Journal of Nursing Education
روان پرستاری
IJPN
Medical Sciences
http://ijpn.ir
279
admin
2345-2501
2345-2528
7
10.22034/ijpn
14
8888
13
fa
jalali
1401
1
1
gregorian
2022
4
1
10
1
online
1
fulltext
fa
اثربخشی آموزش گروهی مبتنی بر مداخلات شناختی رفتاری بر ناگویی های خلقی در بیماران تحت همودیالیز
The Effectiveness of Group Discussion based on Cognitive-behavioral Intervention on Alexithymia in Hemodialysis Patients
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" mitra="" style="font-family:">ناگویی خلقی</span></span></span> <span lang="AR-SA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" mitra="" style="font-family:">با بسیاری از مشکلات سلامتی فیزیکی ارتباط دارد</span></span></span><span lang="FA" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="background:white"><span b="" mitra="" style="font-family:">.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">از آنجایی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">که بیماران تحت درمان با همودیالیز، استرس های مزمن جسمی و روانشناختی را تجربه می کنند، این پژوهش با هدف تعیین تأثیر بحث گروهی مبتنی بر مداخلات شناختی رفتاری بر ناگویی های خلقی در بیماران تحت همودیالیز انجام شد.</span></span></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 sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> مطالعه حاضر از نوع کارآزمایی بالینی تصادفی بود. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">60 نفر از </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بیماران تحت همودیالیز بیمارستان گلدیس شاهین شهر در نیمه دوم سال 1398</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> به روش نمونه گیری </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">در دسترس و بر اساس معیارهای ورود انتخاب شدند و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با استفاده از جدول اعداد تصادفی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">در دو گروه مداخله</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">کنترل</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">قرار گرفتند</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">. جهت جمع آوری اطلاعات از پرسشنامه اطلاعات دموگرافیک </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پر</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">سشنامه ناگویی خلقی تورنتو (یلور، راین و باگبی، 1985) </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">استفاده شد</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">برای گروه مداخله، 8 جلسه </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">60</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> دقیقه ای بحث گروهی مبتنی بر مداخلات شناختی رفتاری انجام شد. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">دادهها با نرمافزار آماری </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS19</span></span><span style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> تجزیه و تحلیل شدند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></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 sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یافته ها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> میانگین میزان ناگویی های خلقی قبل از مداخله درگروه مداخله (46/5 </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> 51/62) و در گروه کنترل (53/3 </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> 44/62) بود که بعد از مداخله در گروه مداخله به (09/4 </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> 62/43) و در گروه کنترل به (57/3 </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> 32/62) رسید و این اختلاف در گروه مداخله معنی دار بود (001/0</span></span><span dir="LTR" style="font-size:12.0pt">p<</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">).</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> باتوجه به اثربخشی آموزش گروهی مبتنی بر مداخلات شناختی رفتاری بر ناگویی های خلقی در بیماران تحت همودیالیز، پیشنهد می شود پرستاران روش به کار گرفته شده در پژوهش حاضر را به عنوان یک روش ساده و کم هزینه در کاهش ناگویی های خلقی بیماران تحت همودیالیز مورداستفاده قرار دهند.</span></span></span></span></span></span></span></span></span></span>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Alexithymia and difficulty in identifying and expressing emotions are associated with many physical health problems. Since hemodialysis patients experience chronic physical and psychological stress, the aim of this study was to determine the effectiveness of group discussion based on cognitive-behavioral interventions on alexithymia in patients undergoing hemodialysis.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods</span></span></b><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The present study was a randomized clinical trial. 60 patients undergoing hemodialysis in Goldis Shahinshahr hospital in the second half of 2019 were selected through a convenience sampling method based on inclusion criteria and randomly using a random number table in both intervention and control groups. The demographic information questionnaire and the Toronto alexithymia questionnaire (Taylor, Ryan & Bagby, 1985) were used to collect data. For the intervention group, 8 sessions of 60-minute group discussion based on cognitive-behavioral interventions were performed Data were analyzed using SPSS19 statistical software.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"> <b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The mean alexithymia Score was 62/51±5/46 in the intervention group, and 62/44±3/53 in the control group before the intervention, which respectively reached 43/62±4/09 and 62/32±3/57 after implementation of the intervention and this difference was significant in the intervention group (p≤0/001).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"> <b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: Considering the effectiveness of group training based on cognitive-behavioral interventions on mood disorders in hemodialysis patients, it is suggested that nurses use the method used in the present study as a simple and low-cost method in reducing mood disorders in hemodialysis patients</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Courier New""></span></span></span></span></span></span></span>
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مداخلات شناختی رفتاری, ناگویی خلقی, همودیالیز
Cognitive-Behavioral Interventions, Alexithymia, Hemodialysis
37
45
http://ijpn.ir/browse.php?a_code=A-10-1918-1&slc_lang=fa&sid=1
Shirin
Jafarian dehaghani
شیرین
جعفریان دهاقانی
shirin.jafarian347@yahoo.com
27900319475328460013926
27900319475328460013926
No
Nursing and Midwifery Faculty, Khorasgan Azad University, Isfahan, Iran
دانشگاه آزاد اسلامی واحد خوراسگان، دانشکده پرستاری و مامایی، اصفهان، ایران
Roya
Torkashvand
رویا
ترکاشوند
shirin.jafarian347@yahoo.com
27900319475328460013927
27900319475328460013927
Yes
Nursing and Midwifery Faculty, Khorasgan Azad University, Isfahan, Iran
دانشگاه آزاد اسلامی واحد خوراسگان، دانشکده پرستاری و مامایی، اصفهان، ایران