fa مقایسه اثر بخشی درمان مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی بر امید به زندگی و بهزیستی روانشناختی در بیماران ام اس عمومى General كاربردي Applicable <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ام</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اس یکی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شایع‌ترین</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">دلایل</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عصبی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ناتوانی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">دستگاه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عصبی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مرکزی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">است.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">هدف از پژوهش حاضر مقایسه اثر بخشی درمان مبتنی بر پذیرش و تعهد و شناخت درمانی مبتنی بر ذهن آگاهی بر امید به زندگی و بهزیستی روانشناختی در بیماران ام اس است. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مواد و روش کار:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> روش پژوهش، به شیوه نیمه آزمایشی و به صورت پیش‌آزمون-پس‌آزمون با گروه کنترل صورت گرفته است. جامعه آماری عبارت بود از تمام افراد دارای بیماری ‌ام اس در گرگان که از این میان تعداد 45 فرد بستری در بخش نورولوژی بیمارستان‌های حکیم جرجانی و شهید صیاد شیرازی شهر گرگان به صورت نمونه‌گیری در دسترس انتخاب شده و به صورت تصادفی ساده در 3 گروه 15 نفره جای گرفتند. ابزار پژوهش پرسشنامه امید به زندگی (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">AHS</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">) و پرسشنامه بهزیستی روان شناختی (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">RSPWB</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">) بود. داده ها نیز با استفاده از آزمون تحلیل کوواریانس و مقایسه میانگین‌ها مورد تجزیه و تحلیل قرار گرفت. </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> میانگین نمره بهزیستی روانشناختی بیماران در گروه درمان مبتنی بر پذیرش و تعهد قبل از آموزش 412/12</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">726/3 بود که بعد از اجرای آموزش به 018/13</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">531/2 رسید. و در گروه ذهن آگاهی قبل از آموزش 533/12</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">693/3 بود که بعد از آموزش به 933/15</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">695/4 رسید. همچنین نمره امید به زندگی در گروه درمان مبتنی بر پذیرش و تعهد قبل از آموزش 115/26</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">625/5 بود که بعد از آموزش به 106/29</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">417/4 رسید. و در گروه ذهن آگاهی قبل از آموزش465/26</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">672/6 بود که بعد از آموزش به 431/31</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">&plusmn;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">327/5 رسید. این اختلاف از نظر آماری معنادار بود (000/0=</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">P-value</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بحث و نتیجه‌گیری: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با توجه به یافته‌های پژوهش برای افزایش بهزیستی روانشناختی و امید به زندگی در بیماران مبتلا به ام. اس، تکنیک های درمان مبتنی بر پذیرش و تعهد و درمان شناختی مبتنی بر ذهن آگاهی توصیه می گردد.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:107%"><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="">Background and Aim:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> MS is one of the most common neurological causes of central nervous system dysfunction. The aim of this study was to compare the effectiveness of acceptance-based therapy and mindfulness-based cognitive therapy on life expectancy and psychological well-being in MS patients.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><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="">Materials & Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> The research method was quasi-experimental and pre-test-post-test with a control group. The statistical population consisted of all people with MS in Gorgan, of which 45 people admitted to the neurology ward of Hakim Jorjani and Shahid Sayad Shirazi hospitals in Gorgan were selected by convenience sampling and randomly divided into 3 groups of 15 people. Took place. The research instruments were life expectancy questionnaire (AHS) and psychological well-being questionnaire (RSPWB). The two intervention groups received therapies based on acceptance and commitment (act) and cognitive therapy based on mindfulness during 8 sessions of 1.5 hours and the control group did not receive any intervention. Data were analyzed using analysis of covariance and comparison of means.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><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 mean score of psychological well-being of patients in the treatment group based on acceptance and commitment before training was 3.726</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">12.412 which reached 2.531</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">13.01 after training. And in the mindfulness group before training was 3.693</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">12.53 which after training reached 4.695</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">15.933. Also, the life expectancy score in the treatment group based on acceptance and commitment before training was 5,625</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">26.115, which reached 4.417</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">29.106 after training. And in the mindfulness group before training was 6.672</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">26.65 which after training reached 5.327</span></span></span><span style="background:white"><span style="font-family:" tahoma=""><span style="color:black">&plusmn;</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">311.431. This difference was statistically significant (P-value=0.000).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><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="">Discussion and Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> According to the research findings to increase psychological well-being and life expectancy in patients with M.S Acceptance and commitment-based therapy techniques and mindfulness-based cognitive therapy are recommended.</span></span></span></span></span></span><br> &nbsp; مولتیپل اسکلروزیس, پذیرش و تعهد, ذهن آگاهی, امید به زندگی, بهزیستی روانشناختی Acceptance and commitment based therapy, mindfulness, life expectancy, psychological well - being, MS patients. 0 0 http://zanko.muk.ac.ir/browse.php?a_code=A-10-548-8&slc_lang=fa&sid=1 mojtaba aghili سید مجتبی عقیلی dr_aghili1398@yahoo.com 10031947532846005465 10031947532846005465 Yes arezou Asghari آرزو اصغری azasghari@gmail.com 10031947532846005466 10031947532846005466 No fatemeh jorjani فاطمه جرجانی mitra_namazi@yahoo.com 10031947532846005467 10031947532846005467 No mitra namazi میترا نمازی mitra_namazi@yahoo.com 10031947532846005468 10031947532846005468 No