اثربخشی برنامه کاهش استرس مبتنی بر ذهن آگاهی بر شاخصهای درد (پذیرش و شدت درد) و تبعیت از رژیم درمانی در بیماران مبتلا به نارسایی مزمن کلیه
الموضوعات :
1 - کارشناس ارشد مشاوره خانواده، دانشگاه رازی، دانشکده علوم اجتماعی، رازی، ایران.
الکلمات المفتاحية: برنامه استرس مبتنی بر ذهنآگاهی, پذیرش درد, شدت درد, تبعیت از درمان, نارسایی کلیه,
ملخص المقالة :
هدف: این پژوهش با هدف تعیین اثربخشی برنامه کاهش استرس مبتنی بر ذهنآگاهی بر شاخصهای درد (پذیرش و شدت درد) و تبعیت از رژیم درمانی در بیماران مبتلا به نارسایی مزمن کلیه انجام شد. مواد و روشها: پژوهش نیمهآزمایشی با طرح پیشآزمون و پسآزمون با دو گروه آزمایش و کنترل بود. جامعه آماری پژوهش شامل تمامی مردان مبتلا به نارسایی مزمن کلیه مراجعهکننده به بخش بیماریهای کلیوی بیمارستان شهدا شهر کرمانشاه در سال 1402 بود که با روش نمونهگیری هدفمند تعداد 30 نفر انتخاب و در دو گروه مساوی 15 نفری جایگزین شدند. برای گردآوری اطلاعات از پرسشنامه تبعیت از رژیم درمان (سیدفاطمی و همکاران، 1397)، پذیرش درد (مک کراکن و ولز، 2004) و پرسشنامه سدت درد (مک گیل، 2009) استفاده شد. دادهها با تحلیل کوواریانس چندمتغیری و نرمافزار آماری SPSS-26 تحلیل شد. نتایج: نتایج نشان داد که برنامه کاهش استرس مبتنی بر ذهنآگاهی بر بهبود میانگین نمرۀ کل شاخصهای درد شامل پذیرش درد (017/27=F، 008/0=P و 523/0=η) و شدت درد (707/24=F، 009/0=P و 457/0=η) و هر یک از ابعاد آنها در آزمودنیهای گروه آزمایش اثربخش بوده است(01/0>P). همچنین، یافتهها نشان داد که این برنامه مداخله در مرحله پسآزمون در آزمودنیهای گروه آزمایش بر افزایش تبعیت از رژیم درمانی (486/23=F، 007/0=P و 503/0=η) مؤثر بوده است (01/0>P). نتیجهگیری: با توجه به نتایج مطالعه حاضر استفاده بیشتر درمانگران از برنامههای مداخلاتی در مراکز ارائه دهنده خدمات درمانی به بیماران مزمن در کنار دارو درمانی میتواند نتایج ارزندهای را رقم زند.
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