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
10
1
gregorian
2025
1
1
12
6
online
1
fulltext
fa
مقایسه تأثیر درمان هیجانمدار و طرحوارهدرمانی بر الکسیتیمیا و اضطراب مرگ پرستاران بخش مراقبتهای ویژه
Comparing the Effectiveness of Emotion-Focused Therapy and Schema Therapy on Alexithymia and Death Anxiety of Intensive Care Unit Nurses
تخصصي
Special
كاربردي
Applicable
<span style="font-size:12pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> پرستاران بخش مراقبت­های ویژه به دلیل مواجهه مداوم با شرایط پیچیده و استرس­زا، در معرض تجربه اختلالات روان­شناختی متعددی از جمله الکسیتیمیا و اضطراب مرگ قرار دارند. از این­رو پژوهش حاضر با هدف </span></span></span><span lang="FA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">مقایسه اثربخشی درمان هیجان­مدار و طرحواره­درمانی بر </span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">الکسیتیمیا </span></span></span><span lang="FA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">و اضطراب مرگ پرستاران بخش مراقبت­های ویژه</span></span></span> <span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">انجام گرفت. </span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">روش کار:</span></span></span></b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> روش پژوهش حاضر نیمه تجربی پیش آزمون- پس آزمون با گروه شاهد </span></span></span><span lang="FA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">بود.</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> جامعه آماری پژوهش حاضر پرستاران بیمارستان امام حسین(ع) شهرستان شاهرود مشغول به کار در بخش مراقبت­های ویژه در سال 1403 بودند. از این میان تعداد 45 پرستار به شیوه نمونه­گیری دردسترس انتخاب شدند و به صورت تصادفی در سه گروه طرحواره درمانی، هیجان مدار و شاهد جایگزین شدند. گروه­های مداخله درمان را </span></span></span><span lang="AR-SA" style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">طی</span></span></span></span> <span lang="FA" style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">هشت</span></span></span></span><span lang="AR-SA" style="background:white"><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> جلسه به صورت هفتگی، </span></span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">دریافت نمودند و گروه شاهد نیز هیچ­گونه مداخله­ای دریافت نکردند. از پرسشنامه­های ناگویی هیجانی تورنتو- (</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">AST</span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">)</span></span></span> <span lang="FA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">و</span></span></span> <span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">اضطراب مرگ تمپلر (</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">DAS</span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">) برای جمع­آوری داده­ها استفاده شد. تجزیه و تحلیل داده­های حاصل از این پژوهش با نرم افزار </span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">SPSS-27</span></span><span style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> و آزمون تحلیل کوواریانس تک متغیره و چند متغیره صورت گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">یافته­ها: </span></span></span></b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">داده ها نشان داد ناگویی هیجانی</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black"> در درمان هیجان مدار(01/0</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">, p<</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">17/91=</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">F</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> و طرحواره درمانی </span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">(01/0</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">, p<</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">08/24=</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">F</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">) </span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">کاهش معناداری داشته است. اضطراب مرگ نیز در درمان هیجان مدار </span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">(01/0</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">, p<</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">42/128=</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">F</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">) </span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">و طرحواره درمانی</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">(01/0</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">, p<</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">34/70=</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">F</span></span><span lang="AR-SA" style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="color:black">) بهبودی معناداری داشته است</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">. از مقایسه دو روش درمان نیز میتوان نتیجه گرفت که درمان هیجان مدار نسبت به طرحواره درمانی بر کاهش ناگویی هیجانی پرستاران بخش مراقبت های ویژه اثربخشی بیشتری داشته است</span></span></span><span lang="AR-SA" style="line-height:150%"><span style="color:black"> (001/0></span></span><span dir="LTR" style="line-height:150%"><span style="color:black">P</span></span><span lang="AR-SA" style="line-height:150%"><span style="color:black">)</span></span> <span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">و درمورد اضطراب مرگ تفاوت معناداری بین دوگروه مشاهده نشد</span></span></span><span lang="AR-SA" style="line-height:150%"><span style="color:black"> (001/0<</span></span><span dir="LTR" style="line-height:150%"><span style="color:black">P</span></span><span lang="AR-SA" style="line-height:150%"><span style="color:black">).</span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجه گیری:</span></span></span></b><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> با توجه به اثر بخشی درمان هیجان مدار نسبت به طرحواره درمانی می</span></span></span><span dir="LTR" style="line-height:150%"><span style="color:black"></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">توان نتیجه گرفت که در درمان ناگویی هیجانی پرستاران بخش مراقبت­های ویژه درمان هیجان مدار به عنوان درمانی با </span></span></span><span lang="FA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black">تأثیر</span></span></span><span lang="AR-SA" style="line-height:150%"><span b="" mitra="" style="font-family:"><span style="color:black"> بالاتر می­تواند مورد استفاده قرار بگیرد.</span></span></span></span></span></span></span></span><br>
<br>
<span style="font-size:12pt"><span style="background:white"><span style="line-height:13.8pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span style="color:black">I</span></b><b><span lang="EN" style="color:black">ntroduction:</span></b><span lang="EN" style="color:black"> Intensive care unit nurses are exposed to numerous psychological disorders, including alexithymia and death anxiety, due to their continuous exposure to complex and stressful conditions. Therefore, the present study was conducted to compare the effectiveness of emotion-focused therapy and schema therapy on alexithymia and death anxiety of intensive care unit nurses.</span><span style="color:#222222"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="background:white"><span style="line-height:13.8pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="color:black">Methods:</span></b><span lang="EN" style="color:black"> The method of the present study was a semi-experimental pre-test-post-test with a control group. The statistical population of the present study was the nurses of Imam Hossein Hospital in Shahrood City working in the intensive care unit in 1403. Of these, 45 nurses were selected by convenience sampling and randomly assigned to three schema therapy, emotion-focused, and control groups. The intervention groups received treatment in eight sessions weekly, and the control group did not receive any intervention. The Toronto Alexithymia Scale (TAS)</span> <span style="color:black">and</span><span lang="EN" style="color:black"> Templer Death Anxiety Scale (DAS) were used to collect data. Data analysis from this study was performed using SPSS-27 software and univariate and multivariate analysis of covariance.</span><span style="color:#222222"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="background:white"><span style="line-height:13.8pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="color:black">Results:</span></b><span lang="EN" style="color:black"> The data showed that alexithymia significantly decreased in emotion-focused therapy (F = 0.01, p < 17.91) and schema therapy (F = 0.01, p < 0.08). Death anxiety also significantly improved in emotion-focused therapy (F = 0.01, p < 128.42) and schema therapy (F = 0.01, p < 34.70). From the comparison of the two treatment methods, it can be concluded that emotion-focused therapy was more effective than schema therapy in reducing alexithymia in intensive care unit nurses (P<0.001), and no significant difference was observed between the two groups regarding death anxiety (P<0.001).</span><span style="color:#222222"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="background:white"><span style="line-height:13.8pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="EN" style="color:black"> <b>Conclusion:</b> Considering the effectiveness of emotion-focused therapy compared to schema therapy, it can be concluded that emotion-focused therapy can be used as a more effective treatment in the treatment of alexithymia in intensive care unit nurses.</span><span lang="AR-SA" dir="RTL" style="color:#222222"></span></span></span></span></span></span><br>
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<span style="font-size:12pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="EN" style="line-height:115%"><span style="color:black"></span></span></span></span></span></span></span><br>
طرحواره درمانی, درمان هیجان مدار, ناگویی هیجانی, اضطراب مرگ, پرستاران مراقبتهای ویژه
Schema Therapy, Emotion-Focused Therapy, Emotional Alexithymia, Death Anxiety, Intensive Care Nurses
122
135
http://ijpn.ir/browse.php?a_code=A-10-2469-1&slc_lang=fa&sid=1
Parisa
Hosseinzade ghannad
پریسا
حسین زاده قناد
parisa.3736@gmail.com
27900319475328460019721
27900319475328460019721
No
Ferdowsi University of Mashhad
دانشگاه فردوسی مشهد
Bahram Ali
Ghanbari Hashem Abadi
بهرامعلی
قنبری هاشم آبادی
ghanbarih@um.ac.ir
27900319475328460019722
27900319475328460019722
Yes
Ferdowsi University of Mashhad
دانشگاه فردوسی مشهد
Shahrbanoo
Aali
شهربانو
عالی
aali@um.ac.ir
27900319475328460019723
27900319475328460019723
No
Ferdowsi University of Mashhad
دانشگاه فردوسی مشهد