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
1403
7
1
gregorian
2024
10
1
34
3
online
1
fulltext
fa
اثربخشی درمان کاهش استرس مبتنی بر ذهنآگاهی بر کیفیت خواب و بهزیستی روانشناختی زنان مبتلا به صرع
Effectiveness of mindfulness-based stress reduction therapy on sleep quality and psychological well-being of women with epilepsy
روانشناسی
psychology
نيمه تجربي
Quazi-Experimental
<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="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">بیماران مبتلا به صرع درگیر مشکلات روانشناختی متعددی هستند، بنابراین در برنامه بهبودی آنها علاوه بر مداخلات طبی باید مداخلات روانشناختی نیز مدنظر قرار گیرد. پژوهش حاضر با هدف تعیین اثربخشی درمان کاهش استرس مبتنی بر ذهنآگاهی بر کیفیت خواب و بهزیستی روانشناختی بیماران مبتلا به صرع انجام شد</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">. </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""><span style="letter-spacing:-.3pt">روش بررسی</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><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">روش پژوهش، نیمه­تجربی با طرح پیش­آزمون- پس­آزمون و پیگیری با گروه کنترل بود. جامعه آماری را زنان مبتلا به صرع شهر تبریز که در سال 1401 عضو انجمن صرع این شهر بودند تشکیل دادند. 30 نفر با روش نمونهگیری هدفمند انتخاب، و بهطور تصادفی در دو گروه قرار گرفتند. اعضای گروه آزمایش درمان مختص گروه خود را در 8 جلسه 5/1 ساعته دریافت کرد؛ اما گروه کنترل درمانی دریافت نکرد. داده­ها توسط آزمون تحلیل واریانس با اندازه­گیری مکرر تحلیل شدند</span></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="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">در پیش­آزمون، میانگین و انحراف معیار درمان کاهش استرس مبتنی بر ذهنآگاهی برای کیفیت خواب 52/2</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Cambria",serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">67/17 و برای بهزیستی روانشناختی 94/5</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Cambria",serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">93/43، و در گروه کنترل برای کیفیت خواب 02/2</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Cambria",serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">87/16 و برای بهزیستی روانشناختی 30/6</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Cambria",serif"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">±</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">33/46 بود (05/0<</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="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). درمان کاهش استرس مبتنی بر ذهنآگاهی، کیفیت خواب و بهزیستی روانشناختی بیماران را در پسآزمون افزایش 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="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">). در مرحله پیگیری، اثر این درمان ماندگار بود (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="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><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">.</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> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">درمان کاهش استرس مبتنی بر ذهنآگاهی احتمالاً میتواند سبب افزایش کیفیت خواب و بهزیستی روانشناختی زنان مبتلا به صرع شود</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">. </span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Koodak""><span style="font-weight:normal"></span></span></span></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">: Patients with epilepsy are involved in many psychological problems; so in addition to medical interventions, psychological interventions should also be considered in their recovery plan. The aim of this study was to determine the effectiveness mindfulness-based stress reduction therapy (MBSRT) on sleep quality and psychological well-being of women with epilepsy. </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">: This study was a semi-experimental study with a pretest-posttest control group design. The statistical population of the research included all women with epilepsy in <st1:place w:st="on"><st1:placename w:st="on">Tabriz</st1:placename> <st1:placetype w:st="on">City</st1:placetype></st1:place> who were members of the Epilepsy Association of this city in <st1:metricconverter productid="2023. In" w:st="on">2023. In</st1:metricconverter> total, 30 people were selected by purposive sampling method, and randomly divided into two groups (15 people each). Members of the experimental group received their treatment in eight sessions of 1.5 hours; however, the control group did not receive any treatment. Data were analyzed using ANOVA with repeated measures. </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">: In the pretest, mean and standard deviation of MBSRT for sleep quality was 17.67±2.52 and for psychological well-being was 43.93±5.94; and in the control group sleep quality was 16.87±2.03 and for psychological well-being was 46.33±6.30 (p>0.05). At post-test, MBSRT increased their sleep quality and psychological well-being (p<0.001). At the follow-up stage, the effect of this treatment was lasting (p<0.001). </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">Conclusion</span></b><span style="font-size:11.0pt">: Mindfulness-based stress reduction therapy can possibly increase sleep quality and psychological well-being in women with epilepsy.</span></span></span></span></span></span><br>
درمان کاهش استرس مبتنی بر ذهنآگاهی, کیفت خواب, بهزیستی روانشناختی, صرع
Mindfulness-based stress reduction therapy, Sleep quality, Psychological well-being, Epilepsy.
274
283
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-1175-14&slc_lang=fa&sid=1
Nazanin
AminKazemi
نازنین
امین کاظمی
Nazaninkazemi371@gmail.com
100319475328460012562
0009-0006-9557-7110
No
MA in General Psychology, University College of Nabi Akram, Tabriz, Iran
کارشناسی ارشد روانشناسی عمومی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران
Fateme
Mohammadi
فاطمه
محمدی
roya.mohammadii777@gmail.com
100319475328460012563
0009-0002-5412-8977
No
MA in General Psychology, University College of Nabi Akram, Tabriz, Iran
کارشناسی ارشد روانشناسی عمومی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران
Hadi
Smkhani Akbarinejhad
هادی
اسمخانی اکبرینژاد
hadiakbarinejhad@yahoo.com
100319475328460012564
100319475328460012564
Yes
Department of Psychology, University College of Nabi Akram, Tabriz, Iran
گروه روانشناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران