Iranian Journal of Rehabilitation Research in Nursing
نشریه پژوهش توانبخشی در پرستاری
IJRN
Medical Sciences
http://ijrn.ir
1
admin
2383-434X
2383-4358
8
10.22034/ijrn
14
8888
13
fa
jalali
1401
9
1
gregorian
2022
12
1
9
2
online
1
fulltext
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اثربخشی آموزش ذهن آگاهی بر تاب آوری و تحمل ابهام بیماران سرطان پستان
The effectiveness of mindfulness training on the resilience and ambiguity tolerance of breast cancer patients
پرستاری توانبخشی
Rehabilitation Nursing
پژوهشي
Research
<span style="font-family:nasimYW;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مقدمه :</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> سرطان پستان یکی از رایج ­ترین بیماری­ها می باشد که انجام مداخلات روانشناختی مناسب در جهت ارتقا سطح سلامت روانشناختی بیماران مبتلا به سرطان پستان دارای اهمیت بسیار زیادی می باشد. هدف</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">انجام</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بررسی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">اثر</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بخشی آموزش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ذهن­آگاهی بر تاب­آوری و تحمل ابهام در بیماران سرطانی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">روش کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> روش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">حاضر</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">صورت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نیمه­آزمایشی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">با</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">طرح</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پیش­ آزمون</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پس­ آزمون</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گروه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کنترل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> جامعه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آماری</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تمامی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بیماران</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مبتلا</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">سرطان شهر</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تهران در سال 1400</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بودندکه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تعداد</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">30</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نفر</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آنها</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">صورت تصادفی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">انتخاب</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">در</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">دو</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گروه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آزمایش و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کنترل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">جایگزین</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">شدند.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">برای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گروه آزمایش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آموزش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> مبتنی بر ذهن آگاهی به مدت 8 جلسه صورت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گرفت، اما</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">برای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گروه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کنترل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مداخله ­ای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">صورت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نگرفت</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> ابزار</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">در</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تحقیق</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پروتکل آموزش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ذهن ­آگاهی کابات زین،</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پرسش­نامه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تاب آوری کونور و دیویدسون (2003) و تحمل ابهام فریستون(1994)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> روش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آماری</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مورد</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">استفاده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نیز</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تحلیل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کواریانس</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">چندمتغیره</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">که</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">با</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">استفاده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نرم افزار</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">Spss </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نسخه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">23</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">انجام</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">شد</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">یافته<b> </b>ها</span></span></b><b><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> نتایج</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نشان</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">داد</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">که</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آموزش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ذهن­آگاهی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">صورت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">معناداری</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">باعث</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کاهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تحمل ابهام</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">افزایش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تاب</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آوری</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">در</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">افراد</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مبتلا</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">سرطان می شود</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">که</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">سطح</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">معنا</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">داری 0/01بود با اندازه اثر 37 درصد به دست آمد.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri=""><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نتیجه</span></span></b><b> </b><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گیری</span></span></b><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times=""> :</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نتایج</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پژوهش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">می­تواند تلویحات</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">درمانی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">برای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">تمامی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">دست</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">اند­­رکاران</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بیمارستانی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">که</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">با</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">افراد</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مبتلا به سرطان کار</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">می­کنند</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">داشته</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">باشد به این معنا که برای بیماران سرطانی مداخلات مبتنی بر آموزش ذهن­ آگاهی صورت بگیرد</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
</span>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:107%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Introduction</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">: Breast cancer is one of the most common diseases and it is very important to perform appropriate psychological interventions to improve the psychological health of breast cancer patients. The purpose of this research was to investigate the effectiveness of mindfulness training on resilience and tolerance of ambiguity in cancer patients.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:107%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methodology</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">: The current research method was semi-experimental with a pre-test and post-test design and a control group. The statistical population of this research was all cancer patients in Tehran in 1400, 30 of them were randomly selected and replaced in two experimental and control groups. Mindfulness-based training was conducted for the experimental group for 8 sessions, but no intervention was conducted for the control group. The research tools in this research were Kabat-Zinn's mindfulness training protocol, Connor and Davidson's resilience questionnaire (2003) and Friston's ambiguity tolerance (1994). The statistical method used was multivariate covariance analysis, which was done using Spss version 23 software.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:107%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Results</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">: The results of this research revealed that mindfulness training significantly reduces uncertainty tolerance and increases resilience in people with cancer, the significance level of which was 0.01 with an effect size of 37%.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:107%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">: The results of this research can have therapeutic implications for all hospital workers who work with patients with cancer, in the sense that interventions based on mindfulness training should be made for cancer patients.</span></span></span></span></span></span></span></span></span>
آموزش ذهن آگاهی, تاب آوری, تحمل ابهام, سرطان
mindfulness training, resilience, uncertainty tolerance, cancer
22
31
http://ijrn.ir/browse.php?a_code=A-10-553-1&slc_lang=fa&sid=1
aysan
delkosh
ایسان
دلخوش
aysa.delkhosh76@gmail.com
100319475328460010065
100319475328460010065
Yes
Department of Consulting, University of Tehran (Corresponding Author)
گروه مشاوره، دانشگاه تهران aysa.delkhosh76@gmail.com
yazdan
movahedi
یزدان
موحدی
yazdan.movahedi@gmail.com
100319475328460010066
100319475328460010066
No
Associate Professor, University of Tabriz, Department of Psychology
دانشیار، دانشگاه تبریز، گروه روانشناسی،ایران