نوع مقاله: مقاله پژوهشی

نویسنده

مربی و عضو هیات علمی، دانشگاه علوم پزشکی هرمزگان، بندرعباس، ایران

چکیده

مقدمه: مشکلات بیماران مبتلا به استروک، مراقبان را با چالش هایی مواجهه می کند. شناسایی میزان بهزیستی معنوی به عنوان عامل تعدیل گر سازگاری با این چالش ها مهم است. هدف از انجام این مطالعه بررسی بهزیستی معنوی در مراقبان بیماران مبتلا به استروک و شناسایی عوامل موثر بر آن بود.
مواد و روش: مطالعه حاضر به صورت مقطعی انجام شد. 122 مراقب بیمار مبتلا به استروک به روش نمونه گیری آسان انتخاب شدند. از پرسشنامه بهزیستی معنوی پولوتزین و الیسون استفاده شد. داده ها با استفاده از نرم افزار اس پی اس اس و آزمون تی تست، آنوا و رگرسیون خطی تحلیل شد.
یافته ها: میانگین بهزیستی معنوی 29/85 با انحراف معیار 89/13 بود. بهزیستی معنوی مراقبان در سطح متوسط بود. بین بهزیستی معنوی مراقب و سن و سطح تحصیلات بیمار ارتباط وجود داشت. بین توانایی انجام کار و چگونگی راه رفتن بیمار با بهزیستی معنوی مراقب ارتباط وجود داشت و بیمارانی که اصلاً توانایی انجام کار شخصی را نداشتند و اصلاً نمی توانستند راه بروند، مراقب آنها از بهزیستی معنوی بالاتری برخوردار بود. نتایج آزمون رگرسیون خطی نشان داد بین بهزیستی معنوی با چگونگی راه رفتن (002/0=p، 22/3=t، 27/0=b) و سطح تحصیلات بیمار (01/0=p، 59/2-=t، 22/0-=b) ارتباط وجود داشت.
بحث و نتیجه گیری: یافته ها نشان داد که بهزیستی معنوی مراقبان بیماران مبتلا به استروک در حد متوسط است. به علاوه سطح تحصیلات، سن، چگونگی راه رفتن و توانایی انجام کار شخصی بیماران از عواملی است که با بهزیستی معنوی در ارتباط است. ناتوانی بیمار در راه رفتن و انجام فعالیت شخصی از عواملی بود که بهزیستی معنوی مراقب به آن ها مرتبط بود. لذا مراقبان در مواقع ناتوانی بیمار در تحرک و بروز فلجی سعی می کنند که بهزیستی معنوی خود را بالا ببرند.

کلیدواژه‌ها

عنوان مقاله [English]

Spiritual Well-being in Caregivers of Stroke Patients and its Effective Factors

نویسنده [English]

  • Simin Soudagar

MS., Hormozgan University of Medical Sciences, Bandar Abbas, Iran

چکیده [English]

Introduction: The stroke patients’ problems can lead to caregiver’s challenges. Therefore, it is important to identify caregiver’s spiritual well-being as a moderating factor in adapting to these challenges. The aim of this study was to determine the spiritual well-being of caregivers of stroke patients and to identify the factors affecting it.
Methods: This was a cross-sectional study. One hundred and twenty two stroke patient caregivers were selected through convenience sampling. The Palutzian & Ellison Spiritual Well-being scale was used. Data were analyzed by SPSS software using t-test, ANOVA and Linear Regression analysis.
 Results: The mean score of spiritual well-being was 85.29 (SD=13.89). The spiritual well-being of caregivers was in moderate level, and the results showed the link between caregivers’ spiritual well-being and the patients’ age and education level. Caregivers’ spiritual well-being was associated with the patients’ ability to do personal activities and the way patient walked. In the case of those patients who were not able to do their personal activities, and who could not walk at all, their caregivers had higher mean score of spiritual well-being. The results of Linear Regression analysis showed an association between spiritual well-being and the patient’s walking ability (b=0.27, t=3.22, p=0.002) and their education level (b=-0.22, t=-2.59, p=0.01).
Conclusion: The findings showed that the caregivers’ spiritual well-being was in moderate level. In addition, levels of education, age, the patient walking ability, and the ability to do personal activities were the factors associated with caregiver’s spiritual well-being. The patient's inability to walk and to perform personal activities were the factors that were associated to the caregiver spiritual well-being. Therefore, caregivers should try to increase their spiritual well-being when their patients are unable to move and have paralysis.

کلیدواژه‌ها [English]

  • Stroke
  • Spiritual well-being
  • Spiritual

  1. Merino JG. Clinical stroke challenges: A practical approach. AAN Enterprises; 2014.
  2. Lui SK, Nguyen MH. Elderly stroke rehabilitation: overcoming the complications and its associated challenges. Current Gerontology and Geriatrics Research. 2018; 9. https://doi.org/10.1155/2018/9853837.
  3. Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study. The Lancet. 2016;388(10053):1545-602.
  4. Hatem SM, Saussez G, della Faille M, Prist V, Zhang X, Dispa D, et al. Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Frontiers in Human Neuroscience. 2016;10:442.
  5. Divani AA, Vazquez G, Barrett AM, Asadollahi M, Luft AR. Risk factors associated with injury attributable to falling among elderly population with history of stroke. Stroke. 2009;40(10):3286-92.
  6. Planton M, Peiffer S, Albucher J, Barbeau E, Tardy J, Pastor J, et al. Neuropsychological outcome after a first symptomatic ischaemic stroke with ‘good recovery’. European Journal of Neurology. 2012;19(2):212-9.
  7. Pendlebury ST, Rothwell PM. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. The Lancet Neurology. 2009;8(11):1006-18.
  8. Mehdi Z, Birns J, Bhalla A. Post‐stroke urinary incontinence. International Journal of Clinical Practice. 2013;67(11):1128-37.
  9. Chen Y-d, Li S-j, Sun F-h, Liu Y-y, Hu W-l. Monitoring of medical complications after acute ischemic stroke in a neurological intensive care unit. European Neurology. 2011;66(4):204-9.
  10. Vermeij FH, op Reimer WJS, De Man P, Van Oostenbrugge RJ, Franke CL, De Jong G, et al. Stroke-associated infection is an independent risk factor for poor outcome after acute ischemic stroke: data from the Netherlands Stroke Survey. Cerebrovascular Diseases. 2009;27(5):465-71.
  11. Rambod M, Soudagar S. Prevalence of Depression, Anxiety, and Stress among Caregivers’ of Patients with Stroke. Sadra Medical Sciences Journal. 2018;6(3):205-214.
  12. Soleimani MA, Sharif SP, Allen KA, Yaghoobzadeh A, Nia HS, Gorgulu O. Psychometric properties of the persian version of spiritual well-being scale in patients with acute myocardial infarction. Journal of Religion and Health. 2017;56(6):1981-97.
  13. Sadrollahi A. Spiritual Well-being and associated factors among the elderly population in Kashan. Iranian Journal of Geriatric Nursing. 2015;1(2):94-104.
  14. Chafjiri RT, Navabi N, Shamsalinia A, Ghaffari F. The relationship between the spiritual attitude of the family caregivers of older patients with stroke and their burden. Clinical Interventions in Aging. 2017;12: 453.
  15. Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. A Survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Zahedan Journal of Research in Medical Sciences. 2010;12(3):29-33.
  16. Yazdi MH, Estaji Z, Heydari A. Study of the quality of life of nurses in Sabzevar hospitals in 2005-2006. Journal of Sabzevar University of Medical Sciences 2009; 16(1):50-56.
  17. Abbasi M, Ghadampour E, Amirian L. The Impact of Spiritual Well-being on Psychological Distress in Patients with Spinal Cord Injury: The Mediating Role of Loneliness and Hopelessness.  Journal of Research on Religion & Health 2018; 4(4):80-93.
  18. Pierce LL, Steiner V, Havens H, Tormoehlen K. Spirituality expressed by caregivers of stroke survivors. West J Nurs Res. 2008;30(5):606-19.
  19. Vespa A, Spatuzzi R, Merico F, Ottaviani M, Fabbietti P, Meloni C, et al. Spiritual well-being associated with personality traits and quality of life in family caregivers of cancer patients. Support Care Cancer. 2018;26(8):2633-40.
  20. Spurlock WR. Spiritual well-being and caregiver burden in Alzheimer's caregivers. Geriatr Nurs. 2005;26(3):154-61.
  21. Yoon KH, Moon YS, Lee Y, Choi SH, Moon SY, Seo SW, et al. The moderating effect of religiosity on caregiving burden and depressive symptoms in caregivers of patients with dementia. Aging Ment Health. 2018;22(1):141-7.
  22. Newberry AG, Choi CW, Donovan HS, Schulz R, Bender C, Given B, et al. Exploring spirituality in family caregivers of patients with primary malignant brain tumors across the disease trajectory. Oncol Nurs Forum. 2013;40(3): 119-25.
  23. Anum J, Dasti R. Caregiver Burden, Spirituality, and Psychological Well-Being of Parents Having Children with Thalassemia. J Relig Health. 2016;55(3):941-55.
  24. Seyed Fatemi N, Rezaei M, Givari A, Hosseini F. Prayer and spiritual well-being in cancer patients. Payesh 2006; 5(4):295-303.
  25. Clay KS, Talley C, Young KB. Exploring spiritual well‐being among survivors of colorectal and lung cancer. Journal of Religion & Spirituality in Social Work: Social Thought. 2010;29(1):14-32.
  26. Yaghoobzadeh A, Soleimani MA, Allen KA, Chan YH, Herth KA. Relationship Between Spiritual Well-Being and Hope in Patients with Cardiovascular Disease. J Relig Health. 2018;57(3):938-50.
  27. Zarei B, Vagharseyyedin SA, Gorganie E. Relationship Between Spiritual Well-Being and Self-Management Among Iranian People With Multiple Sclerosis. Jundishapur Journal of Chronic Disease Care. 2015;4(4): 30154.
  28. Jeter BR. Spirituality and Psychological Well-Being Among ALS Caregivers: Hope and Perceived Stress as Mediators. 2016. Electronic Theses and Dissertations. Paper 3058. http://dc.etsu.edu/etd/3058.