با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 مربی گروه روانشناسی، دانشگاه پیام نور، تهران،ایران

2 دانشگاه پیام نور

چکیده

مقدمه: بیماری سرطان مشکلات فراوانی در ابعاد جسمانی، روان‌شناختی و اجتماعی ازجمله تحمل درد و کاهش کیفیت زندگی ایجاد می‌کند. این مطالعه با هدف اثربخشی آموزش مهارت‌های مقابله با استرس بر میزان درد، کیفیت زندگی بیماران مبتلا به سرطان پستان ساکن در شهرستان دزفول انجام شد. روش: این تحقیق یک مطالعه نیمه آزمایشی با طرح پیش‌آزمون ـ پس‌آزمون با گروه کنترل همراه با پیگیری است. برای این منظور طی دعوت‌نامه‌ای غیررسمی از 34 بیمار که دارای شرایط مطالعه بودند ثبت‌نام به عمل آمد. این بیماران به‌صورت تصادفی به دو گروه 17 نفری آزمایش و کنترل تقسیم شدند. گروه آزمایش تحت آموزش برنامه 8 هفته‌ای 5/1 ساعته مهارت‌های مقابله با استرس (لازاروس و فولکمن، 1984) قرار گرفت و گروه کنترل تا پایان برنامه، برنامه درمانی عادی خود را دریافت نمودند. هر دو گروه قبل و بعد از اجرای برنامه، پرسشنامه مختصر شدت درد و پرسشنامه کیفیت زندگی را تکمیل کردند. یافته ­ها: نتایج توصیفی نشان‌دهنده وضعیت بهتر گروه آزمایش در متغیرهای کیفیت زندگی و ابعاد آن و درد و ابعاد آن، نسبت به گروه کنترل بود. نتیجه‌گیری: نتایج تحلیل کوواریانس چند متغیره نیز با کنترل اثر پیش‌آزمون، نشان داد که آموزش مهارت‌های مقابله با استرس باعث بهبود در کیفیت زندگی و ابعاد عملکردی و علائم آن در بیماران مبتلا به سرطان سینه شده است. همچنین این برنامه در کاهش شدت درد و کاهش تداخل درد در عملکرد روزمره این بیماران شده است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of coping skills training program on pain and quality of life in breast cancer patient

نویسنده [English]

  • mehrdad akbari 1

چکیده [English]

Objective: Breast cancer can cause of many problems in physical, mental and social performance, including pain and can cause reduced quality of life. The aim of this study is the effect of coping skills training program on pain and quality of life in breast cancer patients residing in the city of Dezful. Method: Method of this study is a quasi-experimental research design with pretest - posttest control group. During an informal invitation 34 patients were enrolled in the study were eligible. The patients were randomly divided into experiment and control groups (each group include 17 subjects). Experiment group were received 8 sessions 1.5 h weekly of coping skills program (Lazaruss, Folkman, 1984). Participants completed brief pain questionnaire (BPI) and quality of life questionnaire (European Organization for Research and Treatment of Cancer (EORTC)) before and after starting the program. Findings: The results of the descriptive analysis showed that experimental group have better in global quality of life and its dimensions, also experiment group reduced in both severity pain and interference in daily functioning than the control group. Conclusion: MANCOVA analysis demonstrates that coping training caused enhancement of quality of life and diminish the pain in experiment group.

کلیدواژه‌ها [English]

  • Coping skills
  • Pain
  • Quality of Life
  • breast cancer
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