اثربخشی ترکیب تجویز دارو، تغذیه سالم و فعالیت بدنی متناسب، با مداخله نظم‌دهی هیجان بر ادراک کنترل اضطراب و پاسخ‌های قلبی- عروقی زنان مبتلا به بیماری عروق کرونر قلبی

نویسندگان

1 دانشجوی دکترای روان‌شناسی، دانشگاه علوم تحقیقات، اصفهان، ایران

2 دانشیار علوم اعصاب، گروه روان‌شناسی دانشگاه اصفهان، ایران

3 استادیار روان‌شناسی سلامت، دانشگاه پیام نورگرمسار، سمنان، ایران

چکیده

مقدمه و هدف: بیماری عروق کرونر قلبی در حال تبدیل‌شدن به یک مشکل عمده در سراسر جهان است. از آنجا که دامنۀ گسترده‌ای از عوامل روان‌شناختی-‌فیزیولوژیکی، خطر ابتلا و پیشرفت این بیماری‌ را تحت‌تأثیر قرار می‌دهند، در بررسی عوامل مؤثر در پیدایش و پیشرفت آن‌ها، باید به ترکیب این عوامل با یکدیگر توجه داشت. کنترل شاخص‌های این بیماری با ترکیب درمان‌های دارویی و روان‌شناختی می‌تواند بیشترین نقش را در پیشگیری و پیشرفت این بیماری داشته باشد. بر همین اساس، پژوهش حاضر با‌ هدف بررسی اثربخشی ترکیب دارودرمانی با مداخلۀ نظم‌دهی‌هیجان بر ادراک کنترل اضطراب و پاسخ‌های قلبی‌‌عروقی زنان مبتلا به این بیماری صورت گرفت.
 
مواد و روش‌ها: طرح این پژوهش از نوع نیمه‌آزمایشی بود، به‌طوری که با روش نمونه‌گیری در دسترس از زنان داوطلب مبتلا به بیماری کرونر قلبی، 30 نفر با توجه به معیارهای ورود-‌خروج، انتخاب و به‌تصادف در دو گروه (آزمایش و گواه) جایگزین شدند. گروه آزمایش به‌مدت ده جلسۀ90‌دقیقه‌ای، تحت مداخلۀ نظم‌دهی هیجانی در کنار تجویز دارو و تغذیه و فعالیت بدنی متناسب با بیماری قرار گرفتند. آزمودنی‌های هر دو گروه، قبل و بعد و یک‌ ماه پس از انجام مداخله، به پرسش‌نامه ادراک کنترل اضطراب پاسخ دادند و پاسخ‌های قلبی‌عروقی آن‌ها با استفاده از دستگاه فشارسنج اندازه‌گیری شد. داده‌های جمع‌آوری‌شده با استفاده از نرم‌افزار 24-SPSS و آزمون تحلیل واریانس با اندازه‌گیری مکرر مورد تجزیه‌وتحلیل قرار گرفتند.
 
نتایج: نتایج حاکی از آن‌ است که مداخلۀ نظم‌دهی هیجان در کنار تجویز دارو و تغذیه و فعالیت بدنی متناسب، به افزایش ادراک کنترل اضطراب و بهبود پاسخ‌های قلبی‌‌‌عروقی منجر می‌شود (05/0>P < /span>).
 
نتیجه‌گیری: نتایج این پژوهش بیانگر آن‌ است که آموزش مهارت‌های نظم‌دهی هیجانی و اصلاح هیجان‌ها در کنار تجویز دارو و تغذیه و فعالیت بدنی متناسب، ادراک کنترل اضطراب را بهبود بخشیده و به کاهش «بیش‌‌پاسخ‌دهی قلبی‌عروقی» می‌انجامد.

کلیدواژه‌ها


عنوان مقاله [English]

Effectiveness of medication, healthy nutrition, proper physical activity prescription combined with emotional regulation intervention on perception of anxiety control and cardiovascular responses in female patients with coronary heart disease

نویسندگان [English]

  • Avisa Najimi 1
  • Karim Asgari 2
  • Mojgan Agahheris 3
چکیده [English]

Background and Objective: The cardiovascular diseases are going to become a major problem in the world. Since a widespread range of physiological and psychological factors may have a role in the onset and continuation of cardiovascular diseases, a combination of all factors should be considered, in describing the onset and course of CV diseases. This study was accomplished in an attempt to investigate the effectiveness of drug therapy in combination with emotion regulation on the perception of anxiety control and cardiovascular responses in female patients with CV disease.

Materials and Methods: Thirty female patients with CV disease were selected via accessible sampling method according to inclusion and exclusion criteria. They were then assigned to experimental and control groups. The Intervention consisted of 10 sessions of emotion regulation, each session lasting 90 minutes. Both of the groups were asked to complete ACQ, and their hemodynamic cardiovascular responses were registered. The data was analyzed through repeated measure analysis of variance by SPSS-24. 

Results: The findings showed that emotion regulation was effective in improving cardiovascular responses and enhancement of the perception of anxiety control.

Conclusion: The results of current study suggest that decrement of cardiovascular responses and enhancement of the perception of anxiety control can be achieved through training of emotion regulation techniques.

کلیدواژه‌ها [English]

  • Emotional regulation
  • Cardiovascular disease
  • Perception of anxiety control
  • Cardiovascular responses
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