سلامت جامعه

سلامت جامعه

اثربخشی آموزش کنترل استرس بر کیفیت زندگی بیماران زن مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان
مریم افروزه 1
اعظم حیدرزاده 2
امیر مقدم احمدی 3
فاطمه افروزه 4
مجید کاظمی 5
1 استادیار، گروه اطفال، دانشکده علوم پزشکی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
2 2-کارشناس ارشد، گروه پرستاری داخلی جراحی، دانشکده پرستاری مامایی، مرکز تحقیقات مراقبت سالمندی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
3 دانشیار، گروه داخلی اعصاب، مرکز تحقیقات بیماری‌های غیر واگیر، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
4 کارشناس ارشد، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه شهید باهنر، کرمان، ایران.
5 استاد، گروه پرستاری داخلی جراحی، دانشکده پرستاری مامایی، مرکز تحقیقات بیماری‌های غیر واگیر، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
10.22123/chj.2023.318476.1823
چکیده
مقدمه: مولتیپل اسکلروزیس از مهم‌ترین بیماری‌های تغییردهنده زندگی فرد، به ویژه در سنین جوانی می‌باشد که باعث افت شدید سطح کیفیت زندگی شده و افراد را به سمت ناتوانی پیش خواهد برد. هدف از پژوهش حاضر، تعیین اثربخشی آموزش کنترل استرس بر کیفیت زندگی بیماران زن مبتلا به مولتیپل اسکلروزیس بود.
مواد و روش­ ها: پژوهش حاضر از نوع نیمه­تجربی با طرح پیش­آزمون و پس­آزمون با گروه کنترل در سال 1396 است. 60 بیمار زن مبتلا به مولتیپل اسکلروزیس به صورت در دسترس انتخاب و به طور تصادفی ساده در دو گروه مداخله و کنترل قرار گرفتند. ابزار پژوهش پرسشنامه کیفیت زندگی بیماران مبتلا به مولتیپل اسکلروزیس بود. گروه مداخله، در 10 جلسه 2 ساعته آموزش کنترل استرس شرکت کردند. گروه کنترل آموزشی دریافت نکرد. داده­ها با استفاده از آزمون­های آماری t مستقل و t زوجی تحلیل شدند.
یافته‌ها: میانگین نمره کیفیت زندگی قبل از مداخله در گروه مداخله و گروه کنترل از نظر آماری تفاوت معنی­داری نداشتند (672/0=p). در پس­آزمون، میانگین نمره کیفیت زندگی، سلامت جسمی و سلامت روانی در گروه مداخله به طور معنی­داری از گروه کنترل بیشتر بود (001/0>p). نتایج آزمون تی مستقل نشان داد تفاوت معنی ­داری بین اختلاف میانگین نمرات کیفیت زندگی و ابعاد آن قبل با بعد از مداخله بین دو گروه وجود داشت (001/0>p).
نتیجه‌گیری: برنامه مدیریت کنترل استرس می­تواند به بیماران MS برای مدیریت بیماری و مشکلات مرتبط با زندگی خود کمک کند. از آنجایی که این برنامه آموزشی کارآمد و کم‌هزینه است، می­توان آن را در مداخلات بهداشتی برای بیماران MS گنجاند.
کلیدواژه‌ها
مولتیپل اسکلروزیس
استرس
کیفیت زندگی
آموزش

عنوان مقاله English

The Effectiveness of Stress Control Training on the Quality of Life of Female Patients with Multiple Sclerosis

نویسندگان English

M Afrozeh 1
A Heidarzadeh 2
A Moghadam-Ahmadi 3
F Afrozeh 4
M Kazemi 5
1 Assistant Prof, Dept of pediatric, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 MSc. Dept of Internal Surgery Nursing, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3 Associate Prof, Dept of Internal Medicine, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4 MSc, Dept of Psychology, Faculty of Literature and Humanities, Shahid Bahonar University, Kerman, Iran.
5 Prof, Dept of Internal Surgery Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
چکیده English

Introduction: Multiple sclerosis is one of the most important diseases that change a person's life, especially at a young age, causing a sharp drop in the quality of life and leading to disability. This research aimed to determine the effectiveness of stress control training on the quality of life of female patients with multiple sclerosis.
Materials and Methods: The current research is semi-experimental with a pre-test, post-test, and control group in 2017. Sixty female patients with multiple sclerosis were selected as available and randomly divided into two intervention and control groups. The research tool was the quality of life questionnaire of multiple sclerosis patients. The intervention group participated in 10 stress control training sessions for 2 hours. The control group did not receive training. Data were analyzed using independent-t and paired-t statistical tests.
Results: The average score of quality of life before the intervention in the intervention group and the control group had no statistically significant difference (p=0.672). In the post-test, the average score of quality of life, physical health, and mental health in the intervention group was significantly higher than the control group (p<0.001). The independent t-test results showed a significant difference between the average scores of the quality of life and its dimensions before and after the intervention between the intervention and control groups (p<0.001).
 Conclusion: A stress control management program can help MS patients to manage their disease and problems related to their lives. Since this educational program is efficient and low-cost, it can be included in health interventions for MS patients.

کلیدواژه‌ها English

Multiple Sclerosis
Stress
Quality of Life
Education
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