Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1393
9
1
gregorian
2014
12
1
21
126
online
1
fulltext
fa
مقایسه تیپ D و فرسودگی حیاتی در بیماران انفارکتوس میوکارد حاد و نارسایی قلبی با افراد بهنجار
Comparison of vital exhaustion and type D personality in a patient with acute myocardial infarction and heart failure
روانشناسی بالینی
Clinical Psychiatry
پژوهشي
Research
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: rtl mso-pagination: none" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">زمینه و هدف</span></b><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">:</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span lang="AR-SA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> </font></span></b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">با توجه به نقش عوامل خطرساز روانی </span><span lang="AR-SA" style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">–</span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"> اجتماعی، رفتاری و کیفیت زندگی ناسالم در سبب</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">شناسی و فیزیوپاتولوژی اختلالات قلبی- عروقی؛
هدف پژوهش حاضر مقایسه فرسودگی حیاتی و تیپ شخصیتی</span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr">D</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""><span dir="rtl"></span><span dir="rtl"></span> </span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman"">در </span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">افراد مبتلاء به بیماری قلبی
انفارکتوس میوکارد حاد و نارسایی قلبی با افراد بهنجار </span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">است.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: rtl mso-pagination: none" dir="rtl"><span dir="ltr"></span><span dir="ltr"></span><b><span lang="FA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><span style="mso-spacerun: yes"><font face="Calibri" size="3"> </font></span></span></b><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">روش</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span lang="AR-SA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> </font></span></b><b><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span></b><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">کار:</span></b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"> مطالعه</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">ی</span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"> حاضر از نوع علی - مقایسه</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">ای است که در آن، 100 بیمار مبتلاء به بیماری
قلبی - عروقی (50 بیمار انفارکتوس میوکارد حاد و 50 بیمار نارسایی قلبی) و 50 نفر از
افراد سالم از طریق همتاسازی با گروه بیمار به روش نمونه</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">گیری </span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">در دسترس انتخاب شدند. پرسشنامه</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">های فرسودگی حیاتی ماستریخت و تیپ شخصیتی</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> </font></span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr">D</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"> </font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">دنولت ابزارهای جمع</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">آوری اطلاعات بوده و داده</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">ها با روش تحلیل واریانس چندمتغیره مورد تجزیه و تحلیل شدند.</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> </font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: rtl mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">یافته</span></b><b><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span></b><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">ها</span></b><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri">:</font></span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"><span dir="rtl"></span><span dir="rtl"></span>
یافته</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">های پژوهش نشان داد بین
بیماران قلبی و افراد عادی از نظر تیپ شخصیتی </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA"><span dir="rtl"></span><span dir="rtl"></span> و مولفه</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">های آن (بازداری اجتماعی و عاطفه منفی)</span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"> و فرسودگی حیاتی تفاوت معناداری وجود دارد. اما هیچ</span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">گونه تفاوتی میان بیماران انفارکتوس میوکارد
حاد و نارسایی قلبی مشاهده نشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: rtl mso-pagination: none" dir="rtl"><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">نتیجه</span></b><b><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri"></font></span></b><b><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">گیری</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span lang="AR-SA" style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> </font></span></b><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><font face="Calibri">:</font></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">با توجه به اینکه فرسودگی حیاتی و تیپ شخصیتی
</span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr">D</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt"><span dir="rtl"></span><span dir="rtl"></span>
از ریسک فاکتورهای مهم و ت</span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">أ</span><span lang="AR-SA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt">ثیرگذار در زندگی بیماران قلبی است، نتایج این پژوهش به نقش آموزش و
مداخلات درمانی برای ارتقاء کیفیت زندگی بیماران قلبی</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-size: 12pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> -</font></span><span lang="FA" style="color: black line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA">عروقی اشاره دارد.<o:p /></span></p><font face="Times New Roman" size="3"> </font>
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify mso-pagination: none"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Background</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">: Considering roles of
social-psychological risk factors, behavior and unhealthy life etiology and
pathogenesis of cardiovascular diseases, this study explores vital exhaustion
and type D personality in patients with heart disease, acute myocardial
infarction and heart failure with normal individuals.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify mso-pagination: none"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Methods</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">: In the is causal-comparative
study, 100 patients diagnosed with cardiovascular disease (50 patients with
heart failure and 50 with acute myocardial infarction) and 50 healthy
individuals matched with the patient groups were selected. The</span><span style="color: black"><font face="Calibri" size="3"> </font></span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">study instruments were Vital exhaustion
Maastricht questionnaire and</span><span style="color: black"><font face="Calibri" size="3"> </font></span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Denollet
type D personality form. Multivariate analysis of variance</span><span style="color: black"><font face="Calibri" size="3"> </font></span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">was used for data analysis.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify mso-pagination: none"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Results:</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin""> The findings showed that among
heart patients and normal subjects in terms of type D personality and its
components (social inhibition and negative affect) there were significant
differences in vital exhaustion. But no difference was observed between
patients with acute myocardial infarction and heart failure.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify mso-pagination: none"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Conclusion</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">: Since vital exhaustion and type
D personality are from important risk factors for patients with heart disease, the
results of this study have important implications in the field of education and
health interventions to improve the quality of life of patients with
cardiovascular diseases.<o:p /></span></p><font face="Times New Roman" size="3"> </font>
انفارکتوس میوکارد حاد, نارسایی قلبی, فرسودگی حیاتی و تیپ شخصیتی D
Acute myocardial infarction, Heart failure,Vital exhaustion and Type D personality
65
72
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1610&slc_lang=fa&sid=1
Amir
Azizi
امیر
عزیزی
3900319475328460027500
3900319475328460027500
Yes
Lorestan University, Khorramabad, Iran
دانشگاه لرستان، خرم آباد، ایران
Mansour
Biram
منصور
بیرامی
3900319475328460027501
3900319475328460027501
No
University of Tabriz, Tabriz, Iran
دانشگاه تبریز، تبریز، ایران
Nasrin
Etemadifar
نسرین
اعتمادی فر
3900319475328460027502
3900319475328460027502
No
Islamic Azad University, Tabriz Unit, Tabriz, Iran
دانشگاه آزاد اسلامی، تبریز، ایران
Negin
Peyda
نگین
پیدا
3900319475328460027503
3900319475328460027503
No
Islamic Azad University, Tabriz Unit, Tabriz, Iran
دانشگاه آزاد اسلامی، تبریز، ایران