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
10
1
gregorian
2023
1
1
21
10
online
1
fulltext
fa
اثربخشی درمان شناختی رفتاری بر خودشناسی انسجامی، تنظیم هیجان و کیفیت زندگی بیماران همودیالیزی: یک مطالعه نیمه تجربی
The Effectiveness of Cognitive Behavioral Therapy on Coherent Self- Knowledge, Emotion Regulation, and Quality of Life of Hemodialysis Patients: A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<div class="msocomtxt" id="_com_3" language="JavaScript" on=""><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">زمینه و هدف: </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">بیماران همودیالیزی </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">در معرض خطر­ات روان­شناختی مرتبط با سلامت هستند و درمان شناختی رفتاری می­ تواند نقش مؤثری در بهبود ویژگی­ های روان­شناختی مرتبط با سلامت داشته باشد. لذا این پژوهش با هدف تعیین تأثیر درمان شناختی رفتاری بر خودشناسی ­انسجامی، تنظیم ­هیجان و کیفت­ زندگی بیماران همودیالیزی<b> </b>در شهر کرمان انجام شد</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">.</span></span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">مواد و روشها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">پژوهش حاضر از نوع نیمه تجربی با طرح پیش­ آزمون، پس­ آزمون و پیگیری با گروه کنترل است. جامعه آماری این پژوهش بیماران بیمارستان شفا و کلینیک جواد الائمه(ع) شهر کرمان در سال 1401 بودند. با روش نمونه</span></span></span></span><span dir="LTR" style="color:black">­</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">گیری در دسترس 30 نفر بیمار همودیالیزی بر اساس ملاک­ های ورود به مطالعه انتخاب و به­ صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند (هر گروه 15 نفر). گروه آزمایش تحت آموزش 8 جلسه 75 دقیقه</span></span></span></span><span dir="LTR" style="color:black">­</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">ای با فراوانی دو بار در هفته قرار گرفتند و گروه کنترل در لیست انتظار برای آموزش ماند. مشارکت کنندگان با پرسش­نامه­های خودشناسی ­انسجامی، تنظیم­ هیجان و کیفیت­ زندگی مورد ارزیابی قرار گرفتند و </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">داده­ ها </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">با آنالیز واریانس دوطرفه با اندازه­ گیری­ های مکرر تجزیه­ و­تحلیل شدند.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">یافتهها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">میانگین نمرات خودشناسی­ انسجامی،</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">تنظیم­ هیجان و کیفیت­ زندگی قبل از مداخله به ترتیب در گروه درمان شناختی رفتاری 68/26، 93/37، 27/60</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">و در گروه کنترل67/26، 95/37، 60/59 بود (05/0<</span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">)، اما پس از مداخله، میانگین نمرات ویژگی­ های روان­شناختی مورد بررسی در گروه درمان شناختی رفتاری افزایش معنی­ داری نسبت به گروه کنترل نشان داد (001/0></span></span></span></span><span dir="LTR" style="color:black">P</span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">).</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">نتیجه­ گیری:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">نتایج مطالعه حاکی از تأثیر مداخله درمان شناختی رفتاری بر بهبود ویژگی­ های روان­شناختی مورد بررسی در گروه آزمایش بود. بنابراین می­توان از این مداخله به­ عنوان درمان مکمل در بیماران همودیالیزی استفاده نمود</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">.</span></span></span></span></span></span></span><br>
<span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">واژههای کلیدی</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">: <b> </b></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">درمان شناختی رفتاری</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">، </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black">خودشناسی انسجامی، تنظیم هیجان، کیفیت زندگی، بیماران همودیالیزی</span></span></span></span><b> </b><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></span></span></span><br>
</div>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Background and Objectives:</span></span></span></b> <span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Hemodialysis patients are exposed to psychological risks related to health. Cognitive behavioral therapy can play an effective role in improving psychological characteristics related to health. Therefore, this research was conducted with the aim of determining the effect of cognitive behavioral therapy on self-awareness, emotional regulation, and quality of life of hemodialysis patients in Kerman.</span></span></span><span dir="RTL" lang="FA" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Materials and Methods:</span></span></span></b> <span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">The present study is a quasi-experimental one with a pre-test, post-test, and follow-up design and a control group. The statistical population of this research was the patients of Shafa Hospital and Javad Al-Aima Clinic in Kerman in 2022. </span></span></span><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">For this research</span></span></span><span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> 30 hemodialysis patients were selected using convenience sampling based on inclusion criteria, and randomly assigned into experimental and control groups of 15 subjects. The experimental group went under 8 sessions of 75 minutes twice a week, while the control group was held back on training. The evaluations of the participants were conducted using questionnaires of self-awareness, emotion regulation, and quality of life. The collected data were analyzed using two-way repeated</span></span></span><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> measures </span></span></span><span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">ANOVA.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Results:</span></span></span></b> <span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">The mean scores of coherent self-knowledge, emotion regulation, and quality of life before the intervention were 26.68, 37.93, 60.27 in the cognitive behavioral therapy group and 26.67, 37.95, 59.60 in the control group (p>0.05), respectively. After the intervention,</span></span></span> <span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">a significant increase was observed</span></span></span> <span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">in the mean score of the investigated psychological characteristics in the cognitive behavioral therapy group compared to the control group (p<0.001).</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Conclusion: </span></span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">The results of the study </span></span></span><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">showed</span></span></span><span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> the effect of cognitive behavioral therapy intervention in the improvement of psychological characteristics in the experimental group. Therefore, this intervention can be used as a complementary treatment in hemodialysis patients.</span></span></span><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Key words: </span></span></span></b><span lang="EN" style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Cognitive behavioral therapy, Coherent self-knowledge, Emotion regulation, Quality of life, Hemodialysis patients</span></span></span><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Funding:</span></span></span></b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> This study did not have any funds.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Conflict of interest:</span></span></span></b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> None declared.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">Ethical approval:</span></span></span></b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black"> The Ethics Committee of Azad University of Kerman approved the study (IR.IAU.KERMAN.REC.1401.020).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">How to cite this articl</span></span></span></b><span style="font-size:9.5pt"><span style="line-height:140%"><span style="color:black">e: <b> </b>Rouhi Mojgan, Manzari Tavakoli Alireza, Tajrobehkar Mahshid. The Effectiveness of Cognitive Behavioral Therapy on Coherent Self- Knowledge, Emotion Regulation, and Quality of Life of Hemodialysis Patients: A Quasi-Experimental Study.<b> </b><i>J Rafsanjan</i> <i>Univ Med Sci</i> 2023; 21 (10): 1055-70. [Farsi]</span></span></span><b><span style="font-size:9.0pt"><span style="line-height:140%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><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:1.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
درمان شناختی رفتاری, خودشناسی انسجامی, تنظیم هیجان, کیفیت زندگی, بیماران همودیالیزی
Cognitive behavioral therapy, Coherent self-knowledge, Emotion regulation, Quality of life, Hemodialysis patients
1055
1070
http://journal.rums.ac.ir/browse.php?a_code=A-10-6038-1&slc_lang=fa&sid=1
Mojgan
Rouhi
مژگان
روحی
Mojgan_rouhi2020@yahoo.com
6900319475328460052467
6900319475328460052467
No
PhD Student, Department of Psychology, Zarand Branch, Islamic Azad University, Zarand, Iran.
دانشجوی دکتری، گروه روانشناسی، واحد زرند، دانشگاه آزاد اسلامی، زرند، ایران
Alireza
Manzari Tavakoli
علیرضا
منظری توکلی
amtavatavakoli@yahoo.com
6900319475328460052468
6900319475328460052468
Yes
Assistant Professor, Department of Psychology, Kerman Branch, Islamic Azad University, Kerman, Iran.
استادیار، گروه روانشناسی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران
Mahshid
Tajrobehkar
مهشید
تجربه کار
m.tajrobehkar@uk.ac.ir
6900319475328460052469
6900319475328460052469
No
Assistant Professor, Department of Psychology, Shahid Bahonar University, Kerman, Iran
استادیار، گروه روانشناسی، دانشگاه شهید با هنر، کرمان، ایران