كليدواژه :
Remedial Approach , Robert Vinter , Social work intervention , Social , مددكاري اجتماعي , مشكلات اجتماعي , بيماري كرونري قلب
چكيده لاتين :
Aim:social worker on the basis of rehabilitation factors and his skills, is able to increase life quality of the heart patients. An investigation from artery heart patients whom were received succesive surgery were selected in the form of pseudo experiments in two groups (experimental and controlled one).
Method: Social group activities conducted upon experimental patient group in five periodical interval according Robert Vinter approach, where as in controlled heart patients, kept them without any social work treatments Social work effects were evaluated through researher made questionary in the form of 13 and 22 items (SCL 90) for soical and psychological heart patientsʹ problems respectively. Reliablity and validity of those questions were checked by Alpha Cronback method, and total value obtained for social and psychological questionaries were 0.82 and 0.65 respectively. Collected data of both questionaries analysised by SPSS statistical method and explanatory data (frequency of occurenc, mean, medium, ...) and ANOVA, t-test were also applied on mean data recorded of both groups patients before and after social work intervention. According Robert Vinter approach, social worker if deter-mined the targets of study before conduction of any experimental works, such as trying for empathy, facilating group learning, playing roles, techniqueʹs relaxation and reducing sensitivness will receive better outcome.
Results: Conducted hypothesis analysis results showed that, social work intervention considerably reduced social-psychological problems of artery heart patients. Comparing mean differences before and after social work intervention evaulated by t-test method observed statistically significant and decresed psychological experimental patients problems. While, mean differences in controlled group patiients indicated reduction in patients anxiety . Comparing mean of collected data of two patients groups also caused decreasing of social problems in experimental groups by social work intervention. In present finding although social problems of male recorded were more than female, but statistical relation was not found significant between them. Whereas, social intervention on social problems in different age group of patient found statistically siginificant (P>0.018) such as age groups of 36-45, 46-55 and 65to 75 years old. Social work intervention on married status, education, occupation, income and housing of heart patients hypothesis were not found siginficant at the level of 5 percent.
