مقايسه اثربخشی آموزش ذهن آگاهی و خودمراقبتی بر رضایت جنسی در زنان مبتلا به سرطان پستان
محورهای موضوعی : سلامت زنان
1 - دانشجوي دکترای تخصصی، گروه روان شناسی، واحد امارات، دانشگاه آزاد اسلامی، دبی، امارات متحده عربی، malishiri@uae.ac.ir
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.
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
1. World Health Organization. Cancers. Available from: http://www.who.int/uv/ faq/skincancer/ en/index1.html. 2021. https://www.who.int/health-topics/cancer
2. Grantzau T, Mellemkjær L, Overgaard J. Second primary cancers after adjuvant radiotherapy in early breast cancer patients: a national population-based study under the Danish Breast Cancer Cooperative Group (DBCG). Radiotherapy and Oncology. 2020; 106(1): 9-42. DOI: 10.1016/j.radonc.2013.01.002
3. Bakht S., Najafi S., Body image and sexual dysfunctions: comparison between breast cancer Patients and healthy women, Procedia social and behavior of sciences, 2020; 5: 1493 – 1497.
DOI: 10.1016/j.sbspro.2020.07.314.
4. Kim J, Jang M. Stress, Social Support, and Sexual Adjustment in Married Female Patients with Breast Cancer in Korea. Asia Pac J Oncol Nurs. 2022; 7(1):28-35. Doi: 10.4103/apjon.apjon_31_19.
5. Aktaş, D., Bahar, Arzu.. The Relationship between Sexual Satisfaction and Marital Satisfaction in Women with Ovarian Cancer and Their Spouses. Cancer Nursing. 2023; 45(6): 473-480. DOI: 10.1097/NCC.0000000000001072
6. Hinz A, Zenger M, Schmalbach B, Brähler E, Hofmeister D, Petrowski K. Quality of Life Domains in Breast Cancer Survivors: The Relationship between Importance and Satisfaction Ratings. Front Psychology. 2022; 13:923537.doi.org/10.3389/fpsyg.2022.923537
7. Smedsland SK, Vandraas KF, Bøhn SK, Dahl AA, Kiserud CE, Brekke M, Falk RS, Reinertsen KV. (2022). Sexual activity and functioning in long-term breast cancer survivors: exploring associated factors in a nationwide survey. Breast Cancer Res Treatment. 2022; 193(1):139-149. Doi: 10.1007/s10549-022-06544-0. Epub 2022 Feb 28.
8. Pikler V., Winterowd C., Racial and body image differences in coping for women diagnosed with breast cancer, Health psychology, 2018; 22 (8): 632-637. DOI: 10.1037/0278-6133.22.6.632
9. Jaarsma T, Halfens R, Tan F, Abu-Saad HH, Dracup K, Diederiks J. Self-care and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention. Heart Lung. 2019; 29(5):319-30. DOI: 10.1067/mhl.2000.108323
10. Golmohamadi F, Aghakhani N, Khadem vatan K, Alinejad V. The effect of self-care education on the self-efficacy in myocardial infraction hospitalized patients in seyeid AL-Shohada educational and treatment center, Urmia, Nurs and Midwifery J. 2018; 16(6):412-422. URL: http://unmf.umsu.ac.ir/article-۱-۳۳۱۴-fa.html
11. Ehsani A, Sohrabi Esmrood F, Ghorban Jahromi R. The effect of mindfulness-based stress management intervention on students' self-efficacy and optimism. RJMS. 2021; 28(8):90-98. URL: http://rjms.iums.ac.ir/article-1-7169-en.html
12. Grossman P., Niemann L., Schmidt S., Walach H. Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of psychosomatic research. 2022; 57(1): 35-43. Doi: 10.1016/S0022-3999(03)00573-7
13. Rafee M., Sabahi P., Makvand Hosseini S. Effectiveness of Mindfulness-Based Cognitive Therapy on Depression, Anxiety, Stress, and Quality of Life in Elderly Men Living in Nursing Homes. Medical journal of Mashhad University of medical sciences. 2022; 62(5.1): 17-26. Doi: 10.22038/mjms.2020.16262
14. Andalib Koraim M, Mursali M, Mahmoudinia S. Prediction of sexual satisfaction based on body image and perfectionism in pregnant women. Family and Sexual Health. 2021; 1(2): 65-75. http://fsh.fatemiyehshiraz.ac.ir/Article/31874
15. Kabat-Zinn, J. Some Reflections on the Origins of MBSR, Skillful Means, and the Trouble with Maps. Contemporary Buddhism. 2015; 12 (1): 281–306. Doi: 10.1080/ 14639947.2011.564844.
16. Khosravi Larijani M, Behjati Ardakani F, Choobforoush-zadeh A. The Effectiveness of The Intervention Based on Informational-Motivational and Behavioral Skills (IMB) Self-Care Model on Quality of Life in Students with Diabetes. Journal of Research in Psychological Health, 2019: 13(2): 45-63. DOI: 10.52547/rph 13.2.45
17. McCabe MP, Taleporos G. Sexual esteem, sexual satisfaction, and sexual behavior among people with physical disability. Archives of sexual behavior. 2019; 32(4):359-69. DOI: https://doi.org/10.1023/A:1024047100251
18. Karney B.R., Bradbury T.N. Research on Marital Satisfaction and Stability in the 2010s: Challenging Conventional Wisdom. Journal of Marriage and Family. 2022; 82(1): 100-116. https://doi.org/10.1 111/jomf.12635
19. Park Y, Impett EA, MacDonald G. Singles' Sexual Satisfaction is Associated with More Satisfaction with Singlehood and Less Interest in Marriage. Pers Soc Psychol Bull. 2021; 47(5):741-52. Doi: 10.1177/0146167220942361.
20. Esfandiari Z, Joulaee A, Asli Azad M. A comparison of body image, marital satisfaction, and public health among breast cancer patients with breast evacuation, breast keeping, and normal people in Tehran. J Health Res Commun. 2019; 1 (2):63-71. URL: https://rjms.iums.ac.ir/article-1-7169-en.html.
21. Ghorashi P, Tajeri B, Ahadi M, Maliholzakerini S. Comparison of the effectiveness of mindfulness & hypnotherapy on perceived stress in patients with diabetes disease. Psychological science. 2021; 19(91): 882-875. URL: http://psychologicalscience.ir/article-646-1-fa.html
22. Alishiri M, Tajeri B, Kaveh V, Ahadi H. Comparing the efficacy of mindfulness training & self-care training on body image in women with breast cancer. Journal of Psychological Science. 2023; 22(123): 557-572. Doi: 10.52547/JPS.22.123.557