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Fatemeh Abdoli Arani; MohammadReza Tamannaeifar
Abstract
Objective: The growing trend of diseases such as type 2 diabetes, high blood pressure, as well as the increase in the obese and elderly population in different countries caused the growth rate of chronic kidney diseases globally to be higher than the annual growth rate of the world population. It is ...
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Objective: The growing trend of diseases such as type 2 diabetes, high blood pressure, as well as the increase in the obese and elderly population in different countries caused the growth rate of chronic kidney diseases globally to be higher than the annual growth rate of the world population. It is estimated that more than 850 million people worldwide are affected by this disease. If kidney diseases are not diagnosed on time and treated appropriately, it leads to end-stage kidney disease. The purpose of the present study was to investigate developing relationship model quality of life, mindfulness and self-compassion with mediating role self-care behaviors among dialysis patients. This was descriptive-correlation research. Method: The statistical population of the study was dialysis patient’s Kashan city in March to July of year 2024. The sample size was selected based on Klein's model (2023) and with subjectivw sampling of 300 dialysis patient’s. Data collection tools include the quality of life-BRIEF of World Health Organization (2004), Freiburg mindfulness inventory of Walach and et al (2006), short form of the self‐compassion scale of Raes and et al (2011) and exercise of self‐care agency scale of Kearney and Fleischer (1979). Data were analyzed using Pearson correlation and structural equations modeling. Data analysis software was SPSS and AMOS version 28. Results: Te results showed direct effect of mindfulness (β=0.51 and sig=0.001) and self-compassion (β=0.54 and sig=0.001) were significant on quality of life. Also, the results showed that self-care behaviors had a mediating role in relationship between mindfulness (β=0.61 and sig=0.001) and self-compassion (β=0.52 and sig=0.001) with quality of life. Also, the final research model had a good fit (RMSEA=0.03, p<0.05). Conclusion: In explaining the mediating role of self-care behaviors in the relationship between mindfulness and quality of life, it can be said that a dialysis person with mindfulness can help himself to experience more peace and relaxation, this peace and relaxation has helped him to Adhere to self-care and fulfill medical and pharmaceutical orders, and this adherence to self-care in dialysis patients makes them experience a better quality of life. Also, In explaining the mediating role of self-care behaviors in the relationship between self-compassion and quality of life, it can be said that self-compassion can lead to an increase in the level of self-care behaviors and a person can take better and more effective care of him and therefore follow up on his treatment process. slow and adheres to medical and medication orders, as a result, it shows a higher recovery rate, which makes the quality of life of patients better than other dialysis patients. According to the findings of this research and the importance of the role of the mindfulness and self-compassion in quality of life of dialysis patients, it is suggested to experts in this field to use the training of mindfulness and self-compassion to improve quality of life in dialysis patients.
A
Mohammad Reza Tamannaifar; Azam Mansourinik; Shiva Ahmadpoursamani
Abstract
Objectives: Quality of life in patients with heart failure can be affected by several factors. The present study aimed to examine the relationship between personality traits and quality of life in heart failure patients mediated by self-care behaviors. Method: This study is a structural equation modeling. ...
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Objectives: Quality of life in patients with heart failure can be affected by several factors. The present study aimed to examine the relationship between personality traits and quality of life in heart failure patients mediated by self-care behaviors. Method: This study is a structural equation modeling. Among the heart failure patients referred to Tehran Heart Hospitals, 300 patients referred to Jam Hospital and Bustan Cardiovascular Clinic were recruited through convenient sampling. In order to collect information, NEO-FFI (Costa & McCrae, 1992), MOS (Ware & Sherbourne, 1992) and EHFSCB (Jarsma et al., 2003) were used. Data were analyzed using SPSS and AMOS 24 software. Results: The results of correlation coefficients showed that there are significant negative correlation between the personality traits of neuroticism and agreeableness with quality of life, while there are significant positive correlation between extroversion and quality of life (P<0.01). Also, there are significant negative correlation between self-care behaviors and quality of life (P<0.01). According to the results the proposed model has a good fit (x2/df=2.786, p<0.001, CFI= 0.92, RMSEA=0.07). In addition, the direct effect of neuroticism, extroversion and agreeableness on quality of life is significant (P<0.01). When self-care behaviors are included as mediators in the relationship between personality traits and quality of life, the indirect effect of neuroticism and conscientiousness on quality of life is 0.09 and 0.049 respectively, and these indirect effects are significant (P<0.01). Therefore, self-care behaviors mediate the relationship between personality traits of neuroticism and conscientiousness with quality of life.Conclusion: These results have important implications for clinical practice and research in the field of cardiac health psychology and indicate the need to develop approaches and better management of these patients in self- care behaviors. Considering the widespread prevalence of heart diseases as a chronic disease and the high costs of treatment, the results of this research have many practical implications for health psychologists, doctors and nurses. Interventions aimed at changing personality characteristics (especially reducing neuroticism and increasing conscientiousness) in order to improve the quality of life of heart patients is a complex and time-consuming task. Therefore, one of the effective interventions to increase these patients’ quality of life can be focusing on increasing self-care behaviors. Hence, educating patients about the importance of this issue can play an important role in improving these patients’ quality of life.
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zahra azari ghahfarrokhi; mojtaba ansari shahidi; mehran shahzamani
Abstract
Objective: The present study was conducted to investigate the efficacy of family-based social support training on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (after open surgery). Method: The present study was quasi-experimental with pretest, posttest, ...
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Objective: The present study was conducted to investigate the efficacy of family-based social support training on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (after open surgery). Method: The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up period design. the statistical population of the study included patients undergoing open heart surgery with depressive symptoms referred to specialized heart hospitals (Chamran, Sina and Milad) in Isfahan in the second half of 2019. 36 cardiac patients with the signs of depression were selected through purposive sampling method and randomly accommodated into experimental and control groups (17 patients in the experimental group and 19 patients in the control group). The experimental group received eight seventy-five-minute sessions of family-based social support training during two months. The applied questionnaires in this study included depression questionnaire (Beck et al, 1996), social adjustment questionnaire (Bell, 1962) and self-care behaviors questionnaire (Galiana et.al, 2015). The data from the study were analyzed through Mixed ANOVA and Bonferren post hoc test via SPSS23 statistical software. Findings: The results showed that family-based social support training has significant effect on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (p<0.001). Conclusion: According to the findings of the present study it can be concluded that family-based social support training can be used as an efficient intervention to improve social adjustment and self-care behaviors of the cardiac patients with the signs of depression through employing techniques such as creating social support circles, strengthening and rebuilding the social support group.
Fahimeh Koohestani; Yasser Rezapour Mirsaleh; Fatemeh Bahjati
Abstract
Objective: Heart disease affects not only the patient but also his family. The main purpose of this study was to investigate the relationship between family environment, marital commitment, spousal support and self-care behavior among heart failure diseases. Method: This study was a correlational study ...
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Objective: Heart disease affects not only the patient but also his family. The main purpose of this study was to investigate the relationship between family environment, marital commitment, spousal support and self-care behavior among heart failure diseases. Method: This study was a correlational study using structural equation modeling. The statistical population of this study was heart failure patients referring to health centers in Kerman city in 1397. A total of 200 patients were selected by available sampling. The data gatherd using self-care behaviors questionnaire (jaarsma & et al, 2003), marital commitment questionnaire (Stanley & Markman 1992), Family environment questionnaire (Moos & Moos, 1986), andspouse support Questionnaire (Sallis & et al, 1987) and analyzed by Pearson's correlation, regression analysis and structural modeling modeling. Findings: The finding showed that the family environment and the spousal support could significantly predict self-care behaviors in patients (p<0.05) but the predicting role of marital commitment was not significant (p>.05). Findings of structural equation modeling showed that family environment influenced patients self-care behaviors by increasing their spousal support. Conclusion: the results showed that spousal support has a significant mediating role in the relationship between family environment and self-care behaviors of cardiac patients and marital commitment has not a significant role in model predicting self-care behaviors.
