fa رابطه ساده و چندگانه تاب‌آوری و سرسختی با سبک‌های مقابله هیجان مدار و مسأله مدار در بیماران مبتلا به دیابت شهر یزد تخصصي Special پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.5pt 10pt 0cm text-align: justify" dir="rtl"><font size="3"><b><span lang="FA" style="font-family: "B Nazanin" mso-no-proof: yes">مقدمه و هدف:</span></b><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> هدف از پژوهش حاضر بررسی رابطه ساده و چندگانه تاب­آوری و سرسختی با سبک­های مقابله هیجان مدار و مسأله مدار در بیماران مبتلا به دیابت شهر یزد می­باشد.</span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 14pt mso-no-proof: yes"><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.5pt 10pt 0cm text-align: justify" dir="rtl"><font size="3"><b><span lang="FA" style="font-family: "B Nazanin" mso-no-proof: yes">مواد و روش­ها:</span></b><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: "Arial Narrow" mso-hansi-font-family: "Arial Narrow""> پژوهش حاضر علی</span></font><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 8pt">- </span><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: "Arial Narrow" mso-hansi-font-family: "Arial Narrow""><font size="3">مقایسه­ای می­باشد. جامعه پژوهش شامل کلیه­ی بیماران دیابتی مراجعه کننده به مرکز تحقیقات دیابت یزد در ماه­های بهمن و اسفند سال 1390 است. نمونه آماری 310 نفر (160 زن مبتلا به دیابت<font face="B Nazanin"><span style="mso-spacerun: yes"> </span>و 150 مرد مبتلا به دیابت) که با<span style="mso-spacerun: yes"> </span></font></font><font size="3">روش نمونه­گیری طبقه­ای و با توجّه به جدول کرسچی و مورگان انتخاب شدند. ابزار به کار رفته در این پژوهش شامل پرسشنامه تاب­آوری کانر و دیویدسون، سرسختی روانشناختی اهواز و پرسشنامه راهبردهای مقابله­ای لازاروس و فولکمن می­باشد.</font></span><b><span lang="FA" style="font-family: "B Nazanin" mso-no-proof: yes"><o:p /></span></b></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 11.05pt 10pt 0cm text-align: justify text-indent: -11.05pt tab-stops: 30.95pt" dir="rtl"><b><span lang="FA" style="font-family: "B Nazanin" mso-no-proof: yes"><font face="B Nazanin"><font size="3"><span style="mso-spacerun: yes"> </span>یافته­­ها:</font></font></span></b><font size="3"><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> یافته­ها نشان داد </span><span lang="FA" style="font-family: "B Nazanin"">بین تاب­آوری و سرسختی (54/0</span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 12pt">=</span><font face="Calibri"><span style="mso-bidi-font-family: "B Nazanin"" dir="ltr">R</span><span dir="rtl"></span></font><span lang="FA" style="font-family: "B Nazanin""><span dir="rtl"></span>)، مقابله مسأله مدار و تاب­آوری (41/0</span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 12pt">=</span><font face="Calibri"><span style="mso-bidi-font-family: "B Nazanin"" dir="ltr">R</span><span dir="rtl"></span></font><span lang="FA" style="font-family: "B Nazanin""><span dir="rtl"></span>)، و مقابله مسأله مدار و سرسختی (6/0</span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 12pt">=</span><font face="Calibri"><span style="mso-bidi-font-family: "B Nazanin"" dir="ltr">R</span><span dir="rtl"></span></font><span lang="FA" style="font-family: "B Nazanin""><span dir="rtl"></span>) است که این همبستگی­ها در سطح (001/0></span><font face="Calibri"><span style="mso-bidi-font-family: "B Nazanin"" dir="ltr">p</span><span dir="rtl"></span></font><span lang="FA" style="font-family: "B Nazanin""><span dir="rtl"></span>) معنی­دار است. </span><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial">همچنین یافته­ها نشان داد، سرسختی 36/0درصد ( 36/0 </span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 12pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">=</span></font>^{<span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><font size="2">2</font></span>}<font size="3"><font face="Calibri"><span style="mso-bidi-font-family: "B Nazanin"" dir="ltr">R</span><span dir="rtl"></span></font><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span>) واریانس مقابله مسئله محور را تبیین کرد </span></font><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">(001/0</span><span lang="FA" style="line-height: 115% font-family: "Times New Roman","serif" font-size: 10pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial">></span><span style="line-height: 115% font-family: "Arial","sans-serif" font-size: 10pt mso-bidi-font-family: "Times New Roman"" dir="ltr">p</span><span dir="rtl"></span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span>،04/222</span><span dir="ltr"></span><span style="line-height: 115% font-family: "Arial","sans-serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span>=</span><span dir="rtl"></span>_{<span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span>1،228</span>}<span dir="ltr"></span><span style="line-height: 115% font-family: "Arial","sans-serif" font-size: 10pt mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span> F</span><span dir="rtl"></span><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 10pt mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span>).</span><font size="3"><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"> همچنین تاب­آوری 1 درصد دیگر را تبیین کرد (01/0 </span><span style="font-family: "Arial","sans-serif" mso-bidi-font-family: "B Nazanin"" dir="ltr">p=</span><span dir="rtl"></span><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span> ، 4/6</span><span dir="ltr"></span><span style="font-family: "Arial","sans-serif" mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span>=</span><span dir="rtl"></span></font>_{<span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span><font size="2">1،228</font></span>}<span dir="ltr"></span><span style="font-family: "Arial","sans-serif" mso-bidi-font-family: "B Nazanin"" dir="ltr"><span dir="ltr"></span><font size="3"> F</font></span><span dir="rtl"></span><span lang="FA" style="font-family: "B Nazanin" mso-ascii-font-family: Arial mso-hansi-font-family: Arial"><span dir="rtl"></span><font size="3">).</font></span><span lang="FA" style="font-family: "B Nazanin""><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 11.05pt 10pt 0cm text-align: justify text-indent: -11.05pt tab-stops: 30.95pt" dir="rtl"><span lang="FA" style="line-height: 115% font-family: "B Nazanin" font-size: 1pt"><!--stripped--><font size="1"> </font><!--stripped--></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 12.5pt 10pt 0cm text-align: justify" dir="rtl"><font size="3"><b><span lang="FA" style="font-family: "B Nazanin" mso-no-proof: yes">بحث و نتیجه­گیری:</span></b><span lang="FA" style="line-height: 115% font-family: "B Nazanin" mso-ansi-font-size: 12.0pt"> </span><span lang="FA" style="font-family: "B Nazanin"">فرد تاب­آور از قدرت مهارگری (یکی از مولفه­های تاب­آوری) برخوردار است؛ این توانایی به فرد مبتلا به دیابت کمک می­کند تا احساس کند در شرایط نامطلوب حاصل از بیماری، او تعیین کننده­ی امور است و قادر است به صورتی فعال و با استفاده از راهبردهای مقابله­ای مناسب به مبارزه با این شرایط ناگوار بپردازد<b><span style="mso-no-proof: yes"><font face="B Nazanin">.<span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span><o:p /></font></span></b></span></font></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150% unicode-bidi: embed direction: ltr"><font size="3"><b><span style="font-family: "Times New Roman","serif"">Introduction</span></b><span style="font-family: "Times New Roman","serif"">: The purpose of the present research was to investigate the simple and multiple resilience and hardiness with problem - oriented and emotional - oriented coping styles in patients suffering from diabetes type 2 in Yazd city.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150% unicode-bidi: embed direction: ltr"><font size="3"><b><span style="font-family: "Times New Roman","serif"">Methodology</span></b><span style="font-family: "Times New Roman","serif"">: Present research is of a causal – comparison Type. Present society includes all patients with diabetes, referred to diabetes research center of Yazd in Bahman and Esfand, in 1390 year. Statistical sample was 310 patients (160 women and 150 men) that were selected with lain sampling and Kereschi and Morgan. The instruments used in this research include Caner and Davison resilience, Ahvaz University's questionnaire of hardiness and Lazarous and Folkeman coping styles questionnaire.<font face="Times New Roman"><span style="mso-spacerun: yes"> </span><span style="mso-spacerun: yes"> </span><o:p /></font></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150% unicode-bidi: embed direction: ltr tab-stops: 30.95pt"><b><span style="font-family: "Times New Roman","serif""><font size="3">Results</font></span></b><span style="font-family: "Times New Roman","serif""><font size="3">: Results indicated that were correlation between resilience and hardiness (R= 0/54), problem- oriented and resilience (R=0/41), problem - oriented and hardiness (R=0/6) that have significant (p<0/001) and results indicated that hardiness interpretation 36% (R</font>^{<font size="2">2</font>}<font size="3">=0/36) variance of problem- oriented (F</font>_{<font size="2">1,228</font>}<font size="3">=222/04,P<0/001)<span dir="rtl"></span><span lang="FA" dir="rtl"><span dir="rtl"></span><font face="Times New Roman">.</font></span><span dir="ltr"></span><span dir="ltr"></span> And resilience interpretation 1 %( F</font>_{<font size="2">1,228</font>}<font size="3">=6/4,P=0/01).<o:p /></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 10pt text-align: justify line-height: 150% unicode-bidi: embed direction: ltr"><font size="3"><b><span style="font-family: "Times New Roman","serif"">Conclusion</span></b><span style="font-family: "Times New Roman","serif"">: Resilient it indicated that individual's have self -control (one of resilience dimensional , this competency helps that diabetic patient feel determinant in his/her life and actively use coping styles in bad situation.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font> تاب‌آوری, سرسختی, مقابله هیجان مدار, مقابله مسأله‌مدار Emotional-oriented coping, hardiness, problem- oriented coping, resilience. 39 49 http://jdn.zbmu.ac.ir/browse.php?a_code=A-10-25-2&slc_lang=fa&sid=1 nahid mazlum befruei ناهید مظلوم بفروئی 1003194753284600467 1003194753284600467 No shahid sadoughi Medical University دانشگاه علوم پزشکی شهید صدوقی یزد mohammad afkhami ardakani محمد افخمی اردکانی afkhamiam@yahoo.com 1003194753284600468 1003194753284600468 Yes Member of Faculty استاد گروه داخلی، hasan Shams esfand abadi حسن شمس اسفندآباد 1003194753284600469 1003194753284600469 No دانشکده علوم اجتماعی، mohammad reza jalali محمدرضا جلالی 1003194753284600470 1003194753284600470 No دانشکده علوم اجتماعی،