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
1402
4
1
gregorian
2023
7
1
22
4
online
1
fulltext
fa
اثربخشی آموزش مهارتهای زندگی بر انعطافپذیری شناختی و کیفیت زندگی سالمندان مبتلا به دیابت نوع دو: یک مطالعه نیمهتجربی
The Effectiveness of Life Skills Training on Cognitive Flexibility and Quality of Life in Elderly People with Diabetes Mellitus Type-2: A Quasi-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">سلامت جسمی و روانی سالمندان مبتلا به دیابت نوع دو با انعطاف­پذیری شناختی و کیفیت زندگی در آنان ارتباط دارد. لذا </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">این پژوهش با هدف تعیین اثربخشی آموزش مهارت</span></span></span><i>­</i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">های زندگی بر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">انعطاف­پذیری ­شناختی و کیفیت زندگی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> سالمندان مبتلا به دیابت نوع دو انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><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:122%"><span style="font-family:"B Nazanin"">مواد و روش­ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> این پژوهش نیمه­تجربی با طرح پیش­آزمون و پس­آزمون با گروه کنترل بود. جامعه پژوهش سالمند</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">ان</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> مبتلا به دیابت نوع دو کانون جهان دیدگان شیراز (ایران) در سال 1401 بودند که از میان آن­ها 30 نفر با شرایط ورود به پژوهش با روش نمونه­گیری در دسترس انتخاب و با روش تصادفی ساده در گروه آزمون و کنترل (هر گروه 15 نفر) قرار گرفتند. سالمندان مبتلا به دیابت نوع دو با فرم جمعیت شناختی، پرسش­نامه انعطاف­پذیری شناختی و کیفیت زندگی مورد ارزیابی قرار گرفتند. گروه آزمون تحت مداخله 10 جلسه­ 75 دقیقه­ای آموزش مهارت­های زندگی قرار گرفت و گروه کنترل در لیست انتظار باقی ماند. داده­ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه ­و تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><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:122%"><span style="font-family:"B Nazanin"">یافته­ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> نتایج نشان داد که آموزش </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">مهارت­های زندگی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">تأثیر معناداری بر افزایش میانگین نمره انعطاف­پذیری شناختی (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">69/15</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">=</span></span></span><i>F</i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، 0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">01</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">/0></span></span></span><i>P</i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">و</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> افزایش میانگین نمره کیفیت زندگی (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">18/52</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">=</span></span></span><i>F</i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، 0</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">01</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">/0></span></span></span><i>P</i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">) سالمندان مبتلا به دیابت نوع دو دارد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><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:122%"><span style="font-family:"B Nazanin"">نتیجه­گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد که آموزش مهارت­های زندگی می­تواند منجر به افزایش انعطاف­پذیری شناختی و کیفیت زندگی در سالمندان مبتلا به دیابت نوع دو گردد. لذا به­کارگیری این روش</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> ساده، مفید و کم هزینه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> توسط متخصصان بهداشت روان در سالمندان مبتلا به دیابت نوع دو پیشنهاد می­شود.</span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژه­های کلیدی</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> مهارت­های زندگی، انعطاف­پذیری، کیفیت زندگی، دیابت نوع دو، سالمندان </span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="line-height:150%">Background and Objectives:</span></b></a> <span lang="EN" style="line-height:150%">Physical and mental health </span><span style="line-height:150%">are</span><span lang="EN" style="line-height:150%"> related to cognitive flexibility and quality of life in the elderly with type-2 diabetes</span><span dir="RTL" lang="AR-SA" style="line-height:150%">.</span><span lang="EN" style="line-height:150%"> Therefore, this study aims at determining the effect of life skills training on cognitive flexibility and quality of life in the elderly with type-2 diabetes.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">Materials and Methods</span></b><b><span lang="EN" style="line-height:150%">:</span></b><span lang="EN" style="line-height:150%"> This study was a quasi-experimental study with a pre-test and post-test design with a control group. The population consists of the elderly with type-2 diabetes members of Jahandidegan daily Center in Shiraz, Iran in 2022. Based on the inclusion criteria, 30 subjects were randomly selected and assigned into experimental and control groups of 15 subjects. Elderly people, suffering from type-2 diabetes were evaluated with a demographic, </span><span style="line-height:150%">Cognitive Flexibility Inventory</span><span lang="EN" style="line-height:150%">, and Quality of Life Questionnaire. The experimental group went under 10 sessions of 75 minutes of life skills training and</span> <span lang="EN" style="line-height:150%">the control group was held back on training. Data were analyzed using multivariate analysis of covariance (MANCOVA).</span><span lang="AR-SA" dir="RTL" style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="line-height:150%">Results: </span></b><span lang="EN" style="line-height:150%">The findings showed that life skills training led to the improvement of cognitive flexibility mean score (F=15.69, p<0.001) and quality of life mean score (F=52.18, p<0.001) of the elderly with type-2 diabetes</span><span dir="RTL" lang="AR-SA" style="line-height:150%">.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="line-height:150%">Conclusion:</span></b><span lang="EN" style="line-height:150%"> The present study showed that life skills training can increase cognitive flexibility and quality of life in the elderly with type­-2 diabetes. </span><span style="line-height:150%">Therefore, mental health specialists are recommended to use this simple, useful</span><span lang="EN" style="line-height:150%">,</span><span style="line-height:150%"> and low-cost method in the elderly with type-2 diabetes with cautious.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="line-height:150%">Key words:</span></b><span lang="EN" style="line-height:150%"> Life skills, Cognitive flexibility</span><span style="line-height:150%">, </span><a href="https://www.ncbi.nlm.nih.gov/mesh/68011788" style="color:#0563c1; text-decoration:underline"><span style="line-height:150%">Quality of life</span></a><span lang="EN" style="line-height:150%">, </span><a href="https://www.ncbi.nlm.nih.gov/mesh/68003924" style="color:#0563c1; text-decoration:underline"><span style="line-height:150%">Diabetes mellitus type 2</span></a><span lang="EN" style="line-height:150%">, </span><span style="line-height:150%">Elderly</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">Funding:</span></b><span style="line-height:150%"> This study did not have any funds.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">Conflict of interest:</span></b><span style="line-height:150%"> None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">Ethical approval:</span></b><span style="line-height:150%"> The Ethics Committee of Azad University of Yasooj approved the study (IR.IAU.YASOOJ.REC.1401.010).</span><b><span lang="FA" dir="RTL" style="line-height:150%"></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><i><span lang="EN" style="line-height:150%"></span></i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">How to cite this article:</span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">Heidari Fatemeh, Mottaghi Reza. The Effectiveness</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> of Life Skills Training on Cognitive</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> Flexibility and Quality of Life in Elderly People with </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Diabetes Mellitus</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> Type-2: A Quasi-Experimental Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (4): 367-84. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
مهارتهای زندگی, انعطافپذیری, کیفیت زندگی, دیابت نوع دو, سالمندان
Life skills, Cognitive flexibility, Quality of life, Diabetes mellitus type 2, Elderly
367
384
http://journal.rums.ac.ir/browse.php?a_code=A-10-6272-1&slc_lang=fa&sid=1
Fatemeh
Heidari
فاطمه
حیدری
fateme.heydari.0506@gmail.com
6900319475328460054327
6900319475328460054327
No
MA Clinical Psychology Student, Department of Psychology, Yasooj Branch, Islamic Azad University
دانشجو کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد یاسوج، یاسوج، ایران
Reza
Mottaghi
رضا
متقی
rezamotaghi63@yahoo.com
6900319475328460054328
6900319475328460054328
Yes
Assistant Professor, Department of Psychology, Zand Institute of Higher Education, Shiraz, Iran
استادیار، گروه روانشناسی، مؤسسه آموزش عالی زند شیراز، شیراز، ایران