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
1404
4
1
gregorian
2025
7
1
24
4
online
1
fulltext
fa
مدلیابی معادلات ساختاری تابآوری بر اساس راهبردهای نظمجویی شناختی هیجان و حمایت اجتماعی ادراک شده با نقش میانجی خودکارآمدی در بیماران مبتلا به سرطان پستان: یک مطالعه توصیفی
Structural Equation Modeling of Resilience Based on Cognitive Emotion Regulation Strategies and Perceived Social Support with the Mediating Role of Self-Efficacy in Breast Cancer Patients: A Descriptive Study
پرستاري
Nursing
پژوهشي
Research
<p dir="RTL" style="text-align:justify"><span style="font-size:10pt"><span style="line-height:110%"><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:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> سرطان پستان از جمله شایعترین سرطان­ها است که اثرات زیادی بر سلامت روان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">شناختی بهجا می‏گذارد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">. هدف از پژوهش حاضر پیشبینی تابآوری بر</span></span></span><b><i> </i></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">اساس نظم‏جویی شناختی هیجان و حمایت اجتماعی ادراک شده با نقش میانجی خودکارآمدی در بیماران مبتلا به سرطان پستان بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">مواد و روش</span></span></span></b><b><i></i></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مطالعه حاضر توصیفی و از نوع همبستگی</span></span></span><b><i> </i></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">بود. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">جامعه آماری کلیه زنان مبتلا به سرطان پستان با پرونده فعال در بخش انکولوژی بیمارستان امام خمینی</span></span></span><b><i> </i></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(ره) و امام حسین</span></span></span><b><i> </i></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ع) شهر تهران در سال 1402 بودند که تعداد 250 نفر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">با روش نمونه‏گیری در دسترس انتخاب شدند</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ابزار گردآوری داده</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">ها شامل پرسشنامه نظم‏جویی</span></span></span><span style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> شناختی هیجان </span></span></span>Garnefski<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و همکاران (2001)، مقیاس تابآوری </span></span></span>Connor<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و </span></span></span>Davidson<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> (2003)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، مقیاس حمایت اجتماعی ادراک</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">شده </span></span></span>Zimet<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و همکاران (1988) و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مقیاس </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">خودکارآمدی عمومی</span></span></span> Scherer<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و همکاران (1982) بود</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">داده‏ها با استفاده از ضریب همبستگی </span></span></span>Pearson<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> و مدل</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یابی معادلات ساختاری تجزیه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">یافتهها نشان داد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نظم‏جویی شناختی هیجان غیرانطباقی (26/0-=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 002/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نظم‏جویی شناختی هیجان انطباقی (39/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، حمایت اجتماعی ادراک</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">شده </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(22/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) و خودکارآمدی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">(29/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0=</span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) بر تاب‏آوری</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> اثر مستقیم و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">معنیدار دارد. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">راهبردهای نظم‏جویی شناختی هیجان و حمایت اجتماعی ادراک ­شده با میانجی‏گری­ خودکارآمدی در مجموع 43 درصد از واریانس تاب‏آوری را تبیین می‏کنند. هم­چنین، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مدل </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">نهایی پژوهش </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">از </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">برازش مطلوبی برخوردار بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">نتیجهگیری</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> با توجه به نقش میانجی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">خودکارآمدی در رابطه بین راهبردهای نظم‏جویی شناختی هیجان و حمایت اجتماعی ادراکشده با تابآوری در زنان مبتلا به سرطان پستان، پیشنهاد می</span></span></span><b><i></i></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">شود </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">در راستای بهداشت روان این بیماران </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">مداخلات مؤثر با هدف افزایش تابآوری از طریق نظم‏جویی شناختی هیجان، ارتقاء حمایت اجتماعی و خودکارآمدی برای آنان انجام شود. </span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژههای کلیدی: </span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">تابآوری، خودکارآمدی، راهبردهای نظم‏جویی شناختی هیجان، </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">حمایت اجتماعی ادراک شده</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">، سرطان پستان</span></span></span></p>
<p style="text-align:justify"><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"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:135%">Breast cancer is one of the most common cancers in women that have many effects on psychological health.</span></span> <span style="font-size:9.0pt"><span style="line-height:135%">The purpose of this research was to predict resilience based on cognitive emotion regulation strategies and perceived social support with the mediating role of self-efficacy in breast cancer patients.</span></span><span dir="RTL" lang="FA" 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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The present study was descriptive and correlational. The statistical population consisted of all women with breast cancer who had an active case in the oncology departments of Imam Khomeini (RA) and Imam Hossein (AS) Hospitals in Tehran in 2023. Two-hundred and fifty individuals were selected using the convenience sampling method. Data collection tools included the Cognitive Emotion Regulation Questionnaire (CERQ) by Garnefski et al. (2001), the Resilience Scale (RISC) by Connor and Davidson (2003), the Perceived Social Support Scale (MSPSS) by Zimet et al. (1988), and the General Self-Efficacy Scale (GSES) by Scherer et al. (1982). The Pearson’s correlation coefficient and structural equation modeling were used for the statistical analysis of the data.</span></span><span dir="RTL" lang="FA" 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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The findings showed that maladaptive cognitive emotion regulation (β=-0.26, p=0.002), adaptive cognitive emotion regulation (β=0.39, p=0.001), perceived social support (β=0.22, p=0.001), and self-efficacy (β=0.29, p=0.001) have a direct and significant effect on resilience. Cognitive emotion regulation strategies and perceived social support, with the mediation of self-efficacy, explain a total of 43% of the variance in resilience. Additionally, the final research model demonstrated a good fit.</span></span><span dir="RTL" lang="FA" 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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Given the mediating role of self-efficacy in the relationship between cognitive emotion regulation strategies and perceived social support with resilience in women with breast cancer, it is recommended that targeted interventions be implemented to enhance resilience by improving emotion regulation, increasing social support, and strengthening self-efficacy, thereby supporting the mental health of these patients.</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Resilience, <a name="_Hlk167866515">Self-efficacy</a>, Cognitive emotion regulation strategies, Perceived social support, Breast cancer</span></span><span dir="RTL" lang="FA" 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"><b><span style="font-size:5.0pt"><span style="line-height:135%"></span></span></b></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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">This study did not have any funds.</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">None declared.</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">The Ethics Committee of University of Kashan approved the study (IR.KASHANU.REC.1402.040).</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors’ contributions:</span></span></b></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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Mohammad Reza Tamannaeifar</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Mohammad Reza Tamannaeifar</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Zahra Suleimanian</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Zahra Suleimanian</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mohammad Reza Tamannaeifar</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mohammad Reza Tamannaeifar</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mohammad Reza Tamannaeifar, Zahra Suleimanian</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"><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Mohammad Reza Tamannaeifar, Zahra Suleimanian</span></span></span></span></span></span></span><br>
</p>
تابآوری, خودکارآمدی, راهبردهای نظمجویی شناختی هیجان, حمایت اجتماعی ادراک شده, سرطان پستان
Resilience, Self-efficacy, Cognitive emotion regulation strategies, Perceived social support, Breast cancer
360
374
http://journal.rums.ac.ir/browse.php?a_code=A-10-7006-1&slc_lang=fa&sid=1
Mohammad Reza Tamannaeifar
محمدرضا
تمناییفر
tamannai@kashanu.ac.ir
6900319475328460060886
6900319475328460060886
Yes
دانشگاه کاشان
Zahra Suleimanian
زهرا
سلیمانیان
zahra.sln91@gmail.com
6900319475328460060887
6900319475328460060887
No
دانشگاه کاشان