Iranian Journal of Nursing Research
نشریه پژوهش پرستاری ایران
IJNR
Medical Sciences
http://ijnr.ir
137
journal137
1735-7012
1735-9074
10.22034/ijnr
fa
jalali
1401
10
1
gregorian
2023
1
1
17
6
online
1
fulltext
fa
مقایسه اثربخشی بهزیستی درمانی با درمان مبتنی بر پذیرش و تعهد بر احساس تنهایی سالمندان
Comparison of the effectiveness of well-being therapy with acceptance and commitment therapy on the feeling of loneliness in the elderly
علوم رفتاری و روانی(روانشناسی، مددکاری و...)
behavioral sciences
پرستاری بهداشت جامعه
Community Health Nursing
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> </span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مقدمه:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> سالمندی با بیماری، فقدان و از کار افتادگی متعددی همراه است و افراد سالمند در معرض مشکلات فراوانی قرار دارند. پژوهش حاضر با هدف مقایسه اثربخشی بهزیستی درمانی با درمان مبتنی بر پذیرش و تعهد بر احساس تنهایی سالمندان انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">روش­ کار</span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> <span style="letter-spacing:.1pt">پژوهش حاضر نیمه­آزمایشی از نوع پیشآزمون- پسآزمون به همراه مرحله پیگیری یک ماهه و با گروه کنترل بود.</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">جامعۀ آماری پژوهش حاضر، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">شامل سالمندان خانه سالمندان نشاط شهر مشهد بودند.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">از بین این</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">افراد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:115%"><span b="" mitra="" style="font-family:">، تعداد </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">45 نفر به روش نمونه­گیری هدفمند انتخاب شدند و به طور تصادفی در سه گروه 15 نفری قرار گرفتند. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">گروه­های آزمایش تحت 8 جلسه 90 دقیقه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">­</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">ای بهزیستی درمانی یا</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> درمان</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مبتنی بر پذیرش و تعهد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> قرار گرفتند و برای گروه کنترل اقدامی صورت نگرفت. ابزار جمع­</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">­</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">آوری داده</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">­</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">ها شامل </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">پرسشنامه احساس تنهایی بود</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">برای تحلیل داده­های پژوهش از نرم افزار</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">SPSS </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> نسخه 22 و تحلیل واریانس آمیخته همراه با اندازه­گیری مکرر در سطح 05/0 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">استفاده شد.<b> </b></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="tab-stops:right 99.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یافته­ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> نتایج نشان­دهنده این بود که </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">بهزیستی درمانی و درمان مبتنی بر پذیرش و تعهد بر کاهش </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">احساس تنهایی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">سالمندان </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در مرحله پس آزمون و پیگیری اثر معنادار داشته</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">­</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">اند (۰۰1/۰></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">. اما<b> </b>تفاوت معناداری بین اثربخشی دو گروه وجود نداشته است<b> </b></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">(05/۰<</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">. </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="tab-stops:right 99.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">نتیجه­گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> طبق نتایج،</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">می­توان از بهزیستی درمانی و درمان مبتنی بر پذیرش و تعهد در جهت بهبود </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">احساس تنهایی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">در سالمندان استفاده کرد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="tab-stops:7.0pt right 99.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">کلیدواژه</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">­</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">ها: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">بهزیستی درمانی، احساس تنهایی، درمان مبتنی بر پذیرش و تعهد، سالمند </span></span></span></span></span></span></span></span></span><br>
<br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Aging is associated with many diseases, deficiencies and disabilities and the elderly are exposed to many problems. The aim of this study was to compare the effectiveness of </span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">well-being therapy</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> with acceptance and commitment therapy on the feeling of loneliness in the day care center for the elderly.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The present study was a quasi-experimental pretest-posttest with a one-month follow-up phase with a control group. The statistical population of the present study included the elderly of Neshat Nursing Home in Mashhad. Among these people, 45 people were selected by purposive sampling method and randomly divided into three groups of 15 people. The experimental groups underwent 8 sessions of 90 minutes of </span></span></span><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">well-being therapy</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> or acceptance and commitment therapy and no action was taken for the control group. Data collection tools included a loneliness questionnaire. SPSS software version 22 and mixed analysis of variance with repeated measures at the level of 0.05 were used to analyze the research data.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The results showed that well-being therapy and acceptance and commitment therapy had a significant effect on reducing the loneliness of the elderly in the post-test and follow-up stages (P <0.001). But there was no significant difference between the effectiveness of the two groups (P <0.05).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">According to the results, well-being therapy and acceptance and commitment therapy can be used to improve the feeling of loneliness in the elderly.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Keywords: </span></span></span></b><span style="font-size:12.0pt"><span style="background:white"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Well-being therapy</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">, Loneliness, Acceptance and Commitment Therapy, Elderly</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></span></span></span></span></span></span><br>
بهزیستی درمانی, احساس تنهایی, درمان مبتنی بر پذیرش و تعهد, سالمند
Well-being therapy, Loneliness, Acceptance and Commitment Therapy, Elderly
85
96
http://ijnr.ir/browse.php?a_code=A-10-5460-1&slc_lang=fa&sid=1
Narges
Hossein Nazari
نرگس
حسین نظری
hosseinnazari_n@yahoo.com
13700319475328460022235
13700319475328460022235
No
Department of Education Sciences, Mashhad branch, Islamic Azad University, Mashhad, Iran
گروه علوم تربیتی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران
Hamid
Nejat
حمید
نجات
hnejat54@yahoo.com
13700319475328460022236
13700319475328460022236
Yes
Department of Education Sciences, Mashhad branch, Islamic Azad University, Mashhad, Iran
گروه علوم تربیتی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران
Mohammadreza
Saffarian Tosi
محمدرضا
صفاریان طوسی
saffarianreza1965@gmail.com
13700319475328460022237
13700319475328460022237
No
Department of Education Sciences, Mashhad branch, Islamic Azad University, Mashhad, Iran
گروه علوم تربیتی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران