Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
2
1
gregorian
2022
5
1
21
2
online
1
fulltext
fa
اثربخشی شناخت درمانی مبتنی بر ذهنآگاهی بر بهزیستی روانشناختی و کیفیت زندگی مراقبین سالمندان مبتلا به آلزایمر شهر اصفهان: یک مطالعه نیمه آزمایشی
The Effectiveness of Mindfulness-Based Cognitive Therapy on Psychological Well-Being and Quality of Life in Caregivers of the Elderly with Alzheimer's disease in Isfahan City: A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مراقبت از سالمند مبتلا به آلزایمر و ارتباط برقرار کردن با او فرآیندی استرس­زا است که پیامدهای منفی بر بهزیستی روان­شناختی و کیفیت زندگی مراقبین دارد. لذا با توجه به اهمیت مسئله<span style="color:red !msorm">،</span><span style="color:red !msorm"> ا</span><span style="color:red !msorm">ین</span><span style="color:red !msorm"> پژوهش با هدف </span>تعیین اثربخشی شناخت درمانی مبتنی بر ذهن­آگاهی بر بهزیستی روان­شناختی و کیفیت زندگی مراقبین سالمندان مبتلا به آلزایمر شهر اصفهان انجام گردید.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مواد و روش ­ها:</span></span></span></b> <span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">اﻳﻦ پژوهش از ﻧﻮع نیمه­ آزمایشی و با طرح پیشآزمون-ﭘﺲآزﻣﻮن و گروه کنترل بود. </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">جامعه آماری مراقبین سالمندان مبتلا به آلزایمر شهر اصفهان در سال 1400 بودند. </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">ابتدا به روش نمونه­گیری در دسترس، 30 نفر انتخاب و سپس به شیوه تصادفی در دو گروه 15 نفره جایگزین شدند. گروه آزمایش </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تحت 8 جلسه </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">90 </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">دقیقه­ای آموزش </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شناخت درمانی مبتنی بر ذهن آگاهی</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> قرار گرفت. در این مدت گروه کنترل در لیست انتظار باقی ماندند. از مقیاس بهزیستی روان­شناختی </span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">Ryff</span></span><b> </b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">و </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""><span class="msoDel" style="text-decoration:line-through"><span style="color:red"><del cite="mailto:pezeshki" datetime="2022-05-21T08:22">پرسش­نامه </del></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:pezeshki" datetime="2022-05-21T08:22">پرسشنامه </ins></span></span>کیفیت زندگی سازمان بهداشت جهانی در دو مرحله پیش­آزمون و پس­آزمون </span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">به منظور گردآوری اطلاعات استفاده شد. داده­ها با استفاده از تحلیل کوواریانس چند متغیره تجزیه <span class="msoDel" style="text-decoration:line-through"><span style="color:red"><del cite="mailto:pezeshki" datetime="2022-05-21T08:21">­­</del></span></span>و<span class="msoDel" style="text-decoration:line-through"><span style="color:red"><del cite="mailto:pezeshki" datetime="2022-05-21T08:21"> ­­</del></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:pezeshki" datetime="2022-05-21T08:21"> </ins></span></span>تحلیل شدند.</span></span></span> <span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">یافته­ ها:</span></span></span></b> <span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتایج بیان</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%"></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">گر این بود که آموزش </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شناخت درمانی مبتنی بر ذهن آگاهی</span></span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> توانسته است بهزیستی روان­شناختی و کیفیت زندگی مراقبین سالمندان مبتلا به آلزایمر را بهطور معنیداری بهبود بخشد (05/0></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:120%">P</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتیجه­ گیری:</span></span></span></b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> از آن­جایی که شناخت درمانی مبتنی بر ذهن­آگاهی بر بهزیستی روان­شناختی و کیفیت زندگی مؤثر بود، می­توان نتیجه­گیری کرد که این مداخله می­تواند برای ارتقاء بهزیستی روان­شناختی و کیفیت زندگی مراقبین سالمندان مبتلا به آلزایمر توسط مراکز مشاوره و خدمات روان­شناختی به­کار گرفته شود. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">واژه­ های کلیدی:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> ذهن آگاهی، شناخت درمانی، بهزیستی، کیفیت زندگی، مراقبین، بیماری آلزایمر</span></span></span><i> </i></span></span></span></span></span>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Background and Objectives: </span></b><span style="line-height:145%">Caring of elderly with Alzheimer's disease and communicat<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:56">ing</ins></span></span> with them is a chronic stressful process that <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:56">has</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:57"> a</ins></span></span> negative effect on caregiver<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:57">s’</ins></span></span> </span><span lang="EN" style="line-height:145%">psychological well-being</span><b> </b><span style="line-height:145%">and</span><span lang="EN" style="line-height:145%"> quality of life</span><span style="line-height:145%">. Therefore, considering the importance of<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-16T08:26"> </ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:57">this issue</ins></span></span>, the aim of this study was to investigate the </span><span lang="EN" style="line-height:145%">effectiveness of </span><span style="line-height:145%">m</span><span lang="EN" style="line-height:145%">indfulness-based cognitive therapy on psychological well-being</span><b> </b><span style="line-height:145%">and</span><span lang="EN" style="line-height:145%"> quality of life in caregivers of the elderly with Alzheimer’s disease in Isfahan city</span><span style="line-height:145%">.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Materials and Methods:</span></b><span style="line-height:145%"> This quasi<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:58">-</ins></span></span>experimental study was conducted with a pretest-posttest design with control group. The statistical population was <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:59">caregivers</ins></span></span> of the elderly with Alzheimer's disease in Isfahan in year </span><span style="line-height:145%">2021</span><span style="line-height:145%">. At first, 30 people were selected by available sampling method and then randomly divided into two groups of </span><span style="line-height:145%">15</span><span style="line-height:145%"> people. For the people in the experimental group, the m</span><span lang="EN" style="line-height:145%">indfulness-based cognitive therapy </span><span style="line-height:145%">was implemented in 8 sessions, each session lasting 90</span> <span style="line-height:145%">minutes, but the control group received no training and</span> <span style="line-height:145%">remained in the waiting list. <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:01">Data was collected using </ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:02">Ryff’s P</ins></span></span>sychological <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:02">W</ins></span></span>ell-<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:02">B</ins></span></span>eing <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:02">S</ins></span></span>cale and World Health Organization <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:03">Q</ins></span></span>uality of <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:03">L</ins></span></span>ife in two stages, pre-test and post-test. Data was analyzed using multivariate analysis of covariance (MANCOVA).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Results:</span></b><span style="line-height:145%"> <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:04">The r</ins></span></span>esults indicated that m</span><span lang="EN" style="line-height:145%">indfulness-based cognitive therapy</span><span lang="EN" style="line-height:145%"><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-16T08:29"> </ins></span></span></span><span style="line-height:145%">significantly improved </span><span lang="EN" style="line-height:145%">psychological well-being and quality of life in caregivers of the elderly </span><span style="line-height:145%">(<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:04">p</ins></span></span><0.05).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Conclusion:</span></b><span style="line-height:145%"> Since mindfulness-based cognitive therapy was effective on psychological well-being and quality of life, it can be concluded that this intervention can be used <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:05">by counseling centers and psychological services </ins></span></span>to improve the psychological well-being and quality of life of caregivers of the elderly with Alzheimer's.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Key words:</span></b><span style="line-height:145%"> M</span><span lang="EN" style="line-height:145%">indfulness</span><span style="line-height:145%">, </span><span style="line-height:145%">Cognit<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-16T08:23">ive</ins></span></span> therapy,</span><span lang="EN" style="line-height:145%"> Well<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:05">-</ins></span></span>being, Quality of life, </span><span style="line-height:145%">Caregivers</span><span lang="EN" style="line-height:145%">, Alzheimer<span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T09:05">’</ins></span></span>s disease</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><span style="font-size:10.0pt !msorm"><span style="line-height:145% !msorm"><span style="font-style:italic !msorm"><span dir="RTL" lang="FA" style="font-size:3.0pt"><span style="line-height:145%"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Funding: </span></b><span style="line-height:145%">This study did not have any funds.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Conflict of interest: </span></b><span style="line-height:145%">None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Ethical approval:</span></b><span style="line-height:145%"> The Ethics Committee of Azad University of Khorasgan approved the study (IR.IAU.KHUISF.REC.1400.140).</span><b><span style="line-height:145%"></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span dir="RTL" lang="FA" style="font-size:4.0pt"><span style="line-height:145%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:145%"><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:49"> Zehtab</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:54"> Sharifeh</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:49">, Tabatabaienejad</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:54"> Fatemeh Sadat</ins></span></span>. <span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:53">The Effectiveness of Mindfulness-Based Cognitive Therapy </ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-16T09:00">on</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:53"> Psychological Well-Being and Quality of Life in Caregivers of the Elderly with Alzheimer's <span class="msoDel" style="text-decoration:line-through"><span style="color:red"><del cite="mailto:pezeshki" datetime="2022-05-21T07:34">Disease</del></span></span></ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:pezeshki" datetime="2022-05-21T07:34">disease</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-15T08:53"> in Isfahan City: A Quasi-Experimental Study</ins></span></span><span class="msoIns" style="text-decoration:underline"><span style="color:teal"><ins cite="mailto:Hosseini" datetime="2022-05-16T08:24">. </ins></span></span><i>J Rafsanjan</i></span></span><span style="font-size:9.0pt"><span style="line-height:145%"> <i>Univ Med Sci</i> 2022; 21 (02): 187-206. [Farsi]</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:145%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span>
ذهن آگاهی, شناخت درمانی, بهزیستی, کیفیت زندگی, مراقبین, بیماری آلزایمر
Mindfulness, Cognitive therapy, Well-being, Quality of life, Caregivers, Alzheimer’s disease
187
206
http://journal.rums.ac.ir/browse.php?a_code=A-10-5540-1&slc_lang=fa&sid=1
Sharifeh
Zehtab
شریفه
زهتاب
sharifehzahtab@gmail.com
6900319475328460049572
6900319475328460049572
No
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روانشناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران
FatemehSadat Tabatabaeinejad
Tabatabaeinejad
فاطمه سادات
طباطبائی نژاد
f.tabatabaei49@yahoo.com
6900319475328460049573
6900319475328460049573
Yes
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روانشناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران