بررسي نقش ميزان فشار رواني ادراك شده در سلامت افراد مشكوك به بيماري كوويد-19

The Role of Perceived Mental Stress in the Health of Suspected Cases of COVID-19

زﻣﯿﻨﻪ و ﻫﺪف: ﻓﺸﺎر رواﻧﯽ ﻫﻤﻮاره در ﺷﺮاﯾﻂ ﻣﺘﻔﺎوت زﻧﺪﮔﯽ ﭘﺎﺳﺦﻫﺎي رﻓﺘﺎري را ﺗﺤﺖ ﺗﺎﺛﯿﺮ ﻗﺮار ﻣﯽدﻫﻨﺪ، ﺑﻨﺎﺑﺮاﯾﻦ ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ ﻧﻘﺶ ﻣﯿﺰان ﻓﺸﺎر رواﻧﯽ ادراك ﺷﺪه در ﺳﻠﺎﻣﺖ اﻓﺮاد ﻣﺸﮑﻮك ﺑﻪ ﺑﯿﻤﺎري ﮐﻮوﯾﺪ-19 ﺑﻮد. روشﻫﺎ: روش اﻧﺠﺎم اﯾﻦ ﭘﮋوﻫﺶ ﺗﻮﺻﯿﻔﯽ از ﻧﻮع ﻫﻤﺒﺴﺘﮕﯽ ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﭘﮋوﻫﺶ ﺗﻤﺎﻣﯽ ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪﮔﺎن زن ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﺻﯿﺎد ﺷﯿﺮازي ﮔﺮﮔﺎن ﺑﺎ ﻋﻠﺎﯾﻢ ﻣﺸﮑﻮك ﺑﻪ ﮐﻮوﯾﺪ-19 ﻣﺎﻧﻨﺪ اﺧﺘﻠﺎﻟﺎت ﺗﻨﻔﺴﯽ، آﺑﺮﯾﺰش ﺑﯿﻨﯽ، ﺳﺮﻓﻪ ﺧﺸﮏ، ﺳﺮﮔﯿﺠﻪ، ﮔﻠﻮدرد و ﺑﺪن درد، ﺗﺐ، در ﺗﺎرﯾﺦ 25 ﺗﺎ 28 اﺳﻔﻨﺪ 1398 ﺑﻮد، ﮐﻪ ﺑﻪ روش دردﺳﺘﺮس ﺗﻌﺪاد 134 ﻧﻔﺮ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻌﯿﺎرﻫﺎي ورود اﻧﺘﺨﺎب ﺷﺪﻧﺪ. در اﯾﻦ ﭘﮋوﻫﺶ از ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻓﺸﺎر رواﻧﯽ ادراك ﺷﺪه ﮐﻮﻫﻦ و ﻫﻤﮑﺎران، ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻠﺎﻣﺖ ﮔﻠﺪﺑﺮگ و ﻫﯿﻠﺮ و ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ اﻃﻠﺎﻋﺎت ﺟﻤﻌﯿﺖ ﺷﻨﺎﺧﺘﯽ اﺳﺘﻔﺎده ﺷﺪ. ﭘﺲ از ﺟﻤﻊ آوري اﻃﻠﺎﻋﺎت ﺑﺎ اﺳﺘﻔﺎده از روش آﻣﺎري ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن و رﮔﺮﺳﯿﻮن ﺧﻄﯽ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺮم اﻓﺰار 22-SPSS دادهﻫﺎ ﺗﺤﻠﯿﻞ ﮔﺮدﯾﺪه ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: از ﺑﯿﻦ ﮐﻞ ﻧﻤﻮﻧﻪﻫﺎ 87 ﻧﻔﺮ ﻣﺒﺘﻠﺎ ﺑﻪ ﮐﻮوﯾﺪ-19 ﺑﺎ ﻣﯿﺎﻧﮕﯿﻦ ﺳﻨﯽ 59/34 ﺳﺎل ﺑﻮدﻧﺪ. ﺑﯿﻦ ﻣﯿﺰان ﻓﺸﺎر رواﻧﯽ ادراك ﺷﺪه ﺑﺎ ﺗﻤﺎﻣﯽ ﺧﺮده ﻣﻘﯿﺎسﻫﺎي ﺳﻠﺎﻣﺖ ﻫﻤﺒﺴﺘﮕﯽ ﻣﺜﺒﺖ ﻣﻌﻨﺎداري در ﺳﻄﺢ 0/01 وﺟﻮد دارﻧﺪ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻘﺪار ﺑﺪﺳﺖ آﻣﺪه از ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﭼﻨﺪﮔﺎﻧﻪ )R2( ﻓﺸﺎر رواﻧﯽ ادراك ﺷﺪه ﺗﻮان ﭘﯿﺶ ﺑﯿﻨﯽ )0/425( از ﺳﻠﺎﻣﺖ را دارد. ﻫﻤﭽﻨﯿﻦ ﻣﻘﺪار ﺑﺪﺳﺖ آﻣﺪه از ﺿﺮﯾﺐ )β( ﻓﺸﺎر رواﻧﯽ ادراك ﺷﺪه )0/369( ﺑﺮ ﺳﻠﺎﻣﺖ ﺗﺎﺛﯿﺮ دارد. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﻪ ﻃﻮر ﮐﻠﯽ اﯾﻦ ﭘﮋوﻫﺶ ﺗﺎﮐﯿﺪ ﮐﻨﻨﺪه، ﺳﻬﻢ ﺑﺴﺰاي ﻓﺸﺎر رواﻧﯽ در ﺳﻠﺎﻣﺖ اﻓﺮاد ﻣﺸﮑﻮك ﺑﻪ ﮐﻮوﯾﺪ-19 اﺳﺖ، ﮐﻪ ﻣﯽﺗﻮاﻧﺪ ﺗﻠﻮﯾﺤﺎت ﮐﺎرﺑﺮدي ﺣﯿﻄﻪ درﻣﺎن ﺑﻪ درﻣﺎن ﮔﺮان اراﯾﻪ ﻧﻤﺎﯾﺪ.

Background and Aim: Mental stress has always influenced behavioral responses in different life situations, so the purpose of the present study was to investigate the role of perceived mental stress in the health of persons suspected of COVID-19. Methods: This was a descriptive correlational study. The statistical population of the study was all female referrals to Sayyad Shirazi Hospital in Gorgan, Iran with suspected symptoms of COVID-19 such as respiratory disorders, runny nose, dry cough, dizziness, sore throat, myalgia and fever on March 15-18 in 2020. 134 people were selected according to the inclusion criteria. In this study, perceived stress questionnaire of Cohen et al., Goldberg and Hillier health questionnaire and researcher-made questionnaire of demographic information were used. Data were analyzed using Pearson correlation coefficient and linear regression using SPSS22 software. Results: 87 patients had COVID-19 with mean age of 59.34 years old. There was a significant positive correlation between the level of perceived mental stress with all health subscales at the level of 0.01. Given the value obtained from Multiple Correlation Coefficient (R2) perceived mental stress is able to predict (0.425) of health. Also the value obtained from the coefficient (β) of perceived mental stress (0.369) effects on health. Conclusion: Overall, this study emphasizes the significant contribution of perceived mental stress to the health of people with suspected COVID-19, which can provide therapeutic implications for therapists.