fa ﺑﺮرﺳﻲ ﺗﺎﺛﻴﺮ اﺟﺮای ﺑﺮﻧﺎﻣﻪ اﺳﺘﺮاﺗﮋی ارﺗﻘﺎی ﻓﺮآﻳﻨﺪ ﻣﺮاﻗﺒﺖ ﻗﺒﻞ از ﻋﻤﻞ ﺑﺮ وﺿﻌﻴﺖ ﻫﻤﻮدﻳﻨﺎﻣﻴﻚ زﻧﺎن ﺗﺤﺖ ﺳﺰارﻳﻦ تخصصي Special پژوهشي Research <p><strong>مقدمه: </strong>ﻫﺪف از ﭘﮋوﻫﺶ ﺗﻌﻴﻴﻦ &nbsp;ﺗﺎﺛﻴﺮ ﺑﺮﻧﺎﻣـﻪ اﺳـﺘﺮاﺗﮋی ارﺗﻘـﺎ ﻓﺮآﻳﻨـﺪ ﻣﺮاﻗﺒﺖ ﻗﺒﻞ از ﻋﻤﻞ ﺑﺮ وﺿﻌﻴﺖ ﻫﻤﻮدﻳﻨﺎﻣﻴﻚ زﻧﺎن &nbsp;ﺳﺰارﻳﻦ ﻣﻲﺑﺎﺷﺪ.<br> <strong>روش کار: </strong>اﻳﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻧﻴﻤﻪ ﺗﺠﺮﺑﻲ است ﻛﻪ در ﺳﺎل ١٣٩٥ در&nbsp; ﺑﻴﻤﺎرﺳﺘﺎن ﺷﻬﺮﺳﺘﺎن دورود اﻧﺠﺎم ﺷﺪ. ﻧﻤﻮﻧﻪﮔﻴﺮی ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﻲ بود. ﺗﻌﺪاد ﻧﻤﻮﻧﻪ ٧٠ ﻧﻔﺮ ﻛـﻪ ﺑـﻪ دو ﮔﺮوه آزﻣﻮن و ﻛﻨﺘﺮل ﺗﻘﺴﻴﻢ ﺷﺪﻧﺪ. اﺑﺰار ﺟﻤﻊآوری دادهﻫﺎ ﺷﺎﻣﻞ ﻓﺸـﺎر ﺳﻨﺞ و ﺳﺎﻋﺖ ﻣﭽﻲ بود .اﺑﺘـﺪا در ﮔـﺮوه ﻛﻨﺘـﺮل ﺗﻌﺪاد ﻧﺒﺾ و ﻓﺸﺎر ﺧﻮن در ﺳﻪ ﻣﺮﺣﻠﻪ زﻣﺎﻧﻲ ﺳـﻨﺠﻴﺪه ﺷـﺪ. ﺑﻌـﺪ از اﺗﻤﺎم ﻧﻤﻮﻧﻪﮔﻴﺮی ﮔﺮوه ﻛﻨﺘﺮل، ﺑﺮﻧﺎﻣﻪ اﺳﺘﺮاﺗﮋی ارﺗﻘﺎء ﻓﺮآﻳﻨﺪ &nbsp;اﺟﺮا ﺷﺪ. ﺳﭙﺲ ﮔـﺮوه آزﻣـﻮن اﻧﺘﺨﺎب ﺷﺪ و نبض و فشارخون &nbsp;ﺳﻨﺠﻴﺪه ﺷﺪ. تجزیه و تحلیل داده&shy;ها توسط <span dir="LTR">SPSS</span> نسخه 17 انجام شد.<br> <strong>ﻳﺎﻓﺘﻪﻫﺎ: </strong>ﻣﻴﺎﻧﮕﻴﻦ ﻓﺸﺎرﺧﻮن ﺳﻴﺴﺘﻮﻟﻴﻚ در ﮔﺮوه ﻛﻨﺘﺮل ﻗﺒـﻞ از ﻋﻤﻞ ١٧<span dir="LTR">/</span>١١٣ و ﺑﻌﺪ از ﻋﻤﻞ ١٤<span dir="LTR">/</span>٩١ ﺑﻮد و در ﮔﺮوه آزﻣـﻮن ﻗﺒـﻞ از ﻋﻤـﻞ ١٤<span dir="LTR">/</span>١١٥ و ﺑﻌـﺪ از ﻋﻤـﻞ ٧١<span dir="LTR">/</span>١٠٧ ﺑﻮد. ﻫﻤﭽﻨﻴﻦ ﻣﻴﺎﻧﮕﻴﻦ ﻓﺸﺎرﺧﻮن دﻳﺎﺳﺘﻮﻟﻴﻚ در ﮔﺮوه ﻛﻨﺘﺮل ﻗﺒـﻞ از ﻋﻤـﻞ ٤٣<span dir="LTR">/</span>٦٩ و ﺑﻌـﺪ از ﻋﻤﻞ ٤٣<span dir="LTR">/</span>٥٩ ﺑﻮد و در ﮔﺮوه آزﻣﻮن ﻗﺒﻞ از ﻋﻤﻞ ٤٣<span dir="LTR">/</span>٦٥ و ﺑﻌﺪ از ﻋﻤﻞ ﺑﻪ ١٤<span dir="LTR">/</span>٦٢ ﺗﻐﻴﻴـﺮ ﻳﺎﻓـﺖ. آزﻣـﻮن آﻧﺎﻟﻴﺰ وارﻳﺎﻧﺲ ﻧﺸﺎن داد ﺑﻴﻦ ﻣﻴﺎﻧﮕﻴﻦ ﻓﺸﺎر ﺧﻮن ﺳﻴﺴﺘﻮﻟﻴﻚ و دﻳﺎﺳﺘﻮﻟﻴﻚ در دو ﮔﺮوه آزﻣﻮن و ﻛﻨﺘﺮل ﺗﻔﺎوت آﻣﺎری ﻣﻌﻨﻲ داری وﺟﻮد دارد. در ﮔﺮوه ﻛﻨﺘﺮل ﻛﺎﻫﺶ ﻓﺸﺎرﺧﻮن قابل ملاحظه ای نسبت به گروه آزمون دﻳـﺪه ﺷـد .همچنین &nbsp;آزﻣﻮن آﻧﺎﻟﻴﺰ وارﻳﺎﻧﺲ ﻧﺸﺎن داد ﺑﻴﻦ ﻣﻴﺎﻧﮕﻴﻦ ﺿـﺮﺑﺎن ﻗﻠـﺐ در دو ﮔـﺮوه آزﻣـﻮن و ﻛﻨﺘـﺮل ﺗﻔﺎوت آﻣﺎری ﻣﻌﻨﻲداری وﺟﻮد دارد (٠٠١<span dir="LTR">/</span>٠<span dir="LTR">P<</span>). ﺿﺮﺑﺎن ﻗﻠﺐ در ﮔﺮوه آزﻣﻮن ﻛﺎﻫﺶ ﻳﺎﻓﺘﻪ بود.<br> <strong>نتیجه گیری :</strong> طبق نتایج وضعیت همودینامیک گروه آزمون نسبت به کنترل بهبود پیدا کرده بود. بنابراین پیشنهاد می شود این برنامه در بیمارستان اجرا شود.</p> Introduction: The aim of this research is to determine the effect of applying FOCUSPDCA strategic program of the pre-operative care process on hemodynamic status of caesarean women.<br> <strong>Methods</strong>: this is a quasi-experimental study conducted in 2016, in one of&nbsp; Dorud-Iran hospitals. Samples were selected using objective-based random method. Samples (n=70) were divided into the test and control groups. Data collection instruments was pressure gauge and a watch. Validity and reliability of the questionnaire was assessed and confirmed. At first, hemodynamic parameters including pulse rate, systolic and diastolic blood pressure were measured in control group three times: the night before surgery, the moment of entering the operation room, and after surgery in recovery room. After sampling in control group, the FOCUSPDCA strategic program was implemented. The program consisted of nine steps. They were implemented one after another. Then, the test group was selected and the memberschr(&#39;39&#39;) hemodynamic parameters were measured. The SPSS-17 was used for data analysis.<br> <strong>Findings</strong>: The mean systolic blood pressures were 113.17 and 91.14 before and after operation in control group, respectively; while they were 115.14 and 107.71 in the test group. Moreover, the mean diastolic pressures were 69.43 and 59.43 before and after operation in the control group, respectively, while they were 65.43 and 62.14 in the test group. The variance analysis test revealed a meaningful statistical difference between the mean systolic and diastolic blood pressures among the two groups. The control group experiences drop in blood pressure, while the test group faces no considerable drop in blood pressure. The average of heart rates in the control group were 13.91 and 104.71 before and after operation; while they were 80.26 and 79.1 in the test group. The variance analysis test revealed a significant statistical difference between the two groupschr(&#39;39&#39;) heart rate (p<0.001). Heart rate reduced in test group.<br> <strong>Conclusion: </strong>According to the result of the study hemodynamic situatin has been improve in the test group. Therfore, it is suggested that the program to be implement .in order to improve the health care process in the hospital. اﺳﺘﺮاﺗﮋی ارﺗﻘﺎ ﻓﺮآﻳﻨﺪ, وﺿﻌﻴﺖ ﻫﻤﻮدﻳﻨﺎﻣﻴﻚ, ﻣﺮاﻗﺒﺖ ﻗﺒﻞ از ﻋﻤﻞ, ﺳﺰارﻳﻦ. FOCUS PDCA, Hemodynamic, Preoperation Care, Cesarean. 37 47 http://ijnv.ir/browse.php?a_code=A-10-1068-2&slc_lang=fa&sid=1 parisa Asadolahi ﭘﺮﻳﺴﺎ اﺳﺪاﻟﻬﻲ Parisaasadolahi99@gmail.com 100319475328460013429 100319475328460013429 No دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران. hassan navipour ﺣﺴﻦ ﻧﺎویﭘﻮر naviporh@modares.ac.ir 100319475328460013430 100319475328460013430 Yes دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران. robabe Memarian رﺑﺎﺑﻪ ﻣﻌﻤﺎرﻳﺎن memari-r@modares.ac.ir 100319475328460013431 100319475328460013431 No دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.