مقایسه کیفیت زندگی و استرس ادراک شده بیماران مبتلا به سرطان ریه و معده با افراد بهنجار در شهر تبریز در سال1393

نویسندگان

1 دانشجوی دکتری تخصصی روانشناسی عمومی، دانشگاه لرستان، خرم‌آباد، ایران

2 دانشجوی کارشناسی ارشد روانشناسی عمومی، دانشگاه لرستان، خرم‌آباد، ایران.

چکیده

مقدمه: با توجه به نقش عوامل خطرساز روانی - اجتماعی و کیفیت زندگی ناسالم در سبب‌شناسی و فیزیوپاتولوژی بیماری سرطان، هدف پژوهش حاضر مقایسه کیفیت زندگی و استرس ادراک شده در بیماران مبتلا به سرطان ریه و معده با افراد بهنجار در شهر تبریز است.

مواد و روش‌ها: مطالعه حاضر از نوع توصیفی است که در آن 100 نفر از بیماران مبتلا به سرطان (50  سرطان ریه و 50 سرطان معده) و 50 نفراز افراد بهنجار، از طریق همتاسازی با گروه بیمار از شهر تبریز در سال 1393 به روش نمونه‌گیری در دسترس انتخاب شدند. اطلاعات به وسیله پرسشنامه کیفیت زندگی و پرسشنامه استرس ادراک‍ شده جمع‌آوری شد. پایایی پرسشنامه کیفیت زندگی براساس آلفای کرونباخ 81/0 و پرسشنامه استرس ادراک شده 89/0 برآورد شد. داده‌ها با استفاده از روش تحلیل واریانس چندمتغیره مورد تجزیه و تحلیل قرار گرفتند.

یافته‌ها: براساس یافته‌ها تفاوت معنی­داری میان گروه‌های مورد مطالعه در استرس ادراک شده وجود داشت؛ به طوری که مبتلایان به سرطان ریه و معده نمرات بالاتری در استرس ادراک شده منفی نسبت به افراد عادی بدست آوردند (001/0=p)؛ اما بین سه گروه در کیفیت زندگی تفاوتی مشاهده نشد. همچنین در کیفیت زندگی و استرس ادراک شده بیماران مبتلا به سرطان با یکدیگر هیچ‍گونه تفاوتی وجود نداشت.

نتیجه‌گیری: با توجه به تفاوت استرس ادارک شده در بیماران مبتلا به سرطان نسبت به افراد عادی، انجام مداخلات روانشناختی در زمینه آموزش کنترل استرس ادراک شده در بیماران مبتلا به سرطان ضروری به نظر می‌رسد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Quality of Life and Perceived Stress in Gastric and Lung Cancer Patients and Normal Subjects in the city of Tabriz in 2014

نویسندگان [English]

  • A Azizi 1
  • SM Dehghan Manshadi 2
  • J Mohamadi 1
1 Ph.D Student of General Psychology, Dept. of Psychology. Lorestan University, Khorramabad, Iran
2 MS in General Psychology, Dept. of Psychology. Lorestan University, Khorramabad, Iran
چکیده [English]

Introduction: Given the role of psychological and social risk factors of unhealthy life style in the etiology and pathogenesis of cancer and quality of life, the aim of this study was to compare the quality of life and perceived stress in patients with Gaiseric and lung cancer with normal subjects.

Material & Methods: In this comparative study, a total of 100 cancer patients (50 lung and 50 stomach) and 50 normal cases, were selected through matched sampling in 2014. Information on the quality of life and perceived stress were collected by questionnaire. Based on Cronbach's alpha, internal reliability of QOL 0.81 and 0.89 reliability perceived stress was estimated. Data were analyzed using multivariate analysis using SPSS version 20.

 Results: The results indicated a significant difference between the two groups in perceived stress. The people with lung cancer and stomach had higher scores in perceived stress than the average people (p=0.001). However, no difference was observed between the groups in the quality of life. Also there was no difference between the cancer patients in the quality of life and perceived stress.

Conclusion: Due to differences in the perceived stress in the cancer patients with the normal individuals, conducting psychological intervention training programs for controlling the perceived stress in cancer patients is necessary.

کلیدواژه‌ها [English]

  • Quality of Life
  • Perceived stress
  • cancer
  • Gastric
  • Lung
  • Tabriz
  1. Minna JD. Harrison’s Principles of internal medicine. (Fauci AS). 14nd ed. U.S.A. McGraw-Hill; 1998: 552-62.
  2. Fraser RS, Pare JAP, Fraser RG. Synopsis of Diseases of the Chest. 2nd ed. U.S.A.Saunders Company; 1994: 445-539.
  3. Ristiano LM. (1997). Public health concerns about lung cancer, Ches. 1997t; 112(4): 214-15.
  4. Ernester VE, Mustacchi P. Osann KE.Textbook of Respiratory Medicine. (Murray JF). 2nd ed. WB. U.S.A. Saunders Company;1994: 1485-631.
  5. Speizer F, Colditz G, Hunter D, Rosner B, Hennekens C. Prospective study of smoking, antioxidant intake, and lung cancer in middle-aged women (USA). Cancer Causes & Control 1999;10(5):475-82.
  6. Morinaga K, Nakamura K, Kohyama N, KISHIMOTO T. A retrospective cohort study of male workers exposed to PVA fibers. Industrial health 1999;37(1):18-21.
  7. Longo D, Fausi A, Kasper D, Hauser E, Jameson L, Loscalzo J. Harrison Principles of Internal Medicine.18nd ed. Iran: Arjomand Publications; 2015: 183-6. [Persian]
  8. Rustøen T, Cooper BA, Miaskowski C. The importance of hope as a mediator of psychological distress and life satisfaction in a community sample of cancer patients. Cancer nursing 2010;33(4):258-67.
  9. Boscolo–Rizzo P, Maronato F, Marchiori C, Gava A, Mosto D, Cristina M. Long‐term quality of life after total laryngectomy and postoperative radiotherapy versus concurrent chemoradiotherapy for laryngeal preservation. The Laryngoscope 2008;118(2):300-6.
  10. Lehto U-S, Ojanen M, Kellokumpu-Lehtinen P. Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Annals of Oncology 2005;16(5):805-16.
  11. Win T, Sharples L, Wells F, Ritchie A, Munday H, Laroche C. Effect of lung cancer surgery on quality of life. Thorax 2005;60(3):234-8.
  12. Turner J, Kelly B, Swanson C, Allison R, Wetzig N. Psychosocial impact of newly diagnosed advanced breast cancer. Psycho‐Oncology 2005;14(5):396-407.
  13. Hwang SS, Chang VT, Fairclough DL, Cogswell J, Kasimis B. Longitudinal quality of life in advanced cancer patients: pilot study results from a VA medical cancer center. Journal of pain and symptom management 2003;25(3):225-35.
  14. Bradley EB, Bissonette EA, Theodorescu D. Determinants of long‐term quality of life and voiding function of patients treated with radical prostatectomy or permanent brachytherapy for prostate cancer. BJU international 2004;94(7):1003-9.
  15. Iconomou G, Mega V, Koutras A, Iconomou AV, Kalofonos HP. Prospective assessment of emotional distress, cognitive function, and quality of life in patients with cancer treated with chemotherapy. Cancer 2004;101(2):404-11.
  16. Laubmeier KK, Zakowski SG, Bair JP. The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping. International journal of behavioral medicine 2004;11(1):48-55.
  17. Lundberg U. Stress hormones in health and illness: the roles of work and gender. Psychoneuroendocrinology 2005;30(10):1017-21.
  18. Kaplan BJ, Sadock VA. Synopsis of Psychiatry Bahavioural Science. Updated with DSM-5. 11nd ed. Iran: Arjomand Publications;  2015: 77-9. [Persian]
  19. Golden-Kreutz DM, Browne MW, Frierson GM, Andersen BL. Assessing Stress in Cancer Patients A Second-Order Factor Analysis Model for the Perceived Stress Scale. Assessment 2004;11(3):216-23.
  20. Borg W, Gall J.  Quantitative and qualitative research methods in Psychology and Educational Sciences. Tehran: Beheshti University; 2015:455-6. [Persian]
  21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of health and social behavior 1983; 24(4):385-96.
  22. Mimura C, Griffiths P. A Japanese version of the perceived stress scale: translation and preliminary test. International Journal of Nursing Studies 2004;41(4):379-85.
  23. Behroozi N, Shahni Yelaq M, Pourseyed SM. Relationship between Perfectionism, Perceived Stress and Social Support with Academic Burnout. Culture strategy 2013; 5(20): 83-102. [Persian]
  24. Yaghmay F, Mohammad SH, Alavi MH. Developing and Measuring Psychometric Properties of “Quality of Life Questionnaire in Infertile Couples. IJCBNM 2013; 1(4): 238-45.[Persian]
  25. Mcbride CM, Clipp E, Peterson BL, Lipkus IM, Demark‐Wahnefried W. Psychological impact of diagnosis and risk reduction among cancer survivors. Psycho‐Oncology 2000;9(5):418-27.
  26. Kreitler S, Peleg D, Ehrenfeld M. Stress, self‐efficacy and quality of life in cancer patients. Psycho‐Oncology 2007;16(4):329-41.
  27. Clark KD. The relationship of perceived stress and self-efficacy among correctional employees in close-security and medium-security-level institutions: Walden University 2010; 8(8):450-9.
  28. Eton DT, Lepore SJ, Helgeson VS. Early quality of life in patients with localized prostate carcinoma. Cancer 2001;92(6):1451-9.