اثربخشی درمان هیجان محور و درمان ذهن آگاهی در بهبود خودکارآمدی، تعارض در ابراز هیجان و ادراک درد در بیماران مبتلا به درد مزمن عضلانی اسکلتی (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
مقدمه: درد مزمن اختلال عضلانی-اسکلتی می باشد که موجب بروز درد در نواحی مفاصل نواحی مختلف بدن می شود و مشکلات جسمی و روانی برای بیماران به وجود می آورد بنابرین پژوهش حاضر به دنبال مقایسه اثربخشی درمان هیجان محور و درمان ذهن آگاهی در بهبود خودکارآمدی، تعارض در ابراز هیجان و ادراک درد در بیماران مبتلا به درد مزمن عضلانی اسکلتی می باشد. روش: روش پژوهش از نوع نیمه آزمایشی، با طرح پیش آزمون پس آزمون با گروه کنترل است. جامعه آماری پژوهش حاضر کلیه بیماران مبتلا به درد مزمن عضلانی اسکلتی شهر تهران در سال 1401 بوده اند که با استفاده از روش نمونه گیری دردسترس تعداد 60 نفر انتخاب و به صورت تصادفی به 3 گروه 20 نفره درمان هیجان محور، درمان ذهن آگاهی و کنترل تقسیم شدند. برای جمع آوری داده ها از پرسشنامه خودکارآمدی درد، پرسشنامه تعارض هیجانی و ادراک بیماری استفاده شد. برای تحلیل داده ها از تحلیل کوواریانس استفاده شده است. یافته ها: نتایج نشان داد درمان هیجان محور و ذهن آگاهی بر بهبود خودکارآمدی، تعارض ابراز هیجان و ادراک درد تاثیر معناداری دارد (0.05>p). آزمون شفه نشان داد تاثیر درمان هیجان مدار بر تعارض ابراز هیجان و ادراک درد به طور معناداری بیشتر از درمان ذهن آگاهی بود (0.05>p). نتیجه گیری: بر اساس یافته ها می توان نتیجه گرفت در بهبود خودکارآمدی درد بیماران مبتلا به درد مزمن، مداخله ذهن آگاهی و برای بهبود تعارض در ابراز هیجان و ادراک درد بیماران درد مزمن درمان هیجان مدار تاثیر بیشتری دارند.Comparing the Effectiveness of Emotion-Oriented Therapy and Mindfulness Therapy in Improving Self-Efficacy, Conflict in Emotion Expression and Pain Perception in Patients with Chronic Musculoskeletal Pain
Objective: Chronic musculoskeletal pain includes local pain and referred pain that causes pain in the joints of different parts of the body. Chronic pain has negative and detrimental effects on the psychological and physical performance of patients and causes physical and mental problems for patients. Inactivity, excessive mental stress, excessive mental stress, and prolonged poor posture can all cause muscle strain that directly affects nerve endings, causing chronic pain. Although pain as a general sensation has biological bases, but because pain is affected by psychological and social factors in addition to biochemical factors. Recent models have examined pain in a multidimensional way and have emphasized the role of psychological factors in the process of pain perception. In this regard, the present study was conducted with the aim of comparing the effectiveness of emotion-oriented therapy and mindfulness therapy in improving self-efficacy, conflict in emotional expression, and pain perception in patients with chronic musculoskeletal pain. Method: The research method in the present study was semi-experimental and a pre-test and post-test design was used along with the control group. The statistical population of the present study includes all patients suffering from chronic musculoskeletal pain in Tehran in 2022. Using the available sampling method, 60 people were randomly selected into 3 groups of 20 people: emotion-oriented treatment, mindfulness treatment and control were divided. Pain self-efficacy, emotional conflict and disease perception questionnaires were used to collect data. Analysis of covariance test and SPSS statistical software were used for data analysis. Results: The results showed that emotion-oriented and mindfulness therapy has a significant effect on improving self-efficacy, emotion expression conflict, and pain perception, and these results were still stable in the 3-month follow-up (p<0.05). Comparing the effect of the two intervention methods, the results of the Sheffeh test showed that the effect of emotion-oriented treatment on the conflict of emotion expression and pain perception was significantly higher than that of mindfulness treatment (p<0.05). The results of the Scheffe test show that there is no statistically significant difference between the two experimental groups and the control group in the pain self-efficacy scores (p<0.05), and in other words, the effect of the two methods was almost the same; However, the effect of the treatment on the emotional expression variable had a statistically significant difference (p<0.05). So, it can be said that the emotion-oriented treatment had a greater effect than the mindfulness treatment. Also, the results of the Shefeh test showed that the effect of emotion-oriented treatment on patients' pain perception had a statistically significant difference (p<0.05), in other words, the effect of emotion-oriented treatment on the pain perception variable was greater than that of mindfulness treatment. Conclusion: Based on the findings, it can be concluded to help improve self-efficacy, emotional expression conflict and pain perception of patients with chronic pain, emotion-oriented and pain mindfulness treatment is effective and it is recommended due to the higher effect of emotion-oriented treatment intervention in improving conflict expression Emotion and pain perception of chronic pain patients should use this intervention method.
تبلیغات
