اﺛﺮﺑﺨﺸﯽ ﺑﻬﺰﯾﺴﺘﯽ درﻣﺎﻧﯽ ﺑﺮ ﻗﻨﺪ ﺧﻮن ﻧﺎﺷﺘﺎ، اﻓﺴﺮدﮔﯽ، ﺷﺎدﮐﺎﻣﯽ و ﺧﻮشﺑﯿﻨﯽ در ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﺠﺎتﯾﺎﻓﺘﻪ از وﯾﺮوس ﮐﺮوﻧﺎ

The Effectiveness of Well-being Therapy on Fasting Blood Sugar, Depression, Happiness, and Optimism in Diabetic Patients Rescued from Coronavirus

ﻣﻘﺪﻣﻪ: ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﺠﺎتﯾﺎﻓﺘﻪ از ﮐﺮوﻧﺎ ﺑﺎ ﻣﺸﮑﻼت زﯾﺎدي در زﻣﯿﻨﻪ ﺳﻼﻣﺖ ﻣﻮاﺟﻪ ﻫﺴﺘﻨﺪ و ﯾﮑﯽ از روشﻫﺎي درﻣﺎﻧﯽ ﺑﺮﮔﺮﻓﺘﻪ از روانﺷﻨﺎﺳﯽ ﻣﺜﺒﺖ ﻧﮕﺮ در ﮐﺎﻫﺶ ﻣﺸﮑﻼت ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﻼﻣﺖ، روش ﺑﻬﺰﯾﺴﺘﯽ درﻣﺎﻧﯽ اﺳﺖ. ﻫﺪف اﯾﻦ ﭘﮋوﻫﺶ ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ ﺑﻬﺰﯾﺴﺘﯽ درﻣﺎﻧﯽ ﺑﺮ ﻗﻨﺪ ﺧﻮن ﻧﺎﺷﺘﺎ، اﻓﺴﺮدﮔﯽ، ﺷﺎدﮐﺎﻣﯽ و ﺧﻮشﺑﯿﻨﯽ در ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﺠﺎتﯾﺎﻓﺘﻪ از وﯾﺮوس ﮐﺮوﻧﺎ ﺑﻮد. ﻣﻮاد و روشﻫﺎ: ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن و ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ ﭘﮋوﻫﺶ ﺑﯿﻤﺎران دﯾﺎﺑﺘﯽ ﻧﺠﺎتﯾﺎﻓﺘﻪ از وﯾﺮوس ﮐﺮوﻧﺎ ﻋﻀﻮ اﻧﺠﻤﻦ دﯾﺎﺑﺖ ﺷﻬﺮ ﻣﺸﻬﺪ در ﺳﺎل 1399 ﺑﻮدﻧﺪ. ﺗﻌﺪاد 40 ﻧﻔﺮ ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب و ﺑﻪ روش ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه ﻣﺴﺎوي ﺟﺎﯾﮕﺰﯾﻦ ﺷﺪﻧﺪ. ﮔﺮوه آزﻣﺎﯾﺶ 10 ﺟﻠﺴﻪ 90 دﻗﯿﻘﻪاي )ﻫﻔﺘﻪاي دو ﺟﻠﺴﻪ( ﺑﺎ روش ﺑﻬﺰﯾﺴﺘﯽ درﻣﺎﻧﯽ آﻣﻮزش دﯾﺪﻧﺪ و ﮔﺮوه ﮐﻨﺘﺮل در ﻟﯿﺴﺖ اﻧﺘﻈﺎر ﺑﺮاي آﻣﻮزش ﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﺑﺰارﻫﺎي ﭘﮋوﻫﺶ، ﺗﺴﺖ ﻗﻨﺪ ﺧﻮن و ﭘﺮﺳﺶﻧﺎﻣﻪﻫﺎي اﻓﺴﺮدﮔﯽ، ﺷﺎدﮐﺎﻣﯽ و ﺧﻮشﺑﯿﻨﯽ ﺑﻮدﻧﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮنﻫﺎي ﻣﺠﺬور ﮐﺎي، ﺗﯽ ﻣﺴﺘﻘﻞ و ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮي ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﮔﺮوهﻫﺎ در ﻣﺮﺣﻠﻪ ﭘﯿﺶآزﻣﻮن از ﻧﻈﺮ ﻗﻨﺪ ﺧﻮن ﻧﺎﺷﺘﺎ، اﻓﺴﺮدﮔﯽ، ﺷﺎدﮐﺎﻣﯽ و ﺧﻮشﺑﯿﻨﯽ ﺗﻔﺎوت ﻣﻌﻨﯽداري ﻧﺪاﺷﺘﻨﺪ اﻣﺎ در ﻣﺮﺣﻠﻪ ﭘﺲآزﻣﻮن از ﻧﻈﺮ ﻫﺮ ﭼﻬﺎر ﻣﺘﻐﯿﺮ ﺗﻔﺎوت ﻣﻌﻨﯽدار ﺑﻮد )0/001

Introduction: Diabetic patients rescued from Coronavirus face many health-related problems. One of the therapeutic methods derived from positive psychology to reduce health-related problems is the well-being therapy method. As a result, this research aimed to determine the effectiveness of well-being therapy on fasting blood sugar, depression, happiness, and optimism in diabetic patients rescued from Coronavirus. Materials and Methods: This study was semi-experimental with a pretest and posttest design with a control group. The research population includes diabetic patients rescued from the Coronavirus who were members of Mashhad diabetes association in 2020. Forty people were selected by purposive sampling technique and randomly divided into two equal groups. The experimental group was trained 10 sessions of 90 minutes with the well-being therapy method (two sessions per week) and the control group was placed on the waiting list for training. The research tools were the blood sugar test and questionnaires of depression, happiness, and optimism. Data were analyzed using tests of chi-square, independent t, and multivariate analysis of covariance. Results: The results showed that the groups in the pretest stage were not significantly different in terms of fasting blood sugar, depression, happiness, and optimism (p<0.05), but in the posttest stage there was a significant difference in terms of all four variables (p<0.001). In other words, the well-being therapy led to a decrease in fasting blood sugar and depression and an increase in happiness and optimism in diabetic patients rescued from Coronavirus. Conclusion: Based on the results of this research, health experts and therapists can use the well-being therapy method along with other treatment methods for health-related interventions.