Nursing Development in Health
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http://ndhj.lums.ac.ir
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2023
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نقش ذهنآگاهی در تحمل آشفتگی، بدتنظیمی هیجان و شفقت به خود
در بیماران مبتلا به مالتیپل اسکلروزیس
The role of mindfulness in distress tolerance, emotional dysregulation and self-compassion in patients with multiple sclerosis
عمومى
General
پژوهشي
Research
<div class="WordSection1" dir="RTL" style="text-align: justify;"><span style="page:WordSection1"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> مالتیپل اسکلروزیس یک بیماری مزمن پیشرونده است که ابتلا به آن با هیجانات منفی، آشفتگی و کاهش توانمندی</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">های فرد همراه است. این مطالعه با هدف بررسی نقش ذهن</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">آگاهی در تحمل آشفتگی، بدتنظیمی هیجان و شفقت به خود در بیماران مبتلا به مالتیپل اسکلروزیس انجام شد.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">این مطالعه توصیفی-همبستگی به بررسی بیماران مبتلا به ام اس در استان گیلان در سال 1401 پرداخته است. 240 نفر بیمار</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> مبتلا به </span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">ام اس به کمک نمونهگیری در دسترس وارد مطالعه شدند. ابزارهای پژوهش شامل پرسشنامه</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">ذهن‎آگاهی (2006)، پرسشنامَه</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">شفقت</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">به</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">خود </span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">نف</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">(2003)، پرسشنامه</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">تحمل</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">پریشانی</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">هیجانی</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">سیمونز</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">و</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">گاهر (2005)</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">و پرسشنامه</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">بدتنظیمی</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">هیجان</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">تورنتو (1994) می</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">باشد. جهت تجزیه و تحلیل داده</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">ها از آمار توصیفی و آزمون همبستگی پیرسون در نرمافزار </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"B Lotus"">SPSS</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> نسخه 22 استفاده شد. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">یافتهها:</span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> براساس یافته</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">های این مطالعه ذهن</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">آگاهی با تحمل آشفتگی (67/0=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) و شفقت به خود (79/0=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) رابطه آماری معنادار مستقیم و با بدتنظیمی هیجانی</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">(50/0-=</span></span><span dir="LTR" style="font-size:10.0pt">r</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) رابطه معکوس معنادار دارد (001/0</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif">≥</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">). همچنین به ترتیب ذهن</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">آگاهی، تحمل آشفتگی و بدتنظیمی هیجانی در شفقت به خود در بیماران مبتلا به ام اس بیشترین نقش بیش</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">بینی</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">کننده را دارند</span></span> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">(050/0</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Arial",sans-serif">≥</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">نتیجه</span></span></b><b><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span></b><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">گیری:</span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> به نظر میرسد ذهنآگاهی میتواند باعث بهبود تحمل آشفتگی، شفقت به خود و کاهش بدتنظیمی هیجانی در بیماران مالتیپل اسکلروزیس شود. پیشنهاد می</span></span><span dir="LTR" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">‎</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">شود برنامههای آموزش ذهنآگاهی در فرآیند مراقبت از این بیماران گنجانده شود.</span></span></span></span></span></span></span></div>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Background and Objectives:</span></b><span style="font-size:11.0pt"> Multiple sclerosis is a progressive chronic disease, which is associated with negative emotions, confusion, and a decrease in a person's abilities.This study was conducted with the aim of investigating the role of mindfulness in tolerance of disturbance, emotional dysregulation and self-compassion in patients with multiple sclerosis.</span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Materials and Methods</span></b><b><span style="font-size:11.0pt"><span style="background:white">: </span></span></b><span style="font-size:11.0pt">This descriptive-correlational study investigated patients with MS in Gilan province in 2022. 240 MS patients were included in this study using convenience sampling. Research tools include Mindfulness Questionnaire (2006), self-compassion Questionnaire (2003), Simmons and Gaher Emotional Distress Tolerance Questionnaire (2005) and Toronto Emotion Dysregulation Questionnaire (1994). To analyze the data, descriptive statistics, Pearson's correlation test and step-by-step regression were used in SPSS software version 22.</span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: Based on the findings of this study, mindfulness has a statistically significant direct relationship with disturbance tolerance (r=0.67) and self-compassion (r=0.79) and a significant inverse relationship with emotional dysregulation (r=-0.50) (P≥0.01). Also, mindfulness, disturbance tolerance and emotional dysregulation have the most predictive role in self-compassion in patients with MS (P≥0.05).</span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Conclusion</span></b><span style="font-size:11.0pt">: It seems that mindfulness can improve disturbance tolerance, self-compassion and reduce emotional dysregulation in multiple sclerosis patients. It is suggested to include mindfulness training programs in the process of caring for these patients.</span></span></span>
ذهن آگاهی, تحمل آشفتگی, بدتنظیمی هیجان, شفقت به خود, مالتیپلاسکلروزیس
mindfulness, distress tolerance, emotion dysregulation, self-compassion, multiple sclerosis
61
71
http://ndhj.lums.ac.ir/browse.php?a_code=A-10-1-199&slc_lang=other&sid=1
Masoumeh
Fallahi Chemechar
معصومه
فلاحی چماچار
10031947532846001591
10031947532846001591
No
Seyed Babak
Razavi
سید بابک
رضوی
10031947532846001592
10031947532846001592
Yes