Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
1
admin
2783-4093
2322-5564
10.48305
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8888
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jalali
1402
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2023
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اثربخشی مداخله آموزش روانشناختی بر سلامت روان و بار مسؤولیت مراقبان خانوادگی بیماران اعصاب و روان
The Effectiveness of Psychological Education Intervention on the Mental Health and Burden of Responsibility of Family Caregivers of the Psychiatric Patients
آموزش بهداشت و ارتقاء سلامت
education health and promotion
پژوهشي
Research
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">مقدمه:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black"> مراقبان خانوادگی بیماران اعصاب و روان، در طول فرایند مراقبتی خود مستعد ابتلا به مشکلات عدیده جسمانی- روانی هستند. روشهای مختلفی برای کاهش پیامدهای جسمانی و روانی در مراقبان وجود دارد. هدف از انجام پژوهش حاضر، بررسی تأثیر آموزش روانشناختی بر بار مسؤولیت و سلامت روان مراقبان خانوادگی بیماران اعصاب و روان شهرستان لردگان بود.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">روشها: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">در این مطالعه نیمه تجربی، 60 مراقب بیماران اعصاب و روان به طور تصادفی به دو گروه آزمایش و شاهد تقسیم شدند. برای جمعآوری اطلاعات از فرم کوتاه مقیاس نشانگان افسردگی، اضطراب و استرس (</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Depression, anxiety and stress scales</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black"> یا </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">DASS</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">) و پرسشنامه فشار مراقبتی (</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Caregiver Burden Inventory</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black"> یا </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">CBI</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">) استفاده گردید. مداخله آموزش روانشناختی در گروه آزمایش به روش گروهی بود و در گروه شاهد مداخلهای انجام نشد. برنامه آموزشی طی هشت جلسه ارایه شد و دادهها در نرمافزار </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black"> مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" style="font-family:" zar=""><span style="color:black">یافتهها: </span></span></span></span></b><span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">پس از اجرای مداخله، میانگین بار مسؤولیت و سلامت روان در گروه آزمایش، کاهش معنیداری را نسبت به قبل نشان داد (001/۰ > </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">)، اما </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">پس از اجرای مداخله، میانگین بار مسؤولیت و سلامت روان در گروه شاهد تفاوت معنیداری نسبت به قبل نداشت (050/۰ </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">></span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">).</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">نتیجهگیری: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">نتایج به دست آمده بر مفید بودن انجام مداخله آموزشی روانشناختی بر کاهش میزان بار مسؤولیت و سلامت روان مراقبان خانوادگی بیماران اعصاب و روان تأکید میکند. بنابراین، برگزاری دورههای آموزشی در زمینه روانشناختی در مراقبان بیماران اعصاب و روان قادر است آنها را در ابعاد مختلف روانی از جمله کاهش بار مسؤولیت و افزایش سلامت روان توانمند سازد.</span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span></div>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Background:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Family caregivers of patients with neurological and psychiatric disorders are prone to many physical and psychological problems during their care process. There are several ways to reduce the physical and psychological consequences in caregivers. The aim of this study was to investigate the effect of psychological education on the responsibility and mental health of family caregivers of psychiatric patients in Lordegan, Iran.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> In this quasi-experimental study, 60 psychiatric caregivers were randomly assigned to two groups of intervention and control. Two questionnaires were used to collect information: Depression, Anxiety, and Stress Scale (DASS) and Caregiver Burden Inventory (CBI). Psychological training intervention in the intervention group was based on a group method and no intervention was performed in the control group. The training program was presented in 8 sessions and the collected data were analyzed using SPSS software.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Findings:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> After the intervention, the mean burden of responsibility and mental health in the intervention group had a significant decrease compared to before the intervention (P < 0.001); however, after the intervention, the mean burden of responsibility and mental health in the control group was not significantly different than before (P > 0.05).</span></span></span></span></span></span></span><br>
<b><span lang="EN" style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The results of this study emphasize the usefulness of psychological educational intervention in reducing the burden of responsibility and mental health of family caregivers of psychiatric patients. Therefore, holding training courses in the field of psychology for the caregivers of psychiatric patients can empower caregivers in various psychological dimensions, including reducing the burden of responsibility and increasing mental health.</span></span></span></span></div>
آموزش روانشناختی, بار مراقب, سلامت روان, مراقبان خانوادگی
Psychological education, Caregiver burden, Mental health, Caregivers
152
159
http://hsr.mui.ac.ir/browse.php?a_code=A-10-249-1&slc_lang=fa&sid=1
Farzaneh
Mirzaei-Khales
فرزانه
میرزایی خالص