مدل یابی عوامل روانی-اجتماعی-فرهنگی کیفیت زندگی بیماران مبتلا به بیماری های کرونری قلب

باقری, مائده; فراهانی, محمد تقی; حسن آبادی, حمیدرضا

doi:10.30473/hpj.2019.42262.4135

نوع مقاله : علمی- پژوهشی

نویسندگان

¹ کاندیدای دکتری تخصصی روان شناسی سلامت، دانشگاه خوارزمی، تهران، ایران.

² استاد، دانشگاه خوارزمی، تهران. ایران.

³ استادیار، دانشگاه خوارزمی، تهران. ایران.

https://doi.org/10.30473/hpj.2019.42262.4135

چکیده

مقدمه: با توجه به عدم اطلاعات دقیق در مورد مهم ترین عوامل مرتبط با کیفیت زندگی در بیماران کرونری قلب، هدف این مطالعه مدل یابی عوامل روانی-اجتماعی- فرهنگی در کیفیت زندگی بیماران کرونری قلب می باشد. روش: داده ها با ﻣﻘﻴﺎس های ﺑﻴﻤﺎرﺳﺘﺎﻧﻲ اﺿﻄﺮاب و افسردگی، تیپ D شخصیت، استرس ادراک شده، تبعیت از رژیم غذایی مدیترانه ای و وضعیت اجتماعی-اقتصادی و فرم های کوتاه مقیاس های طرحواره های مقابله با استرس و فردگرایی جمع گرایی و کیفیت زندگی ادراک شده محقق ساخته، جمع آوری گردید. 300 نفر از بیماران مبتلا به بیماری های کرونری قلب، از اسفند 1396 تا اردیبهشت 1397، به صورت در دسترس انتخاب شدند. تحلیل مبتنی بر تحلیل مسیر در نرم‌افزار لیزرل انجام شد. یافتهها: راهبردهای مقابله ای سازگارانه(0.13)، خودکارآمدی(0.028)، اضطراب و افسردگی(0.024-)، تیپ شخصیت D (0.022-)و وضعیت اجتماعی-اقتصادی(0.014) بیشترین اثر مستقیم و فردگرایی(0.13) و رژیم غذایی مدیترانه ای(0.12) بیشترین اثر غیر مستقیم را در پیش بینی کیفیت زندگی داشته اند. نتیجه‌گیری: پیشنهاد می شود به بیماران کمک شود تا از راهبردهای مقابله موقعیتی، حمایت اجتماعی، پذیرش و ابراز هیجانی فعال استفاده کنند، برای آن که میزان خودکارامدی این گروه را بالا برده و در مورد کاهش اضطراب و افسردگی آنان، مداخلات لازم صورت گیرد. هم چنین، در مورد سبک تغذیه مدیترانه ای آموزش های لازم داده شود.

کلیدواژه‌ها

موضوعات

میانجی گرهای روانشناختی و اجتماعی مرتبط با سلامت

عنوان مقاله [English]

The Modeling of psychosocial-cultural factors the quality of life of patients with coronary heart disease

نویسندگان [English]

maedeh bagheri ¹
MOHAMMAD TAGHI FARAHANI ²
hamidreza hassanabadi ³

¹ PhD Candidate, Health Psychology, Kharazmi University, Tehran, Iran

² Professor, Kharazmi University, Tehran, Iran.

³ Assistant Professor, Kharazmi University, Tehran, Iran.

چکیده [English]

Objective: According to lack of detailed information on the most important factors related to quality of life in patients with coronary heart disease, the aim of this study is the modeling of psycho-social-cultural factors on the quality of life in patiants with coronary heart disease. Methods: The data were collected using hospital scales of anxiety and depression, type D personality, perceived stress , the Mediterranean diet and socioeconomic status, and short forms of Stress coping schemas and individualism of collectivism and the researcher made perceived quality of life scales . 300 patients with coronary heart disease were selected with available sampling, from the February of 2018 to the May of 2018. Analysis based on path analysis was carried out in LISREL software. Findings: Adaptive coping strategies(0.13), self-efficacy (0.028), anxiety and depression(- 0.024), type D personality(- 0.022), and socioeconomic status( 0.014 )had the most direct effects, and individualism(0.13) and Mediterranean diet (0.12 )had the most indirect effect for predicting quality of life. Conclusion: It is suggested that patients be helped for using situational coping strategies, social support, acceptance and active emotional expression, to increase the level of self-efficacy on this group and take interventions properly to reduce their anxiety and depression. Also, be taught properly on the Mediterranean diet.

کلیدواژه‌ها [English]

path analysis
Psychosocial-Cultural Factors
Coronary Heart Disease

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