Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
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مقایسه ذهنآگاهی و اضطراب سلامت در زنان مبتلا به سرطان پستان و افراد سالم
Comparing Mindfulness and Health Anxiety in Women with Breast Cancer and Healthy Individuals
روانشناسی سلامت
health Psychology
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> در دنیای امروز، سرطان یکی از مهمترین عوامل مرگ و میر به شمار میرود. این بیماری بسته به درجه پیشرفت آن، اختلالاتی در عملکرد طبیعی فرد ایجاد میکند. به طور کلی، دریافت تشخیص سرطان برای بیماران با اضطراب زیادی همراه است و واکنشهای متفاوتی از جمله افزایش میزان نشخوار فکری و کاهش تابآوری را در آنان برمیانگیزد. پژوهش حاضر با هدف مقایسه ذهنآگاهی و اضطراب سلامت در زنان مبتلا به سرطان پستان و افراد سالم انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="line-height:normal"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> این مطالعه، ﺗﻮﺻﯿﻔﯽ از ﻧﻮع ﻋﻠﯽ- ﻣﻘﺎیﺴﻪای بود و ﺟﺎﻣﻌﻪ آﻣﺎری آن را ﮐﻠﯿﻪ زنان ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن پستان که در بیمارستان ولیعصر (عج) زنجان تحت درمان قرار داشتند و اﻓﺮاد ﻋﺎدی تشکیل داد. نمونههای تحقیق متشکل از 200 نفر از بیماران مبتلا به سرطان و 200 نفر از افراد عادی بود که از طریق همتاسازی به روش نمونهگیری در دسترس انتخاب شدند. ابزار مورد استفاده، </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">پرسشنامه پنج وجهی ذهنآگاهی (</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Five Facet Mindfulness Questionnaire</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> یا </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">FFMQ</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">) و مقیاس اضطراب سلامت (</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Health Anxiety Inventory-18</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> یا </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">HAI-18</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">) بود. </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">دادهﻫﺎ با استفاده از آزﻣﻮن </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">MANOVA</span></span></span><span style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> در نرمافزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> مورد ﺗﺠﺰیﻪ و ﺗﺤﻠﯿﻞ قرار گرفت.</span></span></span></span><br>
<span style="line-height:normal"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">یافتهها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">بین ذهنآگاهی در دو گروه مبتلا به سرطان و افراد سالم تفاوت معنیداری وجود دا</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">شت (050</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">/0 > </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">). بین اضطراب سلامت نیز در دو گروه تفاوت معنیداری مشاهده گردید </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">(050</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">/0 > </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">).</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> میتوان چنین نتیجهگیری کرد که بیماران مبتلا به سرطان، به دلیل خودگوییهای منفی و بالا بودن سطح اضطراب ناشی از مسایل جسمی، روانشناختی و اجتماعی، ذهنآگاهی کمتر و اضطراب سلامت بالاتری نسبت به افراد سالم دارند.</span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Background</span></span></span></span></b><b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Today cancer is one of the most important causes of death in the world. This disease, depending on its degree of development, causes abnormalities in the normal </span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">functioning</span></span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> of the individual. Generally, diagnosing of cancer comes along with a lot of anxiety and it evinces different reactions in the patients </span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">including increase in rumination and decrease in resilience. This study tries to compare </span></span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">mindfulness</span></span></span></span> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">and</span></span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> health anxiety</span></span></span></span> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">in women with breast cancer and healthy individuals.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods: </span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">This was a descriptive causal-comparative study.</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The statistical population included all women with breast cancer who were treated at Valiasr Hospital, Zanjan, Iran, and normal people.</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The sample of this study included 200 patients with cancer and 200 healthy subjects who were matched and selected by convenience sampling.</span></span></span></span><b> </b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Five Facet Mindfulness Questionnaire</span></span></span></span> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">(FFMQ) and Health Anxiety Inventory-18 (HAI-18) were used for the purpose of collecting the data. Multivariate analysis of variance (MANOVA) was used to analyze the data in SPSS software.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Findings:</span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> There was a significant difference between </span></span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">mindfulness</span></span></span></span> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">in both groups of patients with cancer and healthy individuals</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> (P < 0.050</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">). Findings also showed significant differences between </span></span></span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">health anxiety </span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">in</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> both groups </span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">(P < 0.050</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">).</span></span></span></span></span></span></span></span><br>
<b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">It can be concluded that patients with cancer have lower mindfulness and higher health anxiety than healthy individuals due to negative self-beliefs and high level of anxiety caused by physical, psychological, and social issues.</span></span></span></span>
ذهنآگاهی, اضطراب سلامت, بیماران, سرطانها, سرطان پستان
Mindfulness, Health anxiety, Patients, Neoplasms, Breast cancer
314
320
http://hsr.mui.ac.ir/browse.php?a_code=A-10-49-2&slc_lang=fa&sid=1
Sepideh
Mahmoodzadeh
سپیده
محمودزاده
mahmoodzadeh.sepideh@gmail.com