پديد آورندگان :
احمدي، فرزانه دانشگاه آزاد اسلامي واحد بروجرد , استاديان خاني، زهرا دانشگاه آزاد اسلامي واحد تهران مركزي , آقايوسفي، عليرضا دانشگاه پيام نور
چكيده فارسي :
زمينه و هدف: بيماري انسداد عروق‌كرونر قلب از علل بسيارمهم مرگ‌ومير در ايران است. پژوهش حاضر باهدف مقايسهٔ راهبردهاي‌هاي مقابله با استرس و طرح‌واره‌هاي ناسازگار اوليه در بيماران مبتلا به انسداد عروق‌كرونر قلب و افراد سالم بود.
روش‌بررسي: مطالعهٔ حاضر، توصيفي از نوع علي‌مقايسه‌اي بود. نمونه‌هاي پژوهش را 60 نفر (30 بيمار دچار انسداد عروق‌كرونر قلب و 30 فرد سالم) تشكيل دادند كه به‌صورت دردسترس انتخاب شدند. شركت‌كنندگان به پرسشنامه‌هاي راهبردهاي مقابله‌اي و طرح‌واره‌هاي ناسازگار و سلامت عمومي گلدبرگ، پاسخ دادند. داده‌ها با آزمون تحليل واريانس يك‌راهه (ANOVA) تحليل شدند.
نتيجه‌گيري: باتوجه به تأثيرپذيري بيماران عروق‌كرونري از راهبردهاي مقابله‌اي هيجان‌مدار و مسئله‌مدار و طرح‌واره‌هاي ناسازگار اوليه، جهت بهبود بيماران مي‌توان، با شناسايي راهبردهاي مقابله‌اي ناسازگارانه و طرح‌واره‌هاي ناسازگار اوليه و آموزش و درمان در اين حوزه، در بهبود الگوهاي شناختي و راهبردهاي مقابله‌اي اين بيماران استفاده كرد.
چكيده لاتين :
Background and objective: Coronary artery disease is the most common serious diseases in developing countries. It is predicted that by 2020,
heart disease will kill 25 million people annually. Coronary artery disease is the leading cause of death in people over 35 years in Iran. Biological
factors such as abnormal levels of certain fats in the blood, increase in bad cholesterol, increase in lipoprotein cholesterol, fluctuations in
lipoprotein cholesterol levels of good cholesterol, hypertension, smoking, sedentary lifestyle, overweightness or obesity, increasing age, and
family history of premature coronary heart disease make people susceptible to heart disease. Some psychological factors such as stress predispose
people to coronary heart disease. On top of it, basic schemata, too, predisposes people to coronary artery disease. The present study aimed to
compare the stress coping strategies and early maladaptive schemas in patients with coronary artery disease and healthy individuals.
Methods: The population of the study was all patients with coronary artery disease and their relatives who were referred to the hospital martyr.
Convenience sampling was used to recruit 60 participants from among the patients with coronary artery disease treated at martyr Beheshti
Hospital and Diagnostic Center of light Nuclear Medicine Qom- Iran. Each participant was matched to a healthy person, who was visiting the
same institutes, for age, gender, marital status and education. Inclusion criteria for this study were as follows: signing a consent to participate in
research, being in the age range from 35 to 65 years, having studied up to at least a fifth-grade education level, not suffering from major
psychiatric disorders, not taking psychiatric drugs and drugs to diagnose coronary artery disease by cardiologists for patients. The exclusion
criteria included psychological disorder or a history of mental illness, history of lung disease, medication, drugs (based on self-reporting) and
failure to sign the written consent to participate in research. The research instruments were 1) Lazarus Coping Strategies inventory, 2) Yang
Maladaptive and 3) Goldberg General Health Inventory. The Data were analyzed through on way ANOVA.
Results: Patients with coronary artery disease were significantly different from the control group in the coping strategies factors: coping
(P=0.002), problem solving (P<0.001)), early maladaptive schemas (emotional deprivation (P<0.001), abandonment (P<0.001), mistrust
(P=0.008), vulnerability to disease (P<0.001) Undeveloped Self (P<0.001), sacrifice (P=0.006), emotional inhibition (P=0.024), and strict criteria
(P<0.001).
Conclusion: Coronary artery disease is affected by problem-focused and emotion-focused coping strategies as well as early maladaptive
schemas. Therefore, it is imperative that patients identify maladaptive coping styles and early maladaptive schemas.
