آزمون و مقایسه رابطه علی کانون کنترل سلامت و کیفیت زندگی مرتبط با سلامت با میانجی گری دیسترس دیابت در بیماران مبتلا به دیابت نوع 1 و 2
سلامت اجتماعی,
دوره 7 شماره 4,
22 آذر 2020
,
صفحه 460-476
https://doi.org/10.22037/ch.v7i4.31231
چکیده
زمینه و هدف: دیابت میتواند تأثیرات روانشناختی قابل توجهی بر سلامتی بگذارد و بهبود بیماری را به تأخیر بیاندازند. لذا این مطالعه با هدف آزمون و مقایسه رابطه علی کانون کنترل سلامت و کیفیت زندگی مرتبط با سلامت با میانجی گری پریشانی روانشناختی دیابت در بیماران مبتلا به دیابت نوع1 و 2 انجام شد.
روش و مواد: جامعه آماري شامل کلیه بیماران مبتلا به دیابت نوع یک و دو مراجعه کننده به متخصصین غدد شهر بوشهر در سال 1398 بود که از بین آنها 371 نفر به روش نمونه گیری در دسترس انخاب شدند و به پرسشنامه هاي کیفیت زندگی مرتبط با سلامتی، پریشانی رواني بيماران ديابتي و پرسشنامه کانون کنترل سلامت پاسخ دادند. داده ها با استفاده از روش تحلیل مسیر با استفاده از نرم افزار AMOS-22 تحلیل شدند.
یافته ها: میانگین (انحراف معیار) سن شرکتکنندگان (4/7) 5/36 و در گروه دیابت نوع دو، (1/7) 7/37 سال بود. در گروه دیابت نوع یک، با افزایش کانون کنترل سلامت مربوط به افراد مؤثر با میانگین (انحراف معیار) (2/3) 1/28 و افزایش کانون کنترل سلامت درونی با میانگین (انحراف معیار) (1/3) 1/23، کیفیت زندگی مرتبط با سلامت با میانگین (انحراف معیار) (2/7) 1/40 افزایش (001/0>P). اما با افزایش کانون کنترل سلامت مربوط به شانس با میانگین (انحراف معیار) (7/8) 24، کیفیت زندگی مرتبط با سلامت کاهش مییابد (001/0>P). در گروه دیابت نوع دو نیز با افزایش کانون کنترل سلامت مربوط به افراد مؤثر با میانگین (انحراف معیار) (3/4) 3/26 و افزایش کانون کنترل سلامت درونی با میانگین (انحراف معیار) (1/7) 1/25، کیفیت زندگی مرتبط با سلامت با میانگین (انحراف معیار) (1/12) 2/43 افزایش (001/0>P). اما با افزایش کانون کنترل سلامت مربوط به شانس با میانگین (انحراف معیار) (6/6) 3/20، کیفیت زندگی مرتبط با سلامت کاهش مییابد (001/0>P). پریشانی روانشناختی دیابت رابطه بین کانون کنترل سلامت مربوط به شانس و مربوط به افراد مؤثر را با کیفیت زندگی به طور کامل و رابطه بین کانون کنترل سلامت درونی با کیفیت زندگی را به صورت جزئی میانجی گری کرد. بین دو گروه بیمار مبتلا به دیابت نوع یک و دو به لحاظ برازش مدل مسیرها اختلاف معنی داری وجود نداشت.
نتیجهگیری: : مطالعه نشان داد در هر دو گروه دیابت نوع یک و دو با افزایش کانون کنترل سلامت مربوط به افراد مؤثر و کانون کنترل سلامت درونی، کیفیت زندگی مرتبط با سلامت بهبود یافت، اما با افزایش کانون کنترل سلامت مربوط به شانس، نمره کیفیت زندگی مرتبط با سلامت کاهش پیدا کرد. کانون کنترل سلامت درونی علاوه بر تأثیر مستقیمی که بر کیفیت زندگی گذاشت از طریق کاهش پریشانی دیابت نیز منجر به بهبود کیفیت زندگی در هر دو گروه بیماران مبتلا به دیابت نوع 1و 2 شد.
- کانون کنترل سلامت، کیفیت زندگی، پریشانی، دیابت
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