In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 PhD student, Department of Psychology, Emirates Branch, Islamic Azad University, Dubai, United Arab Emirates

2 Associate Professor, Department of Psychology, Department of Psychology, Kharazmi University, Karaj, Iran

3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

Abstract

Objective: Coronary Artery Disease is a chronic and complex disease requiring continuous medical care. The current study was conducted to predict Health-Related Quality of Life based on emotion regulation with mediating role of self-care in patients with Coronary Artery Disease (CAD).
Method: The research method was descriptive-correlational. The statistical population comprised all patients with CAD (N=350) referring to Shohadaye Tajrish Hospital in Tehran, Iran, in the second half of 2020. Based on the Tabachnick Fidell formula, 184 subjects were selected using a convenient sampling method. Research instruments were the Self-Care Scale (Jaarsma, Halfens, Tan et al, 2003), Emotion Regulation Questionnaire of Garnefski and Graich (2001), and HRQol Survey (Ware, Kosinski & Keller, 1996). Data analysis was done using Structural Equation Modeling (SEM) and path analysis.
Results: The results indicated a positive and significant mediating role of self-care in the relationship between emotion regulation (β= 0.175, p<0.01) and HRQoL of patients with CAD. Moreover, self-care and emotion regulation had a positive impact on HRQoL.
Conclusion: According to the findings, a part of the mutual effect of self-efficacy and emotion regulation on HRQoL is explained by self-care. On the other hand, high emotion regulation and self-care led to better HLQoL of CAD patients.

Keywords

Article Title [Persian]

ارایه مدل ساختاری پیش بینی کیفیت زندگی مرتبط با سلامت بر اساس تنظیم هیجانی با میانجیگری خود مراقبتی در بیماران مبتلا به بیماری عروق کرونری قلب

Authors [Persian]

  • میترا شه پناه 1
  • ربابه نوری قاسم آبادی 2
  • محمدرضا صیرفی 3

1 دانشجوی دکتری تخصصی، گروه روانشناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی

2 2- دانشیار، گروه روانشناسی، واحد روانشناسی، دانشگاه خوارزمی، کرج، ایران

3 گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی،کرج، ایران

Abstract [Persian]

هدف: پژوهش حاضر با هدف ارایه مدل پیش بینی کیفیت زندگی مرتبط با سلامت بر اساس تنظیم هیجانی با میانجیگری خود مراقبتی در افراد مبتلا به بیماری عروق کرونری انجام شد.روش: طرح پژوهش توصیفی از نوع همبستگی بود .جامعه آماری این پژوهش کلیه بیماران مبتلا به بیماری عروق کرونری مراجعه کننده به بیمارستان شهدای تجریش تهران در نیمه دوم سال 1399 می باشد که تعداد مراجعه کنندگان 350 نفر بوده است و که بر اساس فرمول تابانیک فیدلر تعداد 184 نفر به روش نمونه گیری در دسترس به عنوان نمونه پژوهش انتخاب شدند. ابزار پژوهش شامل؛ پرسشنامه خود مراقبتی (جاراسما و همکاران، 2003)، پرسشنامه تنظیم هیجانی( گارنفسکی و همکاران(۲۰۰۱) و پرسشنامه کیفیت زندگی مرتبط با سلامت (وار، کاسینسکی و کلر، 1996) بود. جهت تحلیل داده ها از آزمون آماری مدل معادلات ساختاری و تحلیل مسیر استفاده گردید. یافته ها: داده ها نشان داد که خود مراقبتی به طور معنادار و مثبت در رابطه بین تنظیم هیجانی(β= 0.175) و کیفیت زندگی مرتبط با سلامت در افراد مبتلا به بیماری عروق کرونری نقش میانجی داشت. همچنین خود کارآمدی و تنظیم هیجانی اثر مثبتی روی خود مراقبتی داشت. نتیجه گیری: بر اساس این یافته ها می توان نتیجه گیری کرد که بخشی از اثر متقابل خود کارآمدی و تنظیم هیجانی بر کیفیت زندگی مرتبط با سلامت با خود مراقبتی قابل توجیه است و خود کارآمدی و تنظیم هیجانی بالا با اضافه شدن عامل خود مراقبتی منجر به کیفیت زندگی مرتبط با سلامت بهتر در افراد مبتلا به بیماری عروق کرونری شد.

Keywords [Persian]

  • تنظیم هیجانی
  • خود مراقبتی
  • کیفیت زندگی مرتبط با سلامت
  • بیماران عروق کرونری قلب
Afrookhteh, G., Arefi, M., Kakabaraie, K. Structural equation modeling of personality traits, quality of life and life expectance with mediating role of emotion regulation in heart patients, Journal of Disability Studies, 2019; 9(1): 1-12.
Aghakhani, N., Golmohamadi, F., Khademvatan, K., Alinehad, V. Self-care education on the self-efficacy in myocardial infarction hospitalized patients in Seyed Al-Shohada Educational and Treatment Center, Urmia, 2017, Journal of Urmia Nursing and Midwifery Faculty, 2018; 16(6): 412-422.
Barberis, N.  Cernaro, V &  Costa, S. The relationship between coping, emotion regulation, and quality of life of patients on dialysis, The International Journal of Psychiatry in Medicine, 2017; 52(2):101-110.
Cervellin G, Mattiuzzi C, Bovo C, et al. Diagnostic algorithms for acute coronary syndrome-is one better than another? Ann Transl Med 2021; 4:193. 10.21037/atm.2021.05.16.
Early, T & Maghaminejad, F. Quality of Working Life of Nurses and its Related Factors, Nurse-Midwifery Studies, 2017; 3(2): 194-150.
Garnefski, N & Graich, E. the   relationship   between cognitive   emotion regulation strategies and emotional problems: Comparison   between   a   clinical   and   a   non-clinical sample, European Journal of Personality, 2016; 16(4): 403-420.
Ghafarzadeh Almasi, N., Hajializadeh, K., Tajeri, B. Comparison of the effectiveness of stress management and acceptance and commitment-therapy on blood sugar control and quality of life in patients with type 2 diabetes, Journal of Diabetes Nursing, 2021; 9(2): 1367-1384.
Golestaneh, S.E., Tajeri, B., Borjali, M., Sobhi Gharamaleki, N., Sarami Foroushani, G. Determining craving by emotion regulation and psychological capital mediated by problem-solving styles in substance-dependent males aged 20 to 45 years, Journal of Disability Studies, 2021; 11: 7-7.
Harvey, I. Lenaghan, E & Smith, J. A systematic review of multidisciplinary interventions in heart failure, Journal of Heart Failure, 2015; 91(7):899- 906.
Hatami, S., Saboonchi, R., Sekhavat, A., Ahar, M. comparing the quality of life among participated and non-participated veterans and imperfective in sports activists, Journal of Sport Bioscience Researches, 2012; 2(7): 29-38.
Jaarsma, T., Halfens, R., Tan, F. Self-care and quality of life in patients with Heart advanced heart failure: the effect of a supportive educational intervention, Heart & Lung: The journal of critical care. 2010; 29:319–30.
Jafari, L. Study of the effect of self-regulation education on quality of life and general health of heart patients, MA dissertation, Islamic Azad University Shar-e-Qods Branch, Faculty of Psychology and Educational Sciences. 2016. 11-14.
Kazemi Rezaei, A., Moradi, A., Hasani, J. Comparative study of emotional regulation, self-control and defense mechanisms in cardiovascular patients, diabetic patients, and normal people, Journal of Psychiatric Nursing, 2018; 6(1): 43-52.
Kinsella, K & Phillips, D.R (2018). Global Aging: The Challenge of Success. Population Bulletin, Population Reference Bureau, 2018; 60(1): 1-5.
Leininger, M. (2018). Quality of life from a Transcultural cultural nursing perspective, nursing science quarterly, 7(1): 22-28
Lindenfeld, N & Douglas, D. Dunbar, Statement from the American heart association state of the science: promoting self-care in persons with heart failure, A Scientific Circulation, 2019; 120(5):1141-63.
Louis, D. Extrinsic and intrinsic determinants of quality of work-life, International journal of health care quality assurance, 2020; 1(21): 4-22.
Monir poor, N. (2018). Post coronary heart diseases depression: role of illness perception and copping strategies. Iranian Journal of Health Psychology, 1(1), 51-62.
Naghibi, F., Ahadi, H., Tajeri, B., Seirafi, M.R.  Effectiveness of mindfulness-based stress reduction training on psychological symptoms, pain in patients with thalassemia major, Journal of Disability Studies, 2020; 10: 157-157.
Nichols M, Townsend N, Scarborough P, et al. Cardiovascular disease in Europe 2020: epidemiological update. EurHeart J 2020; 35:2929. 10.1093/eurheartj/ehu378
Nik-Azin, A., Naeinian, M.R., Shairi, M.R. Validity and reliability of the health-related quality of life questionnaire "KIDSCREEN-27" in a sample of Iranian students, Iranian Journal of Psychiatry and Clinical Psychology, 2017; 18(4): 310-321.
Nong, A & Min Geng, L. Relationships among emotion regulation, depression, anxiety, stress, and physical health-related quality of life in coronary heart disease patients, European Journal of Cardiovascular Nursing, 2020; 1(2):328-335.
Park, Y.H.Song, M & Kim, S. The effect of self-care education on self-efficacy and quality of life and health literacy of hypertensive patients, Patient Education Counselling, 2018; 82(1):133-137.
Sadeghpoor, M., Salehi Omran, M.T., Yaghoobi, A. Comparative study of alexithymia and quality of life patients with CAD and normal individuals, International Conference on Humanistic, Psychology, and Social Sciences. 2015; 31-4.
Shojaei, F.  Quality of life in patients with heart failure, Journal of Hayat, 2009; 14 (2): 5-13.
Tavakoli, Z., Tajeri, B., Radfar, Sh., Jomehri, F., Khosravi, A. The effectiveness of treatment-based behavior based on acceptance of hidden anxiety, overt anxiety, and hypertension in cardiovascular patients referred to the rest of the Baqiyatallah Hospital, Journal of Psychological Sciences, 2020; 19(96): 1655-1666.
Trinidad, D. R & Johnson, C. A. The association between emotional intelligence and early adolescent tobacco and alcohol use, Personality and Individual Differences, 2019; 32(1): 95-105.
Ware, J. E., Kosinski, M. Y. & Keller, S. D. A 12-Item Short-Form Health Survey. Construction of scales and preliminary tests of reliability and Validity. Medical Care, 1996; 34, 220-233.