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
1402
2
1
gregorian
2023
5
1
22
2
online
1
fulltext
fa
نقش واسطهای اضطراب مرگ و اضطراب کرونا در رابطه بین تابآوری و اضطراب بیماری در پرستاران شهر تهران: یک مطالعه توصیفی
The Mediating Role of Death Anxiety and Corona Anxiety in the Relationship between Resilience and Hypochondriasis among Nurses in Tehran:
A Descriptive Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:119%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">اضطراب بیماری (خودبیمارانگاری) یکی از مهمترین پدیدههایی است که در طول دوران شیوع کرونا در زندگی افراد و به­ویژه پرستاران و کادر درمان اختلال ایجاد کرده است. لذا پژوهش حاضر با هدف تعیین نقش واسطهای اضطراب مرگ و اضطراب کرونا در رابطه­ بین تابآوری و اضطراب بیماری انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:119%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">مواد و روش­ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> در مطالعه توصیفی حاضر، جامعه آماری شامل پرستاران بیمارستان­های مناطق 10، 14، 15 و 20 شهر تهران در چهار ماه اول سال 1401 بود. تعداد 250 نفر به شیوه نمونه­برداری در دسترس انتخاب شدند و به پرسشنامه خودبیمارانگاری </span></span></span>Evans<span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">، مقیاس تابآوری </span></span></span>Connor<span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> و </span></span></span>Davidson<span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">، مقیاس اضطراب مرگ </span></span></span>Templer<span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> و پرسش­نامه اضطراب کرونا </span></span></span>Alipour<span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> و همکاران پاسخ دادند. جهت تجزیه ­و تحلیل داده­ها از مدلسازی معادلات ساختاری و تحلیل مسیر استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:119%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> یافتههای پژوهش نشان داد که بین تابآوری با اضطراب مرگ، اضطراب کرونا و اضطراب بیماری رابطه آماری منفی و معناداری وجود دارد (05/0</span></span></span>P<i><</i><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">). بر اساس نتایج پژوهش، تابآوری، اضطراب مرگ و اضطراب کرونا در مجموع 52 درصد از واریانس اضطراب بیماری را تبیین می­کنند. نتایج تحلیل مسیر نشان داد تابآوری با واسطه اضطراب کرونا (481/2=</span></span></span><i>t</i><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">،<br>
541/0-=</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"Cambria","serif"">β</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">) و اضطراب مرگ (252/2=</span></span></span><i>t</i><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">، 482/0-=</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"Cambria","serif"">β</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">) بر اضطراب بیماری اثر غیرمستقیم معنادار (واسطه</span></span></span><i>‍</i><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">ای) دارد (05/0</span></span></span><i>P<</i><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:119%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin"">نتیجه­­گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:119%"><span style="font-family:"B Nazanin""> یافته­های پژوهش حاضر نشان دهنده نقش اضطراب مرگ و اضطراب کرونا در تابآوری و اضطراب بیماری است. پیشنهاد می­شود به منظور کاهش و پیش­گیری از اضطراب بیماری، با محوریت کاهش اضطراب مرگ و اضطراب کرونا، ارائه خدمات بهداشت روان در قالب جلسات آموزشی تابآوری انجام گردد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> اضطراب مرگ، اضطراب کرونا، تابآوری، اضطراب بیماری، پرستار</span></span><span lang="AR-SA" style="font-size:1.0pt"><span style="font-family:"B Nazanin""></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="line-height:150%">Background and Objectives:</span></b></a><span style="line-height:150%"> Hypochondriasis (Hypochondria) is one of the most important phenomena that has disrupted the lives of people, especially nurses and medical staff, during the outbreak of corona. Therefore, the present study was conducted with the aim of determining the mediating role of death anxiety and corona anxiety in the relationship between resilience and hypochondriasis. </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="line-height:150%">Materials and Methods:</span></b><span style="line-height:150%"> In this descriptive study, the statistical population included nurses from hospitals in districts 10, 14, 15, and 20 of Tehran in the first four months of 2022. Two-hundred and fifty participants were selected by convenience sampling. They responded to Evans’ Hypochondria Questionnaire, Connor and Davidson's Resilience Scale, Templer's Death Anxiety Scale, and Alipour et al.’s Corona-related Anxiety Questionnaire. Structural equation modeling (SEM) and path analysis were used to analyze the data.</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="line-height:150%">Results:</span></b><span style="line-height:150%"> The findings of this research showed that there is a significant negative relationship between resilience and death anxiety, corona anxiety, and hypochondriasis (p<0.05). According to the research results, resilience, death anxiety, and corona anxiety explain a total of 52% of the variance of hypochondriasis. The results of the path analysis showed that resilience through corona anxiety (t=2.481, β= -0.541) and death anxiety (t=2.252, β= -0.482) had a significant indirect effect (mediating) on hypochondriasis (p<0.05).</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="line-height:150%">Conclusion:</span></b><span style="line-height:150%"> The findings of the present study showed the role of death anxiety and corona anxiety on resilience and hypochondriasis. It is recommended to provide mental health services in the form of resilience training sessions in order to reduce and prevent disease anxiety, focusing on reducing death anxiety and corona anxiety.</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="line-height:150%">Key words:</span></b><span style="line-height:150%"> Death anxiety, Corona anxiety, Resilience, Hypochondriasis, Nurse</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="line-height:150%">Funding: </span></b><span style="line-height:150%">This study did not have any funds.</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="line-height:150%">Conflict of interest: </span></b><span style="line-height:150%">None declared.</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="line-height:150%">Ethical approval:</span></b><span style="line-height:150%"> The Ethics Committee of Islamic Azad University, Tehran-Central Branch, approved the study (IR.IAU.CTB.REC.1401.051)</span><b><span style="font-size:4.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:140%">How to cite this article:</span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:140%">Rasouli Magham Zahra, Salehi Somaieh</span></span><span style="font-size:9.0pt"><span style="line-height:140%">. The Mediating Role of Death Anxiety and Corona Anxiety in the Relationship between Resilience and Hypochondriasis among Nurses in Tehran: A Descriptive Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:140%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:140%"> <i>Univ Med Sci</i> 2023; 22 (2): 111-28. [Farsi]</span></span> <b><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></b></span></span></span></span></span><br>
اضطراب مرگ, اضطراب کرونا, تابآوری, اضطراب بیماری, پرستار
Death anxiety, Corona anxiety, Resilience, Hypochondriasis, Nurse
111
128
http://journal.rums.ac.ir/browse.php?a_code=A-10-6160-1&slc_lang=fa&sid=1
Zahra
Rasouli Magham
زهرا
رسولی مقام
rasoulizahra489@gmail.com
6900319475328460053700
6900319475328460053700
No
MSc, Dept. of Clinical Psychology, Islamic Azad University, South Tehran Branch, Tehran, Iran
کارشناس ارشد، گروه روانشناسی بالینی، دانشگاه آزاد اسلامی، واحد تهران جنوب، تهران، ایران
SOMAIEH
SALEHI
سمیه
صالحی
2dr.salehi@gmail.com
6900319475328460053701
6900319475328460053701
Yes
Department of Psychology and Counseling, Faculty of Psychology and Educational sciences, Islamic Azad University, South Tehran Branch, Tehran, Iran
استادیار گروه روانشناسی و مشاوره، دانشگاه آزاد اسلامی، واحد تهران جنوب، تهران، ایران