Journal of Nursing Education
روان پرستاری
IJPN
Medical Sciences
http://ijpn.ir
279
admin
2345-2501
2345-2528
7
10.22034/ijpn
14
8888
13
fa
jalali
1403
7
1
gregorian
2024
10
1
12
4
online
1
fulltext
fa
مقایسه تاثیر کتابدرمانی، فعالسازی رفتاری و شناختدرمانی مبتنی بر ذهنآگاهی بر کیفیت خواب زنان مبتلا به دیابت نوع دو: یک مطالعه نیمهتجربی
The Comparison of the Effectiveness of Bibliotherapy, Behavioral Activation Therapy and Mindfulness-Based Cognitive Therapy on Sleep Quality in Females with Type 2 Diabetes: A Semi-Experimental Study
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><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 b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مبتلایان به دیابت نوع دو، اغلب کیفیت خواب ‏نامطلوبی را تجربه میکنند که این امر میتواند با ایجاد اختلال در ‏عملکرد متابولیک و عدم تحمل گلوکز بر شدت و مدیریت بیماری و نیز بهزیستی روان</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">شناختی بیماران تاثیر بگذارد.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با توجه به تاثیر کتابدرمانی، درمان فعالسازی رفتاری و شناختدرمانی مبتنی بر ذهنآگاهی بر کیفیت خواب در گروههای مختلف، این پژوهش با هدف مقایسه این سه مداخله بر کیفیت خواب زنان مبتلا به دیابت نوع دو اجرا شد. </span></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 style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> این پژوهش، نیمهتجربی با طرح پیشآزمون </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">–</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> پسآزمون با گروه کنترل و پیگیری سه ماهه بود</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">. گروه نمونه 60 نفر از زنان مبتلا به دیابت نوع دو مراجعه کننده به کلینیک سجاد تهران در سه ماهه اول سال 1402 بود که به </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش هدفمند </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">انتخاب و بهطور تصادفی ساده در </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">چهار گروه 15 نفره (</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">سه گروه </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">درمانی و یک گروه کنترل) جایگذاری شدند. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مداخلات برای گروههای آزمایش اجرا شد و گروه کنترل مداخلهای نداشت. دادهها با شاخص کیفیت خواب پیتزبورگ بویس و همکاران (1989)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> در سه مرحله پیشآزمون، پسآزمون و پیگیری</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> گردآوری شدند</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تحلیل دادهها با آزمون </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تحلیل واریانس با اندازهگیری مکرر </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">آزمون تعقیبی بونفرونی در نرمافزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> نسخه 22 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">انجام شـد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></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 style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یافتهها: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتایج نشاندهنده تاثیر معنادار هر سه مداخله در مراحل پسآزمون و پیگیری بر کیفیت خواب در سطح 0/05 بود (0/05</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">≥</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">). همچنین در مراحل پسآزمون و پیگیری تفاوتی معنادار در سطح 0/05 (0/05</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">≥</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) بین تاثیر شناختدرمانی مبتنی بر توجه آگاهی با درمان فعالسازی رفتاری و کتابدرمانی بر کیفیت خواب مشاهده شد اما در مراحل پسآزمون و پیگیری بین تاثیر درمان فعالسازی رفتاری با کتابدرمانی در سطح 0/05 (0/05</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">≥</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) تفاوتی معنادار مشاهده نشد</span></span><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">.</span></span></b></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 style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتیجهگیری</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">: </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با توجه به تاثیر و پایداری بیشتر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">شناختدرمانی مبتنی بر توجه آگاهی</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">، این مداخله میتواند برای بهبود کیفیت خواب نامطلوب ناشی از عوارض دیابت، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بهعنوان مداخلهای مکمل </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">همراه با </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">درمانهای پزشکی رایج اجرا شود</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">. </span></span><span dir="LTR" style="font-size:12.0pt"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Patients with type 2 diabetes often experience poor sleep quality, which can affect the severity and management of the disease, as well as the psychological well-being of patients, by disrupting metabolic function and glucose intolerance. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Considering the effect of</span></span> <span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times="">bibliotherapy, behavioral activation therapy and mindfulness-based cognitive therapy</span></span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">on sleep quality in different groups</span></span><span style="font-size:12.0pt">, </span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">this study was conducted with the aim of comparing these three interventions</span></span><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""> on sleep quality in females with type 2 diabetes</span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span style="font-size:12.0pt"><span style="color:red"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: The current reserch method was semi-experimental study with a pretest-posttest design and control group on a three month follow-up. 60 people from the female clients with type 2 diabetes referred to Tehran Sajjad Clinic of the first three months of the year 2023, were</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">purposefully selected and placed in four groupes of 15 (three experiment groupes and one control group).</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The interventions were performed for test groups.The control group did not recived any intervention. Data were collected with Pittsburgh Sleep Quality Index </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Buysse <i>et al.</i></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> (1998) in </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">the three stages of</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">pre-test, post -test-and, follow-up. </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Statistical analysis was done with SPSS version 22 software using anaysis of variance with repeated measures method</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">and</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Bonferroni's post-hoc test.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The results showed a significant effect of all three interventions </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">at post-test and follow-up </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">on </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">sleep quality </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">at the level of 0.05 (P≤0.05). Also, there was a significant difference</span></span><span lang="EN" style="font-size:12.0pt"><span inherit="" style="font-family:"> at the level of 0.05 </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(P≤0.05) between </span></span><span lang="EN" style="font-size:12.0pt"><span inherit="" style="font-family:">the effect of mindfulness-based cognitive therapy with behavioral activation treatment and </span></span><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times="">bibliotherapy</span></span></span><span lang="EN" style="font-size:12.0pt"><span inherit="" style="font-family:"> on </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">sleep quality </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">at post-test and follow-up</span></span><span lang="EN" style="font-size:12.0pt"><span inherit="" style="font-family:">, but there was no significant difference between the effect of behavioral activation treatment and </span></span><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times="">bibliotherapy </span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">at post-test and follow-up</span></span><span lang="EN" style="font-size:12.0pt"><span inherit="" style="font-family:"> at the level of 0.05 </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(P≤0.05).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Considering the greater effectiveness and stability of</span></span><span style="font-size:12.0pt"><span style="background:white"><span new="" roman="" style="font-family:" times=""> mindfulness-based cognitive therapy</span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">, it is suggested to implement this intervention</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">as a </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Complementary intervention</span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">in medical centers with the aim of increasing </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">sleep quality</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> caused by diabetes complications along with medical treatments.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br>
ذهنآگاهی, فعالسازی رفتاری, کتابدرمانی, کیفیت خواب, دیابت نوع دو
Behavioral Activation, Bibliotherapy, Mindfulness, Sleep Quality, Type 2 Diabetes
80
90
http://ijpn.ir/browse.php?a_code=A-10-2330-2&slc_lang=fa&sid=1
Mahdokht
Khademhoseini
مهدخت
خادم حسینی
mahdokhtkhademhoseni@gmail.com
0061544159
27900319475328460018741
No
Islamic Azad University
گروه روانشناسی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران
Alireza
Merati
علیرضا
مرآتی
Alirezamerati@pnu.ac.ir
3309781577
27900319475328460018742
Yes
University of Payame Noor
گروه روانشناسی و علوم تربیتی، دانشگاه پیام نور، تهران، ایران
Kambiz
Roshanaei
کامبیز
روشنایی
kambizroshanaei@gmail.com
2470308542
27900319475328460018743
No
Islamic Azad University
گروه زیست شناسی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران
Hasan
piriaei
حسن
پیریایی
h.piriaei@iaub.ac.ir
4132997650
27900319475328460018744
No
Islamic Azad University
گروه ریاضی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران