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The Mediating Role of Health-Promoting Lifestyle in Stressful Life Events and Health Indicators of Patients with Irritable Bowel Syndrome: a Salutogenic Approach(مقاله علمی وزارت علوم)

کلیدواژه‌ها: irritable bowel syndrome Health Status Indicators Life Change Events Health Promoting Life Style

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 Objective: Irritable bowel syndrome is a chronic psychosomatic disease. Stressful events play a critical role in this disease, and lifestyle modification is one of the treatment priorities for these patients. The present study aimed to examine the role of health-enhancing lifestyles among stressful life events and salutogenic health indicators in these patients. Method: Data analysis was done by structural equation modeling. The statistical population included all patients with irritable bowel syndrome referred to Imam Sajjad Hospital in Tehran in 2019 and 2020. The statistical sample was 229 patients selected through Purposive sampling and diagnosed by a psychiatrist based on ROME-IV criteria. Research tools included the Bringsen Salutogenic Health Indicators Scale, Sarason Life Events Inventory, and Walker HealthPromoting Lifestyle Profile-II. Data analysis was done by SPSS-20 and LISREL-8 software. Ethical considerations based on confidentiality, respect for the rights of individuals, human dignity, and avoiding harming the participants and distorting information were observed. Also Participants had full authority to withdraw from the study at any time. Results: The relationship between lifestyle (t=2.723, ß=0.17) and stressful events (t=-2.31, ß=-0.42) with salutogenic health indicators was significant. The mediating role of lifestyle between life events and salutogenic health indicators was meaningful at P<005 and a standard coefficient (0.0-13.11). Conclusion: It seems that lifestyle and control over stressful events affect the health indicators of patients with irritable bowel syndrome. Therefore, it is suggested to provide appropriate training programs to control and manage stressful events and provide strategies to modify lifestyle to improve health. 

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