Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
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1735-2215
2008-188X
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jalali
1402
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2023
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تأثیر درمان شناختی- رفتاری بر احساس تنهایی زنان سالمند
The effect of cognitive-behavioral therapy on alleviating loneliness among elderly women
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">احساس تنهایی می­تواند بر سلامت روان افراد سالمند تأثیر بگذارد و منجر به مشکلات روان­شناختی شود. یکی از روش­های درمانی که بر کاهش احساس تنهایی سالمندان می­تواند مؤثر باشد، درمان شناختی- رفتاری است. این مطالعه با هدف تعیین تأثیر درمان شناختی- رفتاری بر احساس تنهایی زنان سالمند مراجعه</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">کننده به مراکز بهداشتی درمانی شهرستان خمینی شهر انجام گرفته است</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این مطالعه نیمه تجربی در مورد 60 زن سالمند تحت پوشش مراکز درمانی شهرستان خمینی شهر در سال 1399 انجام گرفته است. نمونه­ها به صورت در دسترس انتخاب و با روش تصادفی به گروه مداخله و کنترل تخصیص یافتند. جمع­آوری داده­ها با فرم اطلاعات جمعیتشناختی و پرسشنامه احساس تنهایی <span style="color:black">دهشیری</span> و همکاران قبل، بعد و یک ماه بعد از مداخله انجام یافت. برای گروه مداخله 8 جلسه مشاوره درمان شناختی- رفتاری به مدت 60 دقیقه برگزار شد و گروه کنترل هیچ مشاوره­ای دریافت نکردند. تحلیل داده­ها در نرمافزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">SPSS</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 23 و با استفاده از آمار توصیفی و استنباطی انجام گرفت</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">یافتهها</span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">نتایج آنالیز واریانس دو طرفه با اندازه­گیری­های مکرر نشان داد میانگین نمره تنهایی ناشی از ارتباط با خانواده، نمره بعد نشانه­های عاطفی تنهایی و نمره کل احساس تنهایی در گروه مداخله قبل و بعد از مداخله تفاوت آماری معناداری داشته است (001/0</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p<</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)، ولی </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در گروه کنترل تفاوت آماری معنادار مشاهده نشد <span style="letter-spacing:.25pt">(05/0<</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.25pt">)</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">. همچنین، مقایسه میانگین نمره تنهایی ناشی از ارتباط با دوستان در گروه مداخله قبل و بعد از مداخله تفاوت آماری معناداری نشان نداد (094/0=</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) و در گروه کنترل نیز تفاوت آماری معنا­داری مشاهده نشد (338/0=</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:-.1pt">نتایج مطالعه حاضر نشان داد درمان شناختی- رفتاری می­تواند باعث کاهش احساس تنهایی زنان سالمند شود. لذا توصیه می­شود از این روش جهت کاهش احساس تنهایی زنان سالمند استفاده شود<span style="color:black">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Feelings of loneliness can affect the mental health of the elderly and lead to cognitive problems. As a potentially effective treatment approach, cognitive-behavioral therapy (CBT) has emerged as an intervention to alleviate loneliness among the elderly. This study aims to determine the effect of CBT on alleviating loneliness among elderly women referred to health centers in Khomeini Shahr</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">This quasi-experimental study was conducted in 2020 on</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">a sample of 60 elderly women who had been referred to health centers in Khomeini Shahr. The participants were conveniently selected and then randomly assigned to either the intervention or control groups. Data were collected using a demographic information form and the Deshiri et al’s loneliness questionnaire, which were administered before, immediately after, and one month after the intervention. The intervention group received eight counseling sessions of CBT that lasted for 60 minutes each, while the control group did not receive any counseling. Data analysis was carried out using the SPSS software version 23, employing descriptive and inferential statistics</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The results obtained from conducting a two-way repeated measures analysis of variance (ANOVA) showed a significant statistical difference in the mean score of loneliness resulting from communication with family, the score of emotional symptoms of loneliness and the total score of loneliness in the intervention group before and after the intervention (<i>P</i><0.001). However, no statistically significant difference was observed in the control group (<i>P</i>>0.05). Furthermore, when comparing the mean score of loneliness resulting from communication with friends in the intervention group, no statistically significant difference was observed before and after the intervention (<i>P</i>=0.094). Similarly, no statistically significant difference was observed in the control group (<i>P</i>=0.338)</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The results of the current study indicate that CBT is an effective approach to alleviate loneliness in elderly women. Therefore, it is suggested that this method be implemented as a means to reduce feelings of loneliness among elderly women<span style="color:black">.</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span></span></span></span><br>
درمان شناختی- رفتاری, احساس تنهایی, زنان سالمند
cognitive-behavioral therapy, loneliness, elderly women
155
170
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4400-2&slc_lang=fa&sid=1
Anahita
Zali
آناهیتا
زالی