نقش معنا، صلح و ایمان در ابعاد کیفیت زندگی زنان مبتلا به سرطان

محورهای موضوعی : روان‌ شناسی تحولی

مهرنوش حمزه‌لوئیان ¹ ( دانشجوی دکتری روان‌شناسی سلامت دانشگاه تهران )
محمدعلی بشارت ² ( استاد گروه روان‌شناسی دانشگاه تهران )
عباس رحیمی‌نژاد ³ ( استادیار گروه روان‌شناسی دانشگاه تهران )
هادی زمانیان ⁴ ( استادیار گروه آموزش و ارتقای سلامت دانشگاه علوم پزشکی قم )
حجت‌اله فراهانی ⁵ ( استادیار گروه روان‌شناسی دانشگاه تربیت مدرس )

تاریخ دریافت : 1398/04/12 تاریخ پذیرش : 1398/04/12 تاریخ انتشار : 1398/01/01

کلید واژه: کیفیت زندگی, سرطان پستان, معنویت,

چکیده مقاله :

این پژوهش با هدف تعیین سهم معنا، صلح و ایمان به‌عنوان مؤلفه‌های سلامت معنوی در تبیین کیفیت زندگی بیماران مبتلا به سرطان پستان انجام شد. نمونه‌برداری به روش غیرتصادفی هدفمند از میان بیماران در دسترس صورت گرفت و تعداد 125 بیمار از 3 بیمارستان شهر تهران در این پژوهش شرکت کردند. پس از حذف داده‌های ناقص، در نهایت تعداد 117 آزمودنی در تحلیل نهایی وارد شدند و به پرسشنامه اختصاصی کیفیت زندگی وابسته به سرطان پستان (بردی و دیگران، 1997) و مقیاس بهزیستی معنوی‌ـ‌ارزیابی عملکرد در درمان بیماری‌های مزمن (پترمن و دیگران، 2002) پاسخ دادند. داده‌ها با استفاده از آزمون همبستگی پیرسون و رگرسیون خطی چندگانه تحلیل شد. نتایج نشان داد که تمامی جنبه‌های معنویت با ابعاد کیفیت زندگی رابطه مثبت معنادار دارند، به‌جز ایمان که با ابعاد اجتماعی، زیرمقیاس بازو و کیفیت زندگی اختصاصی سرطان پستان رابطه معنا‌دار نشان نداد. از میان این سه جنبه، صلح بالاترین میزان همبستگی را با پیامدها داشت، اگرچه معنا رابطه بیشتری را فقط با کیفیت زندگی اجتماعی نشان داد. در نهایت، صلح به‌تنهایی در پیش‌بینی کیفیت زندگی کلی نقش داشت و دو بعد دیگر قادر به پیش‌بینی معنادار کیفیت زندگی کلی نبودند. بر اساس یافته‎های این پژوهش، معنویت می‎تواند بر کیفیت زندگی زنان مبتلا به سرطان پستان اثر بگذارد. بنابراین، توجه به معنویت در مراقبت از این افراد، اهمیت بسیاری دارد؛ به‌ویژه توجه به بعد هیجانی آن یعنی صلح که می‌تواند هسته مداخله‌های روان‌شناختی با جهت‌گیری معنوی باشد.

چکیده انگلیسی:

The aim of this study was to examine the contribution of meaning, peace and faith as spiritual health components in explaining the quality of life (QoL) of patients with breast cancer. One hundred and twenty five patients from 3 hospitals in Tehran participated in this study. After deletion of incomplete data, the data of 117 participants entered in the final analysis. The participants completed the Functional Assessment of Cancer Therapy-Breast (FACT-B; Brady et al., 1997) and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-sp; Peterman et al., 2002). The data were analyzed using Pearson correlation test and multiple linear regression. The results indicated that all aspects of spirituality had positive and significant relationship with quality of life, except for faith which did not have relationship with social, arm and breast cancer-specific domains. Among three aspects of spiritually, peace had the highest association with the outcomes, although meaning had the highest relationship with patients’ social quality of life. Finally, peace had the most prominent contribution in predicting the overall quality of life. The findings suggest that spirituality may affect patients’ quality of life. Therefore, spirituality is very important in the care of patients with breast cancer, particularly the affective aspect of spirituality (peace) can be the focus of spiritually oriented psychological interventions.

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