اثربخشی هیپنوتراپی بر کیفیت خواب، خودکارآمدی درد و ادراک بیماری در بیماران مبتلا به مولتیپل اسکلروزیس(MS) دارای هیپنوتیزم پذیری متوسط با سنین 20 تا 40 سال
محورهای موضوعی : بالینی
فرناز مجتبی پور
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هاجر ترکان
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مسعود اعتمادی فر
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1 - دانشجوی کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی، واحد اصفهان(خوراسگان)، اصفهان، ایران
2 - استادیار گروه روانشناسی، مرکز تحقیقات سلامت جامعه، دانشگاه آزاد اسلامی، واحد اصفهان(خوراسگان)، اصفهان، ایران
3 - استاد گروه مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
کلید واژه: هیپنوتراپی, کیفیت خواب, خودکارآمدی درد, ادراک بیماری, مولتیپل اسکلروزیس(MS),
چکیده مقاله :
هدف از این پژوهش بررسی اثربخشی هیپنوتراپی بر کیفیت خواب، خودکارآمدی درد و ادراک بیماری در بیماران مبتلا به مولتیپل اسکلروزیس دارای هیپنوتیزم پذیری متوسط با سنین 20 تا 40 سال بود. روش پژوهش از نوع نیمه‌آزمایشی همراه با پیش‌آزمون - پس‌آزمون و پیگیری به همراه گروه کنترل بود. جامعه آماری پژوهش شامل کلیه بیماران مبتلا به مولتیپل اسکلروزیس بود که درسال 1401 به انجمن MS اصفهان مراجعه کرده بودند. 30 نفر با استفاده از روش نمونه گیری هدفمند انتخاب و به‌صورت غیرتصادفی در دو گروه آزمایش و کنترل قرار گرفتند(هر گروه 15 نفر). گروه آزمایش طی 5 جلسه و در هر جلسه 90 دقیقه تحت هیپنوتراپی قرار گرفت و در این مدت بر گروه کنترل مداخله ای انجام نشد. ابزار مورداستفاده عبارت بود از پرسشنامه اطلاعات دموگرافیک، پرسشنامه کیفیت خواب پترزبورگ (Buysse, & et al, 1989)، پرسشنامه خودکارآمدی درد (Nicholas,1989)، پرسشنامه ادراک بیماری (Broadbent & et al, 2006)، مقیاس استعداد هیپنوتیزم پذیری استنفورد (Weitzenhoffer & Hilgard, 1962). داده‌ها با روش تحلیل واریانس با اندازه‌گیری مکرر در نرم‌افزار SPSS نسخه24 تحلیل شدند. نتایج نشان داد که تعامل زمان با هیپنوتراپی بر کیفیت خواب، خودکارآمدی درد و ادراک بیماری معنادار بوده و این اثر نه‌تنها در پس‌آزمون بلکه در دوره پیگیری یک‌ماهه نیز پایدار بوده است(P<0/01). در مجموع هیپنوتراپی امری اثرگذار بوده و می‌تواند به‌عنوان درمانی غیرتهاجمی و بدون عوارض جانبی در مدیریت و کنترل علائم بیماران مبتلا به مولتیپل اسکلروزیس مفید واقع شود.
The purpose of this study was to investigate the effectiveness of hypnotherapy on sleep quality, pain self-efficacy and disease perception in patients with multiple sclerosis. The research method was semi-experimental with pre-test-post-test and follow-up with control group. In order to carry out the research, among the patients with multiple sclerosis in Isfahan city, 30 people were selected as available and randomly assigned to two experimental and control groups. The instruments used are: Demographic Information Questionnaire, Petersburg Sleep Quality Questionnaire (Buysse & et al, 1989), Pain Self-Efficacy Questionnaire (Nicholas, 1989), Short Disease Perception Questionnaire (Broadbent & et al, 2006), the Stanford Hypnotizability Scale (Weitzenhoffer & Hilgard, 1962). The data were analyzed by variance analysis with repeated measurements in SPSS software version 24. The results showed that the interaction of time with hypnotherapy on sleep quality, pain self-efficacy and disease perception was significant and this effect was stable not only in the post-test but also in the one-month follow-up period. In general, hypnotherapy is effective and can be useful as a non-invasive treatment without side effects in managing and controlling the symptoms of patients with multiple sclerosis.
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