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
8
1
gregorian
2022
11
1
21
8
online
1
fulltext
fa
تأثیر آموزش توانبخشی شناختی بر رضایت جنسی، کیفیت زندگی زناشویی و امید به زندگی در زنان ماستکتومی شده: یک مطالعه نیمهتجربی
The Effect of Cognitive Rehabilitation Education on Sexual Satisfaction, Marital Life Quality and Life Expectancy in Mastectomized Women:
A Quasi-Experimental Study
توانبخشي و فيزيوتراپي
Rehabilitation
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زنان ماستکتومی شده دارای مشکلاتی در زمینه رضایت جنسی، کیفیت زندگی زناشویی و امید به زندگی هستند و آموزش توانبخشی شناختی میتواند نقش مؤثری در بهبود ویژگیهای روانشناختی مرتبط با سلامت داشته باشد. بنابراین، پژوهش حاضر با هدف تعیین تأثیر آموزش توانبخشی شناختی بر رضایت جنسی، کیفیت زندگی زناشویی و امید به زندگی در زنان ماستکتومی شده انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">این مطالعه نیمهتجربی با طرح پیشآزمون و پسآزمون با گروه کنترل بود. جامعه پژوهش زنان متأهل </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">ماستکتومی شده </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">در بیمارستان شفا شهر اهواز در سال 1400 بودند که تعداد 30 نفر از آنها با توجه به ملاکهای ورود به مطالعه با روش نمونهگیری هدفمند انتخاب و بهصورت تصادفی در دو گروه مساوی جایگزین شدند. گروه مداخله 10 جلسه 60 دقیقهای (هفتهای دو جلسه) با روش توانبخشی شناختی آموزش دید و گروه کنترل در لیست انتظار برای آموزش ماند. دادهها با مقیاس رضایت جنسی برای زنان </span></span></span>Meston<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و </span></span></span>Trapnell<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، مقیاس کیفیت زندگی زناشویی </span></span></span>Zhang<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و همکاران و پرسشنامه امید به زندگی </span></span></span>Snyder<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و همکاران جمعآوری و با آنالیز کوواریانس چند متغیره تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها نشان داد که روش </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">آموزش توانبخشی شناختی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> در مقایسه با گروه کنترل باعث افزایش معنیدار </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">رضایت جنسی، کیفیت زندگی زناشویی و امید به زندگی در زنان ماستکتومی میشود</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">).</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتایج نشان دهنده تأثیر توانبخشی شناختی بر افزایش رضایت جنسی، کیفیت زندگی زناشویی و امید به زندگی بود. بنابراین</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، درمانگران و متخصصان سلامت میتوانند از روش </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مذکور در کنار سایر روشهای مؤثر برای بهبود ویژگیهای مرتبط با سلامت استفاده نمایند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">واژههای کلیدی: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">توانبخشی شناختی، رضایت جنسی، کیفیت زندگی زناشویی، امید به زندگی، ماستکتوم</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">ی</span></span></span><span dir="LTR" style="font-size:19.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></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="line-height:140%">Background and Objectives:</span></b><span style="line-height:140%"> Mastectomized women have problems in the field of sexual satisfaction, married life quality, and life expectancy. Cognitive rehabilitation education can play an effective role in improving psychological characteristics related to health. Therefore, the present study was conducted with the aim of determining the effect of cognitive rehabilitation education on sexual satisfaction, marital life quality and life expectancy in the mastectomized women.</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="line-height:140%">Materials and Methods: </span></b><span style="line-height:140%">This study was a quasi-experimental study with a pretest and posttest design with a control group. The research population was the married mastectomized women in Shafa Hospital of Ahvaz city in 2021, out of which 30 people were selected according to the inclusion criteria and by purposive sampling method and randomly placed into two equal groups. The experimental group was trained 10 sessions of 60 minutes (two sessions per week) with cognitive rehabilitation method, and the control group was placed on the waiting list for training. Data were collected by Meston and Trapnell’s Sexual Satisfaction Scale for Women, Zhang and et al.’s Marital Life Quality Scale, and Snyder and et al.’s Life Expectancy Questionnaire, and analyzed by multivariate analysis of covariance (MANCOVA).</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="line-height:140%">Results: </span></b><span style="line-height:140%">The findings showed that the cognitive rehabilitation education method in comparison with the control group led to a significant increase in the sexual satisfaction, marital life qualityand life expectancy in the mastectomized women (p<0.001).</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="line-height:140%">Conclusions: </span></b><span style="line-height:140%">The results indicated the effect of cognitive rehabilitation on increasing sexual satisfaction, marital life quality, and life expectancy. Therefore, health professionals and therapists can use the mentioned method along with other effective educating methods to improve health-related characteristics.</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="line-height:140%">Key words: </span></b><span style="line-height:140%">Cognitive rehabilitation, Sexual satisfaction, Marital life quality, Life expectancy, Mastectomy.</span><b><span dir="RTL" lang="AR-SA" style="font-size:3.0pt"><span style="line-height:140%"></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="line-height:140%">Funding:</span></b><span style="line-height:140%"> This study did not have any funds.</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="line-height:140%">Conflict of interest:</span></b><span style="line-height:140%"> None declared.</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="line-height:140%">Ethical approval:</span></b><span style="line-height:140%"> The Ethics Committee of Islamic Azad University of Ahvaz Branch, approved the study (IR.IAU.AHVAZ.REC.1401.017)</span><b><span dir="RTL" lang="AR-SA" style="font-size:5.0pt"><span style="line-height:140%"></span></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><span style="line-height:150%">How to cite this article:</span></b> Jahanfar Hoda, Dasht Bozorgi Zahra. <span style="line-height:150%">The Effect of Cognitive Rehabilitation Education on Sexual Satisfaction, Marital Life Quality and Life Expectancy in Mastectomized Women: A Quasi-Experimental Study. <i>J Rafsanjan</i></span><span style="line-height:150%"> <i>Univ Med Sci</i> 2022; 21 (8): 801-16 [Farsi]</span><b> </b><b><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
توانبخشی شناختی, رضایت جنسی, کیفیت زندگی زناشویی, امید به زندگی, ماستکتومی
Cognitive rehabilitation, Sexual satisfaction, Marital life quality, Life expectancy, Mastectomy.
801
816
http://journal.rums.ac.ir/browse.php?a_code=A-10-2195-3&slc_lang=fa&sid=1
Hoda
Jahanfar
هدی
جهانفر
hodajahanfar@gmail.com
6900319475328460051721
6900319475328460051721
No
گروه روانشناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز
Zahra
DashtBozorgi
زهرا
دشتبزرگی
Zahradb2000@yahoo.com
6900319475328460051722
6900319475328460051722
Yes
دانشگاه آزاد اسلامی، اهواز،