اثر مقابله درمانگری بر میزان کاهش سطح کورتیزول در زنان مبتلا به بیماری‏های قلبی عروقی

حمزئی, زهرا; آقا یوسفی, علیرضا; رحمانیان, مهدیه

doi:10.30473/hpj.2025.73706.6188

نوع مقاله : علمی- پژوهشی

نویسندگان

¹ گروه روانشناسی سلامت، دانشگاه پیام نور، دبی، امارات

² گروه روانشناسی، دانشگاه پیام نور، تهران، ایران

10.30473/hpj.2025.73706.6188

چکیده

مقدمه: میزان بالای کورتیزول در بدن یکی از عوامل خطر برای بیماری‏های قلبی عروقی است. بنابراین این تحقیق با هدف اثر مقابله درمانگری بر میزان کاهش سطح کورتیزول در زنان مبتلا به بیماری‏های قلبی عروقی انجام شد.
روش: در این مطالعه، نیمه آزمایشی با طرح پیش آزمون-پس آزمون با گروه کنترل و پیگیری، تعداد 30 نفر از زنان دارای بیماری قلبی-عروقی مراجعه کننده به مطب یکی از متخصصان قلب وعروق شهر قم در سال 1402، که به روش در دسترس به دو گروه آزمایش (15 نفر) و گروه کنترل (15 نفر) به صورت تصادفی قرار گرفتند. معیارهای ورود شامل ابتلا به بیماری قلبی-عروقی، داشتن سن حداقل 40 و حداکثر 55 سال و معیارهای خروج غیبت در دو جلسه از برنامه آموزشی بود. میزان سطح کورتیزول، گروه آزمایش و کنترل قبل و بعد از آزمون اندازه‏گیری شد. تعداد 12 ﺟﻠﺴﻪ به ﻣـﺪت ٢ ﺗﺎ ٣ ﺳﺎﻋﺖ در هفته برای گروه مداخله انجام شد. یک ماه پس از آن در مرحله پیگیری میزان سطح کورتیزول خون در زمان ناشتا و ساعت 8 صبح اندازه‏گیری شد. داده‏ها با نرم‌افزار SPSS نسخه 24 آنالیز شد.
یافته‌ها: میانگین سطح کورتیزول خون برای گروه آزمایش (مقابله درمانگری) در پس‌آزمون و پیگیری نسبت به پیش‌آزمون کاهش داشت. همچنین بین مراحل پیش آزمون، پس آزمون و پیگیری بین گروه درمانی و گروه کنترل در میزان کورتیزول تفاوت وجود دارد. بنابراین میزان کورتیزول بین گروه آزمایش (مقابله درمانگری) و گروه کنترل تفاوت معنادار وجود دارد(P<0.05).
نتیجه‌گیری: اثر مقابله درمانگری باعث کاهش کورتیزول در زنان مبتلا به بیماری‏های قلبی عروقی می‏شود. همچنین با توجه به نتایج به دست آمده در حوزه تأثیر گروه درمانی بر بهبود عملکرد بیماران قلبی عروقی، لذا پیشنهاد می‌شود این درمان برای بهبود کیفیت زندگی این افراد در جنبه‏های دیگر نیز به صورت گسترده اجرا شود.

کلیدواژه‌ها

موضوعات

مداخلات روانشناختی در سلامت و بیماریها

عنوان مقاله [English]

The Effect of Coping Therapy on Cortisol Levels in Women with Cardiovascular Diseases

نویسندگان [English]

Zahra Hamzeei ¹
Alireza Aghayousefi ²
Mahdiyeh Rahmanian ²

¹ Department of health psychology, Payame Noor University, Dubai, UAE

² Department of Psychology, Payame Noor University, Tehran, Iran

چکیده [English]

Objective: High cortisol levels in the body are one of the risk factors for cardiovascular diseases. One of the effective interventions in improving cortisol levels in heart patients that has a lot of research evidence is coping therapy. Therefore, this study was conducted with the aim of investigating the effect of coping therapy on reducing cortisol levels in women with cardiovascular diseases. Method: In this study, a semi-experimental study with a pre-test-post-test design with a control and follow-up group, 30 women with cardiovascular disease referred to the clinic of one of the cardiology specialists in the city of Qom in 1402, who were convenience sampling assigned to two experimental groups (15 people) and a control group (15 people) using an accessible method. The inclusion criteria for the study included: having cardiovascular disease, being at least 40 and maximum 55 years old and being satisfied to participate in the research and receive the educational program, and the exclusion criteria were absenteeism in two sessions of the educational program. The cortisol levels of the experimental and control groups were measured before and after the test. And the Folkman-Lazarus (1984) theoretical coping technique protocol was carried out for 12 sessions of 2 to 3 hours per week for the intervention group. And finally, one month later, in the follow-up phase, the dependent variables of both groups were measured: fasting blood cortisol levels and 8 am. Data analysis was performed with SPSS version 24 software. Results: The average blood cortisol level for the experimental group (coping therapy) was 14.09 in the pre-test, 9.69 in the post-test, and 9.6 in the follow-up. Also, there is a difference in cortisol levels between the pre-test, post-test, and follow-up stages between the treatment group and the control group. Therefore, there is a significant difference in cortisol levels between the experimental group (coping therapy) and the control group (P<0.05(. Conclusion: The effect of coping therapy reduces cortisol in women with cardiovascular diseases. Also, considering the results obtained in the field of the effect of group therapy on improving the performance of cardiovascular patients, it is recommended that this treatment be widely implemented to improve the quality of life of these people in other aspects.

کلیدواژه‌ها [English]

Coping Therapy
Cortisol
Cardiovascular Diseases

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اثر مقابله درمانگری بر میزان کاهش سطح کورتیزول در زنان مبتلا به بیماری‏های قلبی عروقی

مراجع

مراجع

دوره 14، شماره 54شهریور 1404صفحه 115-128

دوره 14، شماره 54
شهریور 1404
صفحه 115-128