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
11
1
gregorian
2023
2
1
21
11
online
1
fulltext
fa
اثربخشی درمان متمرکز بر شفقت بر اختلال وسواس فکری-عملی و اختلال استرس پس از ضربه در پرستاران دارای فرسودگی کووید-19: یک مطالعه نیمه تجربی
The Effectiveness of Compassion-Focused Therapy on Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder in Nurses with COVID-19 Burnout: A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></b><a name="_Hlk113374001"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">فرسودگی کووید-19 باعث کاهش سلامت روان­شناختی و جسمانی در بسیاری از پرستاران می­شود. با توجه به نقشی که درمان متمرکز بر شفقت می­تواند در سلامت روانی و شغلی پرستاران ایفاء کند، پژوهش حاضر با هدف تعیین</span></span></a> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">اثربخشی درمان متمرکز بر شفقت بر اختلال وسواس فکری-عملی و اختلال استرس پس از ضربه در پرستاران دارای فرسودگی کووید-19 انجام شد.</span></span></span></span></span><br>
<span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مواد و روش­ ها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> <a name="_Hlk113373920">روش پژوهش</a></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> حاضر</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> نیمه تجربی و طرح آن بهصورت پیش آزمون-پس آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل پرستاران منطقه 8 استان تهران در سال 1400 بود. تعداد 30 پرستار دارای فرسودگی کووید-19 به­صورت تصادفی در دو گروه مداخله (15 نفر) و گروه کنترل (15 نفر) جای­دهی شدند. ابزار گردآوری شامل پرسش­نامه­ های فرسودگی کووید-19، </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">اختلال وسواس فکری-عملی و اختلال استرس پس از ضربه</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> بود. گروه مداخله،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">8 جلسه 90 دقیقه ­ای درمان </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">متمرکز بر شفقت </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">را دریافت کردند، ولی گروه کنترل هیچ مداخله­ای دریافت نکردند. داده­ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه­ و تحلیل شدند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span><br>
<span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">یافته ­ها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> نتایج نشان داد که </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">درمان متمرکز بر شفقت به ­طور معنی­ داری باعث کاهش وسواس عملی، وسواس فکری، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">مزاحمت­ ها، اجتناب، تغییـرات منفـی در شــناخت­ و خلــق، برانگیختگــی و بی­قراری و بی­حسی عاطفی </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">در پرستاران مبتلا به فرسودگی کووید-19 می­شود</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> (</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">001/0></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">). </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">هم­چنین، </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">7/68 درصد از کل واریانس ­های گروه مداخله و کنترل ناشی از اثر متغیر مستقل است</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span><br>
<span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجه­ گیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">یافته­ ها حاکی از اثربخشی درمان متمرکز بر شفقت در پرستاران مبتلا به فرسودگی کووید-19 داشت. از آن­جایی که طی شیوع کووید-19، پرستاران مشکلات زیادی را تجربه کردند، لازم است تدابیری در جهت ارتقاء سلامت روان­شناختی آن­ها اتخاذ گردد.</span></span></span></span></span><br>
<span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">واژه­ های کلیدی:</span></span></b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""> درمان متمرکز بر شفقت، اختلال وسواس فکری-عملی، اختلال استرس پس از ضربه، پرستار، فرسودگی کووید-19</span></span><span lang="AR-SA" style="font-size:1.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Background and Objectives:</span></span></b><span style="font-size:9.5pt"><span style="line-height:135%"> COVID-19 burnout causes a decrease in many nurses' psychological and physical health. Considering the role that compassion-focused therapy can play in nurses' mental and occupational health, the present study was conducted to determine the effectiveness of compassion-focused treatment on obsessive-compulsive disorder and post-traumatic stress disorder in nurses with COVID-19 burnout.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Materials and Methods:</span></span></b><span style="font-size:9.5pt"><span style="line-height:135%"> The present research method was quasi-experimental and its design was pre-test and post-test with control group. The statistical population of the research included nurses from the eight districts of Tehran Province in 2021. 30 nurses with COVID-19 burnout were randomly placed in two experimental groups (n=15) and a control group (n=15). The collection tools included questionnaires on COVID-19 burnout, obsessive-compulsive disorder, and post-traumatic stress disorder. The experimental group received eight 90-minute sessions of compassion-focused therapy, but the control group did not receive any intervention. The obtained data were analyzed by multivariate analysis of covariance. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Results:</span></span></b><span style="font-size:9.5pt"><span style="line-height:135%"> The results indicated that the treatment focused on compassion significantly reduced practical obsessions, intellectual obsessions, annoyances, avoidance, negative changes in cognition and mood, agitation and restlessness, and emotional numbness in nurses suffering from COVID-19 burnout (p<0.001). Also, 68.7% of the total variances of the experimental and control groups are due to the effect of the independent variable.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Conclusion:</span></span></b><span style="font-size:9.5pt"><span style="line-height:135%"> The findings of this research indicated the effectiveness of compassion-focused treatment in nurses suffering from COVID-19 burnout. Since nurses experienced many problems during the outbreak of COVID-19, it is necessary to take measures to improve their psychological health.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Key words:</span></span></b><span style="font-size:9.5pt"><span style="line-height:135%"> Compassion-focused therapy, Obsessive-compulsive disorder, Post-traumatic stress disorder, Nurse, COVID-19 burnout</span></span><span style="font-size:3.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Funding: </span></span></b><span style="font-size:9.5pt"><span style="line-height:135%">This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Conflict of interest: </span></span></b><span style="font-size:9.5pt"><span style="line-height:135%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><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:135%">Ethical approval: </span></span></b><span style="font-size:9.5pt"><span style="line-height:135%">The Ethics Committee of Baqiyatallah University of Medical Sciences approved the study (IR.BMSU.REC.1399.139).</span></span><span dir="RTL" lang="FA" style="font-size:9.5pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><span style="font-size:1.0pt"><span style="line-height:135%"></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%">How to cite this article:</span></b> <span style="font-size:9.0pt"><span style="line-height:140%">Bagheri Sheykhangafshe Farzin, Fathi-Ashtiani Ali, Savabi Niri Vahid, Nakhostin Asef Zahra, Bourbour Zeinab.</span></span><b> </b><span style="font-size:9.0pt"><span style="line-height:140%">The Effectiveness of Compassion-Focused Therapy on Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder in Nurses with COVID-19 Burnout: A Quasi-Experimental Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:140%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:140%"> <i>Univ Med Sci</i> 2023; 21 (11): 1115-32. [Farsi]</span></span> <b><span dir="RTL" lang="FA" style="font-size:8.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span><br>
درمان متمرکز بر شفقت, اختلال وسواس فکری-عملی, اختلال استرس پس از ضربه, پرستار, فرسودگی کووید-19
Compassion-focused therapy, Obsessive-compulsive disorder, Post-traumatic stress disorder, Nurse, COVID-19 burnout
1115
1132
http://journal.rums.ac.ir/browse.php?a_code=A-10-4744-6&slc_lang=fa&sid=1
Farzin
Bagheri Sheykhangafshe
فرزین
باقری شیخانگفشه
farzinbagheri73@gmail.com
6900319475328460052752
6900319475328460052752
Yes
PhD Candidate in Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
دانشجوی دکترای تخصصی روانشناسی، دانشکده علوم انسانی، دانشگاه تربیت مدرس، تهران، ایران
Ali
Fathi-Ashtiani
علی
فتحی آشتیانی
fathi@bmsu.ac.ir
6900319475328460052753
6900319475328460052753
No
Professor, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
استاد مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران
Vahid
Savabi Niri
وحید
صوابی نیری
vahid.savabi@yahoo.com
6900319475328460052754
6900319475328460052754
No
Master of Clinical Psychology, Islamic Azad University of Ardabil Branch, Ardabil, Iran
کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران
Zahra
Nakhostin Asef
زهرا
نخستین آصف
zahraasef93@gmail.com
6900319475328460052755
6900319475328460052755
No
Master Student of Clinical Psychology, Islamic Azad University of Behshahr Branch, Mazandaran, Iran
دانشجوی کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد بهشهر، مازندران، ایران
Zeinab
Bourbour
زینب
بوربور
zeynabbourbour@yahoo.com
6900319475328460052756
6900319475328460052756
No
Master of Clinical Psychology, Islamic Azad University of Garmsar Branch, Semnan, Iran
کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد گرمسار، سمنان، ایران