fa اثربخشی آموزش ذهن‌آگاهی بر فشار مراقبتی و خستگی ناشی از شفقت در مراقبان بیماران کاندید پیوند قلب تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">مقدمه</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">: این پژوهش باهدف اثربخشی&nbsp; آموزش ذهن‌آگاهی بر فشار مراقبتی و خستگی ناشی از شفقت در مراقبان بیماران کاندید پیوند قلب اجرا گردید. </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 style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">روش کار:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> روش پژوهش نیمه‌آزمایشی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">و طرح آن پیش‌آزمون - پس‌آزمون با گروه کنترل و مرحله پیگیری 45 روزه می‌باشد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">. جامعه‌ی آماری شامل کلیه پرستاران زن و مرد بخش پیوند قلب بیمارستان شهید چمران اصفهان و بیمارستان مسیح دانشوری تهران در سال 1399 بود. به همین منظور تعداد 30 نفر پرستار&nbsp; مشغول به کار در بخش پیوند قلب </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">به روش نمونه‌گیری</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">هدف‌مند </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">&nbsp;انتخاب و با گمارش تصادفی&nbsp; در دو گروه آزمایش و کنترل&nbsp; قرار گرفتند</span></span></span><span lang="FA" 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:">&nbsp;گروه آزمایش مداخلات ذهن‌آگاهی مراقب محور بر اساس بسته رزک(2015) را در طی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">۸</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> جلسه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">۴۵</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> دقیقه‌ای و هر هفته یک جلسه، به مدت </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">۲</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> ماه دریافت کردند. این در حالی است که گروه کنترل هیچ‌گونه مداخله‌ای را در طول پژوهش دریافت نکردند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">ابزار اندازه‌گیری شامل </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">پرسش‌نامه فشار مراقبتی</span></span></span><span lang="FA" 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:">نواک و گست،</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">1989) و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">پرسش‌نامه کیفیت کاری (فیگلی، 1990) بود. جهت تجزیه‌وتحلیل داده‌ها </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">از آزمون تحلیل واریانس با اندازه‌گیری مکرر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">استفاده 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 style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">یافته ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"> &nbsp;نتایج حاصل حاکی از اثربخشی آموزش ذهن‌آگاهی بر فشار مراقبتی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">&shy;</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">و خستگی ناشی از شفقت در مرحله پس‌آزمون </span></span></span>&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">(05/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">) و اثرات آموزش‌ها در مرحله پیگیری( </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">05/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p</span></span></span><span lang="FA" 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:">نیز باقی مانده است.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Mitra""></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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:">نتیجه گیری:</span></span></span></b><span lang="FA" style="line-height:115%"><span b="" nazanin="" style="font-family:"> با استناد به یافته‌های به‌دست آمده از پژوهش حاضر، می‌توان نتیجه گرفت که آموزش ذهن‌آگاهی می‌تواند به‌عنوان یک روش مداخله‌ای، در کاهش فشار مراقبتی و خستگی ناشی از شفقت در مراقبان بیماران کاندید پیوند قلب مورد استفاده قرار گیرد.</span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><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="">: This research was conducted with the aim of the effectiveness of mindfulness training on caregiving stress and compassion fatigue in caregivers of heart transplant candidates.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methodology:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> The research method is semi-experimental and its design is pre-test-post-test with a control group and a 45-day follow-up phase. The statistical population included all male and female nurses in the heart transplant department of Shahid Chamran Hospital in Isfahan and Masih Daneshvari Hospital in Tehran in 2020. For this purpose, 30 nurses working in the heart transplant department were selected by purposeful sampling and randomly assigned to two experimental and control groups.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The experimental group received caregiver-centered mindfulness interventions based on the Rozak package (2015) during 8 45-minute sessions and one session per week for 2 months. Meanwhile, the control group did not receive any intervention during the study. The measurement tools included the care pressure questionnaire (Novak and Guest, 1989) and the work quality questionnaire (Figley, 1990). Analysis of variance with repeated measurements was used to analyze the data.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Findings</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: The results indicate the effectiveness of mindfulness training on caregiving pressure and compassion fatigue in the post-test phase (p<0.05) and the effects of training in the follow-up phase (p<0.05) remained.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><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="">: Based on the findings obtained from the present study, it can be concluded that mindfulness training can be used as an intervention method to reduce caregiving pressure and compassion fatigue in caregivers of heart transplant candidates.</span></span></span></span></span></span></span> آموزش ذهن آگاهی, فشار مراقبتی, خستگی ناشی از شفقت, مراقب, پیوند قلب mindfulness training, caregiving pressure, compassion fatigue, caregiver, heart transplant. 80 90 http://ijpn.ir/browse.php?a_code=A-10-2335-2&slc_lang=fa&sid=1 Mahsa Ali Asgari Rizi مهسا علی عسگری ریزی mahrooz220@gmail.com 27900319475328460018378 27900319475328460018378 No Isfahan Islamic Azad University (Khorasgan), Isfahan, Iran دانشگاه آزاد اسلامی واحد اصفهان(خوراسگان)، اصفهان، ایران Gholamreza manshaee غلامرضا منشئی smanshaee@yahoo.com 27900319475328460018379 27900319475328460018379 Yes Faculty of Psychology and Educational Sciences, Islamic Azad University, Isfahan (Khorasgan) Branch; Esfahan; Iran دانشگاه آزاداسلامی واحد اصفهان(خوراسگان)، اصفهان، ایران