با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 کارشناس ارشد، رشته روانشناسی عمومی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

2 استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

3 استاد، گروه رادیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی، بابل، ایران.

چکیده

مقدمه: سرطان یکی از انواع بیماری‌های مزمن محسوب می‌شود که توجه پژوهشگران زیادی را به خود جلب کرده است. هدف پژوهش حاضر بررسی اثربخشی آموزش برنامه بهبود سرطان مبتنی بر ذهن‌آگاهی بر فاجعه‌سازی درد و استرس ادراک‌شده بیماران مبتلا به سرطان بود.
روش: پژوهش حاضر یک مطالعه شبه آزمایشی با طرح پیش‌آزمون - پس‌آزمون با گروه کنترل بود. جامعه آماری این پژوهش شامل کلیه بیماران مبتلا به سرطان بود که در سال 1400 در مرکز شهید رجایی شهرستان بابلسر تشخیص بیماری سرطان دریافت نمودند. نمونه مورد مطالعه به حجم30 نفر به صورت نمونه­گیری هدفمند انتخاب شدند و به شیوه تصادفی در دو گروه 15 نفر (گروه کنترل 15 نفر و گروه آزمایش 15 نفر) جایگزین شدند. گروه آزمایش تحت آموزش برنامه بهبود سرطان مبتنی بر ذهن‌آگاهی کارلسون و اسپکا که در قالب 8 جلسه 90 دقیقه­ای و هفته­ای یک ­بار برگزار می­شد قرار گرفتند. برای جمع‌آوری داده­ها از پرسشنامه فاجعه‌سازی درد سالیوان و همکاران (1995) و مقیاس استرس ادراک‌شده کوهن، کمرک و مرملستین (1983)  استفاده شد. داده­های بدست آمده نیز با استفاده از تحلیل کواریانس چندمتغیره در نرم‌افزار 27SPSS- مورد تجزیه و تحلیل قرار گرفت.
یافته‌ها: نتایج تحلیل کواریانس چند متغیره نشان داد که بعد از کنترل اثرات پیش­آزمون تفاوت معنی­داری بین میانگین نمرات دو گروه آزمایش و کنترل در متغیرهای فاجعه‌سازی درد و استرس ادراک‌شده وجود داشت (05/0p<).
نتیجه‌گیری: بنابراین نتیجه گرفته می­شود که بهبود سرطان مبتنی بر ذهن‌آگاهی مداخله­ای مطلوب و مناسب جهت تاثیرگذاری بر فاجعه‌سازی درد و استرس ادراک‌شده بیماران مبتلا به سرطان است

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Mindfulness-Based Cancer Recovery Training on Pain Catastrophizing and Perceived Stress of Cancer Patients

نویسندگان [English]

  • Ahmad ali Nematpour darzi 1
  • sajjad basharpoor 2
  • Dariush Moslemi 3

1 M.A. of Psychology, Faculty of Psychology and Education Sciences, University of Mohaghegh Ardabili, Ardabil, Iran.

2 Professor, Department of Psychology, Faculty of Educational Science and Psychology, University of Mohaghegh Ardabili, Ardabil. Iran.

3 Professor of Radiation Oncology, Department of Radiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.

چکیده [English]

Objective: Cancer is one of the diseases that is the cause of many deaths in the world today, and it is also one of the types of chronic diseases that has attracted the attention of many researchers. Mindfulness-Based Cancer Recovery Training is a specific intervention to improve the psychological problems of cancer patients, therefore the purpose of this study is to investigate the effectiveness of Mindfulness-Based Cancer Recovery Training on catastrophizing the perceived pain and stress of cancer patients. Method: The present study was a quasi-experimental study with a pre-test, post-test design with a control group. The statistical population of this research included all cancer patients who were diagnosed with cancer in 2021 at Shahid Rajaei Center in Babolsar city. The study sample of 30 people was selected through purposive sampling and randomly divided into two groups of 15 people (control group of 15 people and experimental group of 15 people). The experimental group was trained in Carlson and Speka's Mindfulness-Based Cancer Recovery, which was held in the form of 8 sessions of 90 minutes and held once a week. The pain catastrophizing questionnaire of Sullivan et al. (1995) and the perceived stress scale of Cohen, Kamrak and Mermelstein (1983) were used to collect data. The obtained data were analyzed using multivariate covariance analysis in SPSS 27 software. Results: Before performing covariance analysis, its assumptions were first tested.Accordingly, by examining the results of the Shapiro-Wilk test, it was found that the sample distribution of the data in the variables of positive perception of stress, negative perception of stress and catastrophizing of pain is normal.To check the homogeneity of variances, Levine's test was used for the variable of pain catastrophizing (p>0.05; F=0.004) and the variable of perceived stress (p>0.05; F=0.074). The results showed that the assumption of equality of variances of two groups is maintained at the community level.In this regard, the box test also confirmed the assumption of homogeneity of variance and covariance of the two groups (p>0.05; F=1.136). The results of multivariate covariance analysis showed that after controlling for pre-test effects, there was a significant difference between the average scores of the two experimental and control groups in the variables of pain catastrophizing and perceived stress (p<0.05). Conclusion: Therefore, it is concluded that the healing of cancer based on mindfulness is a desirable and suitable intervention to influence the catastrophizing of pain and perceived stress of cancer patients.

کلیدواژه‌ها [English]

  • Cancer
  • Mindfulness
  • pain catastrophizing
  • Perceived Stress
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