ارائه مدل ساختاری پیشبینی میزان کنترل علائم آسم بر اساس شفقت به خود با میانجیگری تنظیم هیجان در بیماران مبتلا به آسم
کلمات کلیدی:
کنترل علائم آسم, شفقت به خود, تنظیم هیجانچکیده
هدف: هدف پژوهش حاضر ارائه مدل ساختاری پیشبینی میزان کنترل علائم آسم بر اساس شفقت به خود با میانجیگری تنظیم هیجان در بیماران مبتلا به آسم بود. روششناسی: پژوهش حاضر از نوع توصیفی-همبستگی و مبتنی بر تحلیل مسیر بود که بر روی 153 بیمار مبتلا به آسم مراجعهکننده به کلینیکها و بیمارستانهای شهر تهران در سال 2023 انجام شد. نمونهها به روش نمونهگیری هدفمند انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه کنترل آسم (ACT)، مقیاس شفقت به خود و پرسشنامه تنظیم شناختی هیجان بودند. برای تحلیل دادهها از آزمون همبستگی پیرسون و تحلیل مسیر با استفاده از نرمافزار SPSS-24 و AMOS-24 استفاده شد. شاخصهای برازش مدل شامل χ²/df، CFI، GFI، AGFI و RMSEA مورد بررسی قرار گرفتند. یافتهها: نتایج نشان داد شفقت به خود رابطه مثبت و معناداری با کنترل علائم آسم دارد (β=0.486, p<0.001). همچنین راهبردهای انطباقی تنظیم هیجان به صورت مثبت (β=0.354, p<0.001) و راهبردهای غیرانطباقی تنظیم هیجان به صورت منفی (β=-0.188, p=0.002) کنترل علائم آسم را پیشبینی کردند. اثر غیرمستقیم شفقت به خود بر کنترل علائم آسم از طریق تنظیم هیجان نیز معنادار بود (β=0.065, p=0.041). شاخصهای برازش مدل بیانگر برازش مطلوب مدل پیشنهادی با دادهها بودند (χ²/df=1.69، CFI=0.987، GFI=0.993، AGFI=0.895، RMSEA=0.066). همچنین متغیرهای پژوهش توانستند 44 درصد از واریانس کنترل علائم آسم را تبیین کنند. نتیجهگیری: یافتههای پژوهش نشان داد شفقت به خود و تنظیم هیجان نقش مهمی در کنترل علائم آسم دارند و تنظیم هیجان به ویژه راهبردهای غیرانطباقی، رابطه بین شفقت به خود و کنترل علائم آسم را میانجیگری میکند. بنابراین توجه به مؤلفههای روانشناختی بهویژه ارتقای شفقت به خود و آموزش راهبردهای سازگارانه تنظیم هیجان میتواند در طراحی مداخلات روانشناختی و برنامههای درمانی بیماران مبتلا به آسم مؤثر باشد.
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حق نشر 1402 Parisa Salimi Deliki Dash, Arezoo Shomali Oskoee (Author)
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