مدل ساختاری خودمراقبتی بر اساس خودفراروی با میانجی‌گری حمایت اجتماعی در بیماران مبتلا به دیابت

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران

2 دانشکده علوم انسانی، دانشگاه سجاد، مشهد، ایران

چکیده

مقدمه و هدف: دیابت بیماری مزمنی است که نیازمند پذیرش و مراقبت است؛ بنابراین جهت افزایش دانش و انگیزه‌ی بیماران برای مراقبت از خود توصیه اکید می شود. مطالعه حاضر با هدف بررسی مدل ساختاری خود مراقبتی بر اساس خودفراروی با میانجی‌گری حمایت اجتماعی در بیماران مبتلا به دیابت انجام شد.
مواد و روش ها: تحقیق حاضر از نظر روش، توصیفی همبستگی در قالب مدل سازی معادلات ساختاری بود. جامعه مورد نظر شامل تمامی بیماران مبتلا به دیابت نوع 2 مراجعه کننده به کلینیک های تخصصی دیابت سطح شهر تهران در بهار و تابستان 1400 بودند. نمونه مورد بررسی به تعداد 382 نفر و به روش در دسترس انتخاب شدند. ابزار مورد استفاده شامل، پرسشنامه خود مراقبتی، پرسشنامه خود فراروی بزرگسالان لونسون و پرسشنامه حمایت اجتماعی فلمینگ بود. جهت تفسیر داده ها نیز از نرم‌افزارهای SPSS21  وLISREL 8.5  استفاده گردید.
نتایج: مدل مفهومی پیشنهادی مورد تایید قرار گرفت. تمامی شاخص‌های برازش مدل (همانند SRMR  GFI، CFI ،RMSEA) در دامنه قابل قبول تا خوب قرار داشتند و الگوی مورد نظر از ساختار عاملی و برازش مطلوبی برخوردار بود. خود فراروی با حمایت اجتماعی و خود مراقبتی ارتباط مستقیم و قوی داشت. نقش میانجی گر حمایت اجتماعی نیز مورد تایید قرار گرفت.
نتیجه‌گیری: بهبود مؤلفه خود فراروی با بهبود حمایت اجتماعی و ارتقاء خود مراقبتی همراه بوده و می‌تواند به عنوان راهکاری روانشناختی در کنار درمان‌های پزشکی مورد استفاده قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Structural model of self care based on self transcendence mediated by social support on patients with diabetes

نویسندگان [English]

  • Elham Zal 1
  • Hassn Rezaei_Jamaloei 1
  • Mahdi Taheri 2
1 Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2 Faculty of Humanities, Sadjad University, Mashhad, Iran
چکیده [English]

Background and Objective: Diabetes is a chronic disease that requires acceptance and care. Therefore, it is strongly recommended to increase the knowledge and motivation of patients to take care of themselves. The present study was conducted with the aim of investigating the structural model of self-care based on self-care with the mediation of social support in patients with diabetes.
Materials and Methods: The present research was methodical in terms of structural equation modeling. We used available sampling for selecting 382 patients with diabetes type 2 referred to private diabetes clinics in Tehran in spring and summer of 2021. Research tools included self care questionnaire, Self-transcendence questionnaire (ASTI) and social support  questionnaire (SSQ). The data were analyzed by SPSS21 and AMOSE 3 softwares.
Results: The proposed conceptual model approves all model fit indices (such as SRMR GFI, CFI, RMSEA) in an acceptable range to be good. The model had a favorable factor structure and fit. Self transcendence was directly and strongly related to social support and self care. The mediating role of social support was acknowledged.
Conclusion: Improving the self transcendence component is associated with improving social support and promoting self care and can be used as a psychological solution along with medical treatments.

کلیدواژه‌ها [English]

  • Diabetes disease
  • Self care
  • Self transcendence
  • Social support

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دانشور پزشکی
دوره 30، شماره 4 - شماره پیاپی 161
مهر و آبان 1401
صفحه 11-22

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