با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی ، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

2 گروه روانشناسی سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان،ایران

3 گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

4 گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

چکیده

مقدمه: سواد سلامتبیماران سرطان پستان نقش مهمی در دسترسی به اقدامات تشخیصی و درمانی مناسب دارد. هدف این مطالعه بررسی نقش میانجی تاب­آوری در رابطه بین سواد سلامت و کیفیت زندگی اختصاصی در بیماران مبتلا به سرطان پستان بود. روش: در این مطالعه مقطعی و همبستگی 213 بیمار مبتلا به سرطان پستان بر اساس معیارهای ورود و خروج و بصورت پی‌درپی انتخاب شدند. سپس بیماران پرسشنامه‌های نسخه ایرانی سواد سلامت، کیفیت زندگی اختصاصی و تاب­آوری را تکمیل نمودند. داده­ها با استفاده از نرم‌افزارهای SPSS و LISREL با روش تحلیل مسیر تجزیه‌وتحلیل گردید. یافته‌ها: نتایج نشان داد همه مؤلفه‌های سواد سلامت و کیفیت زندگی اختصاصی با تاب­آوری رابطه معنادار داشتند. همچنین بین سواد سلامت و کیفیت زندگی اختصاصی رابطه معناداری وجود داشت. یافته‌ها نشان داد هرچه سواد سلامت در بیماران مبتلا به سرطان افزایش یابد، میزان تاب­آوری در بیماران به‌طور معناداری افزایش می­یابد. نتیجه‌گیری:به نظر می­ رسد تاب­آوری نقش میانجی بین سواد سلامت و کیفیت زندگی اختصاصی در بیماران مبتلا به سرطان پستان دارد؛ بنابراین در نظر گرفتن مدل ارتباطی این متغیرها در طراحی پروتکل‌های روان‌شناختی و ادغام آن‌ها با برنامه‌های درمانی بیماران سرطان پستان ضروری است.

کلیدواژه‌ها

عنوان مقاله [English]

The Role of Mediating Resilience in the Relationship Between Health Literacy and Specific Quality of Life in Breast Cancer Patients

نویسندگان [English]

  • Seyyedeh Hakimeh Mousavi 1
  • Reza Bagherian-saraoudi 2
  • farahnaz meschi 3
  • javad khalatbari 4
  • bouk tajeri 3

1 Ph. D Student, Department of Psychology, Karaj Branch, Islamic Azad university, Karaj, Iran.

2 Department of Health psychology, Medical school, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

4 Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

چکیده [English]

Objective: The health literacy for breast cancer patients plays an important role in accessing adequate diagnostic and therapeutic measures. The aim of this study was to investigate the mediating role of resilience in the relationship between health literacy and specific quality of life among patients with breast cancer. Method: In this cross-sectional study, 213 consecutive patients with breast cancer were selected based on the inclusive and exclusive criteria. Then, the pateints completed questionaires of Iranian version of health literacy, quality of life and resilience. Data were analysed using SPSS and LISREL software by path analysis model. Findings: All components of health literacy and specific quality of life were significantly correlated with resilience. Also there was a significant association between health literacy and specific quality of life. The findings showed that as far as the health literacy is increased, the resilience scores significantly are also increased. Conclusion: It seems that resilience plays the mediating role between health literacy and specific quality of life among pateints with breast cancer. Therefore, it is necessary to consider the relational model between these factors for developmemt of psychological protpcols and intagarating those protocols in therapeutic plans for bearst cancer pateints.

کلیدواژه‌ها [English]

  • health literacy
  • resilience
  • specific quality of life
  • breast cancer
Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H. (2017); Global burden of disease cancer collaboration. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015. JAMA Oncology; 3(4): 524 - 548.
Amir M, Rahmati A. (2002); Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: a preliminary research. J Anxiety Disord; 16: 195-206.
Andrykowski MA, Lykins E, Floyd A. (2008); Psychological health in cancer survivors. Semin Oncol Nurs; 24(3): 193-201.
Badr H, Shen MJ. (2010) pain intensity, and dyadic adjustment influence patient and partner depression in metastatic breast cancer.Clin J Pain. 2014; 30(11):923-33.
Bagherian-Sararoudi R,Maracy M, Saenei H, Shiri M; (2019); Factors in relation with fatigue and illness perception in patients with myocardial infarction and the changes in fatigue due to intervention on illness perception: Research design, methodology, and preliminary results: ARYA Atheroscler; Volume 15;62-69.
Bakhshi R, Davachi A, Kamali P. (2000); Effect of nurse counseling on quality of life among women with breast cancer treated with radiotherapy at the Cancer Institute of Tehran, [master of Sciences
Nursing Thesis]. Tehran: Nursing and Midwifery Faculty of Iran university of Medical Sciences; P. 71.
Bamshad Z, Safikhani F. (2006); Assessment of mental health of women with breast cancer. Abstract Book of National congress of care in special diseases. Ahvaz Univ Med Sci. P.56.
Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. (2007); [Health literacy and the affecting factors: a study in five provinces of Iran]. Journal of Medical Education Development Center; 4(1):1-9.
Benjamin J, Jane V, Hayden B. (2012); Can This Patient Read and Understand Written Health Information, The Journal of the American Medical Association; 304: 76-84
Brega AG, Ang A, Vega W, Jiang L, Beals J, Mitchell CM. (2012); et al.Mechanisms underlying the relationship between health literacy and glycemic control in American Indians and AlaskaNatives Patient Educ Couns; 88(1)61-8.
Busch E.L, Martin CH, DeWalt D, Sandler R. (2015); Functional health literacy, chemotherapy decisions and outcomes among a colorectal cancer cohort. Cancer Control; 22: 95-101.
Chiriac VF, Baban A, Dumitrascu DL. (2018); Psychological stress and breast cancer incidence: a systematic review. Clujul Med. 91(1): 18-26.
Cordasco KM, Asch SM, Franco I, Mangione CM. (2015); Health literacy and English language comprehension among older inpatients at an urban safety-net hospital. J Health Hum Serv Adm; 32(1): 30-50.
Cordasco KM, Asch SM, Franco I, Mangione CM. (2010); Health literacy and English language comprehension among older inpatients at an urban safety-net hospital. J Health Hum Serv Adm; 32(1): 30-50.
Costa WA, Jr JE, Giraldo PC, Gonçalves AK. (2017); Quality of life in breast cancer survivors. Rev Assoc Med Bras. 63(7): 583-89.
Costanzo ES, Ryff CD, Singer BH. (2009); Psychosocial adjustment among cancer survivors: findings from a national survey of health and well-being. Health Psychol; 28(2): 147-56.
Davoudi I, Zargar Z, Mozaffaripour E, Nargesi F, Molah K. (2012); The Relationship between Resilience, Social Support, pain-related Anxiety, Coping Strategies and Neuroticism, with Functional Disability in Rheumatic patients. The Journal of Health Psychology; 1(1):1-15.
DeWalt D.A, Berkman N D, Sheridan S, Lohr K N, Pignone M P. (2004); Literacy and health outcomes. Journal of General Internal Medicine; 19: 1228-1239.
Hart T.L, Blacker S, Panjwani A, Torbit L, Evans M. (2015); Development of multimedia informational tools for breast cancer patients with low levels of health literacy. Patient Education and Counseling; 98:370-377.
Khalili S,Tavousi M, Moghaddam Banaem,L. (2017); Health Literacy for women with breast cancer (HELBA): development and psychometric properties. Payesh. 16 (3):359-366.
Koay K, Schofield P, Gough K, Buchbinder R, Rischin D, Ball D, Corry J, Osborne R, Jefford M. (2013); Suboptimal health literacy in patients with lung cancer or head and neck cancer. Supportive Care in Cancer 6; 21: 2237-2245.
Mc Coubrie RC, Davies AN. (2006); Is there a correlation between spirituality and anxiety and depression in patients with advanced cancer. J Support care cancer; 14: 379-385.
Namiki S, Ishidoya S, Ito A, Kawamura S, Tochigi T, Saito S, et al. (2009); Quality of life after radical prostatectomy in Japanese men: a 5-Year follow up study. Int J Urol; 16(1): 75-81.
Nemati M, Alhani F, Zandshahri R. (2005); Quality of life in the adolescence with cancer under chemotherapy referred to selected clinic of Tehran University of Medical Sciences. 1th Congress of Quality of life in Tarbiat Modares University; P.25
Peerson A, Saunders M. (2009); Health literacy revisited: what do we mean and why does it matter Health Promotion International; 24(3):85-96.
Perkins HY, Baum GP, Taylor CL, Basen-Engquist KM. (2009); Effects of treatment factors, comorbidities and healthrelated quality of life on self-efficacy for physical activity in cancer survivors. Psychooncology; 18(4): 405-11.
Romero C, Kalidas M, Elledge R, Change J, Liscum KR, Friedmen, LC. (2006); Self-Forgiveness, Spirituality, and Psychological Adjustment in Women with Breast Cancer. J Behav Med; 29(1): 29-36.
Sieggel RL, Miller KD, Jemal A. (2019); A systematic analysis for the global burden of disease study; A Cancer Journal for Clinicians. 2019; 69 (1): 7 - 34.
Sungkun C, Heiby EM, McCracken LM, Lee SM, Moon DE. Pain-related anxiety as a mediator of the effects of mindfulness on physical and psychosocial functioning in chronic pain patients in Korea. J Pain; 11(8):789-97.
Ulger E, Varol U, Yildiz L, Salman T, Bayoglu V, et al. (2014); Depression, anxiety and sexual satisfaction in breast cancer patients and their partners-izmir oncology group study. Asian Pac J Cancer Pre; 15(24): 10631-6.
Wagner C, Knight K, Steptoe A, Wardle J. (2017); Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Communit Health. 61(12):1086-90.
Weitzner MA, Meyers CA, Stuebing KK, Saleeba AK. (1997); Relationship Between Mood and Quality of Life in Long- Term Survivors of Breast Cancer Treated with Mastectomy. Support Care Cancer; 5(3): 241-8.
Yan B, Yang LM, Hao LP, Yang C, Quan L. (2016); Determinants of Quality of Life for Breast Cancer Patients in Shanghai, China. Plos one; 11(4): 1-14.
Zhang H, Xiao L, Ren G. (2018); Experiences of Social Support Among Chinese Women with Breast Cancer: A Qualitative Analysis Using a Framework Approach. Medical science monitor: international medical journal of experimental and clinical research;24:574.