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اثر مقابله درمانگری بر میزان کاهش سطح کورتیزول در زنان مبتلا به بیماریهای قلبی عروقی | ||
| روانشناسی سلامت | ||
| دوره 14، شماره 54، شهریور 1404، صفحه 115-128 اصل مقاله (1.21 M) | ||
| نوع مقاله: علمی- پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2025.73706.6188 | ||
| نویسندگان | ||
| زهرا حمزئی1؛ علیرضا آقا یوسفی* 2؛ مهدیه رحمانیان2 | ||
| 1گروه روانشناسی سلامت، دانشگاه پیام نور، دبی، امارات | ||
| 2گروه روانشناسی، دانشگاه پیام نور، تهران، ایران | ||
| چکیده | ||
| مقدمه: میزان بالای کورتیزول در بدن یکی از عوامل خطر برای بیماریهای قلبی عروقی است. بنابراین این تحقیق با هدف اثر مقابله درمانگری بر میزان کاهش سطح کورتیزول در زنان مبتلا به بیماریهای قلبی عروقی انجام شد. روش: در این مطالعه، نیمه آزمایشی با طرح پیش آزمون-پس آزمون با گروه کنترل و پیگیری، تعداد 30 نفر از زنان دارای بیماری قلبی-عروقی مراجعه کننده به مطب یکی از متخصصان قلب وعروق شهر قم در سال 1402، که به روش در دسترس به دو گروه آزمایش (15 نفر) و گروه کنترل (15 نفر) به صورت تصادفی قرار گرفتند. معیارهای ورود شامل ابتلا به بیماری قلبی-عروقی، داشتن سن حداقل 40 و حداکثر 55 سال و معیارهای خروج غیبت در دو جلسه از برنامه آموزشی بود. میزان سطح کورتیزول، گروه آزمایش و کنترل قبل و بعد از آزمون اندازهگیری شد. تعداد 12 ﺟﻠﺴﻪ به ﻣـﺪت ٢ ﺗﺎ ٣ ﺳﺎﻋﺖ در هفته برای گروه مداخله انجام شد. یک ماه پس از آن در مرحله پیگیری میزان سطح کورتیزول خون در زمان ناشتا و ساعت 8 صبح اندازهگیری شد. دادهها با نرمافزار SPSS نسخه 24 آنالیز شد. یافتهها: میانگین سطح کورتیزول خون برای گروه آزمایش (مقابله درمانگری) در پسآزمون و پیگیری نسبت به پیشآزمون کاهش داشت. همچنین بین مراحل پیش آزمون، پس آزمون و پیگیری بین گروه درمانی و گروه کنترل در میزان کورتیزول تفاوت وجود دارد. بنابراین میزان کورتیزول بین گروه آزمایش (مقابله درمانگری) و گروه کنترل تفاوت معنادار وجود دارد(P<0.05). نتیجهگیری: اثر مقابله درمانگری باعث کاهش کورتیزول در زنان مبتلا به بیماریهای قلبی عروقی میشود. همچنین با توجه به نتایج به دست آمده در حوزه تأثیر گروه درمانی بر بهبود عملکرد بیماران قلبی عروقی، لذا پیشنهاد میشود این درمان برای بهبود کیفیت زندگی این افراد در جنبههای دیگر نیز به صورت گسترده اجرا شود. | ||
| کلیدواژهها | ||
| مقابله درمانگری؛ کورتیزول؛ بیماریهای قلبی عروقی | ||
| عنوان مقاله [English] | ||
| The Effect of Coping Therapy on Cortisol Levels in Women with Cardiovascular Diseases | ||
| نویسندگان [English] | ||
| Zahra Hamzeei1؛ Alireza Aghayousefi2؛ Mahdiyeh Rahmanian2 | ||
| 1Department of health psychology, Payame Noor University, Dubai, UAE | ||
| 2Department of Psychology, Payame Noor University, Tehran, Iran | ||
| چکیده [English] | ||
| Objective: High cortisol levels in the body are one of the risk factors for cardiovascular diseases. One of the effective interventions in improving cortisol levels in heart patients that has a lot of research evidence is coping therapy. Therefore, this study was conducted with the aim of investigating the effect of coping therapy on reducing cortisol levels in women with cardiovascular diseases. Method: In this study, a semi-experimental study with a pre-test-post-test design with a control and follow-up group, 30 women with cardiovascular disease referred to the clinic of one of the cardiology specialists in the city of Qom in 1402, who were convenience sampling assigned to two experimental groups (15 people) and a control group (15 people) using an accessible method. The inclusion criteria for the study included: having cardiovascular disease, being at least 40 and maximum 55 years old and being satisfied to participate in the research and receive the educational program, and the exclusion criteria were absenteeism in two sessions of the educational program. The cortisol levels of the experimental and control groups were measured before and after the test. And the Folkman-Lazarus (1984) theoretical coping technique protocol was carried out for 12 sessions of 2 to 3 hours per week for the intervention group. And finally, one month later, in the follow-up phase, the dependent variables of both groups were measured: fasting blood cortisol levels and 8 am. Data analysis was performed with SPSS version 24 software. Results: The average blood cortisol level for the experimental group (coping therapy) was 14.09 in the pre-test, 9.69 in the post-test, and 9.6 in the follow-up. Also, there is a difference in cortisol levels between the pre-test, post-test, and follow-up stages between the treatment group and the control group. Therefore, there is a significant difference in cortisol levels between the experimental group (coping therapy) and the control group (P<0.05(. Conclusion: The effect of coping therapy reduces cortisol in women with cardiovascular diseases. Also, considering the results obtained in the field of the effect of group therapy on improving the performance of cardiovascular patients, it is recommended that this treatment be widely implemented to improve the quality of life of these people in other aspects. | ||
| کلیدواژهها [English] | ||
| Coping Therapy, Cortisol, Cardiovascular Diseases | ||
| مراجع | ||
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