Journal title
عنوان نشریه
Journal of Geriatric Nursing
Literature & Humanities
http://jgn.medilam.ac.ir
1
admin
doi
fa
jalali
1395
12
1
gregorian
2017
3
1
3
2
online
1
fulltext
fa
اثربخشی آموزش گروهی درمان مبتنی بر پذیرش و تعهد بر خودکارآمدی و سازگاری اجتماعی سالمندان بازنشسته
The Effectiveness of Group Acceptance and Commitment Therapy on Self-Efficacy and Social Adjustment of Elderly Retired
تخصصي
Special
پژوهشي
Research
<p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-autospace:none;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقدمه و هدف:</span></span></strong> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">توجه</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">افزایش</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سریع</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعداد</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سالمندان،</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مسألهی</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">بهداشت،</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سلامت</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تأمین</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">آسایش</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">رفاه</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">آنان</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">جامعه</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">هر</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">روز</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ابعاد</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تازه</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">گستردهتری</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">پیدا</span></span></span> <span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">میکند</span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">. پژوهش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">حاضر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">هدف</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اثربخشی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مبتنی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پذیرش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعهد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خودکارآمدی و سازگاری اجتماعی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سالمندان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بازنشسته</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شد.</span></span></p>
<p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-autospace:none;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مواد و روشها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">روش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پژوهش،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نیمه آزمایشی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">طرح</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پیشآزمون</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">-</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">پسآزمون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کنترل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بود.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جامعهی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آماری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">حاضر شامل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کلیهی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مراجعهکنندگان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سالمند بازنشسته به سازمان امور بازنشستگان در تابستان 1395</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بود.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پس از مصاحبه و اجرای پرسشنامه خودکارآمدی و سازگاری اجتماعی از بین واجدین شرایط 24</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نفر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پذیرفتند تا در پژوهش شرکت کنند</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شیوهی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تصادفی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span><span dir="LTR"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) </span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">12</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نفر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمایش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">12</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نفر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گواه)</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;"> جایگزین</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شدند. 8</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جلسهی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">80</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دقیقهای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مبتنی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پذیرش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعهد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">طی چهار هفته</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">برای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمایش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گروهی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گرفت.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تمام</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شرکتکنندهها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">قبل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بعد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پرسشنامههای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خودکارآمدی و سازگاری اجتماعی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">را</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تکمیل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کردند.</span></span></p>
<p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-autospace:none;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">یافتهها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نتایج</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">حاصل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">آزمون</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تحلیل</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">واریانس چندمتغیره (مانکوا)</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نشان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مبتنی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پذیرش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعهد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اثر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">معنیداری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خودکارآمدی </span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(005/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 16/10</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) </span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و سازگاری اجتماعی </span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(001/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 44/22</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) </span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">دارد. همچنین باعث</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کاهش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خرده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقیاسهای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سازگاری خانوادگی </span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(000/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 78/29</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">)، </span></span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سازگاری جسمانی </span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(04/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 71/4</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">)، سازگاری هیجانی </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(002/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 26/14</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">)، سازگاری شغلی </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(000/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 34/21</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) و سازگاری اجتماعی </span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">(000/0</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">، 66/42</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">F=</span></span></span></span><span style="color:black;"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">)</span></span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">است.</span></span></p>
<p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-autospace:none;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></strong><span style="font-family:b mitra;"><span style="font-size:12.0pt;"> در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نتیجه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">درمانگری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مبتنی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">پذیرش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تعهد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">میتواند</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خودکارآمدی و سازگاری اجتماعی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">را</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">کاهش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دهد.</span></span></p>
<p><strong>Introduction and purpose:</strong> Due to the rapid increase in the senior population, health issue, health & provide comfort and welfare of society & wider finds new dimensions every day. This study aimed to evaluate the effectiveness of acceptance and commitment therapy Retired adults was conducted on self-efficacy and social adjustment.</p>
<p><strong>Material and Methods:</strong> The research method was quasi-experimental with pretest-posttest design with a control group. Study population included all patients older retired In the summer of 1395 was the organization of retirees. After the interview and questionnaire implementation of self-efficacy and social adjustment Of the 24 eligible voters agreed to participate in research Randomly divided into two groups (12 experimental and 12 control) Were replaced. acceptance and commitment therapy was administered to the experiment group in eight 90 minutes sessions in 4 weeks period. All participants before and after treatment questionnaires Self-efficacy and social adjustment completed.</p>
<p><strong>Findings</strong>: The results of analysis of covariance showed that based on acceptance and commitment therapy Significant effect on self-efficacy (F=10.16, P=0.005) and social compatibility (F =22.44, P=0.001). It also reduces the subscales of family (F =29.78, P=0.000), physical (F =4.71, P=0.04), emotional (F =14.26, P=0.002), social (F =21.34, P=0.000) and work (F =42.66, P=0.000).</p>
<p><strong>Conclusion:</strong> As a result, based on acceptance and commitment therapy can reduce self-efficacy and social adjustment.</p>
درمان مبتنی بر پذیرش و تعهد, خودکارآمدی, سازگاری اجتماعی, سالمندان بازنشسته
Acceptance and Commitment Therapy, self-efficacy, social adjustment, Retired Adults
103
117
http://jgn.medilam.ac.ir/browse.php?a_code=A-10-251-1&slc_lang=fa&sid=1
P
bagheri
پریسا
باقری
bagheri.parisa@yahoo.com
10031947532846003687
10031947532846003687
No
Islamic Azad University, Branch Khomein, Khomein, Iran
دانشگاه آزاد اسلامی واحد خمین،
N
saadati
نادره
سعادتی
nadiasa46@yahoo.com
10031947532846003688
10031947532846003688
No
Islamic Azad University, Branch Isfahan (Khorasgan), Isfahan, Iran
گروه مشاوره، دانشکده علوم تربیتی و روانشناسی، دانشگاه آزاد اسلامی واحد اصفهان
N
fatollahzadeh
نوشین
فتح اله زاده
nh_fatollahzadeh@yahoo.com
10031947532846003689
10031947532846003689
Yes
Islamic Azad University, Branch Rodehen, Rodehen, Iran
Islamic Azad University, Branch Isfahan (Khorasgan),
SA
darbani
سید علی
دربانی
1981darbani@gmail.com
10031947532846003690
10031947532846003690
No
Islamic Azad University, Branch Science and Research, Tehran, Iran
گروه مشاوره، دانشکده علوم انسانی و اجتماعی، دانشگاه آزاد اسلامی واحد علوم و تحقیقات تهران