Medical Sciences Journal of Islamic Azad University
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران
MEDICAL SCIENCES
Medical Sciences
http://tmuj.iautmu.ac.ir
1
admin
1023-5922
2008-3386
000
10.61882/iau
000
1023-5922
000
fa
jalali
1402
9
1
gregorian
2023
12
1
33
4
online
1
fulltext
fa
بررسی اثربخشی نرمافزار توانبخشی شناختی کاپیتان لاگ بر انعطافپذیری شناختی بیماران مبتلا به مالتیپل اسکلروزیس شهر تهران
Investigating the effectiveness of Captain’s Log cognitive rehabilitation software on the cognitive flexibility of patients with multiple sclerosis in Tehran
روانشناسی
psychology
نيمه آزمايشي
Semi-pilot
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">سابقه و هدف</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:Nazanin"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">بیماری مالتیپل اسکلروزیس با تخریب سیستم دستگاه عصبی، انتقال پیام در نورون</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">های مغزی را با مشکل مواجه می</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">کند، توانبخشی</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">های شناختی باعث بهبود توانایی شناختی و عملکردهای اجرایی افراد آسیب دیده می</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">شوند. هدف این مطالعه، بررسی اثربخشی نرم افزار توانبخشی کاپیتان لاگ بر انعطاف­پذیری شناختی بیماران مبتلا به ام اس شهر تهران بود. </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal"></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">روش بررسی</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">:</span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal"> <i>پژوهش حاضر از نوع مداخله</i></span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">ای با طرح پیش</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">آزمون-پس</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">آزمون بود که در دو سطح توصیفی و استنباطی مورد بررسی قرار گرفت. همچنین از آزمون تحلیل کوواریانس تک متغیره (آنکووا) جهت بررسی تأثیر مداخله بر نمرات پس</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">آزمون استفاده شد. جامعه</span></span></span></i><i> </i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">آماری، تمام بیماران مبتلا به ام اس شهر تهران بودند که تعداد 30 نفر از بیماران مبتلا به مولتیپل اسکلروزیس در سال 1401-1400 شهر تهران به عنوان حجم نمونه با روش نمونه</span></span></span></i><i> </i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">گیری در دسترس و به صورت هدفمند انتخاب شدند و به طور تصادفی در دو گروه 15 نفری با عنوان گروه</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">های کنترل و آزمایش قرار گرفتند. آزمودنی</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">ها پرسشنامه استاندارد انعطاف</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="font-weight:normal">­</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">پذیری شناختی (</span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="font-weight:normal">CFI</span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">) توسط دنیس و ونادروال را برای سنجش انعطافپذیری شناختی تکمیل کردند</span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">یافته</span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">ها:</span></span></span> <i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">نرم</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">افزار توانبخشی شناختی کاپیتان لاگ به طور مستقیم انعطافپذیری شناختی را تحت تاثیر قرار داد (001/0></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">p</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). همچنین اندازه اثر اتا =363/0، یعنی تاثیر کاپیتان لاگ بر انعطاف</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">پذیری آزمودنی</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">ها 3/36 درصد بود.</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">­</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">گیری</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">:</span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> <i>طبق یافته</i></span></span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">­</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">های پژوهش، اثربخشی توانبخشی شناختی بر بیماران دچار اختلالات شناختی محرز است و پیشنهاد می­شود از نرم­افزار توانبخشی شناختی کاپیتان لاگ در مراکز بهزیستی استفاده شود.</span></span></span></span></i></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: The transmission of data in nervous system is affected by multiple sclerosis. This can cause problems for cognitive abilities and executive functions. Cognitive rehabilitations can improve these abilities. We investigated the effectiveness of Captain’s Log rehabilitation software on cognitive flexibility of patients with multiple sclerosis in Tehran. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Materials and methods</span></b><span style="font-size:11.0pt">: The present study was an intervention type with a pre-test and post-test design. At the descriptive level, the mean and standard deviation were used. In the inferential part, the normality test of data (Kolmogorov-Smirnov test), the homogeneity of the regression slope and Levine's test were applied to check the equality of the variance of the dependent variable. Univariate analysis of covariance (ANCOVA) was used to check the effect of the intervention on the post-test scores. The sample statistical population included 30 patients with multiple sclerosis in the year 2021-2022 in Tehran, who were selected by the purposive convenience sampling method and randomly placed into two groups of fifteen people as control and intervention groups. Subjects completed the standard Cognitive Flexibility Questionnaire (CFI) by Dennis and Vander Wal to measure cognitive flexibility. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: Captain’s Log cognitive rehabilitation software directly affected cognitive flexibility (p<0.001). The eta squared effect size 0.363 indicated that the effect of Captain’s Log on the flexibility of the subjects is 36.3%.</span></span></span></span></span><br>
<b><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif">Conclusion</span></span></b><span style="font-size:11.0pt"><span style="font-family:"Times New Roman",serif">: According to the results, the effectiveness of cognitive rehabilitation on patients with cognitive disorders is clear. It is suggested to use Captain’s Log cognitive rehabilitation software in welfare centers</span></span>
مولتیپل اسکلروزیس, انعطافپذیری شناختی, توانبخشی شناختی, کاپیتان لاگ
Multiple sclerosis, Cognitive flexibility, Cognitive rehabilitation, Captain’s Log
381
392
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-1692-1&slc_lang=fa&sid=1
Ali
Delshad
علی
دلشاد
alidelshad.official@gmail.com
100319475328460011814
100319475328460011814
No
MA, Department of Psychology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
کارشناسی ارشد، گروه روانشناسی، دانشکده پزشکی، علوم پزشکی تهران، دانشگاه آزاداسلامی، تهران، ایران
Amenesadat
Kazemi
آمنه سادات
کاظمی
sadat.kazemi@yahoo.com
100319475328460011815
100319475328460011815
Yes
Department of Psychology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
استادیار، گروه روانشناسی، دانشکده پزشکی، علوم پزشکی تهران، دانشگاه آزاداسلامی ، تهران، ایران