اثربخشی ذهن آگاهی بر مکانیزم های دفاعی، سیستم های مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشارخون (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
مقدمه: یکی از شایع ترین بیماری های مزمن، پرفشاری خون است. این پژوهش با هدف اثربخشی ذهن آگاهی بر مکانیزم های دفاعی، سیستم های مغزی رفتاری و زود انگیختگی در بیماران مبتلا به فشارخون انجام شد. روش: پژوهش حاضر از نظر هدف کاربردی و از نظر روش اجرا نیمه تجربی با گروه کنترل بود. جامعه آماری شامل کلیه بیماران مبتلا به فشار خون شهر آزادشهر و دارای پرونده سلامت در مراکز بهداشتی_درمانی شهری در سال 1401 بودند. با استفاده از روش نمونه گیری در دسترس 30 بیمار انتخاب و در دو گروه آزمایش و گواه (هر گروه 15 نفر) بصورت تصادفی جایگزین شدند. گروه آزمایش تحت 8 جلسه 90 دقیقه ای درمان ذهن آگاهی قرار گرفت اما گروه گواه تا پایان پژوهش، مداخله ای دریافت نکرد. ابزار پژوهش پرسشنامه سبک های دفاعی آندروز و همکاران (1993)، سیستم های مغزی رفتاری کارور و وایت (1994) و تکانشگری بارت و همکاران (2004) بود. داده های پژوهش با تحلیل کوواریانس چندمتغیره و نرم افزار spss نسخه 24 تجزیه و تحلیل شد. یافته ها: نتایج نشان داد که درمان ذهن آگاهی بر مکانیزم های دفاعی، سیستم های مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشار خون اثربخش است (05/0>p). نتیجه گیری: نتایج پژوهش حاکی از آن است که ذهن آگاهی با آگاهی فرد از چرخه های معیوب شناختی خود و کاهش افکار منفی منجر به بهبود مکانیزم های دفاعی، سیستم های مغزی رفتاری و زودانگیختگی در بیماران مبتلا به فشارخون می شود.Effectiveness of Mindfulness on Defense Mechanisms, Behavioral Brain Systems and Impulsivity in Patients with Blood Pressure
Objective: Blood pressure is actually one of the most asymptomatic risk factors, which is usually discovered at the same time as irreversible complications such as heart and brain strokes occur. Considering the high prevalence of high blood pressure in Iran and since access to psychological treatments at least at the same time as drug treatments accelerates and makes the recovery more stable, this research aims to investigate the effectiveness of mindfulness on defense mechanisms, behavioral brain systems and early arousal in affected patients. Blood pressure was done. Method: The present study was applied in terms of its purpose and semi-experimental with a control group in terms of implementation method. The statistical population included all patients with blood pressure in Azadshahr and had health records in urban health-treatment centers in 2022. Using available sampling method, 30 patients were selected and randomly replaced in two experimental and control groups (15 people in each group). The experimental group underwent 8 90-minute sessions of mindfulness therapy, but the control group did not receive any intervention until the end of the study. The research tools were Andrews et al.'s defensive styles questionnaire (1993), Carver and White's behavioral brain systems (1994), and Barrett et al.'s (2004) impulsivity questionnaire. Research data were analyzed by multivariate covariance analysis and spss software version 24. Results: The mean and standard deviation of defense mechanisms, brain systems of behavior and impulsivity for the pre-test and post-test stages showed that after the mindfulness treatment, the scores of the experimental group had a significant difference. Also, the results showed that mindfulness treatment is effective on defense mechanisms,behavioral brain systems and impulsivity in patients with high blood pressure (p<0.05). Conclusion: The results of the research indicate that, since the use of underdeveloped and neurotic defense mechanisms are destructive and increase stress and cause the aggravation of mental disorders and increase stress and primary blood pressure, therefore, in order to reduce the use of these underdeveloped mechanisms, it is necessary for people Stay away from judgment and understand your feelings and accept them as they are. Mindfulness leads to the attitude that thoughts and feelings are transitory, and the above attitude makes it possible to see thoughts and feelings as just thoughts or just feelings, which eventually leads to a reduction in self-thoughts and rumination and a reduction in unpleasant states. and mindfulness with the person's awareness of their cognitive cycles and reducing negative thoughts plays an important role in improving defense mechanisms and brain-behavioral systems in patients with high blood pressure. Also, with the increase in mindfulness, the power of emotional control and self-management of patients with high blood pressure increases, and they are able to directly control their emotions caused by impulsivity.
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