Iran Journal of Nursing
نشریه پرستاری ایران
IJN
Medical Sciences
http://ijn.iums.ac.ir
108
journal108
2008-5931
2008-5931
10.52547/ijn
fa
jalali
1400
7
1
gregorian
2021
10
1
34
132
online
1
fulltext
fa
ارتباط کیفیت زندگی با تیپهای شبانه روزی و اضطراب افراد با اختلال صرع عضو انجمن صرع ایران در سال 1399
Evaluation of the Relationship between Life Quality and Circadian Types and Anxiety in Iranian Epilepsy Association Members with Epilepsy in 2020
پرستاری
nursing
پژوهشي
Research
<strong><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زمینه و هدف: </span></span></span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">صرع یکی از شایعترین اختلالات عصبی مزمن است و </span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">افراد مبتلا به آن مستعد بیماریهای جسمی و روانی</span></span></span><span style="background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> بوده و با شرایطی روبرو هستند که میتواند بر کیفیت زندگی آنها در چندین حوزه مانند اضطراب تأثیر گزار باشد</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">. ترجیحات</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">روزانه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ریتمهای</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شبانه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">روزی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">عنوان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یکی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از عوامل</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">دخیل</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">کیفیت</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زندگی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بیماران مبتلا به صرع مطرح</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">هستند. </span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">پژوهش </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">حاضر با هدف </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">تعیین </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ارتباط کیفیت زندگی با تیپهای شبانه روزی و اضطراب افراد با اختلال صرع عضو انجمن صرع ایران در سال 1399 </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">انجام شد.</span></span></span><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></span></span><br>
<strong><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">روش بررسی</span></span></span></span></strong>: <span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">این پژوهش بهصورت مقطعی، از نوع همبستگی- توصیفی بود.</span></span></span> <span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">120</span></span></span> <span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نفر از افراد مراجعه کننده به انجمن صرع به روش </span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نمونهگیری مستمر انتخاب و براساس معیار ورود به مطالعه واردشدند.<span style="border:none windowtext 1.0pt;padding:0in;background:white;"> بازه زمانی نمونهگیری از خرداد تا مرداد ماه سال 1399 بود. </span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شرکت کنندگان فرم اطلاعات جمعیت شناختی، پرسشنامه صبحی</span></span><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">– </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">عصری </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">(MEQ)</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> ، پرسشنامه اضطراب بک </span></span><span dir="LTR" style="background:white;"><span style="color:#202122;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Beck Anxiety Inventory</span></span></span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">BAI)</span></span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">(</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> و پرسشنامه کیفیت زندگی </span></span><span dir="LTR" style="background:white;"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Quality of Life in Epilepsy Inventory 31-Item</span></span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">QOLIE-31-P</span></span></span><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">) </span></span></strong><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">را تکمیل کردند.</span></span></span> <span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">برای تحلیل دادهها، از آمار توصیفی، آمار استنباطی </span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و آمار همبستگی و جهت تعیین عوامل پیش بینیکننده کیفیت زندگی مبتلایان به صرع از مدل رگرسیون خطی چندگانه استفاده گردید. </span></span><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">دادههای جمعآوریشده ، توسط نرمافزار آماری</span></span></span> <span dir="LTR" style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">، نسخه 16 مورد تجزیه و تحلیل قرار گرفت.</span></span></span><br>
<strong><span style="border:none windowtext 1.0pt;padding:0in;background:white;"><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یافتهها: </span></span></span></span></strong><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">میانگین سنی افراد مورد پژوهش </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">14/42 </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">سال بود.</span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> بیشتر نمونهها از نظر تیپهای شبانه روزی در وضعیت بینابینی قرار داشتند و کمترین فراوانی مربوط به حالت کاملاّ صبحی بود. </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">همچنین</span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> ارتباطی میان ابعاد کیفیت زندگی با تیپهای شبانه روزی به دست نیامد. </span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">کیفیت زندگی در بعد نگرانی از تشنج با میانگین 47/57 بالاترین میانگین</span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> و در بعد عملکرد اجتماعی (76/45) کمترین میانگین نمره را </span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">داشتند. کیفیت زندگی و همه ابعاد آن با اضطراب همبستگی معنیدار آماری داشتند و این همبستگی منفی است یعنی با افزایش اضطراب، کیفیت زندگی و ابعاد آن کاهش مییابد. همچنین اضطراب با سطح</span></span></span><span style="color:black;"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> تحصیلات، وضعیت اشتغال، درآمد، دفعات بستری رابطه معنیداری داشته است.</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتیجهگیری کلی:</span></span></span></strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> یافتههای پژوهش که نشان داد کیفیت زندگی و همه ابعاد آن با اضطراب همبستگی معنیدار آماری داشتند که این همبستگی منفی بود. به نظر میرسد که </span></span></span><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">میتوان با بالا بردن سطح آگاهی، تحصیلات حداقل در سطح دیپلم و ایجاد شغل با درآمد مناسب، برداشتن موانع سازمانی مانند تسهیل استخدام آنها نقش مؤثری در گسترش رفتارهای به دور از اضطراب و به تبع آن افزایش کیفیت زندگی بیماران مبتلا به صرع گام برداشت.</span></span></span>
<div style="text-align: justify;">Background & Aims: Epilepsy is one of the most common chronic neurological disorders, and epileptic patients are prone to physical and psychological diseases and can experience issues such as anxiety, which affect their life quality. In general, epilepsy reduces life quality indexes and life expectancy, which has considerable economic effects on the person and the society and will ultimately lead to problems such as isolation, dependence, psychological damages and disorders, remaining single, unemployment and declining quality of life. Daily preferences and circadian rhythms are recognized as factors affecting epileptic patients’ life quality. As a mental feeling, quality of life is a psychological phenomenon that may play a role in patients’ life quality through personal traits such as daily preferences and circadian rhythms. In other words, circadian rhythms and anxiety are important issues found in epileptic patients, which can affect their quality of life. Therefore, the present study aimed to determine the relationship between life quality and circadian rhythms and anxiety in epileptic patient members of the Iranian Epilepsy Association.<br>
Materials & Methods: This was a cross-sectional, descriptive and correlational study performed on 120 individuals who referred to the Iranian Epilepsy Association. The participants were selected by continuous sampling and based on the inclusion criteria. The sampling process continued for a period of June-August, 2020. Data were collected using a demographic characteristics questionnaire, including age, gender, level of education, marital status, occupational status, average monthly family income, and medical information related to other diseases, duration of diagnosis, and diagnosis of epilepsy in other family members. In addition, we applied the Morningness-Eveningness Questionnaire (MEQ), which comprises 19 questions about the sleep and waking times and appropriate times for physical, mental and conscious functioning after waking up. Moreover, we used the Beck Anxiety Inventory (BAI), which has 21 items about cognitive and physical signs of anxiety. Furthermore, we exploited the Quality of Life in Epilepsy (QOLIE-31-P) was exploited, which encompasses subscales of concern about epilepsy, psychological health, energy/fatigue, cognitive performance, drug effects, social performance and overall quality of life. The instruments were filled by the participants in a pre-determined location through self-report. Notably, the process took 20-30 minutes per subject. Data analysis was performed in SPSS version 16 using descriptive, inferential and correlational statistics and multiple linear regression model to determine the predictors of quality of life in patients with epilepsy.<br>
Results: In this study, the mean age of the subjects was 4.14 years. Regarding circadian rhythms, most participants were in an intermediate position (71.7%), which had the highest frequency compared to other circadian rhythms. However, the lowest frequency was related to the complete morningness state. On the other hand, there was no significant relationship between life quality scales and circadian rhythms. Quality of life had the highest score in the dimension of seizure anxiety with an average of 57.47 and in the dimension of social functioning with an average of 45.76 had the lowest mean score among other dimensions. Moreover, the average score of quality of life was 50.32 with a standard deviation of 23.03, which was close to the median of the instrument score- i.e., 50. There was a significant negative correlation between the quality of life and all of its dimensions with anxiety, meaning that quality of life and its dimensions decreased with an increase in anxiety (r=-0.673, P<-0.001). In addition, a significant association was observed between anxiety and variables of the level of education, occupational status, income level and hospitalization frequency. Moreover, diagnosis of other diseases (P=0.001) and five-six hospitalization times (P<0.001) were the only significant variables in the regression model.<br>
Conclusion: According to the results of the study, there was a negative significant correlation between the quality of life and all of its dimensions with anxiety. It seems that effective steps could be taken toward promoting anxiety-free behaviors, which increases the life quality of patients with epilepsy, through raising awareness, considering a minimum level of education of high school diploma as a recruitment criterion, creating jobs with suitable income levels, and eliminating organizational barriers (e.g., facilitation of staff recruitment).</div>
صرع, اضطراب, کیفیت زندگی, تیپهای شبانه روزی
Epilepsy, Anxiety, Quality of Life, Circadian types
8
20
http://ijn.iums.ac.ir/browse.php?a_code=A-10-2805-2&slc_lang=fa&sid=1
M
Seyedoshohadaee
مهناز
سیدالشهدایی
10800319475328460026746
10800319475328460026746
No
Department of Internal- Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
گروه پرستاری داخلی و جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران
GH
Salighedar
غزاله
سلیقه دار
10800319475328460026747
10800319475328460026747
Yes
Department of Internal- Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author) Tel: 021 4365 1000 Email: salighehdar.gh@iums.ac.ir
گروه پرستاری داخلی و جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران (نویسنده مسئول) شماره تماس: 021-43651000 Email: salighehdar.gh@iums.ac.ir
H
Haghani
حمید
حقانی
10800319475328460026748
10800319475328460026748
No
Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی ایران، تهران، ایران