Nursing Development in Health
توسعه پرستاری در سلامت
3
Medical Sciences
http://ndhj.lums.ac.ir
1
admin
2783-4530
8
7
14
8888
13
fa
jalali
1397
3
1
gregorian
2018
6
1
9
1
online
1
fulltext
fa
ارتباط کیفیت زندگی با سلامت روان در زنان مبتلا به سرطان سینه مراجعه کننده به مرکز درمانی تخصصی سرطان اصفهان
A survey on the relationship between quality of life and mental health among women with breast cancer referred to the cancer specialized medical center in isfahan
تخصصي
Special
پژوهشي
Research
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<td style="padding: 0cm 9pt; vertical-align: top; text-align: justify;"><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">زمینه و هدف:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"></span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سرطان سینه </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">در زمره شایعترین و مخربترین سرطانها</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">در بین زنان </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">میباشد</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">این بیماران</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">دچار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مشکلات زیادی در حیطه سلامت روان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">میشوند که این مشکلات باعث اختلال در روند کیفیت زندگی آنان </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">می</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گردد. به همین منظور مطالعه حاضر با هدف بررسی ارتباط کیفیت زندگی با سلامت روان در زنان مبتلا به سرطان سینه انجام شد.</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">مواد و روشها: </span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">این مطالعه توصیفی- مقطعی در سال 1395 بر روی 352 نفر از زنان مبتلا به سرطان سینه مراجعه کننده به بیمارستان تخصصی سیدالشهدا (ع) اصفهان انجام شد که با روش نمونهگیری آسان وارد مطالعه شدند. ابزار گردآوری اطلاعات شامل فرم اطلاعات دموگرافیک، پرسشنامه سلامت عمومی 28 سوالی </span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span></strong><span dir="LTR"><span style="font-size:9.0pt;">GHQ-28</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">)</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> و کیفیت زندگی 36 سوالی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span><span dir="LTR"><span style="font-size:9.0pt;">SF-36</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">) بود. دادهها با استفاده از </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نرم افزار آماری </span></span><span dir="LTR"><span style="font-size:9.0pt;">SPSS</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نسخه 18 و روشهای آمار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">توصیفی و تحلیلی </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(آنالیز واریانس و ضریب همبستگی پیرسون)</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> و با ضریب اطمینان 99 درصد مورد تجزیه و تحلیل قرار گرفت.</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">یافتهها:</span></span></strong> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بر اساس نتایج مطالعه حاضر، کیفیت زندگی اکثریت (51 درصد) واحدهای مورد پژوهش متوسط (66-34) بود. در</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">زمینه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">وضعیت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سلامت روان مبتلایان،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">میانگین «اختلال در عملکرد اجتماعی»</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">30/4</span></span><span style="font-size:10.0pt;">±</span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">7/9 بود که</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سایر حیطهها</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بیشتر بود. بنابراین سرطان سینه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بیشترین</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">اثر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">عملکرد اجتماعی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بیماران گذاشته است. بر اساس نتایج مطالعه در زمینه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ارتباط بین ابعاد کیفیت زندگی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">حیطههای چهارگانه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سلامت روان با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از محاسبه ضریب همبستگی </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پیرسون</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">همراه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">آزمون</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">آنالیز واریانس نشان داد همبستگی معنیداری بین حیطه عملکرد فیزیکی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از کیفیت زندگی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">دو</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">حیطه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">اضطراب </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">001</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">p</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> و 8/0</span></span><span dir="LTR"><span style="font-size:10.0pt;">r</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=-</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">) و افسردگی (004</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span> <span dir="LTR"><span style="font-size:10.0pt;"> p=</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و 65</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">r</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=-</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">) وجود داشت، این در حالی است که حیطه عملکرد اجتماعی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از کیفیت زندگی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سه حیطه اضطراب </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">001</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">p</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> و </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">8</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">r</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=-</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">)، افسردگی </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">002</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">p</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> و 6/</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">r</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span dir="LTR"><span style="font-size:10.0pt;">-</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و علائم شبه جسمی </span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">001</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;"> p</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و 7</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">/</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">0</span></span><span dir="LTR"><span style="font-size:10.0pt;">r</span></span><strong><span dir="LTR"><span style="font-size:10.0pt;">=</span></span></strong><span dir="LTR"><span style="font-size:10.0pt;">-</span></span><strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">)</span></span></strong> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ارتباط آماری معنیدار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">داد.</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">نتیجهگیری: </span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">توجه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نتایج</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به دست آمده،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">شناخت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">وخامت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مشکلات روانی بیماران</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مبتلا</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سرطان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">توجه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ارتقاء کیفیت زندگی آنان،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">عنایت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بیشتر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">وزارت بهداشت و درمان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">خصوص برنامههای درمانی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تیم بهداشتی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به طور</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">جدیتر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گستردهتر، در</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سطح</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بیمارستانها</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">میطلبد</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">.</span></span></td>
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<strong>Background & Aim</strong>: Breast cancer is the most common and harmful cancer among women. These patients suffered from many psychological problems which affect their quality of life. Therefore, this study was performed to examine the relationship between quality of life and mental health on women with breast cancer.<br>
<strong>Material & Method</strong>: This descriptive cross sectional study conducted in 352 breast cancer patients referred to the oncology hospital (Seyedolshohada) with simple sampling methodology in 2016. Data collection instrument included a questionnaire contains 3 parts (demographic information, general health questionnaire 28 questions (GHQ-28) and standard SF-36 questionnaire). The data were analyzed using SPSS<sub>18</sub> with 99% confidence interval with using descriptive and analytic statistics (Pearson Correlation Coefficient and Variance analysis Test).<br>
<strong>Results</strong>: Based on study findings, the majority of subjects' quality of life (51.00%) was moderate in the field of mental health. Average score of social functioning disorders was 9.7±4.30 which was more than other mental health aspects, so breast cancer had the greatest effect on this aspect i.e. social functioning.<br>
Results showed that there was a statistically significant relationship between physical function (one aspect of quality of life) among breast cancer patients with anxiety (p=0.001, r= -0.8) and depression (p=0.004, r= -0.65). Also there was a statistically significant relationship between Social Functioning (one aspect of quality of life) among breast cancer patients with anxiety (p=0.001, r= -0.8) and depression (p=0.002, r= -0.6) as well as somatoform symptoms (p=0.001, r= -0.7).<br>
<strong>Conclusion</strong>: With regard to results of this study, understanding the severity of psychological problems of cancer patients and improving their quality of life, need to further consideration of ministary of health about treatment programs in hospitals more seriously and widespread.
کیفیت زندگی, سلامت روان, سرطان سینه
Quality of Life, Mental Health, Breast Cancer.
59
69
http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1-115&slc_lang=fa&sid=1
Amir
Moosa-Rezayi
امیر
موسی رضائی
1003194753284600150
1003194753284600150
No
Maryam
Abasi-Jebeli
مریم
عباسی جبلی
1003194753284600151
1003194753284600151
Yes