مجله علوم پزشکی صدرا

مدل پیش‌بینی سازگاری روانی-اجتماعی با بیماری، بر اساس استرس ادراک‌شده و انسجام روانی با میانجی‌گری رفتارهای ارتقادهنده سلامت در بیماران مبتلا به سندرم روده تحریک‌پذیر

نوع مقاله : مقاله پژوهشی

نویسندگان

فرزانه فروزان فر 1
شیدا جبل عاملی 2
محمد سلطانی زاده 3
سیدمحمدحسن امامی 4
مجتبی انصاری شهیدی 2

1 دانشجوی دکتری تخصصی روان شناسی، گروه روانشناسی سلامت، دانشکده پزشکی، واحد نجف اباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

2 استادیار، گروه روانشناسی سلامت، دانشکده پزشکی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

3 استادیار گروه روانشناسی، دانشگاه پیام نور، تهران، ایران

4 استاد، مرکز تحقیقات گوارش پورسینای حکیم، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

https://doi.org/10.30476/smsj.2024.99253.1426
چکیده
مقدمه: بروز بیماری‌های روان‌تنی سبب می‌شود نظم روانی بیماران مختل شود و با آسیب‌های روان‌شناختی مزمنی مواجه شوند. با توجه به نقش شناخته‌شده مسائل روانی در بیماری‌های روده‌ای، پژوهش حاضر به بررسی نقش میانجی‌گر رفتارهای ارتقادهندۀ سلامت در رابطه بین استرس ادراک‌شده و انسجام روانی با سازگاری روانی-اجتماعی با بیماری در بیماران مبتلا به سندرم روده تحریک‌پذیر پرداخته است.
مواد و روش‌ها: روش پژوهش، توصیفی- همبستگی و مدل‌سازی معادلات ساختاری بود. جامعه آماری بیماران مبتلا به سندرم روده تحریک‌پذیر بودند که در فصل پاییز و زمستان سال 1400 به مراکز درمانی و متخصصان گوارش شهر اصفهان مراجعه کرده بودند. نمونه آماری 340 بیمار بود که با روش نمونه‌گیری در دسترس انتخاب شدند. ابزارها شامل مقیاس سازگاری روانی- اجتماعی با بیماری (PSADS)، مقیاس استرس ادراک‌شده (PSS)، پرسشنامه انسجام روانی (SCQ) و پرسشنامه رفتارهای ارتقادهنده سلامت (HPBQ) بودند و تحلیل داده‌ها با استفاده از مدل‌سازی معادلات ساختاری و آزمون بوت استراپ با بهره‌گیری از نرم‌افزار آماری SPSS  نسخه 23 و AMOS  نسخه 23 صورت گرفت.
یافته‌ها: نتایج نشان داد استرس ادراک‌شده، انسجام روانی و رفتارهای ارتقادهنده سلامت بر سازگاری روانی-اجتماعی اثر مستقیم معنادار دارد (0/01>P). نتایج بوت استراپ نشان داد که رفتارهای ارتقادهنده سلامت در رابطه بین استرس ادراک‌شده و انسجام روانی با سازگاری روانی-اجتماعی با بیماری‌ای که نقش میانجی‌گری دارد، معنادار است (0/01>P).
نتیجه‌گیری: لازم است که درمانگران بالینی با به‌کارگیری روش‌های درمانی روان‌شناختی کارآمد مبتنی بر رفتارهای ارتقادهنده سلامت، سازگاری روانی-اجتماعی بیماران مبتلا به سندرم روده تحریک‌پذیر را بهبود بخشند.

تازه های تحقیق

Farzaneh Forouzanfar (Google Scholar)

Sheida Jabalameli (Google Scholar)

کلیدواژه‌ها

مقیاس استرس ادراک‌شده
انسجام روانی
سازگاری روانی
سندرم روده تحریک‌پذیر
ارتقای سلامت
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مجله علوم پزشکی صدرا
دوره 12، شماره 3
تابستان 1403
صفحه 356-369

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