fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب، کیفیت زندگی و خودکارآمدی در مبتلایان به سندرم پیش ازقاعدگی تخصصي Special پژوهشي Research <table align="center" cellpadding="0" cellspacing="0" hspace="0" vspace="0"> <tbody> <tr> <td align="left" style="padding-top:0in;padding-right:9.0pt;padding-bottom:0in;padding-left:9.0pt;vertical-align:top;"> <p dir="RTL" style="margin-left:2.85pt;text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">زمینه و هدف:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">سندرم پیش از قاعدگی، یکی از شایع‌ترین اختلالات سنین باروری بوده که بر هیجانات و عملکرد زنان تأثیر منفی دارد و شامل گروهی از نشانه‌هایی است</span></span>&nbsp;<span style="font-family:b nazanin;"><span style="font-size:10.0pt;">که یک تا دو هفته قبل از قاعدگی شروع می‌شود. در برخی از زنان، علائم به اندازه‌ای</span></span>&nbsp;<span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> شدید است که موجب اختلال در زندگی می‌شود. هدف </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پژوهش حاضر بررسی </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب، کیفیت زندگی و خودکارآمدی در مبتلایان سندرم پیش از قاعدگی </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">می‌باشد.</span></span></p> <p dir="RTL" style="text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">مواد و روش‌ها: </span></span></strong><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">این پژوهش یک مطالعه کارآزمایی بالینی نیمه تجربی است. 30 نفر از 100 نفر مراجعین به بیمارستان زنان و زایمان بیمارستان اقبال شهر تهران</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> در سال 1395، به صورت تصادفی در دو گروه مداخله و کنترل (هر کدام 15 نفر) قرار گرفتند. گروه مداخله به مدت 12 جلسه </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">90 </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">دقیقه</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ای</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تحت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گروه</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> درمانی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">درمان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مبتنی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پذیرش</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تعهد</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">قرار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گرفتند</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ابزار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بررسی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پرسشنامه</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">اضطراب</span></span> <span dir="LTR"><span style="font-size:10.0pt;">Beck</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">خود</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">کارآمدی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">عمومی</span></span> <span dir="LTR"><span style="font-size:10.0pt;">Sherer</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">کیفیت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">زندگی</span></span> <span dir="LTR"><span style="font-size:10.0pt;">SF36</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بود</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">قبل</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بعد</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">آزمون</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">توسط</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">واحدهای</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پژوهش</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تکمیل</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گردید</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">یافته</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نرم</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">افزار</span></span> <span dir="LTR"><span style="font-size:10.0pt;">SPSS</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نسخه</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> 19 </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">روش</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">آمار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">توصیفی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">استباطی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مورد</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تجزیه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تحلیل</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">قرار</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گرفتند</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">.</span></span></p> <p dir="RTL" style="text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">یافته</span></span></strong><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">‌</span></span></strong><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">ها</span></span></strong><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">:</span></span></strong> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پس</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مداخله</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">درمان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مبتنی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">پذیرش</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">تعهد</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">میزان</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">اضطراب،</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">کیفیت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">زندگی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">خود</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">کارآمدی</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">گروه</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">مداخله</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">صورت</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">معناداری</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">کاهش</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">یافت</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">. (001/0</span></span><span dir="LTR"><span style="font-size:10.0pt;"> P=</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">) </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نظر</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> میزان&nbsp; سندرم پیش از قاعدگی تفاوت در دو گروه ، پس از مداخله معنادار بود </span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">(05/0</span></span><span dir="LTR"><span style="font-size:10.0pt;">P<</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">).</span></span></p> <p dir="RTL" style="text-align:justify;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b nazanin;"><span style="font-size:11.0pt;">نتیجه‌گیری: </span></span></strong>&nbsp;<span style="font-family:b nazanin;"><span style="font-size:10.0pt;">نتایج حاصل از تحقیق حاضر نشان داد که</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> درمان مبتنی بر پذیرش و تعهد بر اضطراب، کیفیت زندگی و خودکارامدی در مبتلایان </span></span><span dir="LTR"><span style="font-size:10.0pt;">PMC</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;"> م</span></span><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">ؤثر می‌باشد</span></span><span style="font-family:b lotus;"><span style="font-size:14.0pt;">.</span></span></p> <p dir="RTL" style="text-align:justify;direction:rtl;unicode-bidi:embed;"></p> </td> </tr> </tbody> </table> <div style="clear:both;"></div> <p><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:10.0pt;">&nbsp;</span></span></span></p> <p><strong>Background & Aim</strong>:&nbsp; Premenstrual syndrome is one of the most common disorders in childbearing age which has a negative effect on women&#39;s emotions and performance; it includes a group of symptoms that begins one to two weeks before menstruation. In some women, the symptoms are severe enough which cause disruption in their life. This study aims to examine the effectiveness of treatment based on acceptance and commitment on anxiety, quality of life and self-efficacy in women with premenstrual syndrome.</p> <p><strong>Material & Methods:</strong> This is a semi-experimental study. 30 out of 100 patients referred to Tehran Eqbal maternity Hospital in 2016 selected randomly in intervention group (n=15) and control group (n=15). The intervention group was under the treatment of a therapeutic group for twelve (90-minute) sessions based on acceptance and commitment. Survey tools included questionnaires of Beck Anxiety, Sherer General Self-Efficacy, and SF36 Quality of Life which were completed by research units before and after the test. Findings were analyzed using SPSS software (version 19) and descriptive as well as inferential statistical methods.</p> <p><strong>Results:</strong> After the intervention, anxiety, quality of life and self-efficacy significantly decreased in the intervention group (P=0/00). And there were significant differences in premenstrual syndrome in intervention group at the end of study (P <0/05).</p> <p><strong>Conclusion:</strong> The results of this study showed that treatment based on acceptance and commitment on anxiety, quality of life and self-efficacy is effective in women with PMS.</p> <p></p> درمان مبتنی بر پذیرش و تعهد, اضطراب, کیفیت زندگی, خودکارآمدی, زنان مبتلا به سندرم پیش از قاعدگی Treatment based on acceptance and commitment, Anxiety, Quality of life, Self-efficacy, Premenstrual syndrome. 27 35 http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1-88&slc_lang=fa&sid=1