اثربخشی امیددرمانی بر خودمراقبتی بیماران مبتلابه دیابت نوع دو شهر سیرجان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی تهران، تهران، ایران.

2 استاد، گروه روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران.

3 دانشیار، مرکز پیوند و امور بیماری‌های وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران.

چکیده

 مقدمه: خودمراقبتی هسته اصلی مراقبت از بیماری‌های مزمن است. به نظر می‌رسد به‌کارگیری روش‌هایی در جهت ارتقای خودمراقبتی در بیماران مبتلابه دیابت، از استراتژی‌های ارتقای سلامت در آن‌ها باشد. هدف از این مطالعه تعیین اثربخشی امیددرمانی بر خودمراقبتی بیماران مبتلابه دیابت نوع دو است.
مواد و روش‌ها:پژوهش نیمه‌تجربی حاضر بر اساس طرح پیش‌آزمون-پس‌آزمون با 40 بیمار مبتلا به دیابت مراجعه‌کننده به مراکز بهداشتی درمانی وابسته به دانشگاه علوم پزشکی و خدمات بهداشتی درمانی شهر سیرجان در سال 98-1397 انجام شد. نمونه‌گیری هدفمند بود و نمونه‌ها به صورت تصادفی به دو گروه مداخله و کنترل تخصیص داده شدند. بیماران گروه مداخله، امیددرمانی بر اساس نظریه امید اشنایدر، هرث و راستون و مبتنی بر گزیده‌ای از اشعار مولانا با محوریت مباحث امید و مثبت‌نگری دریافت کردند. داده‌هایی که با استفاده از پرسشنامه خودمراقبتی Summary of Diabetes Self-Care Activities ، قبل، بلافاصله و سه ماه بعد از مداخله جمع‌آوری‌شده بودند، با روش تحلیل واریانس اندازه‌گیری‌های مکرر  تحلیل شدند.
یافته‌ها:نتایج نشان داد که پس از امیددرمانی، خودمراقبتی در گروه‌ها تفاوت معنی‌داری داشت به‌عبارت‌دیگر، امیددرمانی باعث افزایش معنی‌دار خودمراقبتی (001/0>p، 735/24=F) در بیماران مبتلابه دیابت نوع دو در گروه مداخله شده بود.
نتیجه‌گیری:در مطالعه حاضر، امیددرمانی موجب افزایش خودمراقبتی گردید، لذا در نظر گرفتن مداخلات امیددرمانی در برنامه‌ریزی‌های بهبود خودمراقبتی بیماران مبتلا به دیابت ضروری به نظر می‌رسد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Hope Therapy on Self-Care in Patients with Type II Diabetes

نویسندگان [English]

  • S Karimi 1
  • A Delavar 2
  • F khaemi 3
  • F Dortaj 2
1 PhD Student, Dept of Psychology, Science and Research Branch, Islamic Azad university, Tehran, Iran.
2 Prof, Dept of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran.
3 Associate prof, Transplantation & Disease Center of Ministry of Health & Medical Education, Tehran, Iran.
چکیده [English]

Introduction: Self-care is at the core of treating chronic diseases. It seems that applying self-care methods to improve this method of treatment in patients with diabetes is an effective strategy in promoting health in these patients. The aim of this study was to determine the efficacy of hope therapy on self-care in patients with type 2 diabetes.
Materials and Methods: This semi-experimental research was carried out based on a pretest and posttest design on 40 patients with diabetes referred to health centers affiliated with Sirjan University of Medical Sciences and Health Services from 2017 to 2018. A purposeful sampling was used, and the participants were randomly assigned to one of the intervention and control groups. The intervention group received Hope Therapy, based on the hope theory of Schneider, Herth, and Ruston and based on a selection of Molana poems focusing on hope and optimism issues. The Data were collected before, immediately and three months after the intervention using the Self-Care Questionnaire SDSCA. Repeated measures analysis of variance was used to analyze the data in the SPSS software, with the significance level set at 0.05.
Results: The results showed that there was a significant difference between the groups in terms of self-care after hope therapy. In addition, hope therapy significantly increased self-care (P <0.001, F = 24.735) in patients with type 2 diabetes in the intervention group.
Conclusion: The results showed that hope therapy increased self-care. Therefore, it is important to consider hope therapy intervention in making plans for improving self-care in diabetic patients.  

کلیدواژه‌ها [English]

  • Hope Therapy
  • Self-Care
  • Diabetes
  1. Egan AM, Dinneen SF. What is diabetes? Medicine 2014;42(12):679-81.
  2. Ogurtsova K, da Rocha Fernandes J, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes research and clinical practice 2017;128:40-50.
  3. Moridi G, Valiee S, Nasrabadi AN, Nasab GE, Khaledi S. Meanings of health for Iranian diabetic patients: a qualitative study. Electronic physician 2016;8(9):2904-10.
  4. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes care 1998;21(9):1414-31.
  5. Dall T, Nikolov P, Hogan PF. Economic costs of diabetes in the US in 2002. Diabetes care 2003;26:917-32.
  6. Diabetes UK. Diabetes life expectancy- type 1and type 2 life expectancy. [cited 2019 oct 1] .Available on www.diabetes.co.uk/news.
  7. Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, et al. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran: National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes care 2008;31(1):96-8. [Persian]
  8. Delavari A, Alikhani S, Nili S, Birjandi RH, Birjandi F. Quality of care of diabetes mellitus type II patients in Iran. Archives of Iranian Medicine (AIM) 2009;12(5):492-5. [Persian]
  9. Heisler M. Helping your patients with chronic disease: Effective physician approaches to support self-management. Hospital Physician 2005;41(8):45.
  10. Funnell MM, Anderson RM. The problem with compliance in diabetes. JaMa 2000;284(13):1709.
  11. Vasli P, Eshghbaz F. Survey condition regarding self-caring of children suffering from diabetes type 1 and It’s relation with family reaction. JMUMS 2009;19(69):38-44. [Persian]
  12. Hammer K, Mogensen O, Hall EO. The meaning of hope in nursing research: a meta‐synthesis. Scandinavian Journal of Caring Sciences 2009;23(3):549-57.
  13. Wienand I, Rakic M, Shaw D, Elger B. The beneficence of hope: findings from a qualitative study with gout and diabetes patients. Journal of bioethical inquiry 2018;15(2):211-8.
  14. Hoseinikhah M, Manshaei GHR, Ebrahimi A. Prediction of Self-care behavior based on Hardiness, Hope and Dysfunction Attitude among patients with Type 2 Diabetes. J Res Behave Sci 2014; 12(2): 217-225. [Persian]
  15. Snyder CR. Handbook of hope: Theory, measures, and applications. 1nd ed.University of Kansas: Academic press; 2000:143.
  16. Gallagher MW, Lopez Sh J. The oxford Hand book of Hope. 1nd ed. University of oxford.  Published in the United States of America by oxford university press; 2018:116.
  17. Ghobadi H,Kolahchian F. Analysis of Hope and Despair in Rumi's thoughts and stories. Literary research 2007;4(17): 149-74. [Persian]
  18. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research 2016;10(4):43-51. [Persian]
  19. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care 2000;23(7):943-50.
  20. Molavi, JM .A Comprehensive Description of Masnavi Masnavi, Edited by Karim Zamani. 30nd ed. Tehran:  Atlaat;2009:61,104,583,981.
  21. Maulana, J. Divan-e Shams-e Tabrizi, Booklets First to Fifth, Edited by Badiozaman Forouzanfar, . 5th Edition. Tehran: Talayeh; 1999:30,129.
  22. Van Kuiken DM. (dissertation).The Role of Hope in Self-care in Persons with Heart Failure. United states: University of Cincinnati; 2008:3-4.
  23. Reynolds MAH. Hope in adults, ages 20–59, with advanced stage cancer. Palliative & supportive care2008;6(3):259-64.
  24. Vinter-Repalust N, Petricek G, Katic M. Obstacles which patients with type 2 diabetes meet while adhering to the therapeutic regimen in everyday life: qualitative study. Croatian medical journal 2004;45(5):630-6.
  25. Mousavizadeh S, Ashktorab T, Ahmadi F, Zandi M. Evaluation of barriers to adherence to therapy in patients with diabetes. Journal of Diabetes Nursing 2016; 4 (3): 94 - 108. [Persian]
  26. Chew B-H, Shariff-Ghazali S, Fernandez A. Psychological aspects of diabetes care: Effecting behavioral change in patients. World journal of diabetes 2014;5(6):796-808.
  27. Khamseh F. Structural modeling of life expectancy based on perceived stress and self-efficacy with mediation Self-care in type 2 diabetes patients. Proceedings of the 11th International congress. On Psychology & Sociology. 2018 July 2; Tehran, Iran. 2018:1-16.
  28. Berg CJ, Rapoff MA, Snyder C, Belmont JM. The relationship of children's hope to pediatric asthma treatment adherence. The Journal of Positive Psychology 2007;2(3):176-84.
  29. Wang L-Y, Chang P-C, Shih F-J, Sun C-C, Jeng C. Self-care behavior, hope, and social support in Taiwanese patients awaiting heart transplantation. Journal of Psychosomatic Research 2006;61(4):485-91. https://doi.org/10.1016/j.jpsychores.2004.11.013
  30. Karimi S, Delavar A, khaemi F, Dortaj F. The Effectiveness of Hope -Therapy on the Psychological Capital of Patients with Type II Diabetes. J Diabetes Nursing 2019; 7(2): 809-19. [ Persian]
  31. Kordi M, Banaii M, Asghari Pour N, Mazloom R, Akhlaghi F.Predict the self-care behaviors of women with diabetes Pregnancy is based on the individual's belief in his ability (self-efficacy). IJOGI 2016; 19(13):6-17. [Persian]
  32. Hajavi A, Heydari J, Kashani F. The effect of Orem self-care model on quality of life and increased life expectancy in breast cancer patients. International Congress on Breast Cancer.2012 February 22-25; Theran, Iran.  [Persian]
  33. Choobdari M, Dastgerdi R, Sharifzadeh G. The impact of self-care education on life expectancy in acute coronary syndrome patients. JBUMS 2015; 22(1):19-26. [Persian]
  34. Dahmardeh H, Vaghar SSA, Amiri FH, Sharifzadeh GR, Rakhshany ZF. Effect of self-care educational program based on Orem’s Theory on hope in patients with Multiple Sclerosis. Medical - Surgical Nursing Journal 2015; 4(2): 57-63. [Persian]
  35. Imeni F, Sadeghi M, Gholam RS. The effect of group spirituality therapy on self-care and its dimensions in women with type 2 diabetes. Daneshvar medicine 2018; 25(134):79-87. [Persian]