fa اثربخشی درمان کاهش استرس مبتنی بر ذهن‌آگاهی بر کیفیت زندگی و خودکارآمدی بیماران مبتلا به آرتریت روماتوئید روانشناسی Psychology پژوهشي Orginal <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">هدف:</span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بیماران</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتلا</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">آرتریت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">روماتوئید به دلیل درگیری با روند درمانی و همچنین مزمن بودن علائم بیماری دارای کیفیت زندگی و خودکارآمدی آسیب‌پذیر هستند. بر این اساس پژوهش حاضر با هدف بررسی اثربخشی درمان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">کاهش</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">استرس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتنی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بر</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">ذهن&shy;آگاهی بر کیفیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">زندگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">خودکارآمدی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بیماران</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتلا</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">آرتریت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">روماتوئید صورت پذیرفت.</span></span></span><span lang="FA" style="font-family:"B Yagut""></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">روش‌ها: </span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">روش پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل بیماران مبتلا به آرتریت روماتوئید مراجعه&shy;کننده به مراکز روماتولوژی شهر اصفهان سال 1398 بود. در این پژوهش تعداد 30 بیمار با روش نمونه‌گیری هدفمند دردو&nbsp; گروه&shy;های مداخله و کنترل&nbsp; انتخاب شدند. گروه مداخله درمان</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">کاهش</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">استرس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتنی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بر</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">ذهن&shy;آگاهی را طی دو ماه دریافت نمودند. پرسشنامه‌های مورد استفاده در این پژوهش شامل پرسشنامه کیفیت زندگی (ویر و شربورن) و خودکارآمدی (شواتزر و جروسلم) بود. داده‌ها به شیوه تحلیل کواریانس با استفاده از نرم‌افزار آماری </span></span></span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.5pt">SPSS23</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt"> مورد تجزیه و تحلیل قرار گرفت.</span></span></span><span lang="AR-SA" style="font-family:"B Yagut""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">نتایج:</span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">نتایج نشان داد که آموزش درمان کاهش استرس مبتنی بر ذهن‌آگاهی بر کیفیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">زندگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">خودکارآمدی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بیماران</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتلا</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">آرتریت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">روماتوئید تأثیر معنادار داشته&nbsp; (001/0></span></span></span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.5pt">p</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">) و توانسته منجر به افزایش کیفیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">زندگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">خودکارآمدی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">این بیماران</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">شود.</span></span></span><span lang="FA" style="font-family:"B Yagut""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span b="" lang="FA" style="font-family:" yagut=""><span style="letter-spacing:-.4pt">نتیجه‌گیری: </span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بر اساس یافته‌های پژوهش حاضر می‌توان چنین نتیجه گرفت که درمان کاهش استرس مبتنی بر ذهن‌آگاهی با بهره‌گیری از تکنیک‌های نگرش</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">ذهن‌آگاهانه، فعالیت‌های</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">ذهن</span></span></span><span dir="LTR" style="font-size:10.0pt"><span cg="" style="font-family:" times=""><span style="letter-spacing:-.5pt">‌</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">آگاهانه، پرداختن</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">احساسات</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">هیجانات</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مشکل‌ساز و تمرینات</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">تنفس</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">برای</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مدیریت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">خشم می‌تواند به عنوان یک مداخله موثر جهت بهبود کیفیت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">زندگی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">و</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">خودکارآمدی</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">بیماران</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">مبتلا</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">به</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">آرتریت</span></span></span> <span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:-.5pt">روماتوئید مورد استفاده قرار گیرد.</span></span></span><span lang="FA" style="font-family:"B Yagut""></span></span></span></span></span></span></span> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="font-size:18px;">Introduction:</span> The patients with arthritis rheumatoid suffer from vulnerable quality of life and self-efficacy due to this chronic disease and being engaged in therapy processes. Therefore, the present study was conducted to investigate the effectiveness of mindfulness-based stress reduction therapy on quality of life and self-efficacy of the patients with arthritis rheumatoid. </span></span></b><b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="font-family:"B Yagut""></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="font-size:18px;">Methods:</span> The research method was quasi-experimental with pretest-posttest design. The statistical population included the patients with arthritis rheumatoid who referred to rheumatology centers in Isfahan in 2019. Through purposive sampling method, 30 patients were selected and randomly assigned to experimental and control groups. The experimental group received eight seventy-five-minutes sessions of mindfulness-based stress reduction therapy interventions. Data collection tools in the study were quality of life (Ware and Sherbourne, 1992) and self-efficacy (Schwarzer and Jerusalem, 1981) questionnaires. The data were analyzed by ANCOVA test using SPSS ver. 23 software.</span></span></b><b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="font-family:"B Yagut""></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span calibri="" style="font-family:"><span style="font-size:18px;">Results:</span> The results showed that mindfulness-based stress reduction therapy has significant effect on quality of life and self-efficacy of the patients with arthritis rheumatoid (P-Value<0.001) and succeeded in increasing their quality of life and self-efficacy.</span></span></b><b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="font-family:"B Yagut""></span></span></b></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span style="font-size:18px;"><strong><span calibri="" style="font-family:">Conclusion: </span></strong></span><b><span style="font-size:11.0pt"><span calibri="" style="font-family:">According to the findings of the present study it can be concluded that mindfulness-based stress reduction therapy can be used as an efficient intervention to improve quality of life and self-efficacy of the patients with arthritis rheumatoid through employing mindful attitude techniques and mindful activities, addressing problem-making feelings and emotions, and using breathing practices to manage anger.</span></span></b><b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="font-family:"B Yagut""></span></span></b></span></span><br> &nbsp; کیفیت زندگی, خودکارآمدی, آرتریت روماتوئید. Quality of Life, Self Efficacy, Arthritis, Rheumatoid. 45 55 http://jpm.hums.ac.ir/browse.php?a_code=A-10-449-1&slc_lang=fa&sid=1 Farideh Daneshnia فریده دانش نیا Daneshnia@gmail.com 10031947532846007460 10031947532846007460 No Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran. گروه روانشناسی سلامت ، واحد بین المللی کیش ، دانشگاه آزاد اسلامی ، جزیره کیش ، ایران. Kobra Haji Alizadeh کبری حاجی علیزاده ph_alizadeh@yahoo.com 10031947532846007461 10031947532846007461 Yes Department of Psychology, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran. گروه روانشناسی ، واحد بندرعباس ، دانشگاه آزاد اسلامی ، بندرعباس ، ایران Sedighe Abedini صدیقه عابدینی sdabedini@hums.ac.ir 10031947532846007462 10031947532846007462 No Department of Health Education and Health Promotion, Social Factors Research Center for Health Promotion, Hormozgan Health Research Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. مرکز تحقیقات عوامل اجتماعی در ارتقاء سلامت، پژوهشکده سلامت هرمزگان، دانشگاه علوم پزشکی هرمزگان،بندرعباس، ایران