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Effectiveness the Theory-Based Intervention Based on Health Belief Model on Health Promotion Lifestyle in Individuals Susceptible to Cardiovascular Diseases 基于健康信念模型的心血管易感人群健康促进生活方式理论干预的有效性
Q2 Health Professions Pub Date : 2020-10-01 DOI: 10.29252/ijhehp.8.3.224
Sohrab Babaei, E. Shakibazadeh, Davod Shojaeizadeh, M. Yaseri, Ali Mohamadzadeh
Background and Objec ti ve: Cardiovascular diseases are a main reason of disability and death around the world. Evidence suggests that many social and individual-based health-related factors are changeable and modi fi able. The aim of this study was to evaluate the e ff ect of a theory-based interven ti on based on the health belief model on health-promo ti ng lifestyle behaviors in individuals suscep ti ble to cardiovascular diseases. Materials and Methods: In this quasi-experiment, we recruited 180 individuals having at least two risk factors out of fi ve cardiovascular risk factors, including smoking, diabetes, hypertension, high cholesterol, and obesity. Data were gathered in three phases (before, immediately a ft er, and fi ve months a ft er implemen ti ng the interven ti on) using the health-promo ti ng lifestyle ques ti onnaire (HPLQ), general health ques ti onnaire (GHQ), and a designed ques ti onnaire to measure the health belief model constructs. The interven ti on included fi ve training sessions based on the health belief model. Data were analyzed using the sta ti s ti cal tests in the SPSS. Results: Findings showed that the theory-based educa ti onal interven ti on was e ff ec ti ve in improving some domains of lifestyle, including nutri ti on, physical ac ti vity, interpersonal rela ti onships, stress management and health accountability. Also, the mean blood pressure and the mean tobacco use showed a signi fi cant decrease in the interven ti on group a ft er the interven ti on. Educa ti onal interven ti on also led to improvements in health belief model constructs including perceived suscep ti bility, perceived severity and perceived bene fi ts (P<0.001). Conclusion: Interven ti on based on an individual-based health behavior change model resulted in improving some lifestyle dimensions, model’s constructs and clinical outcomes. In order to provide wider and sustained changes, using ecologic models of behavior change including inter-personal, organiza ti onal and community-based models are suggested.
背景与目的:心血管疾病是世界范围内致残和死亡的主要原因。证据表明,许多基于社会和个人的健康相关因素是可变的和可改变的。本研究旨在评估基于健康信念模型的理论干预对心血管疾病易感人群健康促进生活方式行为的影响。材料与方法:在这个准实验中,我们招募了180名至少有两种心血管危险因素的个体,包括吸烟、糖尿病、高血压、高胆固醇和肥胖。采用促进健康生活方式问卷调查(HPLQ)、一般健康问卷调查(GHQ)和设计问卷调查,分三个阶段(实施干预前、实施后立即和实施后五个月)收集数据,测量健康信念模型的构建。干预包括基于健康信念模型的五次培训。数据分析采用SPSS统计软件中的统计检验。结果:研究结果表明,基于理论的教育干预在改善生活方式的一些领域,包括营养、身体活动、人际关系、压力管理和健康责任方面是有效的。此外,干预组的平均血压和平均烟草使用在干预后也有显著下降。教育干预也导致健康信念模型构建的改善,包括感知易感性、感知严重性和感知益处(P<0.001)。结论:基于个体健康行为改变模型的干预可改善某些生活方式维度、模型结构和临床结果。为了提供更广泛和持续的变化,建议使用行为变化的生态模型,包括人际模型、组织模型和社区模型。
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引用次数: 11
The efficacy of life skill training on mother,s coping skill and children,s oppositional difiant disorder symptoms in military family 生活技能训练对军人家庭母亲应对技能及子女对立性困难症状的影响
Q2 Health Professions Pub Date : 2020-07-01 DOI: 10.29252/ijhehp.8.2.118
S. Zeinali, H. Rostami
Background and Objec ti ve: Child behavior problem is a one of the major issue in paren ti ng and its e ff ect on child and parent rela ti onship is no ti cble. This study aims at inves ti ga ti ng the the e ffi cacy of life skill training on mother,s coping skill and children,s opposi ti onal di fi ant disorder symptoms in military family. Material and Methods: This is a quasi-experimental study with a control group conducted on 6-8 years children with opposi ti onal di fi ant disorder with clinical interview in DSM-5, whoes fathers work at military force in 2018. From the above-men ti oned popula ti on, 40 mothers of this studnets have been selected through available non-random sampling. The data-gathering tools were a demographic ques ti onnaire, Child Symptpm Inventory, Lazarus Coping Style Ques ti onneir in pre-test and post-test. Life skill interven ti on was performed based on the results of the pre-test in the interven ti on group in 8 sessions of 45 minutes. The collected data were analyzed using SPSS 18, independent t-test, ANCOA, MANCOVA. Results: The results of this study showed that the mean score of coping style (searching support, responsibility, problem solving, again positeve apparasial), well as the children,s opposi ti onal di fi ant scores were signi fi cantly di ff erent from that of the control group’s a ft er educa ti onal interven ti on (P<0.001), which con fi rms the e ff ect of life skill traning on the child and parents. Conclusion: According to the results of this research, life skill traning leads to the development of posi ti ve coping skills in mothers with their children and this program in child behvior problem has posi ti ve a ff ect. Therefore, the researchers recommend life skill traning methods on child and parent problems.
背景与目的:儿童行为问题是亲子关系中的主要问题之一,其对亲子关系的影响是不可忽视的。本研究旨在探讨生活技能训练对军人家庭母亲应对技能和子女对立性障碍症状的影响。材料与方法:本研究为准实验与对照组研究,采用DSM-5中临床访谈法对父亲于2018年在部队工作的6-8岁对立性人格障碍儿童进行研究。通过非随机抽样的方法,从上述人群中选出40名学生的母亲。数据收集工具为人口统计问卷、儿童症状量表、拉撒路应对方式问卷,并在测试前和测试后进行问卷调查。生活技能干预以干预组的预测结果为基础,分8期进行,每期45分钟。收集的资料采用SPSS 18、独立t检验、ANCOA、MANCOVA进行分析。结果:本研究结果显示,教育干预后,儿童应对方式(寻求支持、责任、解决问题、再次积极表象)的平均得分以及儿童的对立对立得分均显著高于对照组(P<0.001),证实了生活技能训练对儿童和家长的影响。结论:根据本研究的结果,生活技能训练导致母亲与孩子的积极应对技能的发展,该项目对儿童行为问题有积极的影响。因此,研究人员推荐了针对孩子和父母问题的生活技能培训方法。
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引用次数: 1
Effects of Chronic Hookah Consumption on Aerobic Capacity, Resting and Sub-maximal Heart Rate in Men Who Are Trained and Untrained 长期水烟消耗对训练和未训练男性有氧能力、静息和次最大心率的影响
Q2 Health Professions Pub Date : 2020-07-01 DOI: 10.29252/ijhehp.8.2.187
S. Nasiri, M. Nikseresht, A. T. Kalani
Background and Objective: Hookah consumption is an underlying decline in lung function. However, data are limited on the physiological effects in young trained and untrained men. The purpose of this study was to investigate the effects of chronic hookah consumption on aerobic capacity (VO2max), resting and submaximal heart rate in men who are trained and untrained. Materials and Methods: Forty-nine young men (18-34 years) were assigned into the following groups: a. trained-hookah (n = 11), b. untrained-hookah (n = 14), c. trained (n = 12) and d. untrained (n = 12). The trained men had done at least three sessions (1-hour for each) of aerobic training a week during the past three years, while the untrained men had continued a sedentary lifestyle. Hookah smokers had smoked at least three times a week during the period. The VO2max, resting and submaximal heart rate indices were measured in all subjects. Results: One-way analysis of variance showed that VO2max was significantly higher in trained group than the other groups, although no significant difference was observed in the other groups. Resting and submaximal heart rate were remarkably lower in the trained groups than in the untrained groups, but no significant difference was noted in the other groups. Conclusion: The results of the present study indicated that hookah smoking has a negative effect on aerobic capacity in men who are trained; however, it seems that the effect of aerobic training is higher than the effect of hookah on resting and submaximal heart rate indices.
背景和目的:饮用胡卡是肺功能下降的潜在原因。然而,关于受过训练和未受过训练的年轻男性的生理影响的数据有限。本研究的目的是调查长期饮用水烟对受过训练和未受过训练的男性有氧能力(VO2max)、静息和次最大心率的影响。材料和方法:49名18-34岁的年轻男性被分为以下组:a.训练过的水烟(n=11),b.未训练过的水烟(n=14),c.训练过的(n=12)和d.未训练过。在过去的三年里,受过训练的男性每周至少进行三次有氧训练(每次1小时),而未经训练的男性则继续久坐不动的生活方式。在此期间,胡卡吸烟者每周至少吸烟三次。测量所有受试者的VO2max、静息和次最大心率指数。结果:单向方差分析显示,训练组的VO2max显著高于其他组,但其他组没有观察到显著差异。训练组的静息和次最大心率明显低于未训练组,但其他组没有显著差异。结论:本研究结果表明,水烟对接受训练的男性有氧能力有负面影响;然而,有氧训练对静息和次最大心率指标的影响似乎高于水烟。
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引用次数: 0
The Role of Media Consumption on Physical Activity Based on Health Pattern in Iranian Students by Pender's Model 基于Pender模型的伊朗学生健康模式下媒体消费对体育活动的影响
Q2 Health Professions Pub Date : 2020-07-01 DOI: 10.29252/ijhehp.8.2.172
Gholam Reza Anari, Hamid Ghasmi, A. Farahani
Background and Objec ti ve: This study inves ti gated the role of media consump ti on on physical ac ti vity based on health pa tt ern in Iranian.The method of this research was descrip ti ve correla ti on with Structural Equa ti on Method. Materials and Methods: The sta ti s ti cal popula ti on of this study consisted of all students aged 11-19 years in the whole country that 384 students were selected as sta ti s ti cal sample by cluster random sampling method. Two media consump ti on and physical ac ti vity based on health pa tt ern Pender Were used to collect the research data. The formal and content validity of the ques ti onnaires were con fi rmed and their reliability was obtained using Cronbach's alpha method 0.934 and 0.834, respec ti vely. For data analyzing by SPSS so ft ware and Amos so ft ware of Kolmogorov-Smirnov test, Pearson correla ti on coe ffi cient and structural equa ti on modeling were used. Results: The results showed that media consump ti on had a posi ti ve and signi fi cant e ff ect (P = 0.001) on Physical Ac ti vity behaviour (Beta = 0.82), Exercise Bene fi ts (Beta = 0.80) and Exercise self-e ffi cacy (Beta= 0.74) and Exercise Barriers (Beta=- 0.61). Conclusion: Therefore, it can be said that media consump ti on improves the level of physical ac ti vity based on students' health pa tt erns. So, it is recommended that the media, especially sports media, pay special a tt en ti on to children in their programs.
背景和目的:本研究基于伊朗的健康状况,探讨了媒体消费对身体活动的影响。材料与方法:本研究的调查对象为全国11~19岁的在校学生,采用整群随机抽样方法,选取384名学生作为调查对象。采用基于健康教育的两种媒介消费和物理活动来收集研究数据。确认了问答的形式和内容有效性,并分别使用Cronbachα法0.934和0.834获得了它们的可靠性。采用SPSS软件和Amos软件对数据进行分析,采用Pearson相关系数和结构方程进行建模。结果:结果显示,介质消耗对身体活动行为(β=0.82)、运动益处(β=0.80)、运动自我效能(β=0.74)和运动障碍(β=0.61)有积极而显著的影响(P=0.001)。结论:因此,可以说,媒介消费在提高学生身体素质的基础上,提高了学生的体质素质。因此,建议媒体,尤其是体育媒体,在节目中特别关注儿童。
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引用次数: 1
The perceived supports for self-care in hemodialysis patients: a qualitative study 血液透析患者自我护理的感知支持:一项定性研究
Q2 Health Professions Pub Date : 2020-07-01 DOI: 10.29252/ijhehp.8.2.97
N. Rezaee, zahedanuniver city, M. Seraji
Background and Objective: Following the self-care behaviors is considered as one of the fundamental factors of treatment in hemodialysis patients. Patients’ perception of support will control their mental tensions and cause them to follow the self-care behaviors, and then it will promote their general health. The main purpose of the current study was “identification of the perceived supports for self-care in hemodialysis patients”. Materials and Methods: this study was conducted on the base of content analysis conventional. The study participants were 9 patients, 3 families having hemodialysis patients, and 2 nurses working in dialysis section. We made use of purposive sampling and continued gathering the data till we reached data saturation point. Besides, the data gathering procedure was conducted through semi-structured interviews. Finally, the data was analyzed through content analysis. Results: The present study’s findings included a main category of perceived support and three subcategories of constructive support, destructive support, and individual’s feeling of the provided support; and all of these conditions indicated nature and dimensions of the role of perceived support in hemodialysis patients’ self-care. Conclusion: The findings of this study showed that hemodialysis patients can use the support provided during the illness, including constructive support, destructive support, and one's sense of support to enhance self-care behaviors and improve their quality of life. Therefore, nurses, physicians, and families Hemodialysis patients should pay more attention to patient support.
背景与目的:遵循自我护理行为是血液透析患者治疗的基本因素之一。患者对支持的感知会控制他们的心理紧张,促使他们遵循自我护理行为,从而促进他们的整体健康。本研究的主要目的是“确定血液透析患者自我护理的感知支持”。材料与方法:本研究在常规含量分析的基础上进行。研究参与者包括9名患者、3个有血液透析患者的家庭和2名在透析科工作的护士。我们使用了有目的的采样,并继续收集数据,直到达到数据饱和点。此外,数据收集程序是通过半结构化访谈进行的。最后,通过内容分析对数据进行了分析。结果:本研究的发现包括感知支持的一个主要类别和建设性支持、破坏性支持和个人对所提供支持的感觉三个子类别;所有这些情况都表明了感知支持在血液透析患者自我护理中的作用的性质和维度。结论:本研究结果表明,血液透析患者可以利用疾病期间提供的支持,包括建设性支持、破坏性支持和支持感,来增强自我护理行为,提高生活质量。因此,血液透析患者的护士、医生和家属应更加重视对患者的支持。
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引用次数: 3
Elderly Friendly City Concepts and Indicators 老年人友好城市的概念和指标
Q2 Health Professions Pub Date : 2020-03-01 DOI: 10.29252/ijhehp.8.1.5
F. Estebsari, Zahra RahimiKhalifeh Kandi, Kimya Estebsari, Davoud Mostafaei
Population aging and urbanization are two global trends that together form one of the challenges of the 21st century. The purpose of this study was to the concept of age friendly city and its indicators. The findings of the study were classified into three areas of the history of the age friendly city, the definition of the age friendly city, the age friendly city indicators and Programs, and the content of each of the Indicators. The findings of this study can be considered as the basis for designing elderly friendly cities in order to improve the quality of life of the elderly and promote active aging. In this regard, it is necessary to pay special attention to the appropriateness of the criteria with the cultural and social conditions in Iran
人口老龄化和城市化是两大全球趋势,共同构成21世纪的挑战之一。本研究旨在探讨高龄友善城市的概念及相关指标。研究结果分为三个方面,即老年友好城市的历史、老年友好城市的定义、老年友好城市指标和方案以及各指标的内容。本研究结果可作为老年人友好型城市设计的依据,以提高老年人的生活质量,促进积极老龄化。在这方面,必须特别注意这些标准是否符合伊朗的文化和社会条件
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引用次数: 2
The effect of combined Training Program on Sleep Hygiene among of girls primary school students 综合训练方案对小学女生睡眠卫生的影响
Q2 Health Professions Pub Date : 2020-03-01 DOI: 10.29252/ijhehp.8.1.23
Masoomeh Masnabadi, N. Roozbahani, M. Khorsandi
Background and Objective: Sleep are among the basic human needs and play a key role in memory, learning processes, and the educational performance of children and adolescents. The present study aimed to determine the effect of combined Training Program on sleep Hygiene of girl students. Materials and Methods: In this Quasi-experimental, 100 female primary school students in Arak were randomly assigned to two groups of intervention (50 people) and control (50 people). The data collection tool was a questionnaire on children’s sleep habits that was completed by mothers and the higher score was the sign of sleep disorders. Educational intervention was conducted on the basis of predetermined goals and needs assessment was conducted via social network for mothers and students’ education was performed via games and entertainment. Three months after the intervention, the questionnaires were completed again and the data were analyzed. Results: In the intervention group, the score of sleep habits was significantly improved as to before the intervention (before: 53.22±5.44, after 45.24±14.4, p<0.001); however, there was no significant difference in the control group. The significant difference was observed in the subscales of resistance to bedtime, sleep duration, night waking, parasomnia and daytime sleepiness, but there was no significant difference in anxiety, respiratory disorder and sleep latency as to before the intervention. Conclusion: The present study showed that using social network for maternal education and using games and entertainment for students’ education are effective and improve students’ sleep Hygiene.
背景与目的:睡眠是人类的基本需求之一,在儿童和青少年的记忆、学习过程和教育表现中起着关键作用。本研究旨在探讨综合训练方案对女生睡眠卫生的影响。材料与方法:拟实验将100名阿拉克省女小学生随机分为干预组(50人)和对照组(50人)。数据收集工具是一份关于儿童睡眠习惯的问卷,由母亲完成,得分越高是睡眠障碍的迹象。根据预定目标进行教育干预,通过社交网络对母亲进行需求评估,通过游戏和娱乐对学生进行教育。干预3个月后,再次填写问卷并对数据进行分析。结果:干预组睡眠习惯评分较干预前有明显改善(干预前:53.22±5.44,干预后:45.24±14.4,p<0.001);而对照组无明显差异。在就寝抗拒、睡眠时间、夜醒、睡眠异常和日间嗜睡的亚量表上,与干预前比较差异有统计学意义,而在焦虑、呼吸障碍和睡眠潜伏期方面,与干预前比较差异无统计学意义。结论:本研究表明,利用社交网络进行母亲教育和利用游戏娱乐进行学生教育是有效的,可以改善学生的睡眠卫生状况。
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引用次数: 1
Role of health-oriented programs in improving the school's organizational culture 健康导向计划在改善学校组织文化中的作用
Q2 Health Professions Pub Date : 2020-03-01 DOI: 10.29252/IJHEHP.8.1.45
M. Taslimi, M. Farasatkhah, Narges Hassanmoradi, Planning Tehran-Iran
Background and Objec ti ves: School organiza ti onal culture is one of the most e ff ec ti ve assets in promo ti ng school goals and programs and implemen ti ng health-oriented programs is one of the important demands of the family along with the educa ti on of the students. The purpose of this study was to explain the dimensions of school-based health programs that are instrumental in the development of school organiza ti onal culture. Materials and Methods: In this mix method study, focusing on phenomenological studies was used to gain a deep understanding of the situa ti on under study from the school’s ecosystem informa ti on. Data were obtained from structured interviews with 30 school principals and sta ff in the area of health programs and school organiza ti onal culture, observa ti ons and assessment checklists. Based on the systema ti c coding method, the main categories were obtained. A ft er obtaining the selected codes, a researcher-made ques ti onnaire was developed. Its validity and reliability were con fi rmed by test-retest and Its Cronbach›s alpha test was 0.794. Then, a sample of 1329 stakeholders was Surveyed into 5 groups (students, teachers, sta ff , parents). Results: The results, while endorsing the categories by the stakeholders, showed that health-based programs are e ff ec ti ve in developing school organiza ti onal culture through strengthening par ti cipatory culture, organiza ti onal learning, empowering and strengthening ci ti zenship culture. Conclusion: The essence of health-oriented programs is a cultural program, both based on knowledge, beliefs, a tti tudes and behaviors in iden ti fying the future lives of students and the community. These in fl uen ti al programs in the area of school organiza ti onal culture that need for health of their audiences, as an e ff ec ti ve tool for school success, should be the focus by educa ti onal planners and leadership.
背景与目的:学校组织文化是促进学校目标和计划最有效的资产之一,实施健康计划是家庭和学生教育的重要要求之一。本研究的目的是解释学校健康计划在学校组织文化发展中的作用。材料与方法:在本次混合方法研究中,采用现象学研究为主的方法,从学校的生态系统信息中深入了解所研究的情况。数据来自对30名学校校长和教职员工的结构化访谈,内容涉及健康项目和学校组织文化、观察和评估清单。基于系统编码方法,得到了主要分类。在获得选定的代码后,开发了一份研究人员自行制作的问卷。经重测证实其效度和信度,其Cronbach′s α检验为0.794。然后,将1329名利益相关者分为5组(学生、教师、员工、家长)进行调查。结果:本研究结果显示,透过强化参与式文化、组织学习、赋权与强化团体文化,健康为本的学校组织文化发展具有显著的成效。结论:健康导向项目的本质是一种文化项目,基于知识、信仰、观念和行为来确定学生和社区的未来生活。这些学校组织文化领域的有效方案需要其受众的健康,作为学校成功的有效工具,应成为教育规划人员和领导的重点。
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引用次数: 0
The Role of Tehranian Citizens’ Participation in Realization «Tobacco-Free Tehran Programme» 德黑兰公民参与实现“德黑兰无烟计划”的作用
Q2 Health Professions Pub Date : 2020-03-01 DOI: 10.29252/IJHEHP.8.1.82
Kobra Kharaghani, Karam Habibpour ghatabi, Badri Barandeghi
Background and Objec ti ve: «Tobacco-Free Tehran Programme» was implemented by the Municipality of Tehran with the aim of crea ti ng a city-free by building awareness and sensi ti vity to the dangers of tobacco use. The researcher has analyzed the role of Tehranian ci ti zens’ par ti cipa ti on in the realiza ti on of the «Tobacco-Free Tehran Programme». Materials and Methods: The present has been conducted by survey method and ques ti onnaire technique among 384 persons of ci ti zens par ti cipa ti ng in tobacco control preven ti on programs in a tobacco-free week in 22 districts of Tehran municipality by convenience sampling method. Results: Findings showed that 14.8% had complete knowledge about Tehran city without tobacco plan, 30.7% had sporadic informa ti on about this plan and 41.9% had no informa ti on about it. The results of the one-sample t-test showed that the level of ci ti zen›s knowledge and par ti cipa ti on in the «Tobacco-Free Tehran Programme» was low. Also, par ti cipa ti on rate of non-smokers, women, older age groups and married people was higher than the others, but the par ti cipa ti on of di ff erent educa ti onal and occupa ti onal groups was the same. Conclusion: Findings implies that Tobacco-Free Tehran Programme has failed to achieve its intended objec ti ves in the past few years in the fi eld of tobacco control, and one of the main reasons for this has been the lack or weakness of public par ti cipa ti on.
背景和目标:“德黑兰无烟计划”由德黑兰市实施,旨在通过提高人们对烟草使用危险的认识和认识,创建一个无烟城市。研究人员分析了Tehranian ci ti zens的par ti cipa ti on在实现“德黑兰无烟计划”中的作用。材料和方法:采用调查法和问卷调查法,采用方便抽样法,在德黑兰市22个区的一个无烟周内,对384名参加烟草控制预防项目的公民进行了调查。结果:调查结果显示,14.8%的人对没有烟草计划的德黑兰市有完整的了解,30.7%的人对该计划有零星信息,41.9%的人对此没有信息。单样本t检验结果显示,《无烟草德黑兰计划》中的ci ti zen›s知识和par ti ti ti ti on水平较低。此外,非吸烟者、女性、老年人和已婚人士的平均比率高于其他人,但不同教育和职业群体的平均比率相同。结论:调查结果表明,在过去几年中,德黑兰无烟计划在烟草控制领域未能实现其预期目标,其主要原因之一是缺乏或薄弱的公共政策。
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引用次数: 2
Pain Sensation and Long-term Suffering due to Chronic Pain in Patients with Rheumatoid Arthritis: Mediating Role of Self-efficacy 类风湿关节炎患者慢性疼痛的疼痛感觉与长期痛苦:自我效能感的中介作用
Q2 Health Professions Pub Date : 2020-03-01 DOI: 10.29252/ijhehp.8.1.10
A. Nejati, H. Ahadi, F. Meschi, M. Seirafi, Adis kraskian mojembari
Background and Objective: the purpose of this study is to investigate the mediating role of self-efficacy as a cognitive factor in the relationship between pain sensation and long-term suffering. Materials and Methods: This is a descriptive correlational study. The statistical population of the study included all patients with chronic pain with Rheumatoid Arthritis referring to 11clinics and private and governmental centers specialized in chronic pain in Tehran and Karaj in a specified time interval (Between Nov2015 and May 2016). 399 patients (257 women and 142 men) were selected via accessible sampling. The sensory pain index of the McGill pain scale, the Pain Discomfort Scale (PDS) and the Pain Self-efficacy Questionnaire (PSEQ) were used to collect the data. Data were analyzed by structural equation modeling (SEM). Results: The results showed that pain sensation and Self-efficacy are considered as good predictors of long-term suffering. Based on the findings of the structural equation modeling, there are significant and a positive causal relationship between pain sensation, self-efficacy and long-term suffering and the mediating role of self-efficacy in the relationship between pain sensation and long-term suffering has been confirmed (P<0.05). Conclusion: The result of this research, in addition to conceiving long-term suffering, it can be helpful in identifying one of the cognitive-emotional factors of long-term suffering, providing more adaptive strategies for people with in prevention and treatment and health promotion.
背景与目的:本研究旨在探讨自我效能感作为认知因素在疼痛感觉与长期痛苦关系中的中介作用。材料与方法:本研究为描述性相关研究。该研究的统计人群包括在特定时间间隔(2015年11月至2016年5月)在德黑兰和卡拉杰的11家诊所、私人和政府中心专门治疗慢性疼痛的所有慢性疼痛类风湿性关节炎患者。通过无障碍抽样选择399例患者(女性257例,男性142例)。采用McGill疼痛量表的感觉疼痛指数、疼痛不适量表(PDS)和疼痛自我效能问卷(PSEQ)进行数据采集。采用结构方程模型(SEM)对数据进行分析。结果:疼痛感和自我效能感被认为是长期痛苦的良好预测因子。结构方程模型的结果表明,疼痛感觉、自我效能感和长期痛苦之间存在显著的正相关因果关系,自我效能感在疼痛感觉和长期痛苦之间的中介作用得到了证实(P<0.05)。结论:本研究结果除了有助于设想长期痛苦外,还有助于识别长期痛苦的认知-情绪因素之一,为预防和治疗以及促进健康提供更多的适应性策略。
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