اثربخشی ایمن سازی در مقابل استرس بر میزان اضطراب، استرس ادراک شده و پیروی از درمان در بیماران مبتلا به آسم

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی، دانشگاه آزاد اسلامی واحد امارات، دبی، امارات متحده عربی

2 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، البرز، ایران

3 دانشیار، گروه روان شناسی، دانشکده روانشناسی، دانشگاه علامه طباطبایی، تهران.

4 دانشیار، گروه روان شناسی بالینی، دانشگاه خوارزمی، تهران، ایران.

5 استادیار، گروه روانشناسی تربیتی، دانشگاه خوارزمی، تهران، ایران.

چکیده

زمینه و هدف: آسم یکی از شایعترین بیماری‌های مزمن تنفسی و از معضلات اصلی سیستم‌های بهداشتی درمانی در بسیاری از جوامع دنیا و کشور ما محسوب می‌شود. از اینرو هدف پژوهش حاضر تعیین اثربخشی ایمن سازی در مقابل استرس بر میزان اضطراب، استرس ادراک شده و پیروی از درمان در بیماران مبتلا به آسم بود.

مواد و روش‌ها: در این پژوهش نیمه تجربی 30 بیمار مبتلا به آسم 25 تا 55 ساله انتخاب و به دو گروه آزمایش و گواه تقسیم شدند. ابتدا شرکت کنندگان پرسشنامه‌های پژوهش را تکمیل کردند. سپس بسته آموزش ایمن سازی در برابر استرس در 9 جلسه برای گروه آزمایش اجرا شد. بعد از اتمام جلسات و مجددا بعد از سه ماه پرسشنامه‌های پژوهش تکمیل شدند. ابزارهای این پژوهش شامل مقیاس اضطراب بک، پرسشنامه استرس ادراک شده کوهن و مقیاس پیروی از درمان بودند. به منظور تجزیه و تحلیل داده‌ها از آزمون واریانس با اندازه‌گیری مکرر در نرم افزار SPSS نسخه 20 استفاده شد.

یافته ها: نتایج تحقیق نشان داد تفاوت بین گروهی برای متغیرهای استرس ادراک شده (023/0=p) و پیروی از درمان (003/0=p) معنادار بود ولی برای متغیر اضطراب (360/0=p) معنادار نبود. لذا آموزش ایمن سازی در مقابل استرس بر استرس ادراک شده و پیروی از درمان بیماران مبتلا به آسم تاثیر معنادار دارد.

نتیجه‌گیری: آموزش ایمن سازی در مقابل استرس با کاهش استرس ادارک شده بیماران مبتلا به آسم و همچنین با بهبود پیروی از درمان این بیماران باعث کنترل بهتر وضعیت بیماری آنها می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of immunization against stress on anxiety, perceived stress and adherence of treatment in patients with asthma

نویسندگان [English]

  • Azin Gazor 1
  • biouk Tajeri 2
  • Naser Sobhi Gharamaleki 3
  • Mohammad Hatami 4
  • Gholam Reza Sarami Forooshani 5
1 PhD Student in Health Psychology, Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates.
2 karaj azad universityAssistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran
3 Associate Professor, Department of Psychology, Allameh Tabataba'i University, Tehran, Iran.
4 Associate Professor, Department of Psychology, Kharazmi University, Tehran, Iran.
5 Assistant Professor, Department of Psychology, Kharazmi University, Tehran, Iran.
چکیده [English]

Introduction: Asthma is one of the most common chronic respiratory diseases and one of the main problems of health care systems in many societies around the world, including Iran. The aim of this study was to determine the effectiveness of immunization against stress on anxiety, perceived stress and adherence of treatment in patients with asthma.

Methods: In this quasi-experimental study, 30 patients with asthma aged 25 to 55 years were selected and divided into experimental and control groups. Participants first completed research questionnaires. First, the participants completed the research questionnaires. Then, the stress immunization training package was implemented in 9 sessions for the experimental group. Then the research questionnaires were completed after the sessions and again after three months. The instruments of this study include Beck Anxiety Scale, Cohen Perceived Stress Questionnaire and the scale of adherence to the treatment. In order to analyze the data, repeated measures analysis of variance test was used in SPSS software version 20.

Results: The results showed that the difference between groups was significant for the perceived stress variables (p = 0.023) and treatment follow-up (p = 0.003) but was not significant for the anxiety variable (p = 0.360). Therefore, immunization training against stress had a significant effect on perceived stress and adherence to treatment of patients with asthma.

Conclusion: Immunization against stress by reducing perceived stress in patients with asthma, in addition to reducing the risk of asthma attacks by improving adherence of treatment these patients leads to better control of their disease.

کلیدواژه‌ها [English]

  • stress
  • anxiety
  • Asthma
  • Adherence to treatment
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دوره 29، شماره 1
فروردین و اردیبهشت 1401
صفحه 25-35
  • تاریخ دریافت: 06 بهمن 1399
  • تاریخ بازنگری: 05 خرداد 1400
  • تاریخ پذیرش: 05 خرداد 1400
  • تاریخ اولین انتشار: 24 بهمن 1400