اثربخشی بسته ارتقای سلامت براساس شکوفایی بر استرس ادراک شده و خودمراقبتی بیماران مبتلا به سرطان کلیه
محورهای موضوعی : روانشناسینسرین مجابی 1 , نسرین باقری 2 * , سیمین بشردوست 3
1 - دانشجوی دکتری روانشناسی سلامت، دانشگاه آزاد اسلامی، واحد رودهن، تهران، ایران mojabinasrin83@gmail.com
2 - استادیار، گروه روانشناسی دانشگاه آزاد اسلامی، واحد رودهن، تهران، ایران (نویسنده مسئول) mojabinasrin83@gmail.com , tell: 091185410219
3 - استادیار، گروه روانشناسی دانشگاه آزاد اسلامی- واحد رودهن، تهران، ایر
کلید واژه: ارتقای سلامت, استرس ادراک شده, خود مراقبتی, سرطان کلیه, شکوفایی,
چکیده مقاله :
چکیده مقدمه: شکوفایی انسان می تواند یک هدف جدید مراقبت های بهداشتی باشد که پرستاران می توانند بر روی افراد مبتلا به سرطان اعمال کنند هدف از پژوهش حاضر بررسی اثربخشی بسته ارتقای سلامت براساس شکوفایی بر استرس ادراک شده و خودمراقبتی بیماران مبتلا به سرطان کلیه بود. روش پژوهش: این پژوهش، از نوع نیمه آزمایشی با طرح پیش آزمون، پس آزمون و پیگیری با گروه کنترل بود. جامعه آماری کلیه افراد مبتلا به سرطان کلیه عضو انجمن سرطان کلیه شهر تهران در سال 1400-1401 بودند که 30 نفر به روش هدفمند انتخاب و به گروه آزمایش و گروه گواه به شیوه‌ی تصادفی تخصیص یافتند. بسته ارتقای سلامت براساس شکوفایی بر روی گروه آزمایش اجرا شد. از پرسش‌نامه‌های استرس ادراک شده و خود مراقبتی برای جمع‌آوری اطلاعات استفاده شد. داده‌ها با نرم‌افزار22 SPSS و با استفاده از تحلیل واریانس یا اندازه گیری مکرربررسی شدند. یافته‌ها: نتایج حاکی از آن است که بین میانگین نمرات استرس مثبت (56/0=ᶯ2)، استرس منفی (28/0=ᶯ2)، رژیم غذایی (18/0=ᶯ2)، رژیم دارویی (22/0=ᶯ2) بین گروه آزمایش و کنترل تفاوت معنی‌دار مشاهده شد. اما بین میانگین برچسب مواد غذایی و مدیریت بیماری بین گروه آزمایش و گروه کنترل تفاوت معنی دار مشاهده نشد. بسته ارتقا سلامت براساس شکوفایی، استرس ادراک شده را در بیماران مبتلا به سرطان کلیه به صورت پایدار کاهش داده است و رژیم غذایی و رژیم دارویی را به صورت پایدار افزایش داده است. نتیجه‌گیری: بسته ارتقای سلامت براساس شکوفایی بر استرس ادراک شده و رفتارهای خودمراقبتی از نوع رعایت رژیم غذایی و دارویی برای بیماران مبتلا به سرطان کلیه سودمند است.
Abstract Introduction: Human flourishing can be a new goal of health care that nurses can apply to people with cancer. The purpose of this study was to investigate the effectiveness of the health promotion package based on flourishing on perceived stress and self-care of kidney cancer patients. Research Methods: The research method was a semi-experimental type with a pre-test, post-test and follow-up plan with a control group. The statistical population was all people with kidney cancer who were members of the Tehran Kidney Cancer Society in 2001-2001, and 30 people were selected in a targeted way and randomly assigned to the experimental group and the control group. The health promotion package based on prosperity was implemented on the experimental group. Perceived stress (Cohen, 1983) and self-care (Han et al., 2014) questionnaires were used to collect information. The data were checked with SPSS 22 software and using variance analysis or repeated measurement. Findings: The results indicate that between the average scores of positive stresses (ᶯ2=0.56), negative stress (ᶯ2=0.28), diet (ᶯ2=0.18), drug regimen (ᶯ2=0.22) A significant difference was observed between the experimental and control groups. However, no significant difference was observed between the average food label and disease management between the experimental group and the control group. The health promotion package based on flourishing has reduced the perceived stress in kidney cancer patients in a stable manner and has increased the diet and drug regimen in a stable manner. Conclusion: The health promotion package based on flourishing on perceived stress and self-care behaviors such as diet and medication compliance are beneficial for kidney cancer patients.
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