺵﻭﺭ ﺵﻭﺭ ﺎﻫ : ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻪﻌﻣﺎﺟ ،ﻲﻔﻴﺻﻮﺗ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ ﺍﺭ
ﺶﺨﺑ ﺭﺩ ﻞﻏﺎﺷ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ
ﻥﺎﺘـﺳﺭﺎﻤﻴﺑ ﻩﮋﻳﻭ ﻱﺎـﻫ
ﻩﺎﮕـﺸﻧﺍﺩ ﻲﻜـﺷﺰﭘ ﻡﻮـﻠﻋ
ﺪﻧﺩﺍﺩ ﻞﻴﻜﺸﺗ ﻥﺍﺭﺪﻧﺯﺎﻣ .
۳۶ ﻪﺑ ﺮﻔﻧ ﺶﺳﺮﭘ ﻪﺑ ﻭ ﺪﻧﺪﺷ ﺏﺎﺨﺘﻧﺍ ﻲﻓﺩﺎﺼﺗ ﺭﻮﻃ ﻪﻣﺎﻧ
ﺳ ﺞﻨﭘ ﻭ ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﺕﺎﻋﻼﻃﺍ ﻱﻭﺎﺣ ﻱﺍ ﺌ
ﺩﺭﻮـﻣ ﺭﺩ ﻲـﺻﺎﺼﺘﺧﺍ ﻝﺍﻮ
ﻪﺑ ﻲﻧﺍﺮﺤﺑ ﺩﺭﺍﻮﻣ ﺭﺩ ﻑﺮﺼﻣ ﺩﺭﻮﻣ ﻲﻠﺻﺍ ﻱﻭﺭﺍﺩ ﻪﺳ ﻱﺭﻮﻀﺣ ﺵﻭﺭ
ﺪﻧﺩﺍﺩ ﺦﺳﺎﭘ . ﺦﺳﺎﭘ ﻒﻴﻌﺿ ﺢﻄﺳ ﻪﺳ ﺭﺩ ﺎﻫ
، ﻂﺳﻮﺘﻣ ﺪﺷ ﻲﺑﺎﻳﺯﺭﺍ ﺏﻮﺧ ﻭ ﺪﻧ
.
ﻪﺘﻓﺎﻳ ﻪﺘﻓﺎﻳ ﺎﻫ ﺎﻫ : ﻂـﺳﻮﺘﻣ ﺪـﺣ ﺭﺩ ﺎﻫﻭﺭﺍﺩ ﻥﺍﺰﻴﻣ ﻪﺒﺳﺎﺤﻣ ﻱﺍﺮﺑ ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﻳﺮﺜﻛﺍ ﻱﺪﻨﻤﻧﺍﻮﺗ ﺖـﺳﺍ
) ۵ / ۵۵
% (.
ﻞـﺑﺎﻗ ﺕﻭﺎـﻔﺗ ﻪـﻈﺣﻼﻣ
ﻦﻴـﺑ ﻱﺍ
ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﺎﻫﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﻱﺍﺮﺑ ﺩﺮﻣ ﻭ ﻥﺯ .
ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ : ﺪﺣﺍﻭ ﻪﮐ ﻲﻳﺎﻫﻭﺭﺍﺩ ﺎﺑ ﻁﺎﺒﺗﺭﺍ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﺒﺳﺎﺤﻣ ﺕﺭﺪﻗ ﻱ
ﺯﺍ ﺮﻴﻏ ﻲﻠﻴﻣ - ﻱﺎﻄﺧ ﻭ ﺖﺳﺍ ﻂﺳﻮﺘﻣ ﺎﻳ ﻒﻴﻌﺿ ﺪﻧﺭﺍﺩ ﻡﺮﮔﻭﺮﮑﻴﻣ ﺎﻳ
ﺕﺎﺒﺳﺎﺤﻣ ﺭﺩ ﻱﺩﺎﻳﺯ ﻦﻳﺍ
ﻭﺭﺍﺩ ﺎﻫ ﺪﻧﺭﺍﺩ . ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﺍﺬﻟ ﺩﻮﺷ
ﺵﺯﻮﻣﺁ ﻲﻳﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ ﻪﻄﻴﺣ ﺭﺩ ﻩﮋﻳﻭ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﻴﻠﻛ ﻱﺍﺮﺑ ﺖﻣﺪﺧ ﻦﻤﺿ ﻡﺯﻻ ﻱﺎﻫ
ﻪﻳﺍﺭﺍ ﺪﺷ ﻩ ﺴﻣ ﻦﻳﺍ ﻪﺑ ﻱﺭﺎﺘﺳﺮﭘ ﺵﺯﻮﻣﺁ ﺭﺩ ﻭ ﺎ
ﺩﻮﺷ ﻱﺮﺘﺸﻴﺑ ﻪﺟﻮﺗ ﻪﻟ .
ﻩﮊﺍﻭﺪﻴﻠﮐ ﺎﻫ : ﻥﺍﺭﺎﺘﺳﺮﭘ ،ﻲﻳﻭﺭﺍﺩ ﻱﺎﻄﺧ ،ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ
، ﯽﻳﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﺕﺭﺪﻗ
Nurses' drug calculation ability in intensive care unit (ICU)
Nasiri E.٭MSc, Babatabar H. D.1MSc, Mortazavi Y.2MSc
٭Faculty of Paramedicine, Mazandaran University of Medical Sciences, Sari, Iran
1Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
2Paramedicine Faculty, Mazandaran University of Medical Sciences, Babol, Iran Abstract
Aims: Serving multiform of drugs, specially those used in milligram, milliecivalan or concentration/percent, mostly by nurses could be a source of calculation error. This study performed to investigate nurses' calculation error related to drugs mostly used in ICU.
Methods: In this descriptive study, 36 randomly selected ICU nurses of Mazandaran university of medical sciences' hospitals completed a questionnaire included demographic and 5 questions about the three main drugs used in critical conditions. The answers evaluated to three levels (low, moderate and good).
Results: Most ICU nurses (55/5%) drug calculation ability was moderate. There were no significant difference between male and female nurses in drug calculation ability.
Conclusion: Nurses' drug calculation ability in non milli- or microgram unit drugs is low or moderate and they do lots of mistakes. So, it is suggested that all of ICU nurses should learn about drug calculation and attend in some related educational classes.
Keywords: Intensive Care, Drug error, Nurses, Drug Calculation Ability
[ Downloaded from jccnursing.com on 2023-08-14 ]
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ﻠﺠﻣ ﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪ ﺖ
هﮋﻳو
هرود
2 هرﺎﻤﺷ ، 3 ، ﺰﻴﻳﺎﭘ 1388
114
ﻪﻣﺪﻘﻣ ﻪﻣﺪﻘﻣ ﺶﺨﺑ ﻲﮔﮋﻳﻭ ﺹﺎﺧ ﻱﺎﻫ
، ﺪﻨﻧﺎﻣ ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ ﺶﺨﺑ ﻭ ﻞﻤﻋ ﻕﺎﺗﺍ ﺭﺩ ﻪﻛ ،
ﻥﺍﺭﺎﻤﻴﺑ ﻥﺁ ﺖﺒﻗﺍﺮﻣ ﻭ ﻥﺎﻣﺭﺩ ﻪﺑ ﺯﺎﻴﻧ
ﻪﻈﺤﻟ ﻭ ﻖﻴﻗﺩ ﻱﺎﻫ ﻪﺑ
ﻭ ﺪـﻧﺭﺍﺩ ﻪـﻈﺤﻟ
ﻤﻫ ،ﻲﻧﺍﺮﺤﺑ ﻭ ﻱﺭﺍﺮﻄﺿﺍ ﻂﻳﺍﺮﺷ ﻥﺪﻣﺁ ﺪﻳﺪﭘ ﺭﺎﻈﺘﻧﺍ ﻩﺭﺍﻮ
ﻪﻏﺪﻏﺩ ﻥﺎـﻨﮐﺭﺎﮐ
ﺖﺒﻗﺍﺮﻣ ﻭ ﻲﻧﺎﻣﺭﺩ ﻩﺪﻨﻨﻛ
ﺯﺍ ﺭﺎـﻤﻴﺑ ﺖـﺳﺍ ﻥﺍ . ﻪـﺑ ﻭ ﺱﺎـﺴﺣ ﻂﻳﺍﺮـﺷ ﺖـﻠﻋ
ﻩﺪﻴﭽﻴﭘ ﺩﻮﺟﻭ ﻝﺎﺣ ﺪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺖﻴﻌﺿﻭ ﻝﺮﺘﻨﻛ ﺭﺩ ﻪﻛ ﻱﺍ ﺩﺭﺍﺩ
ﻭ ﮒﺮﻣ ﺮﻴﻣﻭ
ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﺖﺒﺴﻧ ﺎﻬﻧﺁ ﺮﺗﻻﺎﺑ ﺶﺨﺑ
ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﮕﻳﺩ ﻱﺎﻫ
، ﯽﮔﺪﻴﻨﺗ ﻱﺎـﻫ
ﻲﻠﻐﺷ ﯽﻔﻋﺎﻀﻣ ﻲـﺘﺒﻗﺍﺮﻣ ﻭ ﻲﻧﺎـﻣﺭﺩ ﻱﺎﻫﺪﻨﻳﺁﺮﻓ ﺮﺑ ﻩﺪـﺷ ﺩﺭﺍﻭ
ﻦـﻜﻤﻣ ﻭ
ﺖﺳﺍ ﻥﺍﺭﺎـﻤﻴﺑ ﻲـﺘﺒﻗﺍﺮﻣ ﺩﺮـﻜﻠﻤﻋ ﺭﺩ ﺎﻄﺧ ﺶﻳﺍﺰﻓﺍ ﺐﺟﻮﻣ ﺩﻮـﺷ
] ۱ ، ۲ .[
ﺖﻠﻋ ﻪﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺗ
ﺶﺨﺑ ﺭﺩ ﺭﻮﻀﺣ ﻡﻭﺍﺪ ،ﻩﮋـﻳﻭ ﻱﺎﻫ
ﺭﺩ ﻲـﻤﻬﻣ ﻩﺎـﮕﻳﺎﺟ
ﻥﺍﺭﺎﻤﻴﺑ ﺩﻮﺒﻬﺑ ﺮﻴﺳ ﻲﮕﻧﻮﮕﭼ ﻝﺎﺣﺪﺑ
ﺯﺎﻴﻧ ﺪﻨﻣ ﺖﺒﻗﺍﺮﻣ ﻪﻈﺤﻟ ﻪﺑ ﺪﻧﺭﺍﺩ ﻪﻈﺤﻟ .
ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻄﺧ ﻖﻳﺭﺰﺗ
ﻱﺪـﻳﺭﻭ ﻞﺧﺍﺩ
، ﻩﺩﺎﻔﺘـﺳﺍ ﺖـﺳﺭﺩﺎﻧ ﻭ ﻞﻳﺎـﺳﻭ ﺯﺍ
ﻚﻴﻨﻜﺗ ﺎﻫ
، ﯼﺎﻄﺧ ﻒـﻠﺘﺨﻣ ﺕﺎﻌﻟﺎﻄﻣ ﺭﺩ ﺮﮕﻳﺩ ﺩﺭﺍﻮﻣ ﻭ ﻲﻳﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ
ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ .
ﻦﻴﺑ ﺭﺩ ﻉﺍﻮﻧﺍ ﺎﻄﺧ
،ﺎﻫ ﯽﺗﺎﺒﺳﺎﺤﻣ ﺕﺎﻫﺎﺒﺘﺷﺍ ﺮﻣ
ﻮﺑ ﻪـﺑ ﻁ
ﻭﺭﺍﺩ ﺎﻫ ﺮﺘﺸﻴﺑ ﻩﺪﺷ ﺵﺭﺍﺰﮔ ﺪﻧﺍ
] ۲ [ . ﻲﻟﺎـﻤﺘﺣﺍ ﻭ ﻱﻮﻬﺳ ﻱﺎﻫﺎﻄﺧ ﺮﺑ ﻩﻭﻼﻋ
ﺶـﺨﺑ ﻪﻤﻫ ﺭﺩ ﺩﻮﺟﻮﻣ ،ﻲﻧﺎﺘـﺳﺭﺎﻤﻴﺑ ﻱﺎـﻫ
ﻪـﺑ ﻩﮋـﻳﻭ ﻞﻜـﺷ ،ICU
ﻱﺎـﻫ
ﺒﺘﺷﺍ ﺐﺟﻮﻣ ﺖﺳﺍ ﻦﻜﻤﻣ ،ﺎﻫﻭﺭﺍﺩ ﻒﻠﺘﺨﻣ ﺕﺎﺒﺳﺎﺤﻣ ﺭﺩ ﻩﺎ
ﻪـﻳﺍﺭﺍ ﺯﻭﺩ ﻩﺪـﺷ
ﺭﺎﻤﻴﺑ ﻪﺑ ﺩﺩﺮﮔ .
ﻭ ﻲـﻳﻭﺭﺍﺩ ﻩﺩﺎـﻣ ﻥﺯﻭ ﺱﺎﺳﺍ ﺮﺑ ﺎﻫﻭﺭﺍﺩ ﻕﺎﻔﺗﺍ ﻪﺑ ﺐﻳﺮﻗ ﺮﺜﻛﺍ ﻪﻛ ﻲﻳﺎﺠﻧﺁ ﺯﺍ ﻲﻣ ﺰﻳﻮﺠﺗ ﺭﺎﻤﻴﺑ ﻥﺯﻭ ﺱﺎﺳﺍ ﺮﺑ ﻥﺁ ﻪﺒﺳﺎﺤﻣ ﻧﻮـﺷ
،ﺮـﮕﻳﺩ ﻑﺮـﻃ ﺯﺍ ﻭ ﺪ ﺭﺩ
ﻝﻮـﭙﻣﺁ ﻞﻜـﺷ ﻪﺑ ﻪﻛ ﻲﻳﺎﻫﻭﺭﺍﺩ ﺯﺍ ﻱﺩﺎﻳﺯ ﺩﺍﺪﻌﺗ ﺘـﺴﻫ
ﺭﺩ ﻭﺭﺍﺩ ﺖـﻈﻠﻏ ،ﺪﻨ
ﻲﻠﻴﻣ ﻞﻜﺷ ﻪﺑ ﻝﻼﺣ ﻡﺮﮔ
/ ﻭﺮﻜﻴﻣ ﺮﮔ ﻲﻠﻴﻣ ﺭﺩ ﻡ ﻩﺪﺷ ﺺﺨﺸﻣ ﺮﺘﻴﻟ
، ﻥﺍﺰـﻴﻣ
ـﺑ ،ﻥﺯﻭ ﺐﺳﺎﻨﺗ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﻭﺭﺍﺩ ﻪ
ﻪـﺑ ﻭ ﻲـﺘﺣﺍﺭ ﻭ ﻖـﻴﻗﺩ ﺭﻮـﻃ
ﻊﻳﺮﺳ ﻞﺑﺎﻗ ﻪﺒـﺳﺎﺤﻣ ﻭ ﻦﻴـﻴﻌﺗ ﺖـﺳﺍ
. ﻭ ﻢـﻬﻣ ﻱﺎـﻫﻭﺭﺍﺩ ﺯﺍ ﻲـﻀﻌﺑ ﺎـﻣﺍ
ﺭﺩ ﻱﺩﺮﺑﺭﺎﻛ ﻲﻤﻧ ﻱﻭﺮﻴﭘ ﺖﻴﻌﺿﻭ ﻦﻳﺍ ﺯﺍICU
ﻛ ﻨ ﺪﻨ ﻭ ﻗﺭ ﺱﺎـﺳﺍ ﺮـﺑ ،ﺖ
ﻲﻠﻴﻣ ﻲﻛﺍ ﻪﺑ ﺎﻳ ﻥﻻﺍﻭ ﺖﻈﻠﻏ ﺕﺭﻮﺻ
/ ﺪـﺻﺭﺩ ) ﻪـﺑ ﻥﺍﻮـﻨﻋ ،ﻝﺎـﺜﻣ ﻦﻴﻟﺎـﻧﺭﺩﺁ
۱۰۰۰:۱ ﻦﻴﺋﺎﻛﻭﺪﻴﻟ ، ۱
%
، ﺕﺎﻨﺑﺮﻜﻴﺑ ﻝﻮﻠﺤﻣ ﻢﻳﺪﺳ
۴ / ۸ % ﻱﺎـﻫﻭﺭﺍﺩ ﺯﺍ ﻪـﻛ
ﻢﻬﻣ ﺩﺭﺍﻮﻣ ﺭﺩ ﻲﻜﺷﺰﭘ ﺲﻧﺍﮊﺭﻭﺍ ﻭ ﺪﻨﺘﺴﻫ
ﺎـﻴﺣﺍ ﻞﺜﻣ ﻲﻧﺍﺮﺤﺑ ﻂﻳﺍﺮﺷ ﺭﺩ ﯼ
ﻲﺒﻠﻗ - ﺎﻳ ﻱﻮﻳﺭ ﺭﺩ ﯽﻣ ﺭﺍﺮﻗ ﻥﺍﻭﺍﺮﻓ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣICU ﺪﻧﺮﻴﮔ
( ﻝﻮـﭙﻣﺁ ﺭﺩ
ﺪﻧﺭﺍﺩ ﺭﺍﺮﻗ ﻪﻃﻮﺑﺮﻣ ﻝﺎﻳﻭ ﺎﻳ ]
۳ [ . ـﺳﻮﺗ ،ﺎـﻫﻭﺭﺍﺩ ﻦـﻳﺍ ﻻﻮﻤﻌﻣ ﻥﺍﺭﺎﺘـﺳﺮﭘ ﻂ
ﻩﺩﺎﻣﺁ ﻩﺪﺷ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﻭ ﻪﻳﺍﺭﺍ
ﻲﻣ ﻮﺷ ﻧ ﺪ . ﻦـﻳﺍ ﻪﺒـﺳﺎﺤﻣ ﺭﺩ ﺖـﻗﺩ ﺖـﻴﻤﻫﺍ
،ﻪﺑﺎﺸﻣ ﻱﺎﻫﻭﺭﺍﺩ ﻭ ﺎﻫﻭﺭﺍﺩ ﺖﺳﺍ ﺩﺎﻳﺯ ﺭﺎﻴﺴﺑ
. ﺮﺛﺍ ﺭﺩ ﺎـﻫﻭﺭﺍﺩ ﺕﻭﺎﻔﺘﻣ ﻱﺭﺍﺬﮔ
ﺯﻭﺩ ﯼﺎﻫ ﻥﺍﺮﺒﺟ ﻭ ﻙﺎﻧﺮﻄﺧ ﺽﺭﺍﻮﻋ ﻭ ﺕﻭﺎﻔﺘﻣ ﻩﻮﻘﻟﺎﺑ ﺮﻳﺬﭘﺎﻧ
ﺎـﻬﻧﺁ ﺐـﺟﻮﻣ
ﻩﺪﺷ ﺗﺍﺪﻴﻬﻤﺗ ﺎﺗ ﯽ ﯼﺍﺮﺑ ﺶﻫﺎﻛ ﺩﺮﻳﺬـﭘ ﺕﺭﻮـﺻ ﯽﺗﺎﺒﺳﺎﺤﻣ ﯼﺎﻫﺎﻄﺧ .
ﺎـﺑ
ﺿ ﻪﺑ ﻪﺟﻮﺗ ﺮ
ﻪﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻲﮔﺩﺎﻣﺁ ﺕﺭﻭ ﻭ ﻲﻧﺎـﻣﺭﺩ ﻱﺎـﻫﻭﺮﻴﻧ ﻦﻴـﻟﻭﺍ ﻥﺍﻮﻨﻋ
ﻲﻣ ﻪﺟﺍﻮﻣ ﻲﻧﺍﺮﺤﺑ ﻂﻳﺍﺮﺷ ﺎﺑ ﻪﻛ ﻲﺘﺒﻗﺍﺮﻣ ـﺑ ﺖـﻴﻤﻫﺍ ﻭ ﺪﻧﻮـﺷ
ﻪ ﻱﺮﻴﮔﺭﺎـﻛ
ﺭﻮـﻈﻨﻣ ﻪـﺑ ﻪـﻌﻟﺎﻄﻣ ﻦـﻳﺍ ،ﻦﻜﻤﻣ ﻥﺎﻣﺯ ﻞﻗﺍﺪﺣ ﺭﺩ ﺎﻫﻭﺭﺍﺩ ﺖﺳﺭﺩ ﻭ ﻖﻴﻗﺩ ﻴﻴﻌﺗ ﻦ ﻥﺍﺰﻴﻣ ﺩﺭﻮـﻣ ﻝﻮـﻠﺤﻣ ﻱﺎـﻫﻭﺭﺍﺩ ﺕﺎﺒـﺳﺎﺤﻣ ﻱﺎـﻄﺧ ﻩﺩﺎﻔﺘـﺳﺍ
ﺭﺩ
ﺶﺨﺑ ﻡﺎﺠﻧﺍ ﻩﮋﻳﻭ ﻱﺎﻫ ﺪﺷ
.
ﺵﻭﺭ
ﺵﻭﺭ ﺎﻫ ﻦـﻳﺍ ﺭﺩ ﻪـﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻪﻌﻣﺎﺟ ﺶﻫﻭﮋـﭘ
ﺭﺩ ﻞﻏﺎـﺷ ﻥﺍﺭﺎﺘـﺳﺮﭘ ،ﻲﻔﻴـﺻﻮﺗ
ﺶﺨﺑ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻩﮋﻳﻭ
ﻥﺍﺭﺪﻧﺯﺎﻣ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻱﺎﻫ
ﻮﺑ ﺪﻧﺩ . ۳۶ ﻪـﺑ ﺮﻔﻧ ﺶـﺳﺮﭘ ﻪـﺑ ﻭ ﺪﻧﺪـﺷ ﺏﺎـﺨﺘﻧﺍ ﻲﻓﺩﺎـﺼﺗ ﺭﻮـﻃ ﻪـﻣﺎﻧ
ﻱﺍ
ﺮﮕﺸﻫﻭﮋﭘ ﻪﺘﺧﺎﺳ ﺪﻧﺩﺍﺩ ﺦﺳﺎﭘ .
ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻭ ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﺕﺎﻋﻼﻃﺍ ﻱﻭﺎﺣ
ﺳ ﺞﻨﭘ ﺌ ﺩﺭﻮﻣ ﻭ ﻢﻬﻣ ﻱﻭﺭﺍﺩ ﻪﺳ ﺩﺭﻮﻣ ﺭﺩ ﻲﺻﺎﺼﺘﺧﺍ ﻝﺍﻮ ﻩﺩﺎﻔﺘﺳﺍ
ﺩﺭﺍﻮﻣ ﺭﺩ
ﻲﺒﻠﻗ ﻱﺎﻴﺣﺍ ﻲﻧﺍﺮﺤﺑ -
ﻱﻮﻳﺭ ﺶﺨﺑ ﺭﺩ ﻩﮋـﻳﻭ ﻱﺎـﻫ ﺩﻮـﺑ
ﻝﺎﻜـﺷﺍ ﻪـﺑ ﻪـﻛ
ﺖــﻈﻠﻏ ﻒــﻠﺘﺨﻣ /
ﻲــﻠﻴﻣ ﻭ ﺪــﺻﺭﺩ ﻲــﻛﺍ
ﻥﻻﺍﻭ ) ﻲــﭘﺍ ،ﻦﻴﺋﺎﻛﻭﺪــﻴﻟ ،ﻦﻳﺮــﻔﻧ
ﺕﺎﻨﺑﺮﻜﻴﺑ ﻢﻳﺪﺳ ( ﯽﻣ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﺪﻧﺮﻴﮔ
. ﻲﻳﺍﻭﺭ ﺶﺳﺮﭘ ﻦﻳﺍ ﻪـﻣﺎﻧ
ﺮـﺑ
ﻗ ﺕﺎﻌﻟﺎﻄﻣ ﻭ ﻊﺑﺎﻨﻣ ﺱﺎﺳﺍ ﺩﺭﻮﻣ ﺍﻮﺘﺤﻣ ﺮﻈﻧ ﺯﺍ ﻦﻴﺼﺼﺨﺘﻣ ﺮﻈﻧ ﺬﺧﺍ ﻭ ﻲﻠﺒ
ﻪﻌﻟﺎﻄﻣ ﻡﺎﺠﻧﺍ ﺯﺍ ﺪﻌﺑ ﻥﺁ ﻲﻳﺎﻳﺎﭘ ﻭ ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﺋﺎﺗ ﯼﺍ
ﺞﻨـﭘ ﻱﻭﺭ ﻲﺸﻳﺎﻣﺯﺁ
ﻱﻻﺎـﺑ ﻲﮕﺘـﺴﺒﻤﻫ ﻭ ﺩﺪﺠﻣ ﻥﻮﻣﺯﺁ ﺎﺑ ﻪﺘﻔﻫ ﻭﺩ ﻲﻃ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺯﺍ ﺮﻔﻧ ۸
/ ۰
ﺪﺷ ﻊﻗﺍﻭ ﻝﻮﺒﻗ ﺩﺭﻮﻣ .
ﻊﻤﺟ ﻩﺩﺍﺩ ﻱﺭﻭﺁ ﻱﺭﻮـﻀﺣ ﺵﻭﺭ ﻪـﺑ ﺎﻫ ﺪـﺷ ﻡﺎـﺠﻧﺍ
.
ﺦﺳﺎﭘ ﺢﻄﺳ ﻪﺳ ﺭﺩ ﺎﻫ
"
ﺿ ﻭ ﻥﺍﻮﺗﺎﻧ ﻒﻴﻌ
) "
ﺦـﺳﺎﭘ ﻚـﻳ ﺎـﻳ ﻚـﻳ ﺯﺍ ﺮـﺘﻤﻛ
ﺢﻴﺤﺻ (،
"
ﻂﺳﻮﺘﻣ
"
) ﺦﺳﺎﭘ ﻪﺳ ﺎﻳ ﻭﺩ ﺢﻴﺤﺻ
( ﻭ
"
ﺏﻮـﺧ ) "
ﺞﻨـﭘ ﺎـﻳ ﺭﺎـﻬﭼ
ﺦﺳﺎﭘ ﺢﻴﺤﺻ ( ﺪﺷ ﻲﺑﺎﻳﺯﺭﺍ .
ﺳ ﺮﻫ ﻱﺍﺮﺑ ﺌ
ﻝﺍﻮ
، ﻪﺑ ﺦﺳﺎﭘ ﺎـﻳ ﺢﻴﺤـﺻ ﺕﺭﻮﺻ
ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻩﺎﺒﺘﺷﺍ .
ﻥﻮﻣﺯﺁ ﺯﺍ ﺭﻭﺬﺠﻣ ﻱﺎﻛ ﯼﺍﺮﺑ ﻭ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ
ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺎﻫﺮﻴﻐﺘﻣ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻲﺳﺭﺮﺑ .
ﺞﻳﺎﺘﻧ ﺞﻳﺎﺘﻧ
۸۳
% ﻭ ﻥﺯ ﺶﻫﻭﮋﭘ ﻱﺎﻫﺪﺣﺍﻭ ﺯﺍ ۱۷
% ﻧﺩﻮﺑ ﺩﺮﻣ ﺪ . ﺭﺎـﻛ ﻪﻘﺑﺎـﺳ ﻦﻴﮕﻧﺎـﻴﻣ
ﻥﺎﻧﺁ ۷ ﻝﺎﺳ ) ﺮﺜﻛﺍﺪﺣ ﻭ ﻚﻳ ﻞﻗﺍﺪﺣ ۱۴
ﻝﺎﺳ ( ﺩﻮـﺑ . ﻪـﻧﻮﻤﻧ ﻲﻣﺎـﻤﺗ ﻱﺎـﻫ
ﻚﻳ ﻞﻗﺍﺪﺣ ﺶﻫﻭﮋﭘ ﺩﺭﻮﻣ ﺯﺍ ﺶﻴﺑ ﺮﺜﻛﺍﺪﺣ ﻭ ﺭﺎﺑ
۲۰ ﻪـﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺎﺑ ،ﺩﺭﻮﻣ
ﻲﺒﻠﻗ ﻱﺎﻴﺣﺍ ﻪﺑ ﺯﺎﻴﻧ -
ﺘﺷﺍﺩ ﻱﻮﻳﺭ ﻪ
ﺶﻫﻭﮋـﭘ ﻦﻳﺍ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫﻭﺭﺍﺩ ﻭ
ﺭﺩ ﺩﺭﻮﻣ ﻬﻧﺁ ﺎـ ﻩﺩﺎﻔﺘﺳﺍ ﺩﻮـﺑ ﻩﺪﺷ ﻩﺩﺎﻔﺘـﺳﺍ ﺎـﻫﻭﺭﺍﺩ ﻦـﻳﺍ ﺯﺍ ﻭ ﻩﺪـﺷ ﻭﺮﺑﻭﺭ ،
ﺩﺮﻛ ﺪﻧﺩﻮﺑ ﻩ .
ﺜﻛﺍ ﺮ ﺶﺨﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺖﻳ ﺎـﻫﻭﺭﺍﺩ ﻥﺍﺰﻴﻣ ﻪﺒﺳﺎﺤﻣ ﻱﺍﺮﺑ ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ
ﺪﺣ ﺭﺩ
"
ﻂﺳﻮﺘﻣ
"
ﺪﻨﺘﺴﻫ ) ۵ / ۵۵
% ( ﻭ ۲۲
% ﻱﺎـﻄﺧ ﻭ ﺪـﻧﺩﻮﺑ ﻒﻴﻌـﺿ ﺎﻬﻧﺁ
ﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﺭﺩ ﻱﺩﺎﻳﺯ ﻳ
ﺪﻨﺘﺷﺍﺩ ﻲ . ﻞﺑﺎﻗ ﺕﻭﺎﻔﺗ ﻪﻈﺣﻼﻣ
ـﻧﺯ ﻦﻴـﺑ ﻱﺍ ﻥﺎ
ﻭ
ﺩﺮﻣ ﻥﺍ ﺮﺑ ﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﻱﺍ ﻭ
ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﺎﻫ .
ﻲـﻨﻌﻣ ﺕﻭﺎـﻔﺗ ﻦﻴﻨﭽﻤﻫ ﻱﺭﺍﺩ
ﺎـﻫﻭﺭﺍﺩ ﻪﺒـﺳﺎﺤﻣ ﻱﺪـﻨﻤﻧﺍﻮﺗ ﻭ ﺭﺎـﻛ ﻪﻘﺑﺎـﺳ ﻦﻴﺑ ﺪـﺸﻧ ﻩﺪﻫﺎـﺸﻣ
. ۱۰۰
%
ﺶﺨﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﯼﺎﻫ
ﻪﺒـﺳﺎﺤﻣ ﺭﺩ ﺎـﻄﺧ ﺩﺭﻮـﻣ ﻚﻳ ﻞﻗﺍﺪﺣ ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ
ﻲﻳﻭﺭﺍﺩ ﺭﺩ ﻪﻘﺑﺎﺳ ﺩﻮﺧ ﺪﻨﺘﺷﺍﺩ . ﻝﻭﺍﺪﺟ ۱ ﺎﺗ ۳ ﺞﻳﺎﺘﻧ ﻖﻴﻘﺤﺗ ﺍﺭ ﻲﻣ ﻥﺎﺸﻧ ﻫﺩ ﻨ ﺪ .
ﻝﻭﺪﺟ ۱ ( ﻓ ﻊﻳﺯﻮﺗ ـ ﺷ ﻭﺮﺑﻭﺭ ﻲﻧﺍﻭﺍﺮ ﺪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺩﺍﺪﻌﺗ ﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻥﺪ
ﺣ ـ ﻛ ﻲﻟﺎ ﻪـ
ﺪﻨﺘﺷﺍﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫﻭﺭﺍﺩ ﻪﺑ ﺯﺎﻴﻧ .
ﻪﺟﺍﻮﻣ ﺩﺍﺪﻌﺗ ﺩﺍﺪﻌﺗ
ﺪﺻﺭﺩ
۹ - ۱ ۱۶ ۴۴
%
۱۹ - ۱۰ ۱۰ ۳۳
%
۱۰ ۳۳
%
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ﺖﺒﻗاﺮﻣ ﺶﺨﺑ رد نارﺎﺘﺳﺮﭘ ﻲﻳوراد تﺎﺒﺳﺎﺤﻣ ﻲﻳﺎﻧاﻮﺗ هﮋﻳو
يﺮﻴﺼﻧ نارﺎﻜﻤﻫ و
115
ﻝﻭﺪﺟ ۲ ( ﻓ ﻊﻳﺯﻮﺗ ـ ﭘ ﺖﻴﻌﺿﻭ ﻲﻧﺍﻭﺍﺮ ـ
ﻂﺳﻮﺗ ﺎﻫﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ ﻪﺑ ﻂﺑﻭﺮﻣ ﺦﺳﺎ ﻥﺍﺭﺎﺘﺳﺮﭘ ICU
ﻪﺒﺳﺎﺤﻣ ﺖﻴﻌﺿﻭ
ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ ﻪﺠﻴﺘﻧ
ﻥﻭﺪﺑ ﺢﻴﺤﺻ ﺦﺳﺎﭘ ۰
۰ ﻥﺍﻮﺗﺎﻧ
ﺢﻴﺤﺻ ﺦﺳﺎﭘ ﻚﻳ ﻂﻘﻓ ۸
۲۲ ﻒﻴﻌﺿ
ﺢﻴﺤﺻ ﺦﺳﺎﭘ ﻪﺳ ﺎﻳ ﻭﺩ ۲۰
۵ / ۵۵ ﻂﺳﻮﺘﻣ
ﺢﻴﺤﺻ ﺦﺳﺎﭘ ﺭﺎﻬﭼ ﺮﺘﺸﻴﺑ ﺎﻳ
۸ ۲۲ ﺏﻮﺧ
ﻝﻭﺪﺟ ۳ ( ﻥﺍﺭﺎﺘﺳﺮﭘ ﻂﺳﻮﺗ ﺎﻫﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﻪﺑ ﺦﺳﺎﭘ ﻊﻳﺯﻮﺗ ICU
ﺳ ﻚﻴﻜﻔﺗ ﻪﺑ ﺌ
ﻲﺻﺎﺼﺘﺧﺍ ﺕﻻﺍﻮ
ﺳ ﺌ ﻲﺻﺎﺼﺘﺧﺍ ﺕﻻﺍﻮ ﺩﺭﺍﻮﻣ
ﺢﻴﺤﺻ ﺪﺻﺭﺩ ﺩﺭﺍﻮﻣ
ﻂﻠﻏ ﺪﺻﺭﺩ
ﻲﻠﻴﻣ ﺪﻨﭼ ﺭﺩ ﻦﻴﻟﺎﻧﺭﺩﺁ ﻡﺮﮔ ۴
ﻲﻠﻴﻣ ﺮﺘﻴﻟ
ﻝﻮﻠﺤﻣ ۱:۱۰۰۰
؟ﺩﺭﺍﺩ ﺩﻮﺟﻭ ۸
۲۲ ۲۸ ۷۸
ﺪﻨﭼ ﻲﻠﻴﻣ ﻡﺮﮔ ﻦﻴﺋﺎﻛﻭﺪﻴﻟ ﺭﺩ ۱۰ ﻲﻠﻴﻣ ﺮﺘﻴﻟ
ﻦﻴﺋﺎﻛﻭﺪﻴﻟ ۱ %
؟ﺩﺭﺍﺩ ﺩﻮﺟﻭ ۳۶
۱۰۰ ۰ ۰
ﻲﻠﻴﻣ ﺪﻨﭼ ﺭﺩ ﻢﻳﺪﺳ ﺕﺎﻨﺑﺮﻜﻴﺑ ﻝﻮﻣ ۱۰۰
ﻲﻠﻴﻣ ﻝﻮﻠﺤﻣ ﺮﺘﻴﻟ ۴ / ۸ %
؟ﺩﺭﺍﺩ ﺩﻮﺟﻭ ۲
۶ ۳۴ ۹۴
ﻲﻠﻴﻣ ﺪﻨﭼ ﻦﻴﻟﺎﻧﺭﺩﺁ ﻡﺮﮔ ﺭﺩ
۱۰ ﻲﻠﻴﻣ ﺮﺘﻴﻟ
ﻦﻴﺋﺎﻛﺍﻮﻴﭘﻮﺑ ﻝﻮﭙﻣﺁ ۲۵
/ ۰ % ﺎﺑ ﻩﺍﺮﻤﻫ
ﺖﻈﻠﻏ ﺎﺑ ﻦﻴﻟﺎﻧﺭﺩﺁ ﻝﻮﻠﺤﻣ ۱:۲۰۰۰۰۰
؟ﺩﺭﺍﺩ ﺩﻮﺟﻭ ۱۲
۳۳ ۲۴ ۶۷
ﻲﻠﻴﻣ ﺪﻨﭼ ﻝﻮﻠﺤﻣ ﺯﺍ ﺮﺘﻴﻟ ۱:۱۰۰۰۰
ﻪﺑ ﻱﺍﺮﺑ ﻲﻠﻴﻣ ﻚﻳ ﻥﺩﺭﻭﺁ ﺖﺳﺩ ﻡﺮﮔ
؟ﺖﺳﺍ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻦﻴﻟﺎﻧﺭﺩﺁ
۲۶ ۷۲ ۱۰ ۲۸
ﺚﺤﺑ ﺚﺤﺑ ﻭ ﻪﺠﻴﺘﻧ ﻪﺠﻴﺘﻧ ﯼﺮﻴﮔ ﯼﺮﻴﮔ
ﻂﻳﺍﺮـﺷ ﺕﻭﺎـﻔﺗ ﻭ ﻉﻮـﻨﺗ ﻪـﺑ ﻪـﺟﻮﺗ ﺎﺑ ﻭ ﺲﻨـﺟ ﻭ ﻥﺯﻭ ﺮـﻈﻧ ﺯﺍ ﻥﺍﺭﺎـﻤﻴﺑ
ﺖﻴﺳﺎﺴﺣ ﺮﺑ ﻢﻛﺎﺣ ﻲﻄﻴﺤﻣ ﻱﺎﻫ ﻥﺍﺮﺤﺑ ﻭICU
ﻦﻴﻟﺎـﺑ ﺮـﺑ ﺩﺪـﻌﺘﻣ ﻱﺎﻫ
ﺨﺑ ﻥﺍﺭﺎﻤﻴﺑ ـ
ﺶ ﯼﺎﻫ ،ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ ﻪـﻌﻟﺎﻄﻣ ﻦـﻳﺍ ﺯﺍ ﻞـﺻﺎﺣ ﺞﻳﺎﺘﻧ
ﻥﺎـﺸﻧ
ﯽﻣ ﻪـﮐ ﺪﻫﺩ ﻖـﻴﻗﺭ ﻱﺎـﻫﻭﺭﺍﺩ ﺯﻭﺩ ﻪﺒـﺳﺎﺤﻣ ﺕﺭﺪـﻗ ﺎـﻳ ﻝﻮـﭙﻣﺁ ﺭﺩ ﻩﺪـﺷ
ﻪﺑ ﻪﻛ ﻲﻳﺎﻫﻭﺭﺍﺩ ﺖﻈﻠﻏ ﺕﺭﻮﺻ
/ ﻩﺩﺎﻣﺁ ﺪﺻﺭﺩ ﯽﻣ
ﺷ ﻧﻮ ﺪ ) ﺍ ﺮﺑ ﻊﻗﺍﻭ ﺭﺩ ﺱﺎـﺳ
) ﻲﻠﻴﻣ ﻡﺮﮔ / ﻲﻠﻴﻣ ﺭﺩ ﻡﺮﮔﻭﺮﻜﻴﻣ ﺮﺘﻴﻟ
( ﻧ ﻩﺩﺎﻣﺁ ﻭ ﻢﻴﻈﻨﺗ ﯽـﻤ
ـﺷ ﻧﻮ ﺪ ( ﻑﺮـﻃ ﺯﺍ
ﺭﻮﻛﺬﻣ ﺶﺨﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ
"
ﻂﺳﻮﺘﻣ
"
ﺎﻳ
"
ﻒﻴﻌﺿ
"
ﺖﺳﺍ ﻩﺩﻮﺑ . ﺞﻳﺎـﺘﻧ ﺱﺎﺳﺍ ﺮﺑ
ﻦﻳﺍ ﺯﺍ ﺶﻴـﺑ ﻪﻌﻟﺎﻄﻣ ۷۷
% ﺯﻭﺩ ﻪﺒـﺳﺎﺤﻣ ﺭﺩ ﻥﺍﺭﺎﺘـﺳﺮﭘ ﺖﻴﻌـﺿﻭ ﺎـﻫﻭﺭﺍﺩ
"
ﻂﺳﻮﺘﻣ
"
ﺎﻳ
"
ﻒﻴﻌﺿ
"
ﺍﺩ ﺭ ﺪﻧ .
،ﯽﻄﻳﺍﺮﺷ ﻦﻴﻨﭼ ﺭﺩ ﺖـﺳﺍ ﻦـﻜﻤﻣ
ﺭﺩ ﻱﺍﺮـﺟﺍ
ﺕﺎﻴﻠﻤﻋ ﯼﺎﻫ ﺀﺎـﻴﺣﺍ ﻞﺜﻣ ﻲﺘﺒﻗﺍﺮﻣ ﻭ ﻲﻧﺎﻣﺭﺩ
،ﺮـﮕﻳﺩ ﻲـﺴﻧﺍﮊﺭﻭﺍ ﻂﻳﺍﺮـﺷ ﻭ ﻭﺭﺍﺩ ﺖﺳﺭﺩﺎﻧ ﺮﻳﺩﺎﻘﻣ ﻖﻳﺭﺰﺗ
ﻝﻼﺘﺧﺍ ﺚﻋﺎﺑ ﺭﺩ
ﻥﺎﻣﺭﺩ ﺪﻨﻳﺁﺮﻓ ﺕﺎﻌﺒﺗ ﯽﺘﺣ ﻭ
ﮎﺎﻧﺮﻄﺧ ﺩﻮﺷ ﺮﺗ . ﺎﻳﺭﺎﻧﺎﺘﻧﺎﺳ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﺪﻧﺩﺮﮐ ﺵﺭﺍﺰﮔ
ﻪﻛ ۵۸
% ﻥﺍﺭﺎﺘﺳﺮﭘ
ﺭﺩﺎﻗ ﻪﺑ ﻲـﻳﻭﺭﺍﺩ ﺯﻭﺩ ﻪﺒﺳﺎﺤﻣ ﺪﻨﺘـﺴﻴﻧ ﺢﻴﺤـﺻ
] ۲ .[
ﻦﻴـﻨﭽﻤﻫ ﺮﻟﺪـﻨﻴﺑ
ﻭ
ﻪﺠﻴﺘﻧ ﻥﺍﺭﺎﻜﻤﻫ ﯼﺍ
ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﻪﺑﺎﺸﻣ ﺮﺿﺎﺣ
ﻪـﻛ ﺪـﻧﺩﺮﻛ ﺵﺭﺍﺰﮔ ﻭ ﺪﻨﺘﺷﺍﺩ
۸۱
% ﺭﺩﺎﻗ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺯﺍ ﻪﺑ
ﻪﺑ ﻲﻳﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﺢﻴﺤﺻ ﺭﻮﻃ
ﺘﺴﻴﻧ ﺪﻨ ] ۶ .[
ﺖﻴﺳﺎﺴﺣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﺹﺎﺧ ﻱﺎﻫﻭﺭﺍﺩ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺎﻫ
ﻱﺎﻫ
ﻲﻧﺍﺮﺤﺑ ﻲﻣ ﻡﺎﺠﻧﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻂﺳﻮﺗ ﻪﻛ ﺮﺛﺍ ﻭ ﺩﺮﻴﮔ
ﺎﻫﻭﺭﺍﺩ ﺯﺍ ﻲﻀﻌﺑ ﻱﺭﺍﺬﮔ
ﻲﭘﺍ ﻞﺜﻣ ﻢﻛ ﺮﻳﺩﺎﻘﻣ ﺎﺑ ﻔﻧ
ﻭﺮﺘﻴﻧ ﻭ ﻦﻳﺮ ﻞﻗﺍﺪﺣ ﻦﻴﺑ ﻢﻛ ﻑﻼﺘﺧﺍ ﻭ ﻦﻳﺮﻴﺴﻴﻠﮔ
ﻦﻴﻣﺎﭘﻭﺩ ﻞﺜﻣ ﻭﺭﺍﺩ ﺯﻭﺩ ﺮﺜﻛﺍﺪﺣ ﻭ
، ﻥﺍﺭﺎﺘﺳﺮﭘ ﯼﺍﺮﺑ ﺩﺎﻳﺯ ﯼﺎﻄﺧ ﻥﺎﮑﻣﺍ
ﯽﻣ ﺰﻴﻧ ﺖﻴﻟﻮﺌﺴﻣ ﺯﺍ ﻞﺻﺎﺣ ﯽﮔﺪﻴﻨﺗ ﻭ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﻥﺍﺰﻴﻣ ﺶﻳﺍﺰﻓﺍ ﻪﺑ ﺪﻧﺍﻮﺗ
ﺪﻨﮐ ﮏﻤﮐ ﯽﻳﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ ﯼﺎﻄﺧ .
ﺵﻭﺭ ﻭﺭﺍﺩ ﻪﺒﺳﺎﺤﻣ ﻝﻮﻤﻌﻣ ﻱﺎﻫ
ﻪﺑ ﻪﻛ ﻲﻠﻴﻣ ﺕﺭﻮﺻ ﻡﺮﮔ
ﻳ ﺑ ﻡﺮﮔﻭﺮﻜﻴﻣ ﺎ ﻡﺎﺠﻧﺍ ﺾﻳﺮﻣ ﻥﺯﻭ ﻮﻠﻴﻛ ﺮﻫ ﻱﺍﺮ
ﻲﻣ ﺩﺮﻴﮔ ﯽﻣ ﺐﺟﻮﻣ ﺍﺭ ﯼﺮﺘﻤﮐ ﯼﺎﻄﺧ ﺪﺻﺭﺩ ﺪﻧﻮﺷ
ﻭ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻪﺠﻴﺘﻧ
ﯽﻣ ﻥﺎﺸﻧ ﺕﺎﻌﻟﺎﻄﻣ ﺮﮕﻳﺩ ﯼﺎﺘﺳﺍﺭ ﺭﺩ ﻪﮐ ﺪﻫﺩ
ﻱﺎﻫﻭﺭﺍﺩ ﺹﺎﺧ ﻞﻜﺷ
ﻪﺑ ﻪﻛ ﻝﻮﻠﺤﻣ ﺖﻈﻠﻏ ﺕﺭﻮﺻ
/ ﻲﻠﻴﻣ ﺎﻳ ﺪﺻﺭﺩ ﻲﻛﺍ
ﻥﻻﺍﻭ ﺘﺴﻫ ﺪﻨ
، ﺕﺭﺪﻗ
ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﺒﺳﺎﺤﻣ ﺪﺣ ﺎﺗ ﺍﺭ
"
ﻂﺳﻮﺘﻣ
"
ﯽﻣ ﺶﻫﺎﮐ ﺪﻨﻫﺩ
ﻱﺩﺎﻳﺯ ﻱﺎﻄﺧ ﻭ ﺍﺭ
ﯽﻣ ﺚﻋﺎﺑ ﺪﻧﻮﺷ . ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﺍﺬﻟ ﺩﻮﺷ
ﻪﮐ ﻻﻭﺍ
، ﺵﺯﻮﻣﺁ ﻦﻤﺿ ﻡﺯﻻ ﻱﺎﻫ
ﻲﻳﻭﺭﺍﺩ ﺕﺎﺒﺳﺎﺤﻣ ﻪﻄﻴﺣ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻪﻴﻠﻛ ﻱﺍﺮﺑ ﺖﻣﺪﺧ ﻪﻳﺍﺭﺍ
ﺭﺩ ﻭ
ﺴﻣ ﻦﻳﺍ ﻪﺑ ﻱﺭﺎﺘﺳﺮﭘ ﺵﺯﻮﻣﺁ ﺎ
ﺩﻮﺷ ﻱﺮﺘﺸﻴﺑ ﻪﺟﻮﺗ ﻪﻟ
؛ ﺎﻴﻧﺎﺛ ﻭ ﺕﺭﻮﺻ ﺭﺩ
ﻥﺎﻜﻣﺍ
، ﺖﻛﺮﺷ ﻲﻳﻭﺭﺍﺩ ﻩﺪﻧﺯﺎﺳ ﻱﺎﻫ
، ﻱﺎﻫﺪﺣﺍﻭ ﺢﺿﺍﻭ ﯼﺮﺗ ﻱﺎﻫﻭﺭﺍﺩ ﻱﺍﺮﺑ
ﻝﻮﻠﺤﻣ ﻪﺑ ﻮﺻ ﺕﺭ ﺎﻳ ﻝﻮﭙﻣﺁ ﺞﻴﮔ ﻭ ﻢﻬﺒﻣ ﻪﻛ ﺪﻧﺮﻴﮕﺑ ﺮﻈﻧ ﺭﺩ ﻝﺎﻳﻭ ﻩﺪﻨﻨﻛ
ﺪﺷﺎﺒﻧ .
ﻊﺑﺎﻨﻣ ﻊﺑﺎﻨﻣ
1- Coomber S, Todd C, Park G, Baxer P, Firth-Cozens J, Shore S. Street in UK intensive care unit doctors. Br J Anaesthesia.
2002;89(6):873-81.
2- Santamaria N, Norris H, Claton L, Scott D. Drug calculation competencies of graduate nurses. Collegian Gul. 1997;4(3):18- 21.
3- Flaatten H, Hevroy O. Errors in the intensive care unit (ICU). Acta Anaesthesiologica. 1999;43(6):614-16.
4- Sarah B, Vittone RN. Ethics in the ICU. Crit Care Nurs Clin N Am. 2002;14:157-63.
5- Cartwright M. Numberacy needs of the beginning registered nurse. Nurse Educ Today. 2002;16(2):137-43.
6- Bindler R, Bayne T. Medication calculation ability of registered nurses. Image J Nurs. 1999;23(4):221-4.
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