fa همبستگی پاسخ‌ نشخواری و افسردگی با میانجیگری سبک زندگی در سالمندان مدیریت سلامت health management پژوهشي Research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> افسردگی یکی از مهم‌ترین نگرانی‌های بهداشت عمومی در میان افراد مسن است. لذا شناسایی عوامل مؤثر در ایجاد افسردگی امری بسیار مهم و ضروری است. پژوهش حاضر با هدف تعیین همبستگی پاسخ‌ نشخواری و افسردگی با میانجیگری سبک زندگی در سالمندان صورت گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">روش کار:</span></span></span></b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> مطالعه به‌صورت توصیفی - همبستگی بو</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">د</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">. جامعه آماری مورد پژوهش را سالمندان </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">در طیف سنی 60 تا 75 سال، </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقیم و غیرمقیم خانه سالمندان شهر بجنورد، در سال 1398</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">تشکیل دادند. 400 تن با استفاده از فرمول </span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%">Krejcie &&nbsp; Morgan</span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">&nbsp; به‌صورت نمونه‌گیری غیرتصادفی &nbsp;و در دسترس انتخاب شدند.</span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">جمع‌آوری داده‌ها با پرسشنامه جمعیت شناختی، </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">سیاهه افسردگی بک</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Beck Depression Inventory</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">)، </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مقیاس پاسخ نشخواری</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> (</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Rumination Response Scale</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">) </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نیمرخ سبک زندگی ارتقاءدهنده سلامت 2</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&quot;</span></span></span> <span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Health-Promoting Lifestyle Profile II) </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">) </span></span></span><span lang="AR-SA" style="font-size:16.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">اجرا</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> شد</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">. روایی محتوا به روش کیفی و پایایی به روش همسانی درونی با محاسبه ضریب آلفای کرونباخ&nbsp; ابزارها اندازه‌گیری شد. تحلیل داده‌ها با استفاده</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> نرم‌افزار آماری اس پی اس اس نسخه 25 و آموس 24 تحلیل شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">یافته‌ها:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">میان پاسخ‌ نشخواری با مولفه های سبک زندگی سالمندان همبستگی منفی و با افسردگی همبستگی مثبت وجود دارد (01/0</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&ge;</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">). مولفه های سبک زندگی سالمندان با افسردگی همبستگی منفی دارند (01/0</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&ge;</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">)</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">. همچنین پاسخ‌ نشخواری </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">با افسردگی </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">به‌طور</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> غیرمستقیم به‌واسطه تمامی مولفه های سبک زندگی معنادار می‌باشد (05/0</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">&ge;</span></span></span><span dir="LTR" style="font-size:14.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">).</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">نتیجه‌گیری:</span></span></span></b> <span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">سالمندان با نمره پاسخ نشخواری بالا، علائم افسردگی بیشتری را گزارش می‌کنند. همچنین </span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">پاسخ نشخواری به‌طور غیرمستقیم و از طریق </span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">مولفه های</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> سبک زندگی، افسردگی سالمندان را میانجیگری می‌کند</span></span></span> <span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:">و باعث افزایش افسردگی می‌شود.</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="line-height:150%"><span b="" mitra="" style="font-family:"> پیشنهاد می‌شود برنامه‌های آموزشی در جهت ارتقای سبک زندگی سالم در سالمندان و کاهش پاسخ نشخواری و نیز برنامه‌ریزی‌های کلان در سطح جامعه جهت کاهش افسردگی انجام شود.</span></span></span></span></span></span></span></span><br> &nbsp; Introduction: Depression is one of the most important public health concerns among the elderly. Therefore, it is very important and necessary to identify the effective factors in causing depression. The present study was conducted with the aim of determining the correlation between rumination response and depression with the mediation of lifestyle in the elderly.<br> Methods: The study was descriptive-correlation. The statistical population of the study was made up of elderly people in the age range of 60 to 75 years old, residents and non-residents of the nursing home of Bojnourd city in 2018. 400 people were selected using the Krejcie & Morgan formula as non-random and convenience sampling. Data collection was done with demographic questionnaire, &quot;Beck Depression Inventory&quot;, &quot;Rumination Response Scale&quot; and &quot;Health-Promoting Lifestyle Profile II&quot;. Content validity was measured by qualitative method and reliability by internal consistency method by calculating Cronbach&#39;s alpha coefficient. Data analysis was analyzed using SPSS. 25 and Amos .24.<br> Results: There is a negative correlation between rumination response and lifestyle components of the elderly and a positive correlation with depression (P&ge;0.01). Lifestyle components of the elderly have a negative correlation with depression (P&ge;0.01). Also, the correlation of rumination response with depression is significant indirectly through all lifestyle components (P&ge;0.05).<br> Conclusion: Elderly people with high rumination response score report more depressive symptoms. Also, rumination response mediates the depression of the elderly indirectly and through lifestyle components and causes an increase in depression. It is suggested to carry out educational programs in order to promote a healthy lifestyle in the elderly and reduce the rumination response, as well as large-scale planning at the community level to reduce depression.<br> <br> <br> &nbsp; افسردگی, پاسخ‌های نشخواری, سبک زندگی Depression, Rumination Responses, Lifestyle. 17 32 http://jhpm.ir/browse.php?a_code=A-10-2065-1&slc_lang=fa&sid=1 zahra bahadori زهرا بهادری z.bahadori75@gmail.com 100319475328460014139 100319475328460014139 No Bojnord University دانشگاه بجنورد zahra ranaee زهرا رعنایی zahraranaee67@gmail.com 100319475328460014140 100319475328460014140 Yes Farhangian University of Bojnourd دانشگاه فرهنگیان بجنورد Hossein Mahdian حسین مهدیان hossein3284@gmail.com 100319475328460014141 100319475328460014141 No Islamic Azad University, Bojnourd دانشگاه آزاد بجنورد Abdollah Mafakheri عبدالله مفاخری a.mafakheri@pnu.ac.ir 100319475328460014142 100319475328460014142 No Payam Noor University, Bojnourd دانشگاه پیام نور بجنورد