بررسی اثربخشی درمان شناختی-رفتاری مذهب‌محور بر تبعیت از درمان، امید به زندگی و میزان هموگلوبین گلیکوزیله بیماران مبتلا به دیابت نوع دو

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران.

2 استادیار، گروه روان شناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران.

10.22123/chj.2021.259319.1624

چکیده

 مقدمه: دیابت یکی از بیماری‌های مزمن شایع است که عدم توجه به آن می‌تواند عوارض زیادی به دنبال داشته باشد. از این ‌رو، داشتن امید، تبعیت از درمان و کنترل قندخون امری حیاتی می‌باشد. این پژوهش با هدف تعیین اثربخشی درمان شناختی-رفتاری مذهب‌محور بر تبعیت از درمان، امید به زندگی و میزان هموگلوبین گلیکوزیله (HbA1C) بیماران مبتلا به دیابت نوع دو انجام شد.
مواد و روش‌ها: این مطالعه از نوع شبه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون و گروه کنترل بود. جامعه آماری پژوهش، کلیه بیماران دیابتی مراجعه­کننده به مراکز خدمات جامع سلامت شهر قائم‌شهر در سال 1399 را شامل می­شد. تعداد ۳۰ نفر از بیماران با روش نمونه‌گیری هدفمند انتخاب و به طور تصادفی ساده (قرعه­کشی) به دو گروه ۱۵ نفره آزمایش و کنترل تقسیم شدند. گروه آزمایش 10 جلسه 60 دقیقه‌ای درمان شناختی رفتاری مذهب‌محور دریافت نمود، اما گروه کنترل مداخله دریافت نکرد. داده‌ها با استفاده از آزمون تحلیل کوواریانس چند متغیره تجزیه و تحلیل شدند.
یافته‌ها: بین دو گروه آزمایش و کنترل، با کنترل پیش‌آزمون از لحاظ متغیرهای تبعیت از درمان (001/0p<، 42/39=F) و امید ‌به ‌زندگی (001/0p<، 73/37=F) تفاوت معنی‌دار وجود داشت بدین‌صورت که در گروه آزمایش افزایش داشته ولی میزان HbA1C بین دو گروه اختلاف آماری معنی­دار نشان نداد (065/0p=، 68/3=F).
نتیجه‌گیری: به دلیل اثربخشی درمان شناختی رفتاری مذهب‌محور در افزایش تبعیت از درمان، امید به زندگی بیماران مبتلا به دیابت نوع دو، می‌توان از این روش به عنوان درمان تکمیلی در کنار درمان‌های پزشکی، در راستای ارتقای سلامت جسمانی و روانی بیماران استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Religion-based Cognitive-Behavioral Therapy (RCBT) on Adherence to Treatment, Hope, and Glycosylated Hemoglobin in Type 2 Diabetes Patients

نویسندگان [English]

  • L Hassannia 1
  • M K Fakhri 2
  • S O Emadian 2
1 Ph.D Student, Dept of Psychology, Sari Branch, Islamic Azad University, Sari, Iran.
2 Assistant Prof, Dept of Psychology, Sari Branch, Islamic Azad University, Sari, Iran.
چکیده [English]

Introduction: Diabetes is one of the most common chronic diseases with many consequences if ignored. Therefore, having hope, following treatment, and controlling blood sugar are vital. This study aims to determine the effectiveness of religion-based cognitive-behavioral therapy on adherence to treatment, hope, and glycosylated hemoglobin (HbA1C) levels in patients with type 2 diabetes.
Materials and Methods: This work was a quasi-experimental study with pre-test and post-test design and a control group. The statistical population was all diabetic patients referred to the comprehensive health service centers of Ghaemshahr in 2020, 30 of whom were selected by purposive sampling; then, they were randomly assigned to two groups of 15 experimental and control. The experimental group received ten 60-minute sessions of religion-based cognitive-behavioral therapy, while the control group did not receive any intervention. Data were analyzed using multivariate analysis of covariance in spss26 software.
Results: The results showed a significant difference between the experimental and control groups with pre-test control in terms of the variables of treatment adherence (F=39.42, p=0.001) and hope (F=37.73, p=0.001), which increased in the experimental group. However, there was no significant difference in HbA1C (p=0.065, F=3.68).
Conclusion: Due to the effectiveness of religion-based cognitive-behavioral therapy in increasing treatment adherence and the life expectancy of patients with type 2 diabetes, this method can be used as a complementary treatment along with medical therapies to improve their physical and mental health.

کلیدواژه‌ها [English]

  • Diabetes mellitus type 2
  • Religion-based cognitive-behavioral therapy
  • Treatment Adherence
  • hope
  • Glycated Hemoglobin A
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