دوره 15، شماره 4 - ( دوره پانزده، شماره چهارم، زمستان 1400 )
جلد 15 شماره 4 صفحات 24-12 |
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Zebardast A, Rezaei S, Rezvandel-Ramzi F. The Relationship between Adult Attachment Styles and Adherence to Treatment in Patients with Chronic Disease: The Mediating Role of Resilience. Journal title 2022; 15 (4) : 2
URL: http://rph.khu.ac.ir/article-1-4039-fa.html
URL: http://rph.khu.ac.ir/article-1-4039-fa.html
زبردست عذرا، رضائی سجاد، رضواندل رمزی فاطمه. رابطه بین سبک‌های دلبستگی بزرگسال با پیروی از درمان در بیماران مزمن: نقش میانجی تاب آوری. عنوان نشریه. 1400; 15 (4) :12-24
1- دانشگاه گیلان ، zebardast@guilan.ac.ir
2- دانشگاه گیلان
3- دانشگاه شهید بهشتی
2- دانشگاه گیلان
3- دانشگاه شهید بهشتی
چکیده: (3547 مشاهده)
یکی از چالش‌های اصلی درمان بیماری مزمن، تبعیت بیماران از دستورات درمانی است. هدف این پژوهش تعیین نقش میانجیگرانه تاب‌آوری در رابطه بین در رابطه بین سبک‌های دلبستگی و تبعیّت از درمان در مبتلایان به بیماری مزمن بود. طرح پژوهش، توصیفی-همبستگی بود. جامعه آماری شامل تمامی بیماران مبتلا به دیابت و فشار خون استان گیلان درسال 1399 بود. تعداد 399 نفربه روش نمونه‌گیری هدفمند انتخاب شدند. جمع‌آوری داده‌ها از طریق مقیاس دلبستگی کالینز و رید(RAAS)، مقیاس تاب آوری کونر و دیویدسون (CD-RISC) و پرسشنامه تبعیت از درمان مدانلو انجام شد. پردازش داده‌ها با استفاده از روش تحلیل مسیر در محیط نرم افزار AMOS-24 و تحلیل بوت‌استراپ در برنامه Macro پریچر و هایز (2008) انجام شد. بین تبعیّت از درمان با تاب‌آوری و سبک دلستگی ایمن و اجتنابی رابطه مستقیم معنی‌دار یافت شد (01/0p<). اما بین تبعیّت از درمان با دلسبستگی دوسوگرا رابطه‌ای مشاهده نشد (05/0p>). برازش مدل میانجی پس از حذف دو مسیر غیرمعنادار بهبود یافت و با آزاد کردن خطای کوواریانس بین دلبستگی دوسوگرا با دلبستگی ایمن و اجتنابی برازش مطلوبی حاصل شد (00/1CFI=،086/0RMSEA=). تحلیل بوت‌استراپ آشکار ساخت تاب‌آوری در رابطۀ بین متغیرهای درونزا و برونزا به‌طورمعنی‌داری میانجیگری می‌کنند. ضریب تعیین مدل نهایی نشان داد تمامی متغیرهای برونزا و میانجی، 21 درصد از تغییرات تبعیت از درمان را پیش‌بینی می‌کنند. تاب‌آوری و الگوی دلبستگی در تبعیت بیماران از پروسیجر درمان دارای اهمیت هستند و پیشنهاد می‌شود در برنامه درمانی مبتلایان به بیماری مزمن مهارت‌ها و راهبردهای مقاومت در برابر استرس بیماری و افزایش ظرفیت مقابله سازگارانه با شرایط تهدید کننده زندگی گنجانده شود.
شماره‌ی مقاله: 2
نوع مطالعه: پژوهشي |
موضوع مقاله:
روانشناسی سلامت
دریافت: 1400/4/9 | پذیرش: 1401/3/1 | انتشار: 1401/3/10
دریافت: 1400/4/9 | پذیرش: 1401/3/1 | انتشار: 1401/3/10
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