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تأثیر مداخلات هیجان محور و شناختی بر کاهش استرس بیماران CABG از طریق افزایش فرکانس رزونانسHRV | ||||||
روانشناسی سلامت | ||||||
مقاله 2، دوره 3، شماره 11، مهر 1393، صفحه 19-41 اصل مقاله (412.56 K) | ||||||
نوع مقاله: علمی- پژوهشی | ||||||
نویسندگان | ||||||
بهنام بهراد* 1؛ هادی بهرامی احسان2؛ رضا رستمی3؛ سعید صادقیان4 | ||||||
1عضو هیئت علمی (مربی) پژوهشگاه مطالعات آموزش و پرورش | ||||||
2عضو علمی دانشگاه تهران/رئیس دانشکده | ||||||
3عضو علمی دانشکده روانشناسی / دانشگاه تهران | ||||||
4عضو علمی دانشگاه علوم پزشکی تهران -متخصص قلب و عروق/ مرکز قلب تهران | ||||||
چکیده | ||||||
هدف: هدف از این مطالعه بررسی تأثیر مداخلات هیجانمحور و شناختی برافزایش فرکانس رزونانس تغییرپذیری ضربان قلب (HRV) و کاهش استرس بیماران به دنبال جراحی عروق کرونر قلب بود. روش:مطالعه حاضر از نوع کوششهای بالینی تصادفی (RCT) بود. تعداد 75 بیمار جراحیشده عروق کرونر قلب(CABG)از بین بیماران شرکتکننده در برنامۀ بازتوانی مرکز قلب تهران انتخاب شدند. این بیماران بهصورت تصادفی در سه گروه 25 نفری مداخلهای 1) مداخلات هیجان محور، 2) مداخلات مختلط (هیجانمحور و شناختی)، 3) گروه کنترل (مداخلات متعارف بیمارستانی) قرار گرفتند. هر سه گروه پیش از مداخلات از نظر استرس و فرکانس رزونانس با استفاده از خرده مقیاس استرس آزمون DASS-21 و دستگاه پایشHRV مورد ارزیابی قرار گرفتند.هر سه گروه به مدت 5 هفته تحت مداخلات روانشناختی متناسب با گروه بودند و پس از مداخلات دوباره بهوسیله همان ابزار و مقیاسها مورد ارزیابی مجدد قرار گرفتند. یافتهها: تحلیل کوواریانس نشان داد دو گروه مداخلهای اصلی در مقایسه با گروه کنترل کاهش معناداری را در استرس نشان دادهاند. این کاهش هم از نظر آماری (05/0>P) و هم از نظر بالینی معنادار بود. گروه مداخلهای مختلط در مقایسه با گروه مداخلهای هیجانمحور کاهش معنادار بیشتری را نشان داد.نتایج حاصل از HRV بیماران نیز حاکی از این بود که گروههای مداخلهای اصلی افزایش معناداری (01/0>P) در فرکانس رزونانس نشان دادهاند. نتیجهگیری:مداخلات روانشناختی میتوانند موجب کاهش هیجانهای منفی و استرس و افزایش فرکانس رزونانس HRV حول و حوش 1/0 هرتز و متعاقباً افزایش تغییرپذیری ضربان قلب(شاخص سلامتی و بهبود)در بیماران کرونری شوند. | ||||||
کلیدواژهها | ||||||
تغییرپذیری ضربان قلب؛ فرکانس رزونانس؛ کاهش استرس؛ مداخلات روانشناختی؛ بیماری عروق کرونر قلب | ||||||
عنوان مقاله [English] | ||||||
The Effect of emotion-focused and cognitive interventions on reduction of stress in CABG patients by increasing HRV resonance frequency | ||||||
نویسندگان [English] | ||||||
behnam behrad1؛ Hadi Bahrami Ehsan2؛ Reza Rostami3؛ Saeed Sadeghyan4 | ||||||
چکیده [English] | ||||||
Objective: we examined the effect of emotion-focused and cognitive interventions on resonance frequency (RF) of heart rate variability (HRV) and stress reduction in patients after coronary artery bypass graft surgery (CABG). Methods: 75 post-CABG patients who were participated in cardiac rehabilitation program of Tehran Heat Center(THC) were selected based on inclusion criteria uch as age Results: The results showed significant reduction in stress (P Conclusion: psychological interventions such as emotion-focused and cognitive techniques can reduce stress and negative emotions in patients with coronary heart disease. The interventions can increase also resonance frequency (0.1Hz) and consequently heart rate variability (index of health and well-being) of stressed Coronary patients. | ||||||
کلیدواژهها [English] | ||||||
Heart Rate Variability, Resonance Frequency, Stress Reduction, Psychological Interventions, Coronary Heart Disease | ||||||
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