کیفیت زندگی و رابطه آن با میزان استرس و روش‌های مقابله با آن در بیماران مبتلا به اختلال عروق کرونر

  Quality of Life and its Relationship with Stress and Coping Strategies in Coronary Heart Disease Patients     E. Nohi [1] , M. Abdolkarimi [2] , M. Rezaeian [3]     Received: 14/06/10 Sent for Revision: 10/10/10 Received Revised Manuscript: 23/02/11 Accepted: 01/03/11     Background and Objectives : Stress and coping strategies as well as other psychological factors affect quality of life among coronary heart disease (CHD) patients. The aim of this study was to assess the relationship between quality of life, stress and coping strategies in coronary heart disease patients .   Materials and Methods: This cross sectional study was carried out on 310 patients with coronary heart disease who reffered to CCU and angiography wards at Rafsanjan hospital between March and October 2009. The data were collected using three questionnaires, SF-36, Jaloweis coping strategies and Cohen's perceived stress. The validity and reliability of the questionnaires have been approved. T-test, ANOVA, Scheffe and Pearson Correlation methods were used to analyze the data.   Results: Results showed a negative significant relationship (p<0.0001) between quality of life and both stress (r=-0.68) and Emotion– Focused coping (r= -0.35). There was also a positive significant relationship (p<0.0001) between quality of life and Problem- Focused coping (r = 0.41). A negative significant relationship (p<0.0001) between stress and Problem-Focused coping (r= -0.49) as well as a positive significant relationship between stress and Emotion- Focused coping (r = 0.31) was observed.   Conclusion: This can be concluded from our results that the use of Problem–Focused coping strategies is correlated with the decrease of perceived stress and improvement of quality of life in coronary heart disease patients.   Key words: Coronary heart disease, Quality of life, Stress, Coping strategies     Funding: This research was funded by kerman University of Medical Sciences.   Conflict of interest : None declared.   Ethical approval: The Ethics Committee of Kerman University approved the study.     How to cite this article : Nohi E, Abdolkarimi M, Rezaeian M . Quality of Life and its Relationship with Stress and Coping Strategies in Coronary Heart Disease Patients . J Rafsanjan Univ Med Sci 2011 10(2): 127-37. [Farsi]     [1] - Academic Member, Dept. of Internal Surgery, Razi Nursing and Midwifery Faculty , Kerman University of Medical Sciences , Kerman, Iran   [2] - Msc, Dept. of Nursing , Ali-Ebn_ Abi_ Taleb Hospital, Rafsanjan University of Medical Sciences , Rafsanjan, Iran   Corresponding Author, Tel:( 0391)5238448, Fax :( 0391) 8220022, Email: [email protected]   [3] - Associat Prof., Dept. of Social Medicine, Occupational and Environmental Health Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran