نوع مقاله: مقاله پژوهشی

نویسندگان

1 دکترای روانشناسی، دانشیار دانشگاه پیام نور، تهران ،ایران

2 دانشجوی دکتری تخصصی روانشناسی سلامت، مرکز بین الملل دانشگاه پیام نور، دبی، امارات متحده عربی

چکیده

مقدمه: همودیالیز فرآیندی تنش زا است و رویدادهای زندگی در چرخه درمان بیماران موثر است. هدف پژوهش حاضر تعیین رابطه بین باور های فراشناخت، امید به زندگی و کیفیت زندگی با افسردگی بیمارستانی بیماران تحت همودیالیز شهر کرج بود.مواد و روش: روش تحقیق همبستگی بود. 106 نفر از بیماران کلیوی تحت همودیالیز ساکن شهر کرج در سال 1395 به روش نمونه گیری آسان نتخاب و به ابزار پژوهش شامل پرسشنامه باورهای فراشناختی(MCQ-30)، امید به زندگی اشنایدر، کیفیت زندگی بیماران کلیوی و پرسشنامه افسردگی بیمارستانی پاسخ دادند. تحلیل داده ها با SPSS و آزمون آماری رگرسیون همزمان انجام شد.یافته ها: باورهای فراشناخت غیر قابل کنترل، اطمینان شناختی پایین، باورهای منفی کلی در مورد افکار بصورت مثبت و باورهای فراشناختی مثبت و خودآگاهی شناختی بصورت منفی توان پیش­بینی معنادار افسردگی بیمارستانی را داشت(01/0›P). از بین مولفه­های امید به زندگی تنها انگیزش بصورت منفی توان پیش­بینی معنی دار افسردگی بیمارستانی را داشت(05/0›P). بین مولفه­های کیفیت زندگی، مولفه­ی اقتصادی و اجتماعی بصورت منفی توان پیش بینی معنی­دار افسردگی بیمارستانی و سایر مولفه ها(سلامتی وعملکرد، وضعیت روانی و معنوی و خانوادگی)بصورت مثبت توان پیش­بینی معنی داری افسردگی بیمارستانی را داشته اند(05/0›P).بحث و نتیجه گیری: افسردگی بیمارستانی مولفه­های جسمی و روانشناختی بیماران همودیالیز را تحت تأثیر قرار می­دهد. لذا پیشنهاد می­گردد وضعیت افسردگی آنها به طور متناوب بررسی و بر مبنای آن اقدامات دارویی و غیر دارویی انجام گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Metacognition Beliefs, Life Expectancy, and Quality of Life and Hospital Depression in Kidney Patients Undergoing Hemodialysis in the City of Karaj

نویسندگان [English]

  • Mohammad Oraki 1
  • Shohreh Bayat 2
  • Mohammad Taghi Najafi 2
  • Ahmad Noor Mohammadi 2

1 Associate Professor, Payam-e-Noor University, Tehran, Iran

2 Ph.D. Candidate of Health Psychology, International Center of Payam-e-Noor University, Dubai, United Arab Emirates

چکیده [English]

Introduction: Hemodialysis is a tense process and life events influence the treatment process of patients. The aim of this research was to determine the relation between metacognitive beliefs, life expectancy, and quality of life as three contributing factors and hospital depression in kidney patients undergoing hemodialysis in the city of Karaj.                                      
Methods: The research method was correlative. Sampling was done based on 106 kidney patient volunteers undergoing hemodialysis in the year 1395. They all filled out the Metacognitive Beliefs Questionnaire (MCQ-30), Steiner-syndrome life expectancy questionnaire, kidney patients’ quality of life and the hospitalized patients’ depression questionnaires. Data analysis was carried out using SPSS and the regression analysis was performed simultaneously.   
Results: Metacognitive beliefs were uncontrollable, cognitive confidence was low, general negative beliefs regarding thoughts were  positive, and positive cognitive beliefs and negative conscious cognition were able to significantly predict depression in the hospitalized patients (P<0/01). From the factors affecting life expectancy, only negative motivation could significantly predict the patients’ hospital depression (P<0/05). Among the factors contributing to the quality of life, the socio-economic factors could negatively predict the patients’ hospital depression and the rest of the factors (health and performance, mental and spiritual and family conditions) positively predicted the hospital depression (P< 0/05).
Conclusion: Hospital depression affects hemodialysis patients’ physical and psychological factors. Thus it is recommended that their condition is periodically examined and pharmacological or non-pharmacological procedures are applied accordingly.

کلیدواژه‌ها [English]

  • Cognition beliefs
  • Life expectancy
  • Quality of life
  • Hospital depression
  • hemodialysis

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