نقش تشخیص گذاری راهبردهای سلامت محور، خودمدیریتی و راهبردهای ناسازگار بر فشار خون معلمان: یک تحلیل تشخیصی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روان شناسی سلامت، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

2 استادیار روان شناسی، گروه روانشناسی، موسسه آموزش عالی غیردولتی فیض الاسلام، خمینی شهر، ایران

3 استادیار روان شناسی، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید بهشتی، تهران، ایران.

4 استادیار روان شناسی سلامت، گروه روان شناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

5 دانشیار روان شناسی، گروه روان شناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی آجا، تهران، ایران.

چکیده

مقدمه: شیوع بالا و پیامدهای بیماری فشار خون در معلمان، اهمیت شناسایی عوامل موثر بر این بیماری را دو چندان کرده است. هدف پژوهش حاضر بررسی نقش تشخیص گذاری راهبردهای سلامت محور، خودمدیریتی و راهبردهای ناسازگار بر فشار خون معلمان شهر
خرم آباد بود.
روش کار:  پژوهش حاضر به روش مقطعی در سال 1402 انجام شد. جامعه آماری پژوهش، تمام معلمان شهر خرم آباد در نظر گرفته شد. حجم نمونه برابر با 324 نفر شامل 175 نفر معلم بدون فشار خون و 149 نفر معلم با فشار خون بود که به روش نمونه گیری در دسترس انتخاب شدند. در مطالعه حاضر از پرسش نامه استاندارد عوامل روان شناختی موثر بر فشار خون برای گردآوری داده ها استفاده شد.   داده ها به کمک نرم افزار spss-24 با استفاده از آزمون های تحلیل واریانس و تحلیل تشخیصی مورد تجزیه و تحلیل قرار گرفتند.
یافته‌ها: نتایج نشان داد تابع تشخیصی دارای قدرت تمیز بسیار بالایی در تفکیک و تشخیص گذاری معلمان با فشار خون و بدون فشار خون است (0.05>p)، به گونه ای که 81.7 درصد میزان موقعیت تابع تشخیصی به وسیله مولفه های راهبردهای سلامت محور، خودمدیریتی و راهبردهای ناسازگار بود. همچنین بیشترین قدرت تشخیص گذاری مربوط به زیرمقیاس آگاهی از بیماری بود (0.05>p).
نتیجه‌گیری: بر اساس یافته های پژوهش حاضر می توان نتیجه گرفت عوامل روان شناختی در تشخیص گذاری و پیش بینی فشار خون معلمان نقش مهمی داشته و بدین منظور روانشناسان، مشاوران و دست اندرکاران آموزش و پرورش برای پیشگیری و درمان فشار خون معلمان باید به آن ها توجه ویژه ای داشته باشند.

کلیدواژه‌ها

عنوان مقاله [English]

The diagnostic role of health-oriented strategies, self-management and incompatible strategies on hypertension: A discriminant analysis

نویسندگان [English]

  • Meisam Amiri 1
  • Mostafa Khanzadeh 2
  • Vahid Sadeghi Firouzabadi 3
  • Mojtaba Ansari Shahidi 4
  • Amir Mohsen Rahnejat 5

1 PhD Student in Health Psychology, Department of Psychology, Islamic Azad University, Najafabad Branch, Najafabad, Iran.

2 Assistant Professor of Health Psychology, Department of Psychology, Faizul Islam Institute of Higher Education, Khomeini Shahr, Iran

3 Assistant Professor of Psychology, Department of Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.

4 Assistant Professor of Health Psychology, Department of Psychology, Najaf Abad Branch, Islamic Azad University, Najaf Abad, Iran

5 Associate Professor of Psychology, Department of Clinical Psychology, Faculty of Medicine, Army University of Medical Sciences, Tehran, Iran

چکیده [English]

Introduction: The high prevalence and consequences of hypertension in teachers has doubled the importance of identifying factors affecting blood pressure disease, the purpose of this study was to investigate the role of the diagnostic role of health-oriented strategies, self-management and incompatible strategies on hypertension: A discriminant analysis in Khorram Abad city.
Materials and Methods: The current research method was cross-sectional in year1402. The statistical population was made up of teachers in Khorramabad city, the sample size of the study was equal to 324 people, of which 175 teachers without hypertension and 149 teachers with hypertension were selected by available sampling method. In this study, the standard questionnaire of psychological factors affecting blood pressure was used to collect data, and these data were analyzed with the help of spss-24 software and by variance analysis and discriminant analysis.
Results: The results of the discriminant analysis showed that the discriminant function has a very high clean power to distinguish and diagnose teachers with and without hypertension (p<0.05), such that 81.7% of the position of the discriminant function is based on the components of health-oriented strategies, self-management and inconsistent strategies. Also, the diagnostic power related to the subscale of awareness of the disease has been higher(p<0.05).
Conclusion: Based on the findings of the present research, it can be concluded that psychological factors play an important role in diagnosing and predicting teacher’s hypertension, and for this purpose, psychologists, counselors and education professionals should pay attention to these factors to prevent and treat teacher’s hypertension.

کلیدواژه‌ها [English]

  • Self-Management
  • Health-Oriented Strategy
  • Incompatible Strategy
  • Hypertension
1.Azizkhani E. The relationship between social capital
and life quality of female patients with high blood
pressure. Avic J of Neur Psycho Physiology. 2020;
7(3): 139-44.
2.Real SJ. Blood pressure and its associated risk factors
among staff at Uasin Gishu level 5 Hospital, Uasin
Gishu County, Kenya. Thesis submitted in partial
completion requirements for the award of master of
science in nutrition and diet in the faculty of health and
applied humanities, Kenyatta university.
3.Pires AM, Oqui M, Soares V, Xavier BO, Mahyuvi,
T. Relations between sress level with recurrence of
hypertension disease to patients aged 40-60 years old
in community health center level II municipality
lospalos, timor leste. J Appli Nurs Health. 2022; 4(2):
319–29.
4.Tabassum R. To study the prevalence of hypertension
and determination of risk factors and associated
practices in the valley of hunza. Faculty of Health and
Life Sciences Department of Bioinformatics and
Biosciences 2020.
5.Zhou B, Danaei G, Stevens GA, Bixby H, Taddei C,
Carrillo-Larco RM. Worldwide trends in hypertension
prevalence and progress in treatment and control from
1990 to 2019: a pooled analysis of 1201 population-
representative studies with 104 million participants.
Lancet. 2021; 398: 957–80.
6.Saka M, Shabu S, Shabila N. Prevalence of
hypertension and associated risk factors in a
population sample of older adults in Kurdistan, Iraq.
East Mediterr Health J. 2020;26(3): 265–72.
7. Luo D, Cheng Y, Zhang H, Ba M, Chen P.
Association between high blood pressure and long
term cardiovascular events in young adults: systematic
review and meta-analysis. BMJ. 2020;370: 1-16.
8.Fuchs FD, Whelton RK. High blood pressure and
cardiovascular disease. Hypertension. 2020;75: 285-
92.
9.Ettehad D, Emdin CA, Kiran A, Anderson SG,
Callender T, Emberson J. Blood pressure lowering for
prevention of cardiovascular diseaseand death: a
systematic review and meta-analysis. Lancet. 2016;
387:957–67.
10. Oliveira AR, Bezerra HC, Gaudêncio ED, Morais
JR. The relationship between hypertension, anxiety
and stress: an integrative literature review.
Hypertenstion Psychol. 2019; 10: 1-16.
11. Staplin N, de la Sierra A, Ruilope L, Emberson J.
Relationship between clinic and ambulatory blood pressure and mortality: an observational cohort study
in 59124 patients. Lancet 2023; 401: 2041–50.
12. Wierzejska E, Giernaś B, Lipiak A, Karasiewicz M,
Cofta M. A global perspective on the costs of
hypertension: a systematic review. Arch Med Sci.
2020; 16 (5): 1078–91.
13. Hayes P, Ferrara A, Keating A, McKnight K.
Physical activity and hypertension. Rev Cardiovasc
Med. 2022; 23(9): 302-18.
14. Bhattarai S, Tandstad B, Shrestha A, Karmacharya
B. Socioeconomic Status and Its Relation to
Hypertension in Rural Nepal. Inter J of Hypertens.
2021; 10: 1-9.
15. Rengganis AD, Rakhimullah AB, Garna H. The
Correlation between work stress and hypertension
among industrial workers: A cross-sectional Study.
Earth Environ Sci. 2020; 44:1-6.
16. Lusno FD, Haksama S, Wulandari A, Sriram Sh,
Shedysni S. Association between smoking and
hypertension as a disease burden in Sidoarjo: a case-
control study. Inter J Appli Biol2020; 4(2): 1-8.
17. Yousuf F S, Arif A, Bibi R. Association of
depression and anxiety with hpertensive crisis: A
cross-sectional study from a hospital setting in
Karachi, Pakistan. Cureus 2022; 14(9): 1-9.
18. Arabshahi A, Gharlipour Z, Alipour SA, Mohebi S.
Assessment of adherence to self-care behaviors in
hypertensive patients in Qom City (Iran). Qom Univ
Med Sci J. 2020;14(2): 55-66. [In Persian].
19. Kanuda M. Mandago, Fabian P. Mghanga.
Awareness of risk factors and complications of
hypertension in Southern Tanzania. J Com Health
Res. 2018; 7(3): 155-63.
20. Hajifattahi F, Moezzi N, Parker, S, Alirezaei S, Nori
H. Evaluation of patients’ awareness of their blood
pressure and blood glucose at the dental faculty of
islamic azad university. J Res Dentomaxillofac Sci.
2020;5(1):1-7.
21. Lentini M, Scalia J, Berger F, Touma F, Jhajj A.
Association between pain catastrophizing and pain
and cardiovascular changes during a cold-pressor test
in athletes. J Athle Train. 2021; 56(5): 473–83.
22. Pervichko E, Zinchenko Y, Ostroumova O. Emotion
regulation in patients with essential hypertension:
subjective-evaluative, physiological, and behavioral
aspects. Procedia Soc Behav Sci. 2014; 127: 686 – 90.
23. Abdi S, Hamta A, Heydari M. Comparison of the
emotional control and level of anger in hpertensive
and normotensives subjects. J Vessel Circ Spring.
2020; 1(2): 1-5.
24. Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ,
Berry JD, etal. Heart disease and stroke statistics—
2012 update: a report from the american heart
association. Circulat 2011; 7; 32-43.
25. Ramezani T, Dashti Z, Hozoori M, Mohebi S. The
relationship of nutritional awareness with
hypertension with anthropometric indices in
menopausal women. J Health Care. 2016; 18(2): 139-
49. [In Persian].
26. Naimi E, Malekzadeh J, Hadinia A, Sharifi B,
Mosavizadeh A. Assessment of knowledge and
practice of hypertensive patients in Boyer Ahmad
Township in 2008. Yasuj Univ Med Sci J. 2011; 16(5):
489-97. [In Persian].
27. Bayat Z, Gaeini A, Gholipoor A. The effectiveness
of regular walking on glycemic index and blood
pressure in type 2 diabetic women. Payesh 2017;
17(2): 159-67. [In Persian].
28. Tanvir S, Sajjad S, Roshan R. Awareness levels of
prevention of cardiac diseases in general population of
rawalpindi and requirement of health education.
Public Health 2018; 157:107-1.
29. Benazea A. Increasing awareness of hypertension
management in african american population originally
from cameroon a group educational intervention. Inter
J Cardio 2019; 17: 1-15.
30. Mostafaei A, Yaghmaei F. Predicting of the amount
of blood pressure from documentary styles, lifestyle
and age in outpatient patients in west Azarbaijan. J
Health Promot Manage. 2019; 8(2): 8-15. [In Persian].
31. Kusumawardana I, Tamtomo D. Relationship
between knowledge and family support regarding
hypertension with blood pressure control in elderly.
Indonesian J Med. 2017; 2(1): 1-9.
32. Lebel S, Mutsaers B, Tomei C, Leclair CS, Jones G,
Petricone-Westwood D .Health anxiety and illness-
related fears across diverse chronic illnesses: A
systematic review on conceptualization,
measurement, prevalence, course, and correlates.
PLoS ONE. 2020;15(7): 1-48.
33. Fekri A, Issazadegan A, Michaeeli F. Comparison
of cognitive emotion regulation strategies and
alexithymia in individuals with and without essential
hypertension. Contemp Psycho. 2015; 10(1): 84-95.
[In Persian].
34. Lazaridou A, Martel M, Cahalan C, Cornelius m,
Franceschelli O, etal. The impact of anxiety and
catastrophizing on interleukin-6 responses to acute
painful stress. J Pain Res. 2018; 11: 637–47.
35. Mushtaq M, Najam N. Depression, anxiety, stress
and demographic determinants of hypertension
disease. Pak J Med Sci. 2014; 30(6):1293-8.