ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﺑﺮ اﺳﺘﺮس ﻧﺎﺑﺎروري و رﻓﺘﺎرﻫﺎي ارﺗﻘﺎدﻫﻨﺪه ﺳﻼﻣﺘﯽ زﻧﺎن ﻧﺎﺑﺎرور

The Effectiveness of Cognitive-Bbehavioral Therapy on Infertility Stress and Health-Promoting Behaviors of Infertile Women

ﻣﻘﺪﻣﻪ: ﻧﺎﺑﺎروري ﯾﮏ ﺑﺤﺮان رواﻧﯽ در اﻓﺮاد ﻣﺒﺘﻼ ﻣﺤﺴﻮب ﻣﯽﺷﻮد و ﺑﻪﮐﺎرﮔﯿﺮي ﻣﺪاﺧﻼت ﻣﺆﺛﺮ ﻣﯽﺗﻮاﻧﺪ از ﺷﺪت آﺳﯿﺐﻫﺎي رواﻧﯽ در اﯾﻦ اﻓﺮاد ﺑﮑﺎﻫﺪ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ درﻣﺎن ﺷﻨﺎﺧﺘﯽ رﻓﺘﺎري ﺑﺮ اﺳﺘﺮس ﻧﺎﺑﺎروري و رﻓﺘﺎرﻫﺎي ارﺗﻘﺎدﻫﻨﺪه ﺳﻼﻣﺘﯽ زﻧﺎن ﻧﺎﺑﺎرور در ﺳﺎل 1399 در ﮐﺮﻣﺎن اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ از ﻧﻮع ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن و ﭘﯿﮕﯿﺮي ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ زﻧﺎن ﻧﺎﺑﺎرور ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﻣﺮﮐﺰ ﻓﻮق ﺗﺨﺼﺼﯽ درﻣﺎن ﻧﺎﺑﺎروري ﻧﺠﻤﯿﻪ ﮐﺮﻣﺎن ﺑﻮد ﮐﻪ از اﯾﻦ ﻣﯿﺎن، ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس ﺗﻌﺪاد 30 زن ﻧﺎﺑﺎرور اﻧﺘﺨﺎب و ﺑﻪ ﻃﻮر ﺗﺼﺎدﻓﯽ ﺑﺎ ﻗﺮﻋﻪﮐﺸﯽ در ﮔﺮوه ﻣﺪاﺧﻠﻪ و ﮐﻨﺘﺮل ﮔﻤﺎرده ﺷﺪﻧﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن ﮔﺮوه آزﻣﺎﯾﺶ ﺗﺤﺖ 8 ﺟﻠﺴﻪ 90 دﻗﯿﻘﻪاي آﻣﻮزش درﻣﺎن ﺷﻨﺎﺧﺘﯽ- رﻓﺘﺎري ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي ﺟﻤﻌﯿﺖ ﺷﻨﺎﺧﺘﯽ، رﻓﺘﺎرﻫﺎي ارﺗﻘﺎدﻫﻨﺪه ﺳﻼﻣﺖ و اﺳﺘﺮس ﻧﺎﺑﺎروري ﺑﺮاي ﺟﻤﻊآوري دادهﻫﺎ اﺳﺘﻔﺎده ﺷﺪﻧﺪ. ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺗﻮﺳﻂ ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ ﻣﮑﺮر اﻧﺠﺎم ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: درﻣﺎن ﺷﻨﺎﺧﺘﯽ- رﻓﺘﺎري ﻣﻮﺟﺐ ﮐﺎﻫﺶ ﻣﻌﻨﯽدار ﻧﻤﺮات ﮔﺮوه آزﻣﺎﯾﺶ در ﭘﺲآزﻣﻮن ﻧﺴﺒﺖ ﺑﻪ ﭘﯿﺶآزﻣﻮن در اﺳﺘﺮس ﻧﺎﺑﺎروري، و اﻓﺰاﯾﺶ ﻣﻌﻨﯽدار ﻧﻤﺮات رﻓﺘﺎرﻫﺎي ارﺗﻘﺎدﻫﻨﺪه ﺳﻼﻣﺘﯽ ﺷﺪ)0/0001

Introduction: Infertility can lead to a psychological crisis in people with the disease and using effective interventions can reduce the severity of psychological damage in these people. Materials and Methods: The present study was a quasi-experimental pre-test-post-test and follow-up with a control group. The statistical population included infertile women admitted to Najmieh Infertility Treatment Center, from which 30 infertile women were selected by convenience sampling and randomly assigned to the experimental and control groups. Experimental group participants underwent cognitive-behavioral intervention (eight 90-minutes training sessions). A Health Promoting Life Style and a Fertility Problem Inventory were used to collect data. Data analysis was performed by repeated measures ANOVA. Results: Cognitive-behavioral therapy reduced the scores of the experimental group in the post-test compared to the pre-test in infertility stress and increased the scores of health-promoting behaviors (p<0/0001). Conclusion: According to the results of the present study, in infertile people, in addition to common therapies, cognitive-behavioral therapy interventions can be used to reduce stress and improve effective health-promoting behaviors.