نقش تاب‌آوری و سن در سازگاری با علائم و نشانه‌های بیماری درد مزمن

نویسندگان

1 دانشجوی دکتری روان‌شناسی عمومی، دانشگاه پیام نور، واحد تهران، تهران، ایران

2 استادیار، گروه روان شناسی، دانشگاه پیام نور، واحد بوشهر، بوشهر، ایران

3 دانشجوی دکتری روان‌شناسی بالینی دانشگاه علم و فرهنگ، تهران، ایران

4 استاد روانپزشکی دانشگاه علوم پزشکی تهران، تهران، ایران

چکیده

مقدمه و هدف: تاب‌آوری و سن دو متغیر مهمی هستند که در سازگاری بیماران با بیماری‌شان نقش دارند؛ بنابراین پژوهش حاضر، با هدف بررسی نقش تاب‌آوری و سن در سازگاری با علائم و نشانه‌های بیماری درد مزمن صورت گرفت.


موارد و روش‌ها: در یک مطالعۀ توصیفی و از نوع هم‌بستگی 154 نفر (64 مرد و 90 زن) بیمار درد مزمن مراجعه‌کننده به کلینیک درد بیمارستان امام‌خمینی به‌روش نمونه‌گیری داوطلبانه انتخاب شدند. شرکت‌کنندگان به پرسش‌نامۀ‎ اطلاعات جمعیت‌شناختی، مقیاس تاب‌آوری، فرم کوتاه مقیاس افسردگی، اضطراب، استرس و پرسش‌نامۀ ناتوانی جسمانی پاسخ دادند. داده‌های به‌دست‌آمده، با استفاده از ضریب هم‌بستگی پیرسون و تحلیل رگرسیون چندگانه تحلیل شدند.


نتایج: نتایج ضریب هم‌بستگی نشان داد که تاب‌آوری با اضطراب، افسردگی، تنیدگی و ناتوانی جسمانی رابطۀ منفی معناداری داشت و سن با ناتوانی جسمانی رابطۀ مثبت معنادار داشت. همچنین نتایج نشان داد که تاب‌آوری به‌صورت منفی اضطراب، افسردگی، تنیدگی و ناتوانی جسمانی را پیش‌بینی می‌کند و سن نیز می‌تواند به‌صورت مثبت ناتوانی جسمانی را پیش‌بینی کند.


نتیجه‌گیری: بر اساس این پژوهش می‌توان به نقش تاب‌آوری به‌عنوان عاملی محافظت‌کننده در سازگاری با درد مزمن اشاره کرد. این مسئله نیز قابل توجه است که افراد مسن‌تر محدودیت‌های کارکرد جسمانی بیشتری را در هنگام ابتلا به درد مزمن نشان می‌دهند که باید در طراحی درمان‌های دارویی و غیردارویی برای بیماران درد مزمن آن را در نظر داشت.

کلیدواژه‌ها


عنوان مقاله [English]

The role of resiliency and age to adjustment in patients with signs and symptoms of chronic pain

چکیده [English]

Background and Objective: Resiliency and age are two important variables that play a role in patient compliance with disease. Therefore, the aim of this study was to investigate the role of resiliency and age to adjustment in patients with signs and symptoms of chronic pain.


 Materials and Methods: In a descriptive and correlational study, 154 patients (64 males and 90 females) with chronic pain referred to Imam Khomeini hospital pain clinic and with voluntary sampling method were selected. Participants completed demographic inventory, Resiliency Scale (CS_RISC), Depression Anxiety Stress Scales (DASS_21) & Roland–Morris Disability Questionnaire (RDQ). The data were analyzed by Pearson correlation coefficient and multiple regression analysis.


Results: The correlation coefficients showed that resiliency with anxiety, depression, stress and physical disability had a significantly negative correlation and age had a significant positive correlation with physical disabilities. The results also showed that resilience can be a negative predictor for anxiety, depression, stress and physical inability and age can be positively a predictor for physical inability.


Conclusion: These findings suggest that resiliency is a protective factor in adjustment with chronic pain. it is noticeable that older people more likely to report physical functional limitations due to chronic pain and it should be considered in pharmacological and non-pharmacological therapies designed for patients with chronic pain.

کلیدواژه‌ها [English]

  • Chronic pain
  • Adjustment
  • Resilience
  • Age
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