پیش‌بینی تحمل درد بر اساس سلامت معنوی و خودکنترلی در بیماران مبتلا به سرطان

نویسندگان
فاطمه بهروزفر
مرجان آل بهبهانی
چکیده
سرطان به عنوان یکی از شایع‌ترین بیماری‌های مزمن و تهدیدکننده، با چالش‌های جسمانی و روانی متعددی همراه است، از جمله درد مزمن که کیفیت زندگی بیماران را تحت تأثیر قرار می‌دهد. پژوهش حاضر با هدف پیش‌بینی تحمل درد بر اساس سلامت معنوی و خودکنترلی در بیماران سرطانی انجام شد. این پژوهش توصیفی-همبستگی بر روی جامعه آماری ۲۶۰ بیمار سرطانی مراجعه‌کننده به بیمارستان نمازی شیراز در سال ۱۴۰۳ شمسی، با نمونه ۱۵۰ نفری انتخاب‌شده از طریق نمونه‌گیری در دسترس، صورت گرفت. ابزارهای پژوهش شامل پرسشنامه فاجعه‌سازی درد (سالیوان و همکاران، ۱۹۹۵؛ برای سنجش معکوس تحمل درد)، پرسشنامه سلامت معنوی (پولوتزین و الیسون، ۱۹۸۲) و پرسشنامه خودکنترلی (تانچی و همکاران، ۲۰۰۴) بودند که پایایی آن‌ها با آلفای کرونباخ ۰٫۸۰ تا ۰٫۸۵ تأیید شد. داده‌ها با آزمون‌های همبستگی پیرسون و رگرسیون چندگانه در نرم‌افزار SPSS-21 تحلیل گردید. نتایج همبستگی پیرسون روابط مثبت و معناداری را میان سلامت معنوی ،خودکنترلی و تحمل درد نشان داد. تحلیل رگرسیون حاکی از آن بود که سلامت معنوی و خودکنترلی به طور همزمان ۳۶٪ از واریانس تحمل درد را تبیین می‌کنند. سلامت معنوی و خودکنترلی عوامل مؤثری در پیش‌بینی تحمل درد بیماران سرطانی هستند و پیشنهاد می‌شود مداخلات بالینی مبتنی بر تقویت این عوامل در برنامه‌های درمانی ادغام شود تا کیفیت زندگی بیماران بهبود یابد.
کلیدواژه‌ها
تحمل درد
سلامت معنوی
خودکنترلی
بیماران سرطانی

عنوان مقاله English

Prediction of Pain Tolerance Based on Spiritual Health and Self-Control in Patients with Cancer

نویسندگان English

Fatemeh behroozfar
marjan al behbahani
چکیده English

Cancer, as one of the most prevalent chronic and life-threatening diseases, is accompanied by numerous physical and psychological challenges, including chronic pain that affects patients' quality of life. The present study aimed to predict pain tolerance based on spiritual well-being and self-control in cancer patients. This descriptive-correlational study was conducted on a population of 260 cancer patients referred to Nemazi Hospital in Shiraz in 2024, with a sample of 150 individuals selected via convenience sampling. Research instruments included the Pain Catastrophizing Scale (Sullivan et al., 1995; for inverse measurement of pain tolerance), the Spiritual Well-Being Scale (Paloutzian & Ellison, 1982), and the Self-Control Scale (Tangney et al., 2004), with reliability confirmed by Cronbach's alpha ranging from 0.80 to 0.85. Data were analyzed using Pearson correlation and multiple regression in SPSS-21 software. Pearson correlation results indicated significant positive relationships between spiritual well-being (r=0.285, p<0.001), self-control (r=0.328, p<0.001), and pain tolerance. Regression analysis revealed that spiritual well-being and self-control together explained 36% of the variance in pain tolerance (R²=0.360, F=56.993, p<0.001). Spiritual well-being and self-control are effective predictors of pain tolerance in cancer patients, and it is recommended to integrate interventions focused on enhancing these factors into clinical programs to improve patients' quality of life.

کلیدواژه‌ها English

Pain tolerance
spiritual well-being
Self-control
cancer patients
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