Journal of Medical Council of Iran
مجله علمی پژوهشی سازمان نظام پزشکی ایران
jmciri
Medical Sciences
http://jmciri.ir
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2026
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رابطه پریشانی روانشناختی با ناتوانی کارکردی در بیماران مبتلا به سرطان پستان: نقش میانجی سبک زندگی ارتقا دهنده
The Relationship between Psychological Disturbance with Functional Disability in Breast Cancer Patients: Mediating Role of Health Promoting Lifestyle
بیماری های خون و سرطان
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:17pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:15pt"><span b="" mitra="" style="font-family:"><span style="color:#16469d">چکیده</span></span></span></b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:#16469d"></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">زمینه</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سینه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حال</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حاضر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عنوان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یکی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">علل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اصلی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مرگ</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زنان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کشورهای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حال</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">توسعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شناخته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یکی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مفاهیم</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اساسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مرتبط</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سینه،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماران</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اختلال</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عملکرد،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">چند</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنبه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دلیل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اشاره</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دارد</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نرخ</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بالای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میزان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مرگ</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ومیر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زنان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتباط</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اساس</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حاضر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هدف</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بررسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">رابطه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماران</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میانجی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">انجام</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شد</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">.</span></span></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">روش</span></span></span></b><b> </b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">کار</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مطالعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حاضر،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همبستگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نوع</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">الگویابی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تحلیل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مسیر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بود</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جامعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">آماری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شامل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تمامی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زنان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مرحله</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پرتودرمانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیمارستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">امام</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">علی</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> (</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ع</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">) </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شهر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کرج</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سال</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 1401-1402 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بود</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">آنها</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 255 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نفر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نمونه</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گیری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دسترس،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">انتخاب</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شدند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ابزار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شامل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پرسشنامه</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقاءدهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سلامت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">والکر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همکاران</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> (1987)</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">خود</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوان</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سازی</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">برگلاس</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جونز</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> (1978) </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کسلر</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> (2002) </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بود</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داده</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استفاده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">الگویابی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تحلیل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مسیر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تجزیه</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">وتحلیل</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شدند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">یافته</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span></b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">ها</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یافته</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ها</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نشان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقا</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتباط</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میانجی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ایفا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همچنین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتباط</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مستقیم</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مورد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تأیید</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">قرار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گرفت</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجه</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span></b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری</span></span></span></b><b><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مطابق</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یافته</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماران</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">موثری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ایفا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کنند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نتایج</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مطالعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اهمیت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ادغام</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مداخلات</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زندگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارتقاء</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهنده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سلامت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مراقبت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بالینی</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماران</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تاکید</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارائه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دهندگان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مراقبت</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بهداشتی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">باید</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استراتژی</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هایی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">را</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نظر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بگیرند</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">فعالیت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدنی،</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تغذیه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">متعادل،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">خواب</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کافی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مدیریت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">موثر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استرس</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">را</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">برنامه</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">درمانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تقویت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تطبیق</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مداخلات</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نیازهای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">فردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تواند</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اثربخشی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">آنها</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">را</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">افزایش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نتایج</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بهتری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">حمایت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کند</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بنابراین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تدوین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مداخلات</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">درمانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">برای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناتوانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کارکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بیماران</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبتلا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سرطان</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پستان،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">باید</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">متغیرها</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">توجه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ویژه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مبذول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شود</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">.</span></span></span></span></span></span></span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="line-height:15.693334px"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><b><span lang="EN-US" style="font-size:14pt"><span style="font-family:IRMitra"><span style="color:#16469d"><span style="letter-spacing:-0.05pt">Abstract</span></span></span></span></b></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:13pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><b><span lang="EN-US" style="font-size:12pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-0.05pt">Background:</span></span></span></span></b> <span lang="EN-US" style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Breast cancer is currently recognized as one of the leading causes of death among women in developing countries. One of the fundamental concepts associated with breast cancer is functional disability in patients, which refers to the impairment of functioning in one or more aspects of life due to the disease in patients. High rates of functional disability are associated with mortality rates in women with breast cancer. Accordingly this study aimed to investigate the relationship between psychological distress and functional disability in breast cancer patients, with the mediating role of a health-promoting lifestyle.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:13pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><b><span lang="EN-US" style="font-size:12pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-0.3pt">Methods:</span></span></span></span></b><span lang="EN-US" style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The research design was correlational, utilizing a path analysis modelling approach. The study population included all women undergoing radiotherapy for breast cancer at Imam Ali Hospital in Karaj during 2023-2024. From this population, 255 participants were selected using convenience sampling. The research instruments consisted of the Health-Promoting Lifestyle Profile Questionnaire by Walker et al. (1987), the Self-Handicapping Scale by Berglas and Jones (1978), and the Kessler Psychological Distress Scale (2002). Data were analyzed using path analysis. </span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:13pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><b><span lang="EN-US" style="font-size:12pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-0.3pt">Results:</span></span></span></span></b><span lang="EN-US" style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The findings revealed that a health-promoting lifestyle mediates the relationship between psychological distress and functional disability. Additionally, direct relationships between psychological distress and functional disability, psychological distress and a health-promoting lifestyle, and a health-promoting lifestyle and functional disability were confirmed.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:13pt"><span style="font-family:Calibri, sans-serif"><span style="color:#000000"><span style="font-style:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="text-decoration:none"><span style="vertical-align:middle"><b><span lang="EN-US" style="font-size:12pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-0.3pt">Conclusion:</span></span></span></span></b><span lang="EN-US" style="font-size:10pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Based on these findings, psychological distress and a health-promoting lifestyle play significant roles in the functional disability of breast cancer patients. The results of this study emphasize the importance of integrating health-promoting lifestyle interventions into the clinical care of patients with breast cancer. Healthcare providers should consider strategies that promote physical activity, balanced nutrition, adequate sleep, and effective stress management in treatment programs. Tailoring these interventions to individual needs can increase their effectiveness and support better functional outcomes. Therefore, therapeutic interventions targeting functional disability in breast cancer patients should prioritize these variables.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:14.0pt"><span style="background:white"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span>
پریشانی روانشناختی, سبک زندگی ارتقا دهنده, ناتوانی کارکردی, سرطان پستان
psychological distress, health-promoting lifestyle, functional disability, breast cancer
53
62
http://jmciri.ir/browse.php?a_code=A-10-1952-1&slc_lang=fa&sid=1
Hanieh
Dashtdar
هانیه
دشت دار
haniehdashtdar@gmail.com
100319475328460010771
100319475328460010771
No
PhD Student in Health Psychology , Department Of Health & Clinical Psychology, Ka.C., Islamic Azad University, Karaj, Iran
دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی سلامت و بالینی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
Mohammadreza
Seirafi
محمدرضا
صیرفی
msf3@yahoo.com
100319475328460010772
100319475328460010772
Yes
Department Of Health & Clinical Psychology, Ka.C., Islamic Azad University, Karaj, Iran
گروه روانشناسی سلامت و بالینی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
Sheida
Sodagar
شیدا
سوداگر
sh.sodagar@iau.ac.ir
100319475328460010773
100319475328460010773
No
Department Of Psychology, Imam Khomeini International University, Qazvin, Iran
گروه روانشناسی، دانشگاه بینالمللی امام خمینی (ره)، قزوین، ایران
Alireza
Kakavand
علیرضا
کاکاوند
ar.kakavand@soc.ikiu.ac.ir
100319475328460010774
100319475328460010774
No
Department Of Psychology, Imam Khomeini International University, Qazvin, Iran
گروه روانشناسی، دانشگاه بینالمللی امام خمینی (ره)، قزوین، ایران