تدوین مدل علی کیفیت زندگی بر اساس توانایی حل‌مسأله با نقش واسطه‌ای خودکارآمدی درد در بیماران مبتلا به سرطان
کلمات کلیدی:
کیفیت زندگی, توانایی حل‌مسأله, خودکارآمدی درد, بیماران مبتلا به سرطانچکیده
هدف: هدف از پژوهش حاضر تعیین میزان برازش مدل علی کیفیت زندگی بر اساس توانایی حل‌مسأله، با نقش واسطه‌ای خودکارآمدی درد، با استفاده از مدل تجربی در بیماران مبتلا به سرطان بود. مواد و روش: این پژوهش از نظر هدف، جزء تحقیقات کاربردی-بنیادی و از لحاظ اجرا، پژوهشی توصیفی است که از مدل‌سازی معادلات ساختاری (SEM) استفاده می‌کند. جامعه آماری این پژوهش شامل تمامی افرادی بود که در پاییز سال 2023 به کلینیک‌های درمان سرطان در سنندج مراجعه کرده بودند و مبتلا به سرطان تشخیص داده شده بودند. اندازه نمونه با استفاده از نرم‌افزار G*Power و با در نظر گرفتن سطح آلفای ۰.۰۵، توان آماری ۰.۹۰، اندازه اثر ۰.۱۵ و یک متغیر پیش‌بین و یک متغیر میانجی، ۱۸۶ نفر برآورد شد. افراد با استفاده از روش نمونه‌گیری در دسترس انتخاب شدند و ابزارهای پژوهش بر روی آنان اجرا گردید. ابزارهای این پژوهش شامل پرسشنامه‌های استاندارد کیفیت زندگی، خودکارآمدی درد و توانایی حل‌مسأله بود. داده‌ها با استفاده از نرم‌افزار Amos تحلیل شدند. یافته‌ها: نتایج نشان داد که اثر توانایی حل‌مسأله بر کیفیت زندگی (β = 0.369، p ≤ 0.001)، اثر خودکارآمدی درد بر کیفیت زندگی (β = 0.267، p ≤ 0.001)، اثر توانایی حل‌مسأله بر خودکارآمدی درد (β = 0.426، p ≤ 0.001) و اثر میانجی خودکارآمدی درد در رابطه بین توانایی حل‌مسأله و کیفیت زندگی (β = 0.113، p ≤ 0.001) همگی مثبت و معنادار بودند. شاخص برازش مدل برابر با 0.31 بود که نشان‌دهنده برازش قوی مدل است. نتیجه‌گیری: یافته‌های این پژوهش نشان می‌دهند که توانایی حل‌مسأله به‌طور مستقیم و غیرمستقیم (از طریق خودکارآمدی درد) نقش مؤثری در ارتقاء کیفیت زندگی بیماران مبتلا به سرطان ایفا می‌کند. همچنین تأثیر مثبت و معنادار خودکارآمدی درد بر کیفیت زندگی بر اهمیت مداخلات روان‌شناختی در مدیریت درد و بهبود سازگاری بیماران تأکید می‌کند. برازش مناسب مدل نیز استفاده از این چارچوب علی را به‌عنوان مبنای نظری و عملی برای طراحی مداخلات روان‌شناختی و برنامه‌های توان‌بخشی جهت بهبود کیفیت زندگی بیماران سرطانی تأیید می‌کند.
دانلودها
مراجع
Aghaei, M., Gzel, S., Zeinali, M., Ahmadi, N., & Mirzaei, S. (2016). The effectiveness of problem-solving skills on the quality of life and self-esteem of patients with multiple sclerosis. Idehaye Novin Ravanshenasi (New Ideas in Psychology), 1(1), 29-38. https://www.noormags.ir/view/en/articlepage/1771197/%D8%A7%D8%AB%D8%B1%D8%A8%D8%AE%D8%B4%DB%8C-%D9%85%D9%87%D8%A7%D8%B1%D8%AA-%D8%AD%D9%84-%D9%85%D8%B3%DB%8C%D9%84%D9%87-%D8%A8%D8%B1-%DA%A9%DB%8C%D9%81%DB%8C%D8%AA-%D8%B2%D9%86%D8%AF%DA%AF%DB%8C-%D9%88-%D8%B9%D8%B2%D8%AA-%D9%86%D9%81%D8%B3-%D8%A8%DB%8C%D9%85%D8%A7%D8%B1%D8%A7%D9%86-%D9%85%D8%A8%D8%AA%D9%84%D8%A7-%D8%A8%D9%87-%D8%A7%D9%85-%D8%A7%D8%B3
Akin, S., Can, G., Durna, Z., & Aydiner, A. (2008). The quality of life and self-efficacy of Turkish breast cancer patients undergoing chemotherapy. Eur J Oncol Nurs, 12(5), 449-456. https://doi.org/10.1016/j.ejon.2008.07.006
American Cancer Society. (2020). Cancer Facts & Figures 2020. https://www.cancer.org/c-ontent/dam/cancer-org/research/cancer-facts-and statistics/annual-cancer-facts-and-figures-/2020/cancer-facts-and-figures-2020.pdf
Amirkhah, R., Naderi-Meshkin, H. A. U. M. M., Allahyari, A., & Sharifi, H. R. (2017). Cancer statistics in Iran: Towards finding priority for prevention and treatment. Cancer Press JournalVL - 3(2), 27-38. https://doi.org/10.15562/tcp.42
Bach, L., Kalder, M., & Kostev, K. (2021). Depression and sleep disorders are associated with early mortality in women with breast cancer in the United Kingdom. J Psychiatr Res, 143, 481-484. https://doi.org/10.1016/j.jpsychires.2020.11.036
Bandura, A. (1993). Perceived self - efficacy in cognitive development and functioning. Educational Psychologist, 28, 117-148. https://doi.org/10.1207/s15326985ep2802_3
Bender, C. M., Gentry, A. L., Brufsky, A. M., Casillo, F. E., Cohen, S. M., Dailey, M. M., Donovan, H. S., Dunbar-Jacob, J., Jankowitz, R. R. M. Q., Sherwood, P. R., & Sereika, S. M. (2014). Influence of patient and treatment factors on adherence to adjuvant endocrine therapy in breast cancer. Oncol Nurs Forum, 41(3), 274-285. https://doi.org/10.1188/14.ONF.274-285
Börsbo, B., Gerdle, B., & Peolsson, M. (2010). Impact of the interaction between self-efficacy, symptoms and catastrophising on disability, quality of life and health in with chronic pain patients. Disabil Rehabil, 32(17), 1387-1396. https://doi.org/10.3109/09638280903419269
Bowling, A., & Gabriel, Z. (2007). Lay theories of quality of life in older age. Ageing & Society, 27(6), 827-848. https://doi.org/10.1017/S0144686X07006423
Carter, A. A. U. B. L., Yaruss, J. S., & Beilby, J. (2017). Self-efficacy and quality of life in adults who stutter. J Fluency Disord, 54, 14-23. https://doi.org/10.1016/j.jfludis.2017.09.004
Chirico, A., Lucidi, F., Merluzzi, T., Alivernini, F., Laurentiis, M., Botti, G., & Giordano, A. (2017). A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget, 8(22), 36800-36811. https://doi.org/10.18632/oncotarget
Clemente, J., Kilag, O. K., Ypon, A., Groenewald, E., & Groenewald, C. A. A. U. U. R. (2024). Enhancing Mathematics Self-Efficacy: Intervention Strategies and Effectiveness-A Systematic Review. International Multidisciplinary Journal of Research for Innovation, Sustainability, and Excellence (IMJRISE), 1(2), 274-280. https://www.researchgate.net/profile/Elma-Groenewald-2/publication/378517292_Enhancing_Mathematics_Self-Efficacy_Intervention_Strategies_and_Effectiveness_-_A_Systematic_Review/links/65dde855adf2362b635a4f2f/Enhancing-Mathematics-Self-Efficacy-Intervention-Strategies-and-Effectiveness-A-Systematic-Review.pdf
Costa, W. A., Eleutério Jr, J., Giraldo, P. C., & Gonçalves, A. K. (2017). Quality of life in breast cancer survivors. Revista Da Associação Médica Brasileira, 63(07), 583-589. https://doi.org/10.1590/1806-9282.63.07.583
D'Zurilla, T. J., & Goldfried, M. R. (1971). Problem solving and behavior modification. J Abnorm Psychol, 78(1), 107-126. https://doi.org/10.1037/h0031360
Gagné, R. M. (1985). The conditions of learning and theory of instruction. https://www.sidalc.net/search/Record/dig-unesdoc-ark:-48223-pf0000167421/Description
Güss, C. D., & Starker, U. (2023). The influence of emotion and emotion regulation on complex problem-solving performance. Systems, 11(6), 276. https://doi.org/10.3390/systems11060276
Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., Borge, C. R., Engebretsen, E., Eisemann, M., Halvorsrud, L., Hanssen, T. A., Haugstvedt, A., Haugland, T., Johansen, V. A., Larsen, M. H., Løvereide, L., Løyland, B., Kvarme, L. G., Moons, P., . . . Helseth, S. (2019). A systematic review of quality of life research in medicine and health sciences. Qual Life Res, 28(10), 2641-2650. https://doi.org/10.1007/s11136-019-02214-9
Khodadadi, N., & Foroozandeh, E. (2020). Problem-Solving Ability and Quality of Life of Mothers of Children with Autism Spectrum Disorder. Practice in Clinical Psychology, 8(4), 267-276. https://doi.org/10.32598/jpcp.8.4.489.1
Li, J., Gao, W., Yang, Q., & Cao, F. (2021). Perceived stress, anxiety, and depression in treatment-naïve women with breast cancer: a case-control study. Psychooncology, 30(2), 231-239DO - 210.1002/pon.5555. https://onlinelibrary.wiley.com/doi/abs/10.1002/pon.5555
Liang, S.-Y., Chao, T.-C., Tseng, L.-M., Tsay, S.-L., Lin, K.-C., & Tung, H.-H. (2016). Symptom-Management Self-Efficacy Mediates the Effects of Symptom Distress on the Quality of Life Among Taiwanese Oncology Outpatients with Breast Cancer. Cancer Nursing, 39(1), 67-73. https://doi.org/10.1097/NCC.0000000000000244
Merluzzi, T. V., Pustejovsky, J. E., Philip, E. J., Sohl, S. J., Berendsen, M., & Salsman, J. M. (2019). Interventions to enhance self-efficacy in cancer patients: A meta-analysis of randomized controlled trials. Psychooncology, 28(9), 1781-1790. https://doi.org/10.1002/pon.5148
Meyers, F. J., Carducci, M., Loscalzo, M. J., Linder, J., Greasby, T., & Beckett, L. A. (2011). Effects of a problem-solving intervention (COPE) on quality of life for patients with advanced cancer on clinical trials and their caregivers: simultaneous care educational intervention (SCEI): linking palliation and clinical trials. J Palliat Med, 14(4), 465-473. https://doi.org/10.1089/jpm.2010.0416
Mynors-Wallis, L. (2001). Problem-solving treatment in general psychiatric practice. Advances in psychiatric treatment, 7(6), 417-425. https://doi.org/10.1192/apt.7.6.417
Nezu, A. M., & Nezu, C. M. (2001). Problem solving therapy (Vol. 11). https://doi.org/10.1023/A:1016653407338
Nezu, A. M., Nezu, C. M., & D'Zurilla, T. J. (2012). Problem-solving therapy: A treatment manual. springer publishing company. https://doi.org/10.1891/9780826109415
Nguyen, J. (2005). Impact of group intervention on problem-solving and selfefficacy in career decision making https://researchdiscovery.drexel.edu/esploro/outputs/doctoral/Impact-of-group-intervention-on-problem-solving/991014632251404721
Noyes, K., Zapf, A. L., Depner, R. M., Flores, T., Huston, A., Rashid, H. H., McNeal, D., Constine, L. S., Fleming, F. J., Wilding, G. E., & Sahler, O. J. Z. (2021). Problem-solving skills training in adult cancer survivors: Bright IDEAS-AC pilot study. Cancer Treat Res Commun, 31, 100552. https://ascopubs.org/doi/abs/10.1200/JCO.2021.39.15_suppl.e24109
Odell, S., & Logan, D. E. (2013). Pediatric pain management: the multidisciplinary approach. Journal of Pain Research, 785-790. https://doi.org/10.2147/JPR.S37434
Ozkal, F., & Arikan, Y. (2024). The opinions of patients and patient's relatives on announcement of the cancer diagnosis to the patient. Global Journal on Advances in Pure & Applied Sciences [Online], 4. https://pmc.ncbi.nlm.nih.gov/articles/PMC11410199/
Perkins, H. Y., Baum, G. P., Carmack Taylor, C. L., & Basen‐Engquist, K. M. (2009). Effects of treatment factors, comorbidities and health‐related quality of life on self‐efficacy for physical activity in cancer survivors. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(4), 405-411. https://doi.org/10.1002/pon.1535
Rashid, A., Aqeel, M., Malik, D. B., & Salim, D. S. (2021). The prevalence of psychiatric disorders in breast cancer patients; a cross-sectional study of breast cancer patients experience in Pakistan. Nat Nurture J Psychol, 1, 1-7. https://doi.org/10.47391/NNJP.01
Soleimani Nameghi, F., Abdollahzadeh, H., & Asadi, J. (2021). Structural model analysis of spiritual health based on health anxiety, positive emotions, pain self-efficacy, with the mediation of internal health locus of control in men with cancer. Journal of Behavioral Sciences Research, 19(4), 633-646. https://doi.org/10.52547/rbs.19.4.633ER -
Srivastava, A. (2024). Assessment of Quality of Life for Cancer Patients: Lessons from a Study in a Tertiary Care Hospital in Uttar Pradesh, IndiaPB - CRC Press. https://doi.org/10.1201/9781003437994
Sun, Y. Y., Ni, C. X., & Zhao, H. (2018). Investigation of the pain situation and influencing factors of medication behavior in outpatients with cancer pain. Practical Pharmacy and Clinical Remedies, 21(8), 925-928. https://www.scirp.org/journal/paperinformation?paperid=88665
Taeidi, E., Montazeri, S., Behroozi, N., Zadeh, M. H. H., & Deilami, A. A. (2018). The effect of problem solving therapy on breast cancer women. International Journal of Cancer Management, 11(9). https://doi.org/10.5812/ijcm.69336
Teyyari Koljahi, B., Panah Ali, A., & Azmoodeh, M. (2022). The effect of problem-solving training on the quality of life and responsibility of medical students. Image of Health, 13(3), 272-285. https://doi.org/10.34172/doh.2022.33
Yazdi Ravandi, S., Taslimi, Z., Haghparest, A., & Ghaleeiha, A. (2016). Quality of life in patients with chronic pain: Determining the role of pain intensity and duration. https://www.sid.ir/paper/36893/fa
Yoon, S. Y., & Oh, J. (2018). Neuropathic cancer pain: prevalence, pathophysiology, and management. The Korean journal of internal medicine, 33(6), 1058-1069. https://doi.org/10.3904/kjim.2018.162
Zhang, H. (2018). Cancer Pain Management-New Therapies. Curr Oncol Rep, 24, 223-226. https://doi.org/10.1007/s11912-021-01166-z
Zhang, H. (2022). Experiences of Social Support Among Chinese Women with Breast Cancer: A Qualitative Analysis Using a Framework Approach. Med Sci Monit, 24, 574-581. https://doi.org/10.12659/MSM.908458
Zhang, Y. (2022). The role of problem-solving skills in quality of life among cancer patients. BMC Cancer, 22(1), 123. https://scholar.google.com/scholar?q=The+role+of+problem-solving+skills+in+quality+of+life+among+cancer+patients&hl=fa&as_sdt=0&as_vis=1&oi=scholart
دانلود
چاپ شده
ارسال
بازنگری
پذیرش
شماره
نوع مقاله
مجوز
حق نشر 2025 Shayesteh Chardavali (Author); Hamzeh Ahmadian; Bayzid Ghaderi, Omid Moradi (Author)
این پروژه تحت مجوز بین المللی Creative Commons Attribution-NonCommercial 4.0 می باشد.
