راهبردهای تنظیم شناختی هیجان بر خودمراقبتی در بیماران قلبی- عروقی: بررسی نقش میانجی شفقت به خود

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

3 استادیار، متخصص قلب و عروق، فلوشیپ اینترونشنال کاردیولوژی، گروه داخلی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 استادیار، گروه پرستاری سلامت بزرگسالان، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v40.i696.0957

چکیده

مقاله پژوهشی




مقدمه: بیماری‌های قلبی- عروقی به عنوان یک اختلال مزمن متأثر از عوامل روان‌شناختی است. این مطالعه با هدف تعیین راهبردهای تنظیم شناختی خودمراقبتی با میانجی‌گری شفقت‌ به خود در بیماران قلبی انجام گردید.
روش‌ها: مطالعه‌ی مقطعی از نوع همبستگی به شیوه‌ی مدل‌یابی معادلات ساختاری اجرا گردید. جامعه‌ی پژوهش،‌ بیماران قلبی 70-25 ساله‌ی مراجعه‌کننده به مراکز آموزشی اصفهان در سال 1398-1399 بودند. 400 بیمار با نمونه‌گیری تصادفی ساده انتخاب و به پرسش‌نامه‌های تنظیم شناختی هیجان Garnefski، شفقت‌ به خود Neff رفتار مراقبت از خود در بیماران نارسایی قلبی Jarasma پاسخ دادند. تجزیه وتحلیل داده‌ها به روش همبستگی  Pearsonو رگرسیون سلسله‌مراتبی همزمان انجام شد.
یافته‌ها: نتایج نشان داد بین نمره‌ی تنظیم هیجانی مثبت با شفقت‌ورزی به خود (0/020 = P؛ 0/116 = r) و با خودمراقبتی (0/001 = P؛ 0/205 = r) همبستگی مستقیم و معنی‌دار وجود داشت. با توجه به ضریب تأثیر غیرمستقیم 046/0 = β از نقش میانجی شفقت‌ورزی به خود در ارتباط بین تنظیم هیجانی مثبت و خودمراقبتی حمایت شد. همچنین ضریب تأثیر غیرمستقیم 0/046 = β شفقت‌ورزی به خود می‌تواند میانجی مطلوبی بین تنظیم هیجانی منفی و خودمراقبتی باشد.
نتیجه‌گیری: راهبردهای تنظیم شناختی هیجان و شفقت به خود می‌تواند بهبود خودمراقبتی در بیماران قلبی را تبیین نماید و شفقت به خود میانجی‌گر مهم تلقی می‌شود. به درمانگران پیشنهاد می‌شود به خودشفقتی و سرمایه‌ی روان‌شناختی توجه نمایند، زیرا آگاهی از متغیرها می‌تواند موجب ارائه‌ی خدمات با کیفیت به بیماران شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Cognitive Emotion Regulation Strategies on Self-care in Patients with Cardiovascular Disease: Investigating the Mediating Role of Self-compassion

نویسندگان [English]

  • Azam Moladoost 1
  • Sheida Jabalameli 2
  • Amirreza Sajjadieh Khajouei 3
  • Sedigheh Farzi 4
1 PhD Student, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
3 Assistant Professor, Cardiologist, Interventional Cardiology Fellowship, Department of Internal, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Cardiovascular diseases are the most common disorders that are highly influenced by psychological factors. The aim of this study was to determine the cognitive emotion regulation strategies on self-care in patients with cardiovascular disease.
Methods: The research method was cross-sectional descriptive correlational and was performed by structural equations. The study population included all patients with cardiovascular disease aged from 25 to 70 years old who referred to educational and medical centers in Isfahan during 2016-2017. Four hundred patients were selected by convenience sampling method and they answered three questionnaires of Garnefski Cognitive Emotion Regulation, Neff Self-compassion, and Jarasma Self-care Behavior in patients with heart failure. Data was analyzed by Pearson correlation and hierarchical regression simultaneously.
Findings: The results showed a direct and significant correlation between the positive emotion regulation score with self-compassion (P = 0.020 and r = 0.116) and with self-care (P = 0.001; r = 0.205). According to the indirect effect coefficient β = 0.046, the mediating role of self-compassion in the relationship between positive emotion regulation and self-care was supported. Also, the indirect effect coefficient β = 0.046 of self-compassion can be a good mediator between negative emotion regulation and self-care.
Conclusion: The cognitive emotion regulation strategies and self-compassion can explain the improvement of self-care in patients with cardiovascular disease; and self-compassion is considered an important mediator. Therapists are suggested to pay attention to self-compassion and psychological capital, because awareness of variables can provide quality services to patients.

کلیدواژه‌ها [English]

  • Self-care
  • Self-compassion
  • Cardiovascular diseases
  • Cognitive behavioral therapy
  • Emotional regulation
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