Journal of Jiroft University of Medical Sciences
مجله دانشگاه علوم پزشکی جیرفت
J Jiroft Univ Med Sci
Medical Sciences
http://journal.jmu.ac.ir
1
admin
2538-2810
2538-2810
10.66224/jjums
fa
jalali
1404
12
1
gregorian
2026
3
1
12
4
online
1
fulltext
fa
بررسی مدل نشانگان اختلال استرس پس از ضربه در بیماران تصادفی بیمارستان جیرفت براساس سرسختی روانشناختی با میانجی گری حمایت اجتماعی
Examining the Post-Traumatic Stress Disorder Model in Accident-Injured Patients in Jiroft Hospital: The Role of Psychological Hardiness Mediated by Social Support
علوم پزشکی / روانپزشکي
Medical Sciences / Psychiatry
پژوهشي
Research
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<td style="padding: 0cm 12px; text-align: justify;" valign="top"><span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:"B Mitra"">مقدمه و </span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">هدف:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">با توجه به پیامدهای روانی و کاهش کیفیت زندگی ناشی از حوادث ترافیکی، پژوهش حاضر با هدف آزمون مدل نشانگان اختلال استرس پس از ضربه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">بر اساس سرسختی روانشناختی و نقش میانجی حمایت اجتماعی در بیماران تصادفی بیمارستان جیرفت انجام شد</span></span><span dir="LTR" style="font-size:12.0pt">.</span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">روش­کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> پژوهش حاضر به شیوه توصیفی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Sakkal Majalla"">–</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">همبستگی انجام شد. جامعه آماری شامل بیماران تصادفی بستری در بیمارستان جیرفت در بازه زمانی آبان تا دی 1403 بود که با استفاده از نمونهگیری هدفمند و بر اساس معیارهای ورود، 350 نفر انتخاب شدند. ابزارهای مورد استفاده شامل</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">مقیاس اختلال استرس پس از ضربه</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">واترز و همکاران، پرسشنامه سرسختی روانشناختی اهواز کیامرثی و همکاران و پرسشنامه حمایت اجتماعی شربون و استوارت بودند. پایایی ابزارها با ضریب آلفای کرونباخ بین 0/79 تا 0/81 تأیید شد. دادهها با استفاده از نرم­افزار </span></span>SPSS <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">نسخه 27 و مدلسازی معادلات ساختاری (</span></span>PLS<span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">) تحلیل گردیدند.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></b></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">یافتهها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""> نتایج </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">نشان داد که سرسختی روانشناختی اثر مثبت و معناداری بر حمایت اجتماعی دارد</span></span><span dir="LTR" style="font-size:12.0pt">.</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">(0/05></span></span>p<span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">) </span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">همچنین، هر دو متغیرِ حمایت اجتماعی و سرسختی روانشناختی، تأثیر منفی و معناداری بر شدت علائم اختلال استرس پس از ضربه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">نشان دادند</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">(0/05></span></span>p<span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">) </span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">با توجه به ضرایب تعیین برای حمایت اجتماعی </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">0/54 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">و برای اختلال استرس پس از ضربه </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">0/62 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">و مقادیر</span></span> F <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">بهترتیب (</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">1/42 و 8/36</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">)، مدل از برازش مطلوب و قدرت پیشبینی بالایی برخوردار است</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">نتیجهگیری:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">سرسختی روانشناختی و حمایت اجتماعی به عنوان عوامل محافظتی، با کاهش علائم اختلال استرس پس از ضربه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">در مصدومان سوانح، بستری مناسب برای طراحی مداخلات رواناجتماعی هدفمند فراهم میکنند</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra"">.</span></span></span></span></span></span></span></span></td>
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<span style="font-size:10pt"><span style="background:white"><span style="text-justify:inter-ideograph"><span style="font-family:"Courier New""><b><span style="font-family:"Times New Roman",serif">Introduction:</span></b><span style="font-family:"Times New Roman",serif"> Given the psychological consequences and diminished quality of life resulting from traffic accidents, this study aimed to test a model of Post-Traumatic Stress Disorder (PTSD) based on psychological hardiness, with the mediating role of social support, among accident-injured patients hospitalized at Jiroft Hospital.
</span></span></span></span></span><span style="font-size: 10pt; white-space: normal;"><span style="background:white"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:"Times New Roman",serif"><b>Methods:</b> The present study was conducted using a descriptive–correlational design among accident-injured patients hospitalized at Jiroft Hospital between October and December 2024. Based on the inclusion criteria, 350 participants were selected through purposive sampling.<b> </b>Data were collected using the PTSD questionnaire developed by Waters et al., the Ahvaz Psychological Hardiness Scale developed by Kiamarsi et al., and the Social Support Questionnaire designed by Sherbourne and Stewart. The reliability of the instruments was confirmed using Cronbach’s alpha coefficients ranging from 0.79 to 0.81. Data were analyzed using SPSS version 27 and Partial Least Squares Structural Equation Modeling (PLS-SEM).
</span></span></span></span></span><span style="font-size: 10pt; white-space: normal;"><span style="background:white"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:"Times New Roman",serif"><b>Results:</b> The results indicated that psychological hardiness had a positive and statistically significant effect on social support (p<0.05). Furthermore, both social support and psychological hardiness had a significant negative effect on the severity of PTSD symptoms (p<0.05). The coefficients of determination (R²) for social support and PTSD were 0.54 and 0.62, respectively. Moreover, the F statistics for the overall models were 42.1 and 36.8, respectively, indicating an acceptable model fit and a strong predictive power.
</span></span></span></span></span><span style="font-size: 10pt; white-space: normal;"><span style="background:white"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:"Times New Roman",serif"><b>Conclusion: </b>Psychological hardiness and social support serve as protective factors that attenuate PTSD symptoms among trauma survivors, providing a solid framework for the development of targeted psychosocial interventions.</span></span></span></span></span></pre>
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اختلال استرس پس از ضربه, حمایت اجتماعی, حوادث ترافیکی, سرسختی روانشناختی
Post-Traumatic Stress Disorder, Social Support, Traffic Accidents, Psychological Trauma
2065
2074
http://journal.jmu.ac.ir/browse.php?a_code=A-10-1040-1&slc_lang=fa&sid=1
Samaneh
Molaei Sarbizannasab
سمانه
ملایی سربیژن نسب
10031947532846009641
10031947532846009641
No
Department of Clinical Psychology, BA.C, Islamic Azad University, Bandar Abbas, Iran
گروه روانشناسی بالینی، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران
Fereshteh
Mazhariazad
فرشته
مظهری آزاد
f.mazhariazad@iau.ac.ir
10031947532846009642
10031947532846009642
Yes
Department of Nursing, BA.C, Islamic Azad University, Bandar Abbas, Iran
گروه پرستاری، واحد بندرعباس، دانشگاه آزاد اسلامی، بندرعباس، ایران
Eghbal
zarei
اقبال
زارعی
10031947532846009643
10031947532846009643
No
Department of Psychology, University of Hormozgan, Bandar Abbas, Iran
گروه روانشناسی، دانشگاه هرمزگان، بندرعباس، ایران