مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر خودکارآمدی و خودشفقتی زنان بعد از عمل هیسترکتومی

محورهای موضوعی : زن و خانواده

سیما فرزانه ¹ (دانشجوی دکتری روانشناسی، گروه روانشناسی ، واحد اردبیل ، دانشگاه آزاد اسلامی ، اردبیل، ایران)
توکل موسی زاده ² (استادیار ، گروه روانشناسی، واحد اردبیل ، دانشگاه آزاد اسلامی، اردبیل، ایران ( نویسنده مسئول ) [e-mail])
وکیل نظری ³ (استادیار ، گروه روانشناسی ، واحد اردبیل ، دانشگاه آزاد اسلامی، اردبیل ، ایران)

تاریخ دریافت : 1400/02/28 تاریخ پذیرش : 1400/08/03 تاریخ انتشار : 1401/09/01

کلید واژه: خودکارآمدی, طرحواره درمانی, درمان مبتنی بر پذیرش و تعهد, خودشفقتی, هیسترکتومی,

چکیده مقاله :

هیسترکتومی دومین جراحی شایع است که به طور عمده برای آسیب‌های رحمی خوش خیم در زنان انجام می‌شود. هدف از انجام پژوهش حاضر مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر خودکارآمدی و خودشفقتی زنان بعد از عمل هیسترکتومی بود. روش پژوهش حاضر، نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه کنترل بود. جامعه آماری این تحقیق را کلیه زنان هیسترکتومی شده در شهر اردبیل در سال ۱۳۹۹ تشکیل می‌دهند. از این میان تعداد 45 نفر به‌صورت نمونه گیری در دسترس انتخاب و پس از جایگزینی تصادفی در سه گروه آزمایشی و گروه کنترل مورد مطالعه قرار گرفتند (در هر گروه 15 نفر) انتخاب شد. داده های آزمودنی ها به وسیله مقیاس خودکارآمدی شرر و همکاران (1982) و خودشفقتی نف (۲۰۰۳) جمع آوری شد. مدت جلسات درمانی آموزش مبتنی بر پذیرش و تعهد (8 جلسه 90 دقیقه‌ای) و آموزش طرحواره درمانی (8 جلسه 90 دقیقه‌ای) بود که به صورت فردی و هفته‌ی یکبار انجام شد جهت تجزیه‌وتحلیل داده ها از آزمون کوواریانس چندمتغیره با استفاده از نرم‌افزار SPSS25 استفاده شد. یافته ها نشان داد که تفاوت آماری معنی‌داری بین میانگین نمرات دو گروه آزمایش و کنترل، در نمره کل متغیر خودکارآمدی (508/34=F) و متغیر خودشفقتی (378/94=F) وجود داشت. همچنین، در مقایسه درمان مبتنی بر پذیرش و تعهد با طرحواره درمانی بر خودکارآمدی و خودشفقتی مشخص گردید اثربخشی درمان پذیرش و تعهد در افزایش خودکارآمدی نسبت به طرحواره درمانی بیشتر است اما اثربخشی هر دو درمان در بهبود خودشفقتی یکسان می‌باشد. با توجه به اثربخش بودن پروتکل های درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر متغیرهای پژوهش، این دو نوع درمان را می‌توان در کنار دیگر مداخلات روان‌شناختی بکار گرفت.

چکیده انگلیسی:

Hysterectomy is the second most common surgery performed mainly for benign uterine injuries in women. The aim of this study was to compare the effectiveness of acceptance and commitment therapy and schema therapy on the self-efficacy and self- Self-compassion of women after hysterectomy. The method of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical population of this study consists of all hysterectomized women in Ardabil in 2020. From among them, 45 people were selected by available sampling and Randomly assigned into three groups including two experimental groups and one control group in three experimental groups and control group (15 people in each group). Subjects' data were collected using the self- Questionnaire of Scherer et al (1982) and Self-compassion of Neff (2003) scales.The duration of the treatment sessions For  acceptance and commitment group was acceptance and commitment (8 sessions of 90 minutes) and schema therapy training (8 sessions of 90 minutes) which was done individually and once a week. Multivariate covariance test using SPSS25 software was used to analyze the data. The results showed that there was a statistically significant difference between the mean scores of the experimental and control groups in the total score of the self-efficacy variable (F = 34.508) and the self- compassion variable (F = 94.378) Also, comparing acceptance and commitment therapy with schema therapy on self-efficacy and self-compassion it was found that the effectiveness of acceptance and commitment therapy in increasing self-efficacy is higher than schema therapy, but the effectiveness of both treatments in improving self-compassion is the same. Due to the effectiveness of treatment protocols based on acceptance and commitment and schema therapy on research variables, these two types of treatment can be used along with other psychological interventions..

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