ارﺗﺒﺎط ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه ﺑﺎ ﺑﻬﺰﯾﺴﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ و ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﭘﺲ از ﻣﺎﺳﺘﮑﺘﻮﻣﯽ

Relationship the Role of Perceived Social Support with Psychological Well-Being and the Marital Adjustment in the Women Undertake Mastectomy

زﻣﯿﻨﻪ و ﻫﺪف: ﻫﺪف از ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ راﺑﻄﻪ ﺑﯿﻦ ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه و ﻣﺆﻟﻔﻪﻫﺎي آن ﺑﺎ ﺑﻬﺰﯾﺴﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ و ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن ﭘﺴﺘﺎن، ﺷﺶ ﻣﺎه ﭘﺲ از ﻣﺎﺳﺘﮑﺘﻮﻣﯽ ﺑﻮده اﺳﺖ. ﻣﻮاد و روش ﻫﺎ: ﻃﺮح ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺗﻮﺻﯿﻔﯽ از ﻧﻮع ﻫﻤﺒﺴﺘﮕﯽ ﺑﻮد و ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ ﮐﻠﯿﻪ زﻧـﺎن ﻣﺒـﺘﻼ ﺑﻪ ﺳﺮﻃﺎن ﭘﺴﺘﺎن، ﮐﻪ ﺗﺤﺖ ﺟﺮاﺣﯽ ﻗﺮار ﮔﺮﻓﺘﻪ و ﺑﺮاي ﭘﯿﮕﯿﺮي ﺑﻪ درﻣﺎﻧﮕـﺎه ﻣﺮﮐﺰ آﻣﻮزﺷﯽ درﻣﺎﻧﯽ و ﻣﺮﮐﺰ اﻧﮑﻮﻟﻮژي ﺷﻬﺮ ﺷﯿﺮاز در ﺳﺎل 1395 ﻣﺮاﺟﻌﻪ ﻧﻤﻮدﻧﺪ، ﺑﻮد. ﻧﻤﻮﻧﻪ ﻣﻮرد ﻧﻈﺮ 134 ﻧﻔﺮ ﺑﻮدﻧﺪ ﮐﻪ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪه و ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﺑﺰارﮔﺮدآوري اﻃﻼﻋﺎت ﺷﺎﻣﻞ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺣﻤﺎﯾﺖ ادراك ﺷﺪه، ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ و ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﻬﺰﯾﺴﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ رﯾﻒ ﺑﻮد. ﺑﻪ ﻣﻨﻈﻮر ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار اس ﭘﯽ اس اس از آزﻣﻮن ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن و رﮔﺮﺳﯿﻮن ﭼﻨﺪﮔﺎﻧﻪ ﺑﻪ ﺷﯿﻮه ﻫﻤﺰﻣﺎن در ﺳﻄﺢ ﻣﻌﻨﺎداري 0/05 اﺳﺘﻔﺎده ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﻧﺘﺎﯾﺞ ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺗﻮﺳﻂ آزﻣﻮن رﮔﺮﺳﯿﻮن ﺧﻄﯽ ﻧﺸﺎن داد ﮐﻪ ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ﭘﯿﺶﺑﯿﻨﯽﮐﻨﻨﺪه ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ و ﺑﻬﺰﯾﺴﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ ﺑﻮده اﺳﺖ ﺑﻪ اﯾﻦ ﺻﻮرت ﮐﻪ از ﺑﯿﻦ اﺑﻌﺎد ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ﺗﻨﻬﺎ ﺣﻤﺎﯾﺖ ﺧﺎﻧﻮاده ﺗﻮاﻧﺴﺘﻪ اﺳﺖ وارﯾﺎﻧﺲ ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ را ﺑﻪ ﻣﯿﺰان 0/17 در ﺳﻄﺢ ﻣﻌﻨﺎداري 0/001 ﭘﯿﺶﺑﯿﻨﯽ ﮐﻨﺪ. ﻫﻤﭽﻨﯿﻦ از ﺑﯿﻦ اﺑﻌﺎد ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ﺣﻤﺎﯾﺖ ﺧﺎﻧﻮاده ﺗﻮاﻧﺴﺘﻪ اﺳﺖ وارﯾﺎﻧﺲ ﺑﻬﺰﯾﺴﺘﯽ روان ﺷﻨﺎﺧﺘﯽ را در ﺳﻄﺢ ﻣﻌﻨﺎداري 0/01 ﭘﯿﺶﺑﯿﻨﯽ ﮐﻨﺪ. ﯾﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن ﻣﯽدﻫﺪ ﮐﻪ ﻣﺘﻐﯿﺮ ﺑﻬﺰﯾﺴﺘﯽ روان ﺷﻨﺎﺧﺘﯽ ﺑﺎ اﺑﻌﺎد ﺣﻤﺎﯾﺖ ﺧﺎﻧﻮاده )ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﺑﺮاﺑﺮ ﺑﺎ 0/52( و اﻓﺮاد ﻣﻬﻢ )ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﺑﺮاﺑﺮ ﺑﺎ 0/42( راﺑﻄﻪ ﻣﺜﺒﺖ و ﻣﻌﻨﺎداري دارد. ﻫﻤﭽﻨﯿﻦ ﻣﺘﻐﯿﺮ ﺳﺎزﮔﺎري ﺑﺎ اﺑﻌﺎد ﺣﻤﺎﯾﺖ ﺧﺎﻧﻮاده، ﺣﻤﺎﯾﺖ دوﺳﺘﺎن و اﻓﺮاد ﻣﻬﻢ ﺑﻪ ﺗﺮﺗﯿﺐ ﺑﺎ ﺿﺮاﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ 0/80، 0/21 و 0/61 راﺑﻄﻪ ﻣﺜﺒﺖ و ﻣﻌﻨﺎداري دارد. ﻧﺘﺎﯾﺞ ﻧﺸﺎن ﻣﯽدﻫﺪ ﮐﻪ ﺑﯿﻦ دو ﻣﺘﻐﯿﺮ ﺑﻬﺰﯾﺴﺘﯽ روان ﺷﻨﺎﺧﺘﯽ و ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ ﺑﺎ ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ 0/80 در ﺳﻄﺢ 0/05 راﺑﻄﻪ ﻣﺜﺒﺖ و ﻣﻌﻨﺎداري وﺟﻮد دارد. ﻧﺘﯿﺠﻪ ﮔﯿـﺮي: اﯾﻦ ﭘﮋوﻫﺶ ﻧﺸﺎندﻫﻨﺪه ﻧﻘﺶ ﻣﺆﺛﺮ ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ در ﭘﯿﺶﺑﯿﻨﯽ ﺳﺎزﮔﺎري زﻧﺎﺷﻮﯾﯽ و ﺑﻬﺰﯾﺴﺘﯽ رواﻧﺸﻨﺎﺧﺘﯽ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن ﭘﺴﺘﺎن ﺑﻮد ﮐﻪ در ﻣﺸﺎوره رواﻧﺸﻨﺎﺧﺘﯽ و درﻣﺎن در اﯾﻦ ﺑﯿﻤﺎران ﺑﺎﯾﺴﺘﯽ ﻣﺪ ﻧﻈﺮ ﻗﺮار ﮔﯿﺮد.

Introduction & Objective: The purpose of this study was investigating the role of perceived social support and its component in explaining the psychological well-being and the marital adjustment in the women who undertake mastectomy. Materials & Methods: The research was descriptive and correlational. The study population included 134 women who attending an outpatient clinic for mastectomy in Isfahan city. The participants completed Ryff's Psychological Well-being Scale (PWBS), The Multidimensional Scale of Perceived Social Support (MSPSS) and Dyadic Adjustment Scale (DAS). Data was analyzed by Pearson correlation regression analysis. Results: The results showed that the perceived social support can predict the psychological well-being and marital adjustment in women undertake mastectomy. Also, there were a direct relationship between well-being and marital adjustment. an‎d data analyzed showed a significant positive predictors of social support is also predict efficacy of psychological well-being in Two areas (positive relationship with others& personal growth) As well as the relationship between marital adjustment and positive psychological well-being was found. Conclusions: This research showed the effective role of social support on prediction of psychological well being and marital adjustment in the women with breast cancer which should be considered in therapeutic counseling and therapeutic services.