اثربخشی روان درمانی مثبت گرا بر تبعیت درمانی بیماران مزمن سرطان سینه (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
مقدمه: مطالعه حاضر با هدف بررسی اثربخشی روان درمانی مثبت گرا بر تبعیت درمانی بیماران مزمن سرطان سینه انجام گرفت. روش: ین مطالعه به روش نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه کنترل بر روی 30 نفر (گروه آزمون 15 نفر و گروه گواه 15 نفر) از زنان مبتلا به سرطان سینه مراجعه کننده به مرکز تحقیقات سرطان شهر تهران انجام شد. نمونه ها به روش نمونه گیری در دسترس انتخاب شده و به صورت تصادفی در دو گروه آزمایش و گواه جای دهی شدند. گروه آزمایش تحت مداخله 8 جلسه ای روان درمانی مثبت گرا قرار گرفتند، درحالی که گروه گواه هیچ مداخله ای را دریافت نکردند. به منظور گردآوری اطلاعات از مقیاس تبعیت درمانی بیماران مزمن در مورد شرکت کنندگان اجرا گردید. داده ها با استفاده از شاخص های آمار توصیفی و آزمون تحلیل کوواریانس چند متغیره در نرم افزار SPSS مورد تجزیه وتحلیل قرار گرفت. یافته ها: یافته های پژوهش نشان داد که بین گروه آزمایش وگروه گواه در نمره های تبعیت درمانی تفاوت معنادار وجود دارد (05/0>p). روش روان درمانی مثبت گرا تاثیر بر افزایش تبعیت درمانی دارد و درمانگران می توانند از این روش در جهت افزایش تبعیت درمانی این بیماران استفاده نمایند. نتیجه گیری: نتیجه این پژوهش و پژوهش های مشابه می توانند در حوزه های درمانی بیماران مزمن سرطان سینه مورد استفاده قرار گیرد.The Effectiveness of Positive Psychotherapy on the Treatment Adherence of Chronic Breast Cancer Patients
Objective: The present study was conducted with the aim of investigating the effectiveness of positive-oriented psychotherapy on the treatment adherence of chronic breast cancer patients Method:. This study was conducted using a semi-experimental method with a pre-test and post-test design with a control group of 30 women (test group 15 and control group 15) from women with breast cancer referred to Tehran Cancer Research Center.Samples were selected by available sampling method and randomly placed in experimental and control groups. The experimental group underwent 8 sessions of positivist psychotherapy, while the control group did not receive any intervention. The Chronic Patients Adherence Scale was administered to participants. The obtained data were analyzed using descriptive statistics and multivariate analysis of covariance in SPSS software. Results: The findings showed that there was a significant difference between the experimental and control groups in the scores of adherence therapy (p<0.05). Conclusion: Positive psychology interventions by motivating patients give them the necessary spirit to comply with the treatment. These interventions teach patients that in addition to having morale, they need to follow medical orders. These positive psychology interventions give patients the feeling that if they follow the treatment plans correctly, the possibility of their treatment will definitely increase significantly. In the field of acceptance of his treatment method, he can get better results and pay more attention to treatment and treatment methods. When positive psychology interventions are taught to patients, their opinions about the treatment method and participation in the treatment method are used, and the person considers himself a part of his treatment decision-making team and shows more participation. In the training course of positive psychology interventions, patients are taught special abilities and how to control their emotions so that patients have the best reaction in situations where they are in different emotional situations and adapt themselves to the situation in a better way. In the training course of positive psychology interventions, patients are given the necessary training in the field of focusing on good memories and the need to restore their spirits and create new good memories, and increase their ability to integrate the good and bad feelings of life. In the training course of positive psychology interventions, patients are given methods of contentment and acceptance of life events and satisfaction with life in any physical and mental state. This training teaches them to be patient with fate and events in life and to respect the people who have the duty of treating him and follow their decisions. Also, teaching positive psychology interventions to patients is given the necessary training in the field of optimism and life expectancy and it is instilled in them that by creating positive relationships with the treatment staff and obeying medical orders and creating interaction with the therapist, better treatment results will be achieved. The results of this research and similar researches can be used in the fields of treatment of chronic breast cancer patients.
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