Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1405
2
1
gregorian
2026
5
1
24
12
online
1
fulltext
en
بررسی نقش انعطافپذیری روانشناختی و ذهنآگاهی در پیشبینی کیفیت زندگی بیماران عروق کرونری شهرستان کاشان در سال 1402-1403: یک مطالعه توصیفی
Investigating the Role of Psychological Flexibility and Mindfulness in Predicting the Quality of Life in Coronary Artery Patients in Kashan, 2023-24: A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">کیفیت زندگی پایین نقش معناداری در بدتر شدن شرایط بالینی بیماران عروق کرونری و نیز افزایش نرخ مرگ و میر در آنها دارد. بر اساس مطالعات قبلی، انعطافپذیری روانشناختی و ذهنآگاهی میتوانند پیشبینی کننده کیفیت زندگی در بیماران مختلف باشند. هدف از این مطالعه تعیین نقش انعطافپذیری روانشناختی و ذهنآگاهی در پیشبینی کیفیت زندگی بیماران عروق کرونری بود. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> این </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مطالعه توصیفی با استفاده از روش نمونهگیری در دسترس بر روی بیماران عروق کرونری مراجعهکننده به بیمارستانهای شهرستان کاشان در سال 1402-1403 صورت گرفت (252=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">n</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). برای جمع آوری دادهها از پرسشنامههای </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">کیفیت زندگی سازمان بهداشت جهانی (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">World Health Organization Quality-of-Life Scale</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، پرسشنامه انعطافپذیری روانشناختی (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Psychological Flexibility Questionnaire</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">و </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مقیاس ذهنآگاهی (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Mindful Attention Awareness Scale</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)</span></span></span> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">استفاده گردید. از روش همبستگی </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Pearson</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و رگرسیون خطی چندگانه برای تجزیه و تحلیل دادهها استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> انعطافپذیری روانشناختی (</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">778/0=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">r</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 001/0></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و ذهنآگاهی (</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">607/0=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">r</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 001/0></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری دارند. هر کدام از متغیرهای پیشبین توانستند به خوبی متغیر ملاک را پیشبینی نمایند. همچنین، با اضافه شدن ذهنآگاهی به انعطافپذیری روانشناختی، توانستند حدود 67 درصد از واریانس کیفیت زندگی را تبیین نمایند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد انعطافپذیری روانشناختی و ذهنآگاهی رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری داشته و به طور قابل توجهی توانستند کیفیت زندگی را پیشبینی نمایند. در نتیجه نیاز است افزایش انعطافپذیری روانشناختی از طریق روشن ساختن ارزشهای زندگی و انجام تمرینات ذهنآگاهی در پروتکلهای درمانی این بیماران مدنظر قرار گیرد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> بیماری عروق کرونری، انعطافپذیری روانشناختی، ذهنآگاهی، کیفیت زندگی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> Low quality of life plays a significant role in the worsening of clinical conditions of coronary artery patients and in increasing their mortality rate. Based on previous studies, psychological flexibility and mindfulness can predict quality of life in various patients. The aim of this study was to determine the role of psychological flexibility and mindfulness in predicting quality of life in coronary artery disease patients</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This cross-sectional study was conducted using convenience sampling method on coronary artery patients referred to the hospitals in Kashan City, 2023-24 (n=252). The World Health Organization quality of life questionnaire, Psychological Flexibility Questionnaire, and Mindful Attention Awareness Scale were used to collect data. Pearson's correlation method and multiple linear regression were used to analyze the data</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Psychological flexibility (r=0.778, p<0.001) and mindfulness (r=0.607, p<0.001) have a positive and significant relationship with the quality of life in coronary artery patients. Each of the predictor variables was able to predict the criterion variable well. Also, by adding mindfulness to psychological flexibility, they were able to explain about 67% of the variance in quality of life</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The current study showed that psychological flexibility and mindfulness had a positive and significant relationship with the quality of life of coronary artery patients, and were able to significantly predict the quality of life. As a result, there is a need to consider increasing psychological flexibility by clarifying life values and performing mindfulness exercises in the treatment protocols of these patients</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Coronary artery disease, Psychological flexibility, Mindfulness, Quality of life</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study was funded by Kashan University of Medical Sciences.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflicts of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Kashan University of Medicine Sciences approved the study (IR.KAUMS.MEDNT.REC.1402.250).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mohammad Sarani, Zahra Zanjani, Abdollah Omidi</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mohammad Sarani, Zahra Zanjani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mohammad Sarani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mohammad Sarani, Zahra Zanjani</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Abdollah Omidi</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Abdollah Omidi</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:130%">- Writing - review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:130%"> Mohammad Sarani, Zahra Zanjani</span></span><span style="font-size:9.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><v:roundrect arcsize="0" id="Rounded_x0020_Rectangle_x0020_6" o:gfxdata="UEsDBBQABgAIAAAAIQC75UiUBQEAAB4CAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbKSRvU7DMBSF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==
" style="position:absolute; left:0; text-align:left; margin-top:10px; width:503.7pt; height:34.95pt; z-index:251664896; v-text-anchor:top"> <v:textbox>
<table width="100%">
<tbody>
<tr>
<td>
<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation: </span></span></b><span style="font-size:8.0pt"><span style="line-height:150%">Sarani M, Omidi A, Zanjani Z. Investigating the Role of Psychological Flexibility and Mindfulness in Predicting the Quality of Life in Coronary Artery Patients in Kashan, 2023-2024: A Descriptive Study. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2026; 24 (12): 1103-16. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
</td>
</tr>
</tbody>
</table>
</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><span style="font-size:9.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<br>
<span style="font-size:11pt"><span style="text-autospace:none"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span>
بیماری عروق کرونری, انعطافپذیری روانشناختی, ذهنآگاهی, کیفیت زندگی
Coronary artery disease, Psychological flexibility, Mindfulness, Quality of life
1103
1116
http://journal.rums.ac.ir/browse.php?a_code=A-10-7139-1&slc_lang=en&sid=1
Mohammad
ُSarani
محمد
سارانی
mohammad.sarani.1376s@gmail.com
6900319475328460062559
0009-0007-7038-8206
No
Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Abdollah
Omidi
عبدلله
امیدی
abomidi20@yahoo.com
6900319475328460062560
6900319475328460062560
No
Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Zahra
Zanjani
زهرا
زنجانی
z_zanjani2005@yahoo.com
6900319475328460062561
6900319475328460062561
Yes
Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران