Anesthesiology and Pain
بیهوشی و درد
JAP
Medical Sciences
http://jap.iums.ac.ir
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2228-6659
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jalali
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2023
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مدل سبک زندگی بیماران مبتلا به کمردرد مزمن با توجه به نقش نشانه های خلقی / اضطرابی و طرحواره های هیجانی با میانجیگری راهبردهای مقابله بادرد
The lifestyle model of patients with chronic back pain according to the role of mood/anxiety symptoms and emotional schemas with the mediation of pain coping strategies
مديريت درد مزمن
Chronic pain managment
پژوهشي
Original
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></b></span></span></span></span></span>
<div id="ftn3"><span style="color:#000000;"><b><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">زمینه وهدف:</span></span></span></b></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><span style="color:#000000;"> سبک زندگی بیماران تحت تاثیر </span><a name="_Hlk119966116"><span style="color:#000000;">نشانه های خلقی/ اضطرابی </span></a></span></span></span><span style="color:#000000;"><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">و</span></span></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> طرحواره های هیجانی و راهبردهای مقابله بادرد قرار می گیرد،لذا پژوهش حاضر با هدف ارائه مدل مفهومی سبک زندگی بیماران مبتلا به کمردرد مزمن با توجه به نقش نشانه های خلقی/ اضطرابی </span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">و</span></span></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> طرحواره های هیجانی و راهبردهای مقابله بادرد انجام شد.</span></span></span><br>
<span dir="RTL" lang="AR-SA"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><b><span style="border:none windowtext 1.0pt; padding:0in">روش برسی:</span></b><span style="border:none windowtext 1.0pt; padding:0in"> روش پژوهش توصیفی از نوع همبستگی بود.جامعه اماری عبارت از کلیه زنان ومردان (25تا 55)سال دارای کمردرد مزمن مراجعه کننده به بیمارستان رازی ودرمانگاه های شهرتربت حیدریه در سال 1400-1401بودند که تعداد 400 نفر بادرنظر گرفتن ملاک های ورود انتخاب شدند.ابزار مورد استفاده عبارتنداز : </span></span></span></span></span><a name="_Hlk119966477"><span style="color:#000000;"><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">پرسشنامه نشانههای هیجانی</span></span></span></span></a><span style="color:#000000;"><a name="_ftnref1"></a></span><a href="https://jap.iums.ac.ir/article-1-5687-fa.html#_ftn1"><span style="color:#000000;"><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">[1]</span></span></span></span></a><span style="color:#000000;"><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">(خلقی/اضطرابی)</span></span></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">،<b><u> </u></b></span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> فرم کوتاه طرحوارههای هیجانی</span></span></span><a name="_ftnref2"></a></span><a href="https://jap.iums.ac.ir/article-1-5687-fa.html#_ftn2"><span style="color:#000000;"><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">[2]</span></span></span></span></a><span style="color:#000000;"><b><u><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> ،</span></span></span></u></b><u><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> را</span></span></span></u><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">هبردهای مقابله بادرد روزنشتایل و کیف (1983)و سبک زندگی درزمان قرنطینه </span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">علی اکبری دهکردی</span></span></span><a name="_ftnref3"></a></span><a href="https://jap.iums.ac.ir/article-1-5687-fa.html#_ftn3"><span style="color:#000000;"><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><span style="text-decoration:none">[3]</span></span></span></span></span></a><span style="color:#000000;"><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">.داده ها با </span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">روش مدل یابی معادلات ساختاری تحلیل شد.</span></span></span><br>
<span dir="RTL" lang="AR-SA"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><b><span style="border:none windowtext 1.0pt; padding:0in">یافته ها:</span></b><span style="border:none windowtext 1.0pt; padding:0in"> مدل برازش یافته نشان داد، </span></span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">اثر غیرمستقیم نشانه های خلقی/اضطرابی بر سبک زندگی از طریق مقابله با درد (</span></span></span><i><span style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">β=-0/165</span></span></span></i> <span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> و </span></span></span><i><span style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">P<0/05</span></span></span></i></span><span style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"Calibri",sans-serif"></span></span></span><span style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"Calibri",sans-serif"><v:rect filled="f" id="AutoShape_x0020_24" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF
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" stroked="f" style="width:24pt; height:24pt; v-text-anchor:top"><span style="color:#000000;"> </span><o:lock aspectratio="t" v:ext="edit"><span style="color:#000000;"> </span><w:wrap type="none"><span style="color:#000000;"> </span><w:anchorlock><span style="color:#000000;"> </span></w:anchorlock></w:wrap></o:lock></v:rect></span></span></span><span style="color:#000000;"> <span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> ) در سطح 05/0 معنی دار هستند </span></span></span><span style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">. نتایج مطالعه از میانجیگری راهبردهای مقابله بادرد در رابطه بین نشانه های خلقی/اضطرابی </span></span></span><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">و</span></span></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"> طرحواره های هیجانی با سبک زندگی بیماران حمایت کرد.</span></span></span></span><br>
<span dir="RTL" lang="AR-SA"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><span style="color:#000000;"><b><span style="border:none windowtext 1.0pt; padding:0in">نتیجه گیری:</span></b></span><span style="border:none windowtext 1.0pt; padding:0in"><span style="color:#000000;"> </span><a name="_Hlk119967818"><span style="color:#000000;"> تدوین مداخلات درمانی در جهت کاهش طرحواره های هیجانی و </span></a></span></span></span></span><span style="color:#000000;"><span dir="RTL" lang="FA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">بهبود را</span></span></span><span dir="RTL" lang="AR-SA" style="border: 1pt none windowtext; padding: 0in;"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif">هبردهای مقابله بادرد در بهبود و ارتقائ سبک زندگی مبتلایان به دردمزمن مفید است .</span></span></span><br>
<span dir="RTL" lang="AR-SA"><span style="line-height:107%"><span style="font-family:"Arial",sans-serif"><b><span style="border:none windowtext 1.0pt; padding:0in">واژه های کلیدی:</span></b><span style="border:none windowtext 1.0pt; padding:0in"> نشانه های خلقی/اضطرابی ، طرحواره های هیجانی ، سبک زندگی، راهبردهای مقابله بادرد</span></span></span></span></span></div>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span style="line-height:115%"><span style="font-family:"Mitra",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Abstract</span></span></span></b></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Background and purpose:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:"> the lifestyle of patients is affected by mood/anxiety symptoms and emotional schemas and coping strategies with pain, so the present study aims to provide a conceptual model of the lifestyle of patients with chronic back pain with regard to the role of mood/anxiety symptoms and Emotional schemas and pain coping strategies were performed</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Mitra",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Research method:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:"> The descriptive research method was correlation type. The statistical population consisted of all women and men (25 to 55) years old with chronic back pain who referred to Razi Hospital and hospitals in Tarbat Heydarieh city in 1400-1401, which numbered 400 people, considering the entry criteria. The tools used are: questionnaire of emotional symptoms (mood/anxiety), short form of emotional schemas, strategies for coping with pain Rosenstein and Kaif (1983) and life style during quarantine by Ali Akbari Dehkordi. The data was analyzed by structural equation modeling method</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Mitra",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Findings:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:"> The fitted model showed that the indirect effect of mood/anxiety symptoms on lifestyle through dealing with pain (β=-0.165 and P<0.05) are significant at the 0.05 level. The results of the study supported the mediation of pain coping strategies in the relationship between mood/anxiety symptoms and emotional schemas with patients' lifestyle</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Mitra",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:"> Developing therapeutic interventions to reduce emotional schemas and improve pain coping strategies is useful in improving and improving the lifestyle of chronic pain sufferers</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">.</span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Mitra",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:">Keywords:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span mitra="" style="font-family:"> mood/anxiety symptoms, emotional schemas, lifestyle, pain coping strategies</span></span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
نشانه های خلقی/اضطرابی , طرحواره های هیجانی , سبک زندگی, راهبردهای مقابله بادرد
mood/anxiety symptoms, emotional schemas, lifestyle, pain coping strategies
60
75
http://jap.iums.ac.ir/browse.php?a_code=A-10-737-1&slc_lang=fa&sid=1
ali akbar
Ebrahimbai Salami
علی اکبر
ابراهیم بای سلامی
aliebrahimbay28@gmail.com
100319475328460018881
100319475328460018881
No
Ph.D. student in Psychology, Faculty of Psychology, Islamic Azad University, Birjand branch, Iran
دانشجوی دکتری تخصصی روانشناسی، دانشکده روانشناسی، دانشگاه آزاد اسلامی، واحد بیرجند، ایران
Fatemeh
Shahabizadeh
فاطمه
شهابی زاده
f_shahabizadeh@yahoo.com
100319475328460018882
100319475328460018882
Yes
Assistant Professor, Department of Psychology, Faculty of Psychology, Islamic Azad University, Birjand branc, Iran
استادیار گروه روانشناسی، دانشکده روانشناسی، دانشگاه آزاد اسلامی، واحد بیرجند، ایران
Qasim
Ahi
قاسم
اهی
ahigh1356@yahoo.com
100319475328460018883
100319475328460018883
No
Assistant Professor, Department of Psychology, Faculty of Psychology, Islamic Azad University, Birjand branch, Iran
استادیار گروه روانشناسی، دانشکده روانشناسی، دانشگاه آزاد اسلامی، واحد بیرجند، ایران
Jalil
Jarahi Fariz
جلیل
جراحی فریز
jarrahi@iaubir.ac.ir
100319475328460018884
100319475328460018884
No
Assistant Professor, Department of Basic Sciences, Wamar Faculty of Mathematics, Islamic Azad University, Birjand Branch, Iran
استادیار گروه علوم پایه ، دانشکده ریاضی وامار، دانشگاه آزاد اسلامی، واحد بیرجند، ایران