مقايسه اثربخشی آموزش ذهن آگاهی و خودمراقبتی بر رضایت جنسی در زنان مبتلا به سرطان پستان

محورهای موضوعی : سلامت زنان

مژگان علی شیری ¹ , بیوک تاجری ^{2 *} , وحید کاوه ³ , حسن احدی ⁴

1 - دانشجوي دکترای تخصصی، گروه روان شناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی، [e-mail]
2 - استادیار، گروه روان شناسي، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران(نويسنده مسئول)، تلفن: [phone] [e-mail]
3 - استادیار،گروه انکولوژی و هماتولوژی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران، [e-mail]
4 - استاد مدعو، گروه روان شناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی [e-mail]

تاریخ دریافت : 1402/07/03 تاریخ پذیرش : 1402/09/19 تاریخ انتشار : 1403/07/01

کلید واژه: خودمراقبتی, ذهن آگاهی, رضایت جنسی, زنان مبتلا به سرطان پستان,

چکیده مقاله :

چکیده مقدمه: رضایت جنسی به عنوان یک احساس رضایت بخش شخصی تعریف می¬شود که درآن فرد به طور کلی ارزیابی مثبت و خوشایندی از رابطه جنسی خود دارد. پژوهش حاضر با هدف مقايسه تاثیر آموزش ذهن آگاهی و خودمراقبتی بر رضایت جنسی زنان مبتلا به سرطان پستان انجام شد. روش پژوهش: روش این پژوهش شبه آزمایشی از نوع پیش آزمون - پس آزمون با گروه کنترل همراه با پيگيري دو ماهه بود، جامعه آماری اين پژوهش شامل کليه بیماران 30 – 50 ساله مبتلا به سرطان پستان بودند که جهت درمان به بیمارستان فیروزگر در شهر تهران مراجعه کرده و تشخیص سرطان پستان دریافت کرده بودند. نمونه پژوهش از نوع در دسترس و شامل 45 نفر(برای هر گروه 15 نفر؛ یعنی 15 نفر در گروه آزمایشی 1 ، یعنی 15 نفر در گروه آزمایشی 2 و 15 نفر نیز در گروه کنترل) بود. ابزار پژوهش شامل؛ آزمون رضایت جنسی لارسون، خلاصه طرح جلسات آموزش ذهن آگاهی کابات زين و خلاصه طرح جلسات آموزش خود مراقبتی کلارک و همکاران بود. داده ها با استفاده از آزمون آماری تحلیل واریانس آمیخته و نرم افزار SPSS نسخه 26 تجزیه و تحلیل شد. يافته ها: نتایج نشان دادکه دو شيوه آموزش ذهن آگاهی و آموزش خودمراقبتی بر نمرات رضایت جنسی در پس آزمون اثر معني دار داشت. اثر گروه با توجه به سطوح زمان اندازه گيري متفاوت است. مداخله آزمایشی منجر به تغییراتی در گروه آزمایش شده که 33/0 کل تغییرات ناشی از عمل آزمایشی بوده است ( 01/0p<). با توجه به این‌که میانگین گروه آموزش ذهن آگاهی از گروه آموزش خودمراقبتی بیشتر بوده است، بنابراین آموزش ذهن آگاهی در افزایش رضایت جنسی زنان مبتلا به سرطان پستان موثرتر بود. نتيجه گيري: نتایج بر اهمیت کاربرد این مداخلات در رضایت جنسی و سلامت روان زنان مبتلا به سرطان پستان و برارائه افق جدید در مداخلات بالینی بیماران تاکید دارد.

چکیده انگلیسی:

© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.

 

Abstract Introduction: Sexual satisfaction is defined as a personal satisfying feeling in which a person generally has a positive and pleasant evaluation of their sexual relationship. This study aims to compare the efficacy of mindfulness training & self-care training on sexual satisfaction in women with breast cancer. Research Method: The Research method was quasi-experimental with a pre-test, post-test, two-month follow-up with a control group. The statistical population of this research included all patients aged 30-50 with breast cancer who were referred to Firouzgar Hospital in Tehran for treatment. They were diagnosed with breast cancer. The sampling method was Convenience Sampling. 45 available patients were selected (fifteen in each experimental group) and were assigned randomly to experimental group 1 (mindfulness training) and experimental group 2 (self-care training). Fifteen other patients were placed in the control group and did not receive any training. The sexual satisfaction Inventory was administered pre-test, post-test, and follow-up. The training packages were the mindfulness training package and the self-care training package. Both trainings were applied to experimental groups (ninety minutes each session) weekly, and the control group did not receive any training. The data was analyzed using the statistical test of mixed analysis of variance and SPSS software version 26. Findings: Results showed that both mindfulness training & self-care training had the same effect on increasing sexual satisfaction (p<0.001). Three-month follow-up confirmed these results. Using mindfulness and self-care training (mindfulness) can increase sexual satisfaction in women with breast cancer. Conclusion: The results emphasize the importance of the use of these interventions in sexual satisfaction and mental health of women with breast cancer and provide a new horizon in the clinical interventions of patients

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