پديد آورندگان :
حسن نژاد، محمد دانشگاه آزاد اسلامي واحد نيشابور - گروه روانشناسي , نجات، حميد دانشگاه آزاد اسلامي واحد قوچان - گروه روانشناسي , توزنده جاني، حسن دانشگاه آزاد اسلامي واحد نيشابور - گروه روانشناسي
كليدواژه :
گروه درماني مبتني بر پذيرش و تعهد , خودمراقبتي , رضايت از زندگي , ديابت نوع دو
چكيده فارسي :
زمينه و هدف
بيماري ديابت علاوه بر مشكل هاي فيزيولوژيك، روان شناختي و رضايت از زندگي اين بيماران را تحت تاثير قرار مي دهد و نيازمندي بيشتري براي رفتارهاي خودمراقبتي مي طلبد؛ بنابراين مطالعه حاضر با هدف بررسي اثربخشي گروه درماني مبتني بر پذيرش و تعهد بر رفتارهاي خودمراقبتي و رضايت از زندگي در بيماران مبتلا به ديابت نوع دو انجام پذيرفت.
روش بررسي
پژوهش حاضر نيمه آزمايشي از نوع پيش آزمون پس آزمون با گروه كنترل بود. جامعه آماري را تمامي بيماران مبتلا به ديابت نوع دو، مراجعه كننده به كلينيك ديابت شهر نيشابور در سال 1396 تشكيل دادند كه 30 نفر به صورت نمونه گيري دردسترس انتخاب شده و به طور تصادفي در دو گروه آزمايش و كنترل (15 نفر آزمايش، 15 نفر كنترل) قرار گرفتند. ابزار پژوهش شامل مقياس كوتاه خودمراقبتي ديابت توبرت و همكاران (2000) و مقياس رضايت از زندگي دينر و همكاران (1985) و هشت جلسه 90دقيقه اي گروه درماني مبتني بر پذيرش و تعهد گريك و همكاران (2007) بود. جهت تحليل داده ها، از نرم افزار SPSS نسخه 22 و آزمون تحليل كوواريانس تك متغيره استفاده شد.
يافته ها
نتايج نشان داد كه تفاوت معنا داري در ميانگين نمرات رفتارهاي خودمراقبتي و رضايت از زندگي در افراد گروه آزمايش قبل و بعد از انجام مداخله وجود دارد (0٫05>p)؛ اما اين تغييرات در گروه كنترل معنا دار نبود.
نتيجه گيري
استفاده از گروه درماني مبتني بر پذيرش و تعهد، به عنوان مداخله آموزشي اثربخش، رفتارهاي خودمراقبتي و رضايت از زندگي بيماران مبتلا به ديابت نوع دو را ارتقا مي بخشد.
چكيده لاتين :
Background & Objective: Diabetes mellitus is a metabolic disorder and a multifactorial disorder characterized by hyperglycemia, due to
disfunction in insulin secretion or activity, and it cuses to an extinct disease. Diabetes as a chronic disease affects all levels of individual and
social life of a patient, including life satisfaction. In this regard, according to existing studies, the most important cause of mortality in diabetic
patients is the lack of self–care. Self–care in diabetes patients is the correct and timely delivery of insulin, dieting, regular exercise activities,
identifying signs of increased blood glucose, taking regular medications, taking care of the legs, and improving the quality of life. Therefore,
diabetes in addition affect physiological, psychological, and satisfaction of life in these patients. Considering the increasing prevalence of
diabetes, which suggests that self–care activities in diabetic patients are not performed, and the effects of diabetes on life satisfaction in these
patients. Finding the most effective treatments in diabetes mellitus seems necessary, since admission and commitment treatment is affected by
local culture, it is necessary to test in different social and cultural contexts in order to increase its effectiveness. Therefore, this study aimed to
investigate the effectiveness of group therapy based on admission and commitment on self–care behaviors and life satisfaction in patients with
type 2 diabetes.
Methods: This study designed as a semi–experimental pre–test, post–test with control group. The statistical population was all patients with
type 2 diabetes who referred to Neyshabour (Khorasan Razavi province, Northeaset of Iran) diabetes clinic in 2017. Among them 30 were
selected by convenience sampling and randomly assigned to two groups of experimental (n=15) and control (n=15). The research tools included
a short–term self–care scale of diabetes mellitus, Tubert et al. (2000), Diner et al. (1985), and eight sessions of 90–minute group therapy based
on acceptance and commitment from Grik et al. (2007). For data analysis, SPSS software version 22 and single–variable covariance analysis
was used.
Results: The mean and standard deviation of the self–care group in the experimental group before intervention was 23.93±5.970 and after
intervention was 27.07±5.45. Mean and standard deviation of life satisfaction scores in the experimental group before intervention was
13.13±3.91 and 17.27±3.78 after intervention. Therefore, there was a significant difference in the mean scores of self–care behaviors and life
satisfaction among the experimental group in comparison to the score before and after the intervention (p<0.05), but these changes were not
significant in the control group.
Conclusion: Using an admission and commitment group, as an effective educational intervention, improves self–care behaviors and life
satisfaction in patients with type 2 diabetes. Studies showed the importance of treatment interventions to increase self–care and life satisfaction
in type 2 diabetic patients. Given the growing trend of diabetes and high rates of sufferers, it is worthwhile for patients to take the necessary
training from educational programs and pay more attention to the role of counseling and education. In addition, according to results of this study,
acceptance and commitment therapy showed improving in self–care and life satisfaction in patients with type 2 diabetes; attention to acceptance
and commitment group therapy, as an approach It is essential to support patients with type 2 diabetes.
