بررسی همبستگی خشنودی زناشویی با کیفیت زندگی زنان مبتلا به دیابت نوع 2

نوع مقاله: اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تربت حیدریه، تربت حیدریه، ایران.

3 دانش آموخته کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه زنان و مامایی، مرکز تحقیقات سلامت زنان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه: ارتقاء کیفیت زندگی، یکی از اهداف نهایی مدیریت بیماری‌های مزمن نظیر دیابت محسوب می شود. مواجهه با بحران ناشی از ابتلاء یکی از زوجین به دیابت، منجر به کاهش خشنودی زناشویی آن‌ها می‌شود که ممکن است بر کیفیت زندگی آن‌ها تأثیرگذار باشد. مطالعه حاضر با هدف تعیین ارتباط خشنودی زناشویی با کیفیت زندگی زنان مبتلا به دیابت نوع 2 در زنان دیابتی شهر مشهد انجام شد.
روش کار: این مطالعه توصیفی در سال 94-1393 بر روی 90 نفر از زنان مبتلا به دیابت نوع 2 مراجعه کننده به مراکز بهداشتی درمانی شهر مشهد انجام شد. ابزار گردآوری داده ها در این مطالعه سه پرسشنامه مشخصات فردی و بیماری، مقیاس خشنودی زناشویی اصلاح شده آذرین ناتان اچ و پرسشنامه کیفیت زندگی  SF-36بود. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های آماری همبستگی، آنالیز واریانس و رگرسیون خطی انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: در این مطالعه 30 نفر (3/33%) افراد دارای خشنودی زناشویی ضعیف و 58 نفر (4/64%) دارای خشنودی متوسط بودند. بر اساس نتایج آزمون همبستگی اسپیرمن، ارتباط معنی‌داری بین نمره خشنودی زناشویی و کیفیت زندگی و ابعاد سلامت روانی و جسمی آن وجود داشت (05/0>p). بر اساس نتایج آزمون رگرسیون خطی نیز خشنودی زناشویی قادر به پیشگویی 1/14% واریانس نمره کیفیت زندگی در افراد مورد مطالعه بود.
نتیجه گیری: خشنودی زناشویی بالاتر با کیفیت زندگی بهتر زنان دیابتی ارتباط دارد و خشنودی زناشویی قادر به پیشگویی کیفیت زندگی این افراد می باشد. از این رو ارتقای خشنودی زناشویی و انجام مشاوره‌های خانوادگی جهت بهبود کیفیت زندگی زنان دیابتی که از اهداف اصلی مراقبتی در بیماران دیابتی است، توصیه می شود.

کلیدواژه‌ها


عنوان مقاله [English]

Evaluation of the correlation between marital satisfaction and quality of life in women with type 2 diabetes

نویسندگان [English]

  • Mahin Tafazzoli 1
  • Elham Azmoudeh 2
  • Azam Parnan Imamverdikhan 3
  • Salmeh Dadgar 4
1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Torbat Heidariye University of Medical Sciences, Torbat Heidariye, Iran
3 M.Sc. Graduate, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Introduction: Improving the Quality of life (QOL) is considered as one of ultimate goal of chronic disease management such as diabetes. Dealing with the crisis of affecting one of spouses to diabetes leads to decreased marital satisfaction that may affect on their QOL.  This study was performed with aim to evaluate the association between marital satisfaction and QOL in women with type 2 diabetes in Mashhad.
Methods: This descriptive study was performed on 90 women with type 2 diabetes referring to health care centers in Mashhad during 2014–2015. Data collection tool was three questionnaires of disease and demographic characteristics, Azarin Natan H marital satisfaction index and short form-36 quality of life questionnaires. Data were analyzed by SPSS (version 16), and correlation coefficient statistical tests, variance analysis, and Linear Regression. PResults: In this study, 30 subjects (33.3%) had low marital satisfaction and 58 (64.4%) moderate marital satisfaction. According to the results of Spearman correlation test, there was a significant relationship between score of marital satisfaction and QOL and dimensions of physical and mental health (P<0.05). Linear regression analysis also indicated that marital satisfaction was able to predict 14.1% variance of Quality of life score in the subjects.
Conclusion: Higher marital satisfaction was associated with better quality of life for diabetic women and marital satisfaction is able to predict the quality of life in these patients. Therefore; it is recommended to promote marital satisfaction and perform family counseling in order to improve the QOL for diabetic women, which is one of the main goals of care in diabetic patients

کلیدواژه‌ها [English]

  • Marital relationship
  • Quality of life
  • Diabetes Mellitus
  • Type 2
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