Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1403
3
1
gregorian
2024
6
1
30
2
online
1
fulltext
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اثربخشی ماندالا درمانی بر نشخوار فکری دانشجویان علوم پزشکی
The effectiveness of Mandala therapy in reducing rumination among medical science students
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="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نشخوار فکری یکی از اختلالات رایج در دانشجویان علوم پزشکی است که میتواند بر فرایند تحصیل و عملکرد آن­ها اثرگذار باشد. مطالعه حاضر با هدف تعیین تأثیر ماندالا درمانی بر نشخوار فکری دانشجویان علوم پزشکی دانشگاه آزاد اسلامی واحد تنکابن انجام گرفته است<span style="color:black">.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">روش بررسی:</span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">مطالعه حاضر از نوع نیمه تجربی با طرح پیش­آزمون-پس­آزمون و با گروه کنترل است که در آن 40 نفر از دانشجویان علوم پزشکی دانشگاه آزاد اسلامی واحد تنکابن دارای نشخوار فکری مشغول به تحصیل در سال 1402، مشارکت داشتند. نمونهها به روش در دسترس انتخاب و سپس با تخصیص تصادفی به گروه آزمون (20 نفر) و کنترل (20 نفر) تقسیم شدند. مداخله شامل برگزاری 4 جلسه 60 دقیقه­ای آموزشی در خصوص نحوه رنگ­آمیزی طرح­های ماندالا در کنترل نشخوار فکری بود. در این مدت گروه کنترل مداخله­ای دریافت نکرد. دادهها با پرسشنامه نشخوار فکری </span></span></i><a name="_Hlk161087124"><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Nolen-Hoeksema</span></span></i></a><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> و</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Morrow</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">جمع­آوری شد. جهت تحلیل دادهها از آمار توصیفی و آزمون آماری تحلیل کوواریانس یک متغیره در نرم­افزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نسخه 26 استفاده شد<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="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">یافتههای جمعیت</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt"></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">شناختی نشان داد که گروههای آزمون و کنترل از نظر جنس، سن و ترم تحصیلی با هم تفاوت معناداری ندارند </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">(001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:.1pt">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">). نتا</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">یج تحلیل کوواریانس نشان داد که روش ماندالا درمانی باعث کاهش نمره نشخوار فکری گروه آزمون در مقایسه با گروه کنترل شده است </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">(005/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:.1pt">p<</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="letter-spacing:.1pt">)</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">.</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="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نتایج مطالعه حاضر نشان داد ماندالا درمانی منجر به کاهش نشخوار فکری در دانشجویان شده است. لذا ماندالا درمانی به عنوان یک راهکار غیردارویی مؤثر در کاهش نشخوار فکری در دانشجویان علوم پزشکی توصیه می­شود.</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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 dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Rumination is a prevalent issue among medical science students, potentially affecting their academic performance. This study aims to evaluate the effectiveness of Mandala therapy in reducing rumination among medical science students at the Islamic Azad University, Tonekabon branch</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This quasi-experimental study employed a pre-test, post-test design with a control group. A total of 40 medical students from the Islamic Azad University, Tonekabon branch, who exhibited signs of rumination participated in the study in 2023. Participants were selected through convenience sampling and randomly assigned to either the experimental group (20 participants) or the control group (20 participants). The intervention consisted of four 60-minute sessions of Mandala therapy. Data were collected using the Nolen-Hoeksema and Morrow's rumination questionnaire. Descriptive statistics and analysis of covariance (ANCOVA) were performed using SPSS version 26 to analyze the data</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">.</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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Demographic analysis indicated no significant differences between the experimental and control groups concerning gender, age, or semester (<i>P</i></span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">0.001). The ANCOVA results revealed that the Mandala Therapy intervention significantly reduced the rumination scores of the experimental group compared to the control group (<i>P</i><0.005)</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times="">The results suggest that rumination levels in the experimental group decreased significantly following the intervention compared to the control group. Therefore, Mandala therapy may serve as an effective non-pharmacological approach for mitigating rumination among medical science students.</span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span><br>
نشخوار فکری, درمانی, دانشجویان علوم پزشکی
rumination, therapy, medical students
153
162
http://hayat.tums.ac.ir/browse.php?a_code=A-10-961-2&slc_lang=fa&sid=1
Ehsan
Aghajanzadeh Omrani
احسان
آقاجانزاده عمرانی