ﺗﻮﺳﻌﻪ ﭘﺮﺳﺶﻧﺎﻣﻪ ﭘﺬﯾﺮش و ﻋﻤﻞ در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن

A Study of Factor Structure of Persian Version of Acceptance and Action Questionnaire in People with Cancer

زﻣﯿﻨﻪ و ﻫﺪف: ﺳﺮﻃﺎن ﺣﺎﺻﻞ رﺷﺪ ﻏﯿﺮﻃﺒﯿﻌﯽ ﺳﻠﻮل ﻫﺎي ﺑﺪن اﺳﺖ ﮐﻪ ﻋﻼوه ﺑﺮ ﺟﻨﺒﻪﻫﺎي ﺟﺴﻤﯽ، ﺟﻨﺒﻪﻫﺎي رواﻧﺸﻨﺎﺧﺘﯽ را ﻧﯿﺰ ﺗﺤﺖ ﺗﺄﺛﯿﺮ ﻗﺮار ﻣﯽدﻫﺪ. ﺑﺨﺸﯽ از اﺧﺘﻼﻻت ﻣﺮﺑﻮط ﺑﻪ ﺳﻼﻣﺖ روان در اﻓﺮاد ﺳﺮﻃﺎﻧﯽ، ﺑﻪ دﻟﯿﻞ ﻋﺪم اﻧﻌﻄﺎف ﭘﺬﯾﺮي رواﻧﯽ ﭘﺲ از ﺗﺸﺨﯿﺺ ﺳﺮﻃﺎن اﺳﺖ. اﺑﺰاري ﮐﻪ ﺑﺘﻮاﻧﺪ ﻗﺒﻞ و ﯾﺎ ﭘﺲ از ﻋﻤﻞ ﺟﺮاﺣﯽ، ﺑﺮاي ﺑﯿﻤﺎران اﺳﺘﻔﺎده ﺷﻮد و ﺑﻪ آﻣﺎدهﺳﺎزي ﺑﯿﻤﺎران ﮐﻤﮏ ﮐﻨﺪ، ﻣﻔﯿﺪ ﺧﻮاﻫﺪ ﺑﻮد. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺳﺎﺧﺘﺎر ﻋﺎﻣﻠﯽ ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﺬﯾﺮش و ﻋﻤﻞ ﻧﺴﺨﻪ 2 )AAQ-2( در اﻓﺮاد ﺳﺮﻃﺎﻧﯽ اﻧﺠﺎم ﭘﺬﯾﺮﻓﺖ. ﻣﻮاد و روش ﻫﺎ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ، ﯾﮏ ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﯽ ﺑﻮد ﮐﻪ در آن، ﺗﻌﺪاد 95 ﺑﯿﻤﺎر ﺳﺮﻃﺎﻧﯽ )زن و ﻣﺮد( ﺑﺴﺘﺮي ﺷﺪه در ﺑﯿﻤﺎرﺳﺘﺎن ﻓﯿﺮوزﮔﺮ ﺗﻬﺮان در ﻣﻄﺎﻟﻌﻪ ﺷﺮﮐﺖ ﮐﺮدﻧﺪ. دادهﻫﺎي اﯾﻦ ﺑﯿﻤﺎران ﻗﺒﻞ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي، ﭘﺬﯾﺮش و ﻋﻤﻞ ﻧﺴﺨﻪ 2، ﺑﺨﺸﺶ ﻫﺎرﺗﻠﻨﺪ )HFS( و اﻓﺴﺮدﮔﯽ ﺑﮏ 2 )BDI-2( ﮔﺮدآوري ﺷﺪ. ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺑﺎ روشﻫﺎي ﺗﺤﻠﯿﻞ ﻋﺎﻣﻠﯽ اﮐﺘﺸﺎﻓﯽ و ﺗﺄﯾﯿﺪي، رواﯾﯽ ﻫﻤﮕﺮا - واﮔﺮا اﻧﺠﺎم ﺷﺪ و از روش ﻫﻤﺴﺎﻧﯽ دروﻧﯽ ﺑﺮاي ﺑﺮرﺳﯽ ﭘﺎﯾﺎﯾﯽ اﺳﺘﻔﺎده ﺷﺪ. ﮐﻠﯿﻪ ﻋﻤﻠﯿﺎت در ﻧﺮماﻓﺰارﻫﺎي 22 SPSS و 22 AMOS اﻧﺠﺎم ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﺗﺤﻠﯿﻞ ﻋﺎﻣﻞ اﮐﺘﺸﺎﻓﯽ ﻧﺸﺎن داد ﮐﻪ دو ﻋﺎﻣﻞ )اﺣﺴﺎﺳﺎت و ﻧﮕﺮاﻧﯽﻫﺎ و ﺧﺎﻃﺮات ﻣﻨﻔﯽ( از ﻧﺴﺨﻪ ﻓﺎرﺳﯽ ﻣﻘﯿﺎس ﻗﺎﺑﻞ اﺳﺘﺨﺮاج اﺳﺖ. ﺿﺮاﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﺑﯿﻦ ﻧﻤﺮات ﻣﻘﯿﺎس ﺑﺎ اﺑﺰارﻫﺎي ﺑﺨﺸﺶ ﻫﺎرﺗﻠﻨﺪ و اﻓﺴﺮدﮔﯽ ﺑﮏ ﻧﺸﺎن داد ﮐﻪ رواﯾﯽ ﻣﻘﯿﺎس ﺗﺄﯾﯿﺪ ﮔﺮدﯾﺪ و ﻣﻘﺪار ﺿﺮﯾﺐ آﻟﻔﺎي ﮐﺮوﻧﺒﺎخ )0/824( ﻫﻤﺴﺎﻧﯽ دروﻧﯽ را ﻫﻢ ﺗﺄﯾﯿﺪ ﮐﺮد. ﻧﺘﯿﺠﻪ ﮔﯿـﺮي: ﻧﺴﺨﻪ ﻓﺎرﺳﯽ 7 ﭘﺮﺳﺸﯽ ﻣﻘﯿﺎس ﭘﺬﯾﺮش و ﻋﻤﻞ 2 در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎن، داراي ﺳﺎﺧﺘﺎر دو ﻋﺎﻣﻠﯽ اﺳﺖ و ﺑﻪ ﻧﻈﺮ ﻣﯽرﺳﺪ ﻧﺴﺒﺖ ﺑﻪ ﺳﺎﺧﺘﺎر ﺗﮏ ﻋﺎﻣﻠﯽ آن ﻣﻨﺎﺳﺐﺗﺮ اﺳﺖ. اﯾﻦ ﭘﺮﺳﺶ ﻧﺎﻣﻪ ﻣﯽ ﺗﻮاﻧﺪ ﺑﺮاي ﺑﯿﻤﺎران ﻗﺒﻞ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﮔﯿﺮد.

Introduction & Objective: Cancer is the result of abnormal growth of the cells with the potential to invade or spread to other parts of the body which affects psychological patients’ aspects. Some of mental health disorders in cancer patients are due to lack of psychological flexibility. An assessment tool that can be used on these patients will be helpful to prepare patients not only for surgery but also after surgery. This study aimed to determine the factor structure of the Persian version of acceptance and action questionnaire (AAQ-II) in the cancer patients. Materials & Methods: This study was a cross-sectional study in which 95 cancer patients that admitted to Firoozgar Hospital in Tehran participated in the study. The Persian version of acceptance and action questionnaire (AAQ-II), Heartland Forgiveness Scale (HFS) and Beck Depression Inventory-II (BDI-II) were used to this study. Exploratory and confirmatory factor analysis methods, convergent-divergent validity were used to examine the validity of the study. The internal consistency coefficient was used to reliability. Data analysis was performed in IBM SPSS 22 and Amos 22 software. Results: Exploratory factor analysis by principle component analysis and Varimax rotation indicated that the two factors are extractable from the Persian version of the scale (named as feelings and worries and negative memories) and the fitting indices confirmed the results of the confirmatory factor analysis of the dual factors. Correlation coefficients between the scores with other valid tools, Heartland Forgiveness Scale (HFS) and Beck Depression Inventory-II (BDI-II), showed that the convergence and divergence validity of the scale is acceptable and the Cronbach's alpha coefficient (0.824) confirmed internal consistency. Conclusions: The Persian version of AAQ-II in cancer patients was resulted two-factor structure, and it seems that it is more appropriate than single-factor structure and suggested. This questionnaire can be used for cancer patients before surgery