اثربخشی درمان شناختی- رفتاری بر خودکارآمدی درد و ترس از پیشرفت بیماری میگرن در پرستاران زن شهر تبریز در سال 1398

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشگاه آزاد اسلامی تبریز، تبریز، ایران.

2 دانشیار، گروه روانشناسی، دانشگاه آزاد اسلامی، واحد ارومیه، ارومیه، ایران.

3 استاد، گروه روانشناسی، دانشگاه تبریز، تبریز، ایران.

4 استادیار، گروه روانشناسی، دانشگاه آزاد اسلامی تبریز، تبریز، ایران.

چکیده

مقدمه: خودکارآمدی پایین در مدیریت درد و ترس از پیشرفت بیماری میگرن از جمله موضوعاتی هستند که لزوم ارائه مداخلات روان‌شناختی به افراد مبتلا به سردردهای میگرنی را ضروری می‌نمایند. این پژوهش با هدف تعیین اثربخشی درمان شناختی- رفتاری بر خودکارآمدی درد و ترس از پیشرفت بیماری میگرن در پرستاران زن شهر تبریز در سال 1398 انجام  شد.
مواد و روش‌ها: این پژوهش، نیمه آزمایشی بود. جامعه آماری پژوهش شامل کلیه پرستاران مبتلا به میگرن شهر تبریز در سال 1398 بود. تعداد 30 نفر که براساس ملاک‍های ICHD-3 و دریافت نمراه بالاتر از یک انحراف معیار در پرسشنامه سنجش علایم سردرد میگرن، تشخیص بیماری میگرن را دریافت کرده بودند، با استفاده از روش نمونه‍گیری هدفمند انتخاب شده و به طور تصادفی ساده در گروه‍های آزمایش و گواه (15 نفر در هر گروه) جایگزین شدند. هر دو گروه‍ پرسشنامه‍های خودکارآمدی درد نیکلاس و ترس از پیشرفت هرشباخ را تکمیل کردند.‌ درمان شناختی- رفتاری گروهی طی 8 جلسه یک ساعته (هفته‌ای دو جلسه به مدت 4 هفته) در گروه آزمایش اعمال شد و گروه گواه مداخله‍ای دریافت نکرد. داده‌ها با استفاده از تحلیل کواریانس چندمتغیره و تک‍متغیره تحلیل شدند.
یافتهها: بین میانگین نمره‌های پس‌آزمون گروه آزمایش و گواه تفاوت معنی‌داری وجود داشت (001/0=p)، چنانچه مداخله مذکور باعث افزایش نمرات خودکارآمدی درد و کاهش ترس از پیشرفت بیماری در گروه آزمایش شد.
نتیجهگیری: با توجه به کارآیی درمان شناختی- رفتاری بر افزایش خودکارآمدی درد و کاهش ترس از پیشرفت بیماری در پرستاران مبتلا به میگرن، استفاده از ‌این روش درمانی توصیه می‌شود. 

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Cognitive-Behavioral Therapy on Pain Self-efficacy and Fear of Migraine Progression among Female Nurses in Tabriz in 2019

نویسندگان [English]

  • H Kharazi Nutash 1
  • A Khademi 2
  • J Babapour kheyradin 3
  • M Alivandi Vafa 4
1 PhD student, Dept of Psychology, Islamic Azad University, Tabriz Branch, Tabriz, Iran.
2 Associate prof, Dept of Psychology, Islamic Azad University, Urmia Branch, Urmia, Iran.
3 Prof, Dept of Psychology, Tabriz University, Tabriz, Iran.
4 Assistant prof, Dept of Psychology, Islamic Azad University, Tabriz Branch, Tabriz, Iran.
چکیده [English]

Introduction: Low self-efficacy in the management of pain and fear of migraine progression are among the issues that require psychological interventions for people with migraine headaches. Accordingly, the present study aimed to determine the effectiveness of cognitive-behavioral therapy on pain self-efficacy and fear of migraine progression in female nurses working in Tabriz in 2019.
Materials and Methods: This study employed a quasi-experimental design. The research population included all nurses suffering from migraine in Tabriz in 2019. A total number of 30 nurses who were diagnosed with migraine based on ICHD-3 criteria and received mean scores one standard deviation above on the migraine headache symptom questionnaire were selected using purposeful sampling and were randomly placed into the experimental and control groups (each with 15 participants). The participants in the two groups completed the Pain Self-Efficacy Questionnaire (Nicholas, 2007) and Fear of Progression Questionnaire (Herschbach et al. 2009) as the pre-test and post-test. The group cognitive-behavioral therapy was performed in 8 sessions each lasting one hour (4 weeks in total) for the participants in the experimental group and the control group did not receive any intervention. The collected data were analyzed using univariate and multivariate and analysis of covariance (ANCONA) in SPSS software (Version 23).
 Results: There was a significant difference between the experimental and control groups in terms of their mean scores on the post-test (p=0.001), indicating that the intervention significantly increased the scores of the pain self-efficacy and decreased fear of disease progression in the experimental group.
Conclusion: Considering the effectiveness of cognitive-behavioral therapy on increasing the pain self-efficacy and reducing the fear of disease progression in nurses with migraines, is recommended the use of this therapy technique.

کلیدواژه‌ها [English]

  • cognitive-behavioral therapy
  • Pain self-efficacy
  • Fear of progression
  • migraine
  • Nurses
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