Volume 27, Issue 3 (8-2019)
Avicenna J Nurs Midwifery Care 2019, 27(3): 170-177 |
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Saghirzadeh M, Sadeghi N, Azarbarzin M. The Relationship Between Defense Mechanisms and Self-Efficacy in Ischemic Heart Patients at Feiz Hospital of Esfahan in 2017. Avicenna J Nurs Midwifery Care 2019; 27 (3) :170-177
URL: http://nmj.umsha.ac.ir/article-1-1893-en.html
URL: http://nmj.umsha.ac.ir/article-1-1893-en.html
1- MSc Student, Department of Psychiatric Nursing, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2- Assisstant Professor, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran , n45sadeghi@yahoo.com
3- Assisstant Professor, Nursing and Midwifery Sciences Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2- Assisstant Professor, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran , n45sadeghi@yahoo.com
3- Assisstant Professor, Nursing and Midwifery Sciences Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran
Abstract: (3994 Views)
Introduction: One of the important factors for behavioral changes in chronic patients, especially cardiac patients, is the increased self-efficacy of these patients. The aim of this study was to determine correlation between defenses mechanism and self-efficacy in Ischemic Heart patient’s referred to Feiz hospital of Isfahan in 2017.
Methods: This study was a correlational analytical study that consisted of all Ischemic Heart patient’s referred to Feiz hospital of Esfahan in second half of 2017. Based on inclusion criteria and census sampling, 150 patients were included. To collect data we used three questionnaires: demographic, Defense Styles Questionnaire-DSQ and Sullivan’s cardiac self-efficacy questionnaire. Data was analyzed using SPSS 19, Kolmogorov–Smirnov test, independent t-test, and Pearson correlation coefficients.
Results: Based on the results, 53.3% of patients were male, 76% of whom were married and 32% had undergraduate education. Findings showed the rate of defense mechanisms with a mean of 193.07±28.45 and their self-efficacy with a moderate mean. Pearson correlation coefficient showed that there is a positive and significant correlation between the developed defense mechanisms with self-efficacy of patients (r=0.20, P=0.013).
Conclusion: The results of the study indicated that there is a positive and significant relationship between using defense mechanisms and predicting the self-efficacy of patients with ischemic heart; that means by using grown defense mechanisms, the self-efficacy will upgrade. So training and enhancement of developed mechanisms and reduction of unhealthy mechanisms by nurses is suggested.
Methods: This study was a correlational analytical study that consisted of all Ischemic Heart patient’s referred to Feiz hospital of Esfahan in second half of 2017. Based on inclusion criteria and census sampling, 150 patients were included. To collect data we used three questionnaires: demographic, Defense Styles Questionnaire-DSQ and Sullivan’s cardiac self-efficacy questionnaire. Data was analyzed using SPSS 19, Kolmogorov–Smirnov test, independent t-test, and Pearson correlation coefficients.
Results: Based on the results, 53.3% of patients were male, 76% of whom were married and 32% had undergraduate education. Findings showed the rate of defense mechanisms with a mean of 193.07±28.45 and their self-efficacy with a moderate mean. Pearson correlation coefficient showed that there is a positive and significant correlation between the developed defense mechanisms with self-efficacy of patients (r=0.20, P=0.013).
Conclusion: The results of the study indicated that there is a positive and significant relationship between using defense mechanisms and predicting the self-efficacy of patients with ischemic heart; that means by using grown defense mechanisms, the self-efficacy will upgrade. So training and enhancement of developed mechanisms and reduction of unhealthy mechanisms by nurses is suggested.
Type of Study: Original Research |
Subject:
Nursing
Received: 2018/06/19 | Accepted: 2018/11/4 | Published: 2019/03/27
Received: 2018/06/19 | Accepted: 2018/11/4 | Published: 2019/03/27
References
1. Mohammadian-Hafshejani A, Baradaran H, Sarrafzadegan N, AsadiLari M, Roohani Rassaf M, Bakhsi A, Roohafza H, Chemi S, Bahonar A, Mohammadian M, Moghaddam A. Secular trend changes in mean age of morbidity and mortality from an acute myocardial infarction during a 10-year period of time in Isfahan and Najaf Abad. Journal of Shahrekord Uuniversity of Medical Sciences. 2013;14.
2. Shahsavari S, Nazari F, Karimyar Jahromi M, Sadeghi M. Epidemiologic study of hospitalized cardiovascular patients in Jahrom hospitals in 2012-2013. Iranian Journal of Cardiovascular Nursing. 2013 Sep 15;2(2):14-21.
3. Shariatifar F, Moeini M, Kheirabadi G. The effect of a supportive program based on family psychosocial needs on care burden Family carers of patients with ischemic heart disease hospitalized in the domestic ward Shahid Chamran Hospital, Isfahan University of Medical Sciences. Quarterly Journal of Psychology and Educational Sciences. 2017;3(1):1-8.
4. Momeni T, Musarezaie A, Moeini M, Naji Esfahani H. The effect of spiritual care program on ischemic heart disease patients, anxiety, hospitalized in CCU: a clinical trial. Journal of Research in Behavioural Sciences. 2013;6:554-64.
5. Boroumand S, Shahriari M, Abbasi Jebeli M, Baghersad Z, Baradaranfard F, Ahmadpoori F. Determine the level of self-efficacy and its related factors in patients with ischemic heart disease: A descriptive correlational study. IJNR. 2015;9(4):61-9.
6. Bandura A. Guide for constructing self-efficacy scales. Self-efficacy beliefs of adolescents. 2006 Feb 1;5(1):307-37.
7. Masoudi R, Soleimany MA, Moghadasi J, Qorbani M, Mehralian HA, Bahrami N. Effect of progressive muscle relaxation program on self-efficacy and quality of life in caregivers of patients with multiple sclerosis. JQUMS. 2011;15(2).
8. Akbari Oe. Effect of Continuous Care Model on the Self-Efficacy of Patients with Myocardial Infarction in Controlling Disease Complications. Medical-Surgical Nursing Journal. 2015;3(4):194-85.
9. Babaei S, Boroumand S. Relationship between lifestyle and cardiac self efficacy among people with heart failure. Cardiovascular Nursing Journal. 2017;5(4):36-44.
10. Shafiei Z, Babaei S. Relationship between Mood and Self-Efficacy in Coronary Artery Bypass Graft Surgery Hospitalized in Isfahan Chamran Hospital Nursing journal of the Vulnerable. 2016;3(6):48-61.
11. Asgharkhah E, Shareh H. Effectiveness of group metacognitive therapy in self-efficacy and defense styles in women with multiple sclerosis. Journal of Fundamentals of Mental Health. 2017 Jul;19(4):330-40.
12. Basharat M. Mediating role of defense mechanisms in relation between attachment and emotional attachment styles. Journal of Applied Psychology. 2012;6(1):7-22.
13. Porcerelli JH, Cramer P, Porcerelli DJ, Arterbery VE. Defense mechanisms and utilization in cancer patients undergoing radiation therapy: A pilot study. The Journal of nervous and mental disease. 2017 Jun 1;205(6):466-70. [DOI:10.1097/NMD.0000000000000674] [PMID]
14. Bahadorikhosroshahi J, Khanjani Z. Relationship of Humor and Negative Life Events with Depression among Students. Zahedan J Res Med Sci 2012;14(2):96-100.
15. Zareinezhad Z, Pourhossein R, Rahiminezhad A. The role of mediator of defensive styles in the relationship between my level of development and marital satisfaction. Journal of Psychological Sciences. 2017;16(61):6-18.
16. Aliakbaridehkordi M, Salehi S, Rezaei A. The comparison of the relationship between irrational beliefs and defense styles among cardiac patients and ordinary people. Scientific Journal Management System. 2013;2(6):18-32.
17. Hulley SB, Cummings SR, Newman TB, Browner WS, Grady DG. Designing cross-sectional and cohort studies. Designing clinical research. 2013;85.
18. Kachooei M, Ashtiani AF, Allahyari A. Relationship of personality characteristics and defense styles with eating disorder in University students. Know Res Appl Psychol. 2012;13:84-93.
19. Khodamoradi S, Basharat M, Hemmati A. Comparison of defensive styles in patients with breast cancer with non-clinical group. Journal of Lorstan university of medical sciences. 2013;15(3):76-86.
20. Kachuei M, Parsa V, Soeizi R. Comparative study of defensive styles and personality traits in non-depressed and depressed patients referring to treatment centers affiliated to the University of Social Welfare and Rehabilitation Sciences. Journal of Islamic Azad University. 2014;24(3):182-8.
21. Soltani Te. Comparison of psychological hardiness and style of defense mechanisms in hemodialysis patients and healthy subjects. Journal of Applied Psychology. 2014;8(1):87-100.
22. Nowak Z, Wańkowicz Z, Laudanski K. Denial defense mechanism in dialyzed patients. Medical science monitor: international medical journal of experimental and clinical research. 2015;21:1798. [DOI:10.12659/MSM.893331] [PMID] [PMCID]
23. Stepanchuk E, Zhirkov A, Yakovleva A. The coping strategies, psychological defense mechanisms and emotional response to the disease in Russian patients with chronic leukemia. Procedia-Social and Behavioral Sciences. 2013 Oct 10;86:248-55. [DOI:10.1016/j.sbspro.2013.08.559]
24. Sahrakhil Le. The relationship between health literacy and Self-efficacy of cardiovascular patients in selected hospitals in Qazvin. Tehran: University of Social Welfare and Rehabilitation Sciences; 2015.
25. Hoseinzadeh Te. Study of Self-efficacy in Patients with Coronary Artery Disease and Its Predictors. Qom Univ Med Sci J 2013;7(2):41-8.
26. Jalilian M, Mostafavi F, Sharifirad G. Association between self-efficacy, perceived social support and quality of life in patients with cardiovascular diseases: A cross-sectional study. J Health Syst Res. 2013;9(5):531-9.
27. Ranjbaran S, Dehdari T, Mahmoodi Majdabadi M, Sadeghniiat-Haghighi K. The survey of sleep self-efficacy and perceived social support status in patients with poor sleep quality after coronary artery bypass surgery. Razi Journal of Medical Sciences. 2014 Dec 15;21(126):33-42.
28. LauWalker M. Relationship between illness representation and self‐efficacy. Journal of advanced nursing. 2004;48(3):216-25. [DOI:10.1111/j.1365-2648.2004.03190.x] [PMID]
29. Kang Y, Yang IS. Cardiac self‐efficacy and its predictors in patients with coronary artery diseases. Journal of clinical nursing. 2013 Sep;22(17-18):2465-73. [DOI:10.1111/jocn.12142] [PMID]
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