مقایسه‌ی ابعاد انسجام و انطباق‌پذیری خانوادگی در بین مادران کودکان مبتلا به دیابت نوع 1 و کودکان سالم در شهر اصفهان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه روان‌شناسی بالینی، دانشکده‌ی علوم تربیتی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

2 استادیار، گروه روان‌شناسی بالینی، دانشکده‌ی علوم تربیتی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

3 استاد، گروه کودکان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: دیابت نوع 1 یکی از شایع‌ترین بیماری‌های غدد درون‌ریز کودکان می‌باشد و ابتلا به آن، می‌تواند تأثیرات مختلفی بر عملکردهای روان‌شناختی مادر و خانواده داشته باشد. با توجه به این که هر گونه اختلال روان‌شناختی به خصوص انسجام و انطباق‌پذیری خانوادگی مادران مبتلایان می‌تواند در روند مراقبت این بیماران مشکلاتی ایجاد نماید، هدف از انجام مطالعه‌ی حاضر، مقایسه‌ی دو عامل روان‌شناختی پیش‌گفته در مادران کودکان مبتلا به دیابت نوع 1 و کودکان سالم بود.روش‌ها: در این مطالعه‌ی مورد- شاهدی، مادران کودکان مبتلا به دیابت نوع 1 و کودکان سالم مورد مطالعه قرار گرفتند. ابعاد انسجام و انطباق‌پذیری خانوادگی مادران در دو گروه مورد مطالعه با استفاده از پرسش‌نامه‌ی انسجام وانطباق‌پذیری خانوادگی Olson و Barnes مورد ارزیابی و مقایسه قرار گرفت.یافته‌ها: در این مطالعه، در هر گروه 50 مادر مورد مطالعه قرار گرفتند. میانگین انسجام بی‌قید و بند، انسجام در هم تنیده، انطباق‌پذیری سخت‌گیرانه در گروه مادران کودکان مبتلا به دیابت نسبت به کودکان سالم به طور معنی‌داری بیشتر بود (05/0 > P).نتیجه‌گیری: حضور کودک مبتلا به دیابت در خانواده ممکن است انطباق و انسجام را مخدوش نماید که در نهایت می‌تواند در روند درمان و کنترل بیماری کودکان مبتلا اختلال ایجاد نماید. همچنین، به نظر می‌رسد که تجربه‌ی

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of the Dimensions of Coherence and Family Adaptability among the Mothers of Children with Type 1 Diabetes and Healthy Children in Isfahan City, Iran

نویسندگان [English]

  • Maryam Hashemipour-Zavareh 1
  • Zahra Yousefi 2
  • Mahin Hashemipour 3
1 MSc Student, Department of Psychology, School of Educational Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 Assistant Professor, Department of Psychology, School of Educational Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
3 Professor, Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Type 1 diabetes is one the most common endocrine disorders in children which could have different psychological effects on the family, especially mothers of the patients. Considering that psychological problems of the patients’ mother, especially coherence and family adaptability, could impair the management process of the disease, we aimed to compare the coherence and family adaptability among the mothers of type 1 diabetes and healthy children.Methods: In this case-control study, mothers of children with type 1 diabetes and healthy children were enrolled. The coherence and family adaptability of selected mothers in the two studied groups were evaluated and compared using Olson and Barnes Family Adaptability and Cohesion Evaluation Scale (FACES-IV).Findings: In this study, 50 mothers were studied in each group. Mean unconditional cohesion, enmeshment cohesion, and strict adaptability were significantly higher in mothers of children with type 1 diabetes than mothers of healthy children (P < 0.05).Conclusion: The findings of this study indicate that the presence of children with type 1 diabetes in a family may disrupt compliance, and may ultimately interfere with the treatment and control of the disease in the affected children. It also suggested that the experience of unconditional coherence, interconnected cohesion, and strict adaptability in mothers provide conditions to make the children insusceptible.

کلیدواژه‌ها [English]

  • Emotional adaptation
  • Type 1 diabetes
  • Children

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 36، شماره 498 - شماره پیاپی 498
آذر و دی 1397
صفحه 1183-1190

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سابقه مقاله

  • تاریخ دریافت: 28 تیر 1397
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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