مقایسه اثربخشی درمان فراتشخیصی یکپارچه و امید درمانی بر اضطراب کرونا و رفتار خودمراقبتی در بیماران مبتلا به دیابت نوع 2

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روان‌شناسی بالینی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

2 استادیار، گروه روان‌شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

10.22123/chj.2022.294700.1746

چکیده

مقدمه: دیابت یکی از تهدیدکننده­های اصلی سلامت است و نیاز به راهکارهای مختلف روان­شناختی و جسمانی در افزایش مراقبت از افراد مبتلا، از اساسی­ترین مباحث این بیماری است. هدف پژوهش حاضر، مقایسه اثربخشی درمان فراتشخیصی یکپارچه و امید ­درمانی بر اضطراب کرونا و رفتار خودمراقبتی در بیماران مبتلا به دیابت نوع 2 بود.
مواد و روش ­ها: تحقیق حاضر از نوع نیمه­آزمایشی با پیش­آزمون، پس­آزمون و همراه با گروه گواه است. نمونه آماری تحقیق، 45 نفر از بیماران مبتلا به دیابت نوع 2 عضو انجمن دیابت شهر اهواز در سال 1399 بودند که به روش نمونه­گیری هدفمند انتخاب و به ‌صورت تصادفی در دو گروه آزمایش و یک گروه گواه (هر گروه 15 نفر) جایگزین شدند. گروه­های آزمایش و گواه، مقیاس اضطراب کرونا Alipour و همکاران (2020) و پرسش­نامه خودمراقبتی Toobert و همکاران (2000) را در پیش­آزمون و پس­آزمون تکمیل کردند. درمان فراتشخیصی ­­یکپارچه طی 12 جلسه و امید درمانی طی 8 جلسه (1 جلسه در هفته،60 دقیقه) در گروه­های آزمایش اجرا شد. داده­ها با استفاده از تحلیل کواریانس ­چند متغیره و تک متغیره تحلیل شدند.
یافته ها: هر دو درمان بر کاهش اضطراب کرونا و افزایش رفتار خودمراقبتی تأثیر معنی­ داری داشتند (001/0>p). امید درمانی نسبت به درمان فراتشخیصی ­یکپارچه در افزایش رفتار خودمراقبتی تأثیر بیشتری داشت ولی در رفتار خودمراقبتی تفاوت بین اثربخشی دو روش معنی­دار نبود.
نتیجه ­گیری: یافته­ های تحقیق حاضر حمایتی تجربی برای دو روش درمانی در جهت کاهش اضطراب کرونا و بهبود رفتار خودمراقبتی بود. آگاهی روان­درمانگران حوزه سلامت و بهداشت از این رویکردها می­تواند کمک­ کننده باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Integrated Meta-Diagnostic Therapy and Hope Therapy on Coronavirus Anxiety and Self-Care Behavior in Patients with Type 2 Diabetes

نویسندگان [English]

  • Z Dargahi 1
  • S Safarzadeh 2
1 MSc,Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
2 Assistant Prof, Dept of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
چکیده [English]

Introduction: Diabetes is considered a major health threat, and one of the central issues relevant to this disease is the need for various psychological and physical strategies to boost patient self-care. Therefore, this study aimed to compare the effectiveness of integrated meta-diagnostic therapy and hope therapy on coronavirus anxiety and self-care behavior in patients with type2 diabetes.
Materials and Methods: The present research is a quasi-experimental study based on the pretest-posttest design with a control group. The statistical sample was comprised of 45 members of Ahvaz Diabetes Association in 2020. They were selected using the purposive sampling method and randomly assigned to two experimental groups and a control group (each including 15 people). They completed Alipour et al.'s (2020) Coronavirus Anxiety Scale and the Toobert et al.'s (2000) Self-Care Behavior questionnaire as the pretest and the posttest. Integrated meta-diagnostic therapy was conducted in 12 sessions, once a week, and for 60 minutes, and Hope therapy, in 8 sessions, once a week and for 60 minutes. The data were analyzed using Multivariate and Univariate Analysis of Covariance.
Results: Both therapies had a significant effect on reducing coronavirus anxiety and increasing self-care behavior (p<0.001). Hope therapy was more effective in increasing self-care behavior, but there was no significant difference between these two therapies regarding self-care behavior (p<0.001).
Conclusion: Overall, the findings provide empirical support for both therapies in reducing coronavirus anxiety and improving self-care behavior. Moreover, the knowledge of psychotherapists in the field of safety and health of these approaches can be helpful.

کلیدواژه‌ها [English]

  • therapy
  • hope
  • Coronavirus
  • anxiety
  • Self Care
  • Type 2 diabetes
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