مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و واقعیت درمانی بر تبعیت از درمان در زنان مبتلا به مولتیپل اسکلروزیس

محورهای موضوعی : آموزش بهداشت

مریم باقری ¹ , فرح لطفی کاشانی ² , محمد اسماعیل ابراهیمی ³

1 - دانشجوی دکتری، گروه روانشناسی سلامت، واحد رودهن، دانشگاه آزاد اسلامی، رودهن [e-mail]
2 - (نویسنده مسئول)، دانشیار گروه روانشناسی، دانشکده علوم پزشکی، دانشگاه آزاد اسلامی، تهران، ایران [e-mail], tell: 02122006660
3 - استادیار، گروه روانشناسی، واحد همدان، دانشگاه آزاد اسلامی، همدان، ایران [e-mail]

تاریخ دریافت : 1403/07/12 تاریخ پذیرش : 1403/09/01 تاریخ انتشار : 1403/10/01

کلید واژه: پذیرش و تعهد, تبعیت از درمان, مولتیپل اسکلروزیس, واقعیت درمانی,

چکیده مقاله :

چکیده مقدمه: آموزش در زمینه بیماری در افراد مبتلا به بیماری مزمن یک مسئله اساسی و مهم در دستیابی به توانمندسازی و تبعیت مطلوب بیمار است، لذا این پژوهش با هدف، مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و واقعیت درمانی بر تبعیت از درمان در زنان مبتلا به مولتیپل اسکلروزیس انجام شد. روش پژوهش:‌ روش پژوهش به صورت نیمه آزمایشی با طرح پیش آزمون- پس آزمون و پیگیری 2 ماهه با گروه کنترل بود. جامعه پژوهش شامل جامعه پژوهش شامل کلیه زنان متأهل مبتلا به مولتیپل اسکلروزیس در شهر همدان در سال 1402 بودند. از این تعداد، 3 گروه 15 نفره با روش نمونه‌گیری در دسترس انتخاب و به صورت تصادفی به گروه‌های آزمایش و گروه کنترل تقسیم شدند و به پرسشنامه تبعیت از درمان بیماری های مزمن مدانلو در سه نوبت پیش- پس¬آزمون و پیگیری پاسخ دادند. آزمودنی‌های گروه آزمایش تحت درمان با رویکرد درمان مبتنی بر پذیرش و تعهد و واقعیت درمانی، طی ۸ جلسه، به صورت هفته‌ای ۱ جلسه 60 دقیقه¬ای به صورت گروهی قرار گرفتند ولی به گروه کنترل آموزشی داده نشد. داده‌ها با نرم‌افزار SPSS و با استفاده از آزمون ت تحلیل واريانس مختلط و سطح معنی‌دار 05/0< p تجزیه ‌و تحلیل آماری شدند. یافته ها: نتایج نشان داد، بین میانگین نمرات پيش آزمون، پس آزمون و پيگيري تبعیت از درمان در سه گروه تفاوت معنادار وجود دارد؛ و برای عامل بین گروهی مقدار F محاسبه شده در سطح کوچکتر از 05/0 معنادار نیست (125/0=Eta , 05/0<, P 990/2= F ) در نتیجه بین میانگین کلی تبعیت از درمان در سه گروه آزمایش و گواه تفاوت معنادار وجود ندارد نتیجه‌گیری: با توجه به نتایج این پژوهش می‌توان گفت، درمان مبتنی بر پذیرش و تعهد و درمان مبتنی بر واقعیت درمانی منجر به تبعیت از درمان در زنان می¬شوند.

چکیده انگلیسی:

Abstract Introduction: Education in the field of disease in people with chronic disease is a fundamental and important issue in achieving empowerment and optimal compliance of the patient, so this research aims to compare the effectiveness of treatment based on acceptance and commitment and reality therapy on compliance with treatment in women. He was diagnosed with multiple sclerosis. Research Methods: This research was semi-experimental with a pre-test-post-test design and a 2-month follow-up with a control group. The research population consisted of all married women with multiple sclerosis in Hamadan city in 2023. From this number, 3 groups of 15 people were selected using available sampling method and were randomly divided into test groups and control groups, and were administered the Madanlo Chronic Disease Treatment Compliance Questionnaire in three pre-test-post-test sessions and followed up on the answers. they gave the subjects of the experimental group were treated with the approach of treatment based on acceptance and commitment and reality therapy, during 8 sessions, 1 session of 60 minutes per week, but no training was given to the control group. The data were statistically analyzed with SPSS software and using t-test of mixed analysis of variance and significant level of p < 0.05. Results: The results showed that there is a significant difference between the average scores of the pre-test, post-test and follow-up treatment compliance in the three groups; And for the between-group factor, the F value calculated at a level smaller than 0.05 is not significant (Eta = 0.125, P < 0.05, F = 2.990) as a result, between the overall average of treatment adherence in the three experimental groups and There is no evidence of a significant difference. Conclusion: According to the results of this research, it can be said that treatment based on acceptance and commitment and treatment based on reality therapy led to adherence to treatment in women.

تازه های تحقیق:

© 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.

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