مقایسه‌ی فشار مراقبتی در مراقبان بیماران مبتلا به سرطان و اختلالات روانی مزمن

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 گروه روان‌شناسی، دانشکده‌ی روان‌شناسی و علوم تربیتی، دانشگاه یزد، یزد، ایران

2 استادیار، گروه روان‌شناسی، دانشکده‌ی روان‌شناسی و علوم تربیتی، دانشگاه یزد، یزد، ایران

3 استاد، گروه روان‌شناسی سلامت، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: خانواده‌ی بیماران مبتلا به اختلالات روانی و جسمانی مزمن، اقدامات حمایتی متعددی را برای بیمار انجام می‌دهند. مراقبان این گروه از بیماران، فشار مراقبتی زیادی را متحمل می‌شوند. شناسایی میزان این فشارها می‌تواند نقش تعیین‌کننده‌ای در ارتقای سلامت روانی آن‌ها داشته باشد. پژوهش حاضر با هدف مقایسه‌ی فشار مراقبتی در مراقبان بیماران جسمانی و روانی مزمن انجام شد.روش‌ها‌: این مطالعه‌، مقطعی از نوع توصیفی بود که در آن 300 نفر از مراقبان بیماران مبتلا به سرطان و اختلالات روانی مراجعه‌کننده به بخش‌های بستری و سرپایی بیمارستان‌های سیدالشهدا (ع)، نور و فارابی در تابستان سال 1398 به روش در دسترس انتخاب شدند. ابزار جمع‌آوری داده‌ها شامل پرسش‌نامه‌ی فشار مراقبتی Novak و Guest و پرسش‌نامه‌ی محقق ساخته‌ی ویژگی‌های جمعیت‌شناختی بود. داده‎ها با استفاده از آزمون Independent t مورد تجزیه و تحلیل گرفت.یافته‌ها: میانگین فشار مراقبتی در مراقبان بیماران مبتلا به سرطان، 92/17 ± 80/55 و میانگین فشار مراقبتی در مراقبان بیماران مبتلا به اختلالات روان، 02/20 ± 60/62 بود. تفاوت معنی‌داری بین نمره‌‌ی کلی فشار مراقبتی و زیرمقیاس‌های آن در مراقبان بیماران مبتلا به سرطان و اختلالات روان وجود داشت که با توجه به میانگین نمرات، این مقادیر در مراقبان بیماران روان بیشتر از مراقبان بیماران مبتلا به سرطان بود، اما بین مؤلفه‌ی فشار مراقبتی وابسته به زمان تفاوت معنی‌داری مشاهده نشد.نتیجه‌گیری: مراقبت از بیماران مبتلا به بیماری‌های مزمن، فشار مراقبتی زیادی را در مراقبان ایجاد می‌کند که میانگین فشار مراقبتی در مراقبان بیماران مبتلا به اختلالات روان بیشتر از مراقبان بیماران مبتلا به سرطان می‌باشد.

کلیدواژه‌ها


عنوان مقاله [English]

A Comparison of Care Stress in Caregivers of Patients with Cancer or Chronic Mental Disorders

نویسندگان [English]

  • Yasaman Aghili 1
  • Fahimeh Dehghani 2
  • Zahra Naderi 2
  • Reza Bagherian-Sararoudi 3
1 Department of General Psychology, School of Psychology and Educational Sciences, Yazd University, Yazd, Iran
2 Assistant Professor, Department of Psychology, School of Psychology and Educational Sciences, Yazd University, Yazd, Iran
3 Professor, Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Families of patients with chronic mental and physical disorders provide patients with a number of supportive measures. Caregivers of this group of patients endure a lot of care stress Identifying the extent of these stresses can play a decisive role in promoting their mental health. This study was conducted to compare the care stress in caregivers of patients with chronic physical and mental diseases.Methods: This was a descriptive cross-sectional study in which 300 patients with cancer or mental disorders who referred to the inpatient and outpatient wards of Seyed Al-Shohada, Noor, and Farabi hospitals Isfahan City, Iran, in the summer of 2019, were selected by convenient methods. Data collection tools included Novak and Gast Stress Pressure Questionnaire and a researcher-made questionnaire of demographic characteristics. Data analysis was performed using independent t test.Findings: The mean care stress among caregivers of patients with cancer was 55.8 ± 17.92 as well as 62.60 ± 20.02 among the caregivers of patients with mental disorders. There was a significant difference between the overall score of caring stress and its subscales among the caregivers of patients with cancer or mental disorders. According to the mean scores, these values were higher among the caregivers of patients with psychiatric disorders than that of patients with cancer. However, there was no significant difference between the time-dependent care stress components.Conclusion: Based on the findings of this study, patients with chronic diseases place a great deal of care stress on caregivers. In addition, the mean care stress in caregivers of patients with mental disorders are higher than in patients with cancer.

کلیدواژه‌ها [English]

  • Care stress
  • Chronic Disease
  • Family caregivers
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