پیش بینی میزان شدت بیماری قلبی عروقی بر اساس تاب آوری، سلامت معنوی و حمایت اجتماعی

نوع مقاله : پژوهشی (Original Research)

نویسندگان

دانشگاه تهران

چکیده

پیش بینی میزان شدت بیماری قلبی عروقی بر اساس تاب آوری، سلامت معنوی و حمایت اجتماعی

چکیده
زمینه و هدف: عوامل زیستی و روانی در ابتلا به بیماری قلبی عروقی نقش دارند. پژوهش حاضر با هدف بررسی نقش تاب آوری، سلامت معنوی و حمایت اجتماعی در پیش بینی شدت بیماری قلبی عروقی انجام شد.
روش بررسی: تعداد 327 بیمار مبتلا به تنگی عروق کرونر (138 زن، 189 مرد) در این پژوهش شرکت کردند. از مقیاس تاب-آوری کانرـ دیویدسون(CD- RISC) ، مقیاس بهزیستی معنوی (SWBS) و مقیاس چند بعدی حمایت اجتماعی ادراک شده (MSPSS) و نمره گنزینی به عنوان سنجش میزان شدت بیماری قلبی عروقی برای جمع آوری داده ها استفاده شد. جهت تحلیل داده‌ها از روش آماری همبستگی پیرسون و رگرسیون گام به گام استفاده شد.
یافته‌ها: نتایج پژوهش نشان داد که بین تاب آوری، سلامت معنوی و حمایت اجتماعی با شدت بیماری قلبی عروقی همبستگی منفی معنادار وجود دارد؛ بدین معنی که با افزایش تاب آوری، سلامت معنوی و حمایت اجتماعی شدت بیماری قلبی عروقی کاهش می‌یابد. در تحلیل رگرسیون پس از کنترل ریسک فاکتورها، از سه متغیر تحلیل شده، تاب آوری و سلامت معنوی توان پیش بینی شدت بیماری قلبی عروقی را داشتند و حمایت اجتماعی چنین توانی را نداشت؛ به طوری که تاب آوری 28% و تاب آوری به همراه سلامت معنوی 35% از واریانس شدت بیماری قلبی عروقی را تبیین کردند (01/0p <).
نتیجه گیری: بر اساس یافته های این پژوهش، می توان نتیجه گرفت که در کنار عوامل زیستی، توجه به نقش عوامل روانشناختی تاب آوری، سلامت معنوی و حمایت اجتماعی در مداخلات پیشگیرانه و درمانی مرتبط با بیماریهای قلبی عروقی ضرورت خاص دارد.
واژه‌های کلیدی: تاب آوری، سلامت معنوی، حمایت اجتماعی، بیماری قلبی عروقی

کلیدواژه‌ها

عنوان مقاله [English]

Prediction of severity of cardiovascular disease based on resiliencey, spiritual well-being and social support

نویسندگان [English]

  • mohammad ali besharat
  • somayeh ramesh
university of tehran
چکیده [English]

Abstract
Background and Aim: Biological and psychological factors are associated with cardiovascular disease. The purpose of this study was to investigate the role of resiliency, spiritual well-being and social support in predicting the severity of cardiovascular disease.
Materials and Methods: A total of 327 patients with coronary artery stenosis (138 women, 189 men) participated in this study. The Connor-Davidson Resilience Scale (CD-RISC), the Spiritual Well Being Scale (SWBS), and the Multidimensional Perceived Social Support (MSPSS) Scale and Geszin score were used to measure the severity of cardiovascular disease in order to collect data. Data were analyzed using Pearson correlation and stepwise regression.
Results: The results of the study showed that there is a significant negative correlation between resilience, spiritual well-being and social support with the severity of cardiovascular disease; that is, with increasing resilience, spiritual well-being and social support, the severity of cardiovascular disease decreases . In regression analysis after controlling risk factors, three of the analyzed variables, resiliency and spiritual well-being had the ability to predict the severity of cardiovascular disease, and social support did not have such an ability, with a resiliency of 28% and resiliency plus spiritual well-being explained 35% of the severity of cardiovascular disease severity (p <0.01).
Conclusion: Based on the findings of this research, it can be concluded that along with the biological factors, consideration of the role of resilience, spiritual well-being and social support psychological factors in preventive and therapeutic interventions related to cardiovascular diseases is a special necessity.

کلیدواژه‌ها [English]

  • Resiliency
  • spiritual well-being
  • Social Support
  • Cardiovascular Disease

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