نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی بالینی، گروه‌ روانشناسی بالینی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

2 کارشناسی ارشد روانشناسی، سازمان بهداشت شرکت ملی نفت ایران، شیراز، ایران

3 دکتری روانشناسی بالینی، گروه‌ روانشناسی بالینی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شیراز، شیراز، ایران

چکیده

مقدمه: بستری شدن یکی از پیامدهای بیماری مولتیپل اسکلروزیس (MS) می­باشد که می­تواند اثرات مختلفی را برکیفیت زندگی بیماران نهند. از این رو، هدف از مطالعه حاضر بررسی اثرات پیامدهای حاصله از دوره بستری بر ابعاد فیزیکی و روانی کیفیت زندگی بیماران مبتلا به MS می­باشد.
روش ­ها: در یک پژوهش مقطعی، 162 بیمار مبتلا به MS (در سه گروه فاقد بستری، 2-1 بار بستری و 3 ≤ بار بستری) توسط نمونه گیری پیاپی انتخاب‌ و با استفاده از سیاهه متغیرهای بالینی و جمعیت شناختی و پرسشنامه زمینه یابی سلامت (SF-36) مورد بررسی قرار گرفتند. داده­ها با استفاده از تحلیل واریانس چند متغیره (MANOVA) و آزمون­ تعقیبی حداقل تفاوت معنادار فیشر (LSD) تحلیل شدند.
یافته­ ها: تحلیل­ها نشان داد که اثرات دوره بستری بر سرزندگی، سلامت روانی و مجموع مولفه­ روانی کیفیت زندگی معنی­دار است (05/0 > P). پیگیری تفاوت بین میانگین­ها در گروه­های بستری حاکی از آن بود که در کلیه متغیرهای معنی­دار شناسایی شده، بیماران با 3 ≤ بار بستری از نمرات میانگین پایین­تری برخوردار بودند (05/0 > P). در این میان، تفاوت معنی­داری بین گروه­های مختلف بستری از نظر ابعاد فیزیکی کیفیت زندگی مشاهده نشد (05/0 < P).
نتیجه­ گیری: پیامدهای حاصله از بستری در MS منجر به کاهش ابعاد روان­شناختی کیفیت زندگی بیماران می­گردد و اثرات آن در بیماران با فراوانی بستری بیشتر برجسته است.

کلیدواژه‌ها

عنوان مقاله [English]

The Consequences of Hospitalization on Physical and Mental Dimensions of Quality of Life in Patients with Multiple Sclerosis: A Cross-Sectional Study

نویسندگان [English]

  • Ghasem Sahehpour 1
  • Zahra Sahraeian Jahromi 2
  • Arash Aghighi 3

1 Ph.D. Candidates in Clinical Psychology, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

2 M.A. in Psychology, NIOC Health Organization, Shiraz, Iran

3 Ph.D. in Clinical Psychology, Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran

چکیده [English]

Introduction: Hospitalization is one of the outcomes of multiple sclerosis (MS) that can have different effects on the quality of life of patients. Therefore, the aim of the present study was to evaluate the consequences of hospitalization on physical and mental dimensions of quality of life in patients with MS.
Methods: In a cross-sectional study, 162 patients with MS (in three groups: non- hospitalization, 1-2 times of hospitalization, and ≥ 3 times of hospitalization) were selected by consecutive sampling and they were examined using clinical and demographic variables inventory and the Health Survey questionnaire (SF-36). The data were analyzed by multivariate analysis of variance (MANOVA), and post hoc test of Fisher least significant difference (LSD).
Results: The analyses showed that the effects of hospitalization were significant in vitality, mental health, and mental component summary (P < 0.05). Following the difference between means in hospitalization groups showed that patients with ≥ 3 times of hospitalization in all identified significant variables have lower mean scores (P < 0.05). In the meantime, significant differences were not observed between different groups of hospitalization in terms of physical dimensions of quality of life (P > 0.05).
Conclusions: The consequences of hospitalization in MS patients leads to reduced psychological dimensions of quality of life in such patients and its effects in patients with high hospitalization rate is significant/noticeable.

کلیدواژه‌ها [English]

  • Hospitalization
  • Multiple Sclerosis
  • Quality of Life
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