ﺗﺄﺛﯿﺮ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﺑﺮ رﺿﺎﯾﺖ ﺟﻨﺴﯽ، ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎﻧﯽ و ﺗﺎبآوري در ﭘﺮﺳﺘﺎران ﺑﺎ دﻟﺰدﮔﯽ زﻧﺎﺷﻮﯾﯽ

Effectiveness of Schema Therapy on Sexual Satisfaction, Emotional Regulation, and Resilience in Nurses with Marital Boredom Symptoms

ﻣﻘﺪﻣﻪ: ﻃﺮﺣﻮاره درﻣﺎﻧﯽ روﯾﮑﺮدي ﯾﮑﭙﺎرﭼﻪ ﻧﮕﺮ اﺳﺖ ﮐﻪ از ﺗﺮﮐﯿﺐ ﻧﻈﺮﯾﻪﻫﺎ و ﺗﮑﻨﯿﮏﻫﺎﯾﯽ ﮐﻪ از ﻗﺒﻞ وﺟﻮد داﺷﺘﻪاﻧﺪ ﺣﺎﺻﻞ ﺷﺪه و ﺑﺮاي ﻣﺸﮑﻼت زﻧﺎﺷﻮﯾﯽ ﮐﺎرﺑﺮد ﻓﺮاواﻧﯽ دارد. ﺑﺮ اﯾﻦ اﺳﺎس، ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﺄﺛﯿﺮ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﺑﺮ رﺿﺎﯾﺖ ﺟﻨﺴﯽ، ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎﻧﯽ و ﺗﺎبآوري در ﭘﺮﺳﺘﺎران ﺑﺎ دﻟﺰدﮔﯽ زﻧﺎﺷﻮﯾﯽ اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ، ﺑﻪﺻﻮرت ﻧﯿﻤﻪﺗﺠﺮﺑﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن- ﭘﺲآزﻣﻮن- ﭘﯿﮕﯿﺮي و ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل اﻧﺠﺎم ﺷﺪ. ﺷﺮﮐﺖ-ﮐﻨﻨﺪﮔﺎن ﺷﺎﻣﻞ 40 ﭘﺮﺳﺘﺎر ﺑﺎ دﻟﺰدﮔﯽ زﻧﺎﺷﻮﯾﯽ ﺷﻬﺮ ﺗﺒﺮﯾﺰ در ﺳﺎل 1398 ﺑﻮدﻧﺪ ﮐﻪ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ ﺳﺎده در دو ﮔﺮوه ﻣﺴﺎوي آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي رﺿﺎﯾﺖ ﺟﻨﺴﯽ، ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﺗﺎبآوري ﺗﻮﺳﻂ آزﻣﻮدﻧﯽﻫﺎي ﻫﺮ دو ﮔﺮوه ﺗﮑﻤﯿﻞ ﺷﺪ و ﻣﺪاﺧﻠﻪ ﻣﺒﺘﻨﯽ ﺑﺮ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﻃﯽ 12 ﺟﻠﺴﻪ 90 دﻗﯿﻘﻪاي )ﻫﺮ ﻫﻔﺘﻪ ﯾﮏ ﺟﻠﺴﻪ( ﺑﺮاي ﮔﺮوه آزﻣﺎﯾﺶ اﺟﺮا ﺷﺪ. ﭘﺲ از اﺗﻤﺎم ﺟﻠﺴﺎت، ﻣﺠﺪداً ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي ﻓﻮق در ﻫﺮ دو ﮔﺮوه ﺗﮑﻤﯿﻞ و ﻧﻬﺎﯾﺘﺎً ﺑﻌﺪ از ﺳﻪ ﻣﺎه ﻧﯿﺰ ﭘﯿﮕﯿﺮي ﺑﻪ ﻋﻤﻞ آﻣﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮن اﻧﺪازهﮔﯿﺮي ﻣﮑﺮر ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﺗﺤﻠﯿﻞ دادهﻫﺎ ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮهﻫﺎي ﭘﺲآزﻣﻮن و ﭘﯿﮕﯿﺮي ﮔﺮوه آزﻣﺎﯾﺶ ﻧﺴﺒﺖ ﺑﻪ ﭘﯿﺶآزﻣﻮن، ﺗﻔﺎوت ﻣﻌﻨﯽداري وﺟﻮد داﺷﺖ )p<0/01( ﻫﻤﭽﻨﯿﻦ ﻧﺘﺎﯾﺞ آزﻣﻮن اﻧﺪازهﮔﯿﺮي ﻣﮑﺮر ﻧﺸﺎن داد ﮐﻪ ﺗﺄﺛﯿﺮات ﻃﺮﺣﻮاره درﻣﺎﻧﯽ درﮔﺬر زﻣﺎن ﭘﺎﯾﺪار ﻣﯽﺑﺎﺷﺪ. در ﮔﺮوه ﮐﻨﺘﺮل ﺗﻔﺎوت ﻣﻌﻨﯽداري ﺑﯿﻦ ﭘﯿﺶآزﻣﻮن-ﭘﺲآزﻣﻮن و ﭘﯿﮕﯿﺮي وﺟﻮد ﻧﺪاﺷﺖ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﺄﺛﯿﺮ ﻣﺜﺒﺖ ﻃﺮﺣﻮاره درﻣﺎﻧﯽ ﺑﺮ رﺿﺎﯾﺖ ﺟﻨﺴﯽ، ﺗﻨﻈﯿﻢ ﻫﯿﺠﺎن و ﺗﺎبآوري، اﺳﺘﻔﺎده از اﯾﻦ درﻣﺎن در ﺮﻧﺎﻣﻪرﯾﺰي اﻗﺪاﻣﺎت ﺑﻬﺪاﺷﺖ رواﻧﯽ ﺑﺮاي ﭘﺮﺳﺘﺎران ﺗﻮﺻﯿﻪ ﻣﯽﺷﻮد.

Introduction: Schema therapy is an integrative approach combining previously existing theories and techniques and is widely used in addressing marital problems. Accordingly, this study aimed to determine the effectiveness of schema therapy on sexual satisfaction, emotional regulation and resilience in nurses of variable shifts with marital boredom symptoms in Tabriz with three-month follow-up. Materials and Methods: This study was followed as a quasi-experimental with pretest-posttest-follow up design and with a control group. Samples included 40 nurses in Tabriz in 2019 who scored higher in the marital boredom questionnaire (a standard deviation according to the cutting point) and were randomly assigned to an experimental groups (20 people) and a control group (20 people). The sexual satisfaction, excitement, and resilience questionnaires were completed by subjects in both groups, and schema-based intervention was performed in 12 90-minute sessions, one session per week for the experimental group. After the meetings, the above-mentioned questionnaires were completed again in both groups and finally followed up after three months. The data were analyzed using repeated measurement tests. Results: Data analysis showed that there was a significant difference between the mean of post-test scores and follow-up of the experimental group compared to that of the pre-test (p<0.01). In addition, the results of repeated measures test showed that the effects of schema therapy were stable over time. However, in the control group, there was no significant difference between pre-test-post-test and follow-up (p> 0.05). Conclusion: Due to the positive effect of schema therapy on sexual satisfaction, emotion regulation and resilience, applying this treatment in planning mental health measures for nurses is recommended.