ﻣﻘﺎﯾﺴﻪ اﺛﺮﺑﺨﺸﯽ واﻗﻌﯿﺖدرﻣﺎﻧﯽ و درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﺮ ﻓﺮاﯾﻨﺪ ﺧﺎﻧﻮاده در زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار

Comparing the Effectiveness of Reality Therapy and Acceptance and Commitment Therapy on the Family Process in Female Household Heads

ﻣﻘ ﺪﻣﻪ: زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار در ﻣﻌﺮض آﺳﯿﺐﻫﺎي روانﺷﻨﺎﺧﺘﯽ و اﺟﺘﻤﺎﻋﯽ ﻣﺘﻌﺪد ﻗﺮار دارﻧﺪ. ﺑﻨﺎﺑﺮاﯾﻦ اﻧﺠﺎم ﻣﺪاﺧﻼت ﺑﻪ ﻣﻨﻈﻮر ﮐﺎ ﻫﺶ اﯾﻦ آﺳﯿﺐﻫﺎ در آﻧﻬﺎ ﺿﺮوري اﺳﺖ. اﯾﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف ﻣﻘﺎﯾﺴﻪ اﺛﺮﺑﺨﺸﯽ واﻗﻌﯿﺖدرﻣﺎﻧﯽ و درﻣﺎن ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﺑﺮ ﻓﺮاﯾﻨﺪ ﺧﺎﻧ ﻮاده در زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن، ﭘﺲآزﻣﻮن، ﭘﯿﮕﯿﺮي و ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﭘﮋو ﻫﺶ ﺷﺎﻣﻞ ﮐﻠﯿﻪ زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ ﮐﻠﯿﻨﯿﮏ ﻣﺪدﮐﺎري اﺟﺘﻤﺎﻋﯽ ﺑﺎران و ﻧﻮﯾﺪ ﺷﻬﺮﺳﺘﺎن ﺳﺎري در ﺳﺎل 1398 ﺑﻮد ﮐﻪ از اﯾﻦ ﺑﯿﻦ، 45 ﻧﻔﺮ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب و ﺑﻪ ﻃﻮر ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﯾﮏ ﮔﺮوه ﮐﻨﺘﺮل ﻗﺮا ر ﮔﺮﻓﺘﻨﺪ. ﮔﺮوهﻫﺎي آزﻣﺎﯾﺶ ﺗﺤﺖ 8 ﺟﻠﺴﻪ 90 دﻗﯿﻘﻪاي واﻗﻌﯿﺖدرﻣﺎﻧﯽ ﯾﺎ درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﺑﺮاي ﮔﺮ وه ﮐﻨﺘﺮل ﻣﺪاﺧﻠﻪاي اﻧﺠﺎم ﻧﺸﺪ. اﺑﺰار ﻣﻮرد اﺳﺘﻔﺎده، ﭘﺮﺳﺶﻧﺎﻣﻪ ﻓﺮاﯾﻨﺪ ﺧﺎﻧﻮاده Samania )1387( ﺑﻮد. ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺑﺎ روش ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ آﻣﯿﺨﺘﻪ ﻫﻤﺮاه ﺑﺎ اﻧﺪازهﮔﯿﺮي ﻣﮑﺮر اﻧﺠﺎم ﺷﺪ. ﯾ ﺎﻓﺘﻪﻫﺎ: در ﻫﺮ دو ﮔﺮوه آزﻣﺎﯾﺶ، ﺗﻔﺎوت ﻧﻤﺮات ﻓﺮاﯾﻨﺪ ﺧﺎﻧﻮاده در زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار در ﭘﺲآزﻣﻮن ﺑﺎ ﭘﯿﺶآزﻣﻮن از ﻧﻈﺮ آﻣﺎري ﻣﻌﻨ ﯽدار )0/00=p( ﺑﻮد. ﺗﻔﺎوت ﻧﻤﺮات در زﻣﺎن ﭘﯿﮕﯿﺮي ﺑﺎ ﭘﺲآزﻣﻮن ﻣﻌﻨﯽدار ﻧﺒﻮد. ﺗﻔﺎوت ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮه ﮔﺮوه واﻗﻌﯿﺖدرﻣﺎﻧﯽ ﺑﺎ درﻣﺎن ﻣﺒﺘﻨﯽ ﺑﺮ ﭘﺬﯾﺮش و ﺗﻌﻬﺪ در ﻓﺮاﯾﻨﺪ ﺧﺎﻧﻮاده ﻣﻌﻨﯽدار ﻧﺒﻮد. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ ﺣﺎﺻﻞ از اﯾﻦ ﻣﻄﺎﻟﻌﻪ، ﻣﺘﺨﺼﺼﺎن ﺣﻮزه ﺳﻼﻣﺖ ﻣﯽﺗﻮاﻧﻨﺪ ﻣﺪاﺧﻼت واﻗﻌﯿﺖدرﻣﺎﻧﯽ و درﻣﺎن ﭘﺬﯾﺮش و ﺗﻌﻬﺪ را ﺑﻪ ﻣﻨﻈﻮر ﺑﻬﺒﻮد ﻓﺮاﯾﻨﺪ ﺧﺎﻧﻮاده در زﻧﺎن ﺳﺮﭘﺮﺳﺖ ﺧﺎﻧﻮار ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار دﻫﻨﺪ.

Introduction: Female household heads are exposed to various psychological and social harms. Therefore, it is necessary to take psychological measures to reduce these injuries. This study aimed to compare the effectiveness of reality therapy and acceptance and commitment therapy on the family process in female household heads. Materials and Methods: This was a quasi-experimental study with pretest, posttest, follow-up and control group. The statistical population of this study included all female household heads admitted to Baran and Navid Social Welfare Clinic in Sari in 2019, of which 45 people were selected by purposive sampling method and randomly assigned to two experimental groups and one control group. Training sessions on both reality therapy and acceptance and commitment therapy were held in 8 90-minute sessions each, and no action was taken for the control group. The instruments used was the Samani Family Process Questionnaire (2008). Data analysis was performed by mixed analysis of variance with repeated measures. Results: In both groups of reality therapy and acceptance and commitment therapy, the difference between family process scores in female household heads in post-test and pre-test was statistically significant (p=0.00) and the difference in scores at follow-up with post-test was non-significant (p<0.05). The results showed that the difference between the mean of reality therapy and acceptance and commitment therapy in the family process was not significant (p<0.05). Conclusion: Based on the results of this study, in the case of female household heads, health professionals can use both reality therapy and acceptance and commitment therapy to improve the family process.