اثربخشی درمان کارآمدی هیجانی بر بارمراقبت و خستگی از شفقت در مراقبین بیماران مبتلا به دمانس

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکتری گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

2 دانشیار، گروه روانشناسی بالینی، مرکز تحقیقات سلامت جامعه، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

3 دانشیار، گروه روانشناسی، مرکز تحقیقات سلامت جامعه، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

4 استاد، گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقاله پژوهشی




مقدمه: شیوع بالای بیماری دمانس در جهان و پیامدهای روانی مرتبط با آن از جمله بار مراقبت و خستگی از شفقت، سلامت روان مراقبین آن‌ها را در معرض خطر قرار می‌دهد. هدف از پژوهش حاضر، تعیین اثربخشی درمان کارآمدی هیجانی بر بارمراقبت و خستگی از شفقت در مراقبین بیماران مبتلا به دمانس بود.
روش‌ها: ‌این پژوهش نیمه تجربی از نوع پیش‌آزمون- پس‌آزمون با گروه شاهد بود که در سال 1401 بر روی مراقبین بیماران دمانس مراجعه‌کننده به کلینیک‌های مغز و اعصاب شهر اصفهان انجام شد. 30 نفر به روش نمونه‌گیری هدفمند، با توجه به ملاک‌های ورود و خروج انتخاب ‌شده و به‌صورت تصادفی در دو گروه آزمایش و شاهد جایگزین شدند. گروه آزمایش 8 جلسه‌ی هفتگی 90 دقیقه‌ای درمان کارآمدی هیجانی را دریافت نمودند. ابزار پژوهش پرسش‌نامه‌های بار مراقبت Zarit و کیفیت زندگی حرفه‌‌ای Stamm بود. تجزیه ‌و تحلیل داده‌ها با روش تحلیل واریانس اندازه‌های مکرر انجام شد.
یافته‌ها: میزان تأثیر درمان کارآمدی هیجانی بر کاهش بار مراقبت و خستگی از شفقت در پس‌آزمون به ترتیب برابر با 16/1 و 17/4 درصد است. تأثیر درمان در متغیرهای بار مراقبت و خستگی از شفقت در مرحله‌ی پیگیری به ترتیب 15/2 و 15/6 درصد است. تفاوت دو گروه در مرحله‌ی پیش‌آزمون معنی‌دار نیست، اما در مراحل پس‌آزمون و پیگیری در هر دو متغیر بین گروه شاهد با آزمایش تفاوت معنی‌داری به‌دست ‌آمده است.
نتیجه‌گیری: درمان کارآمدی هیجانی بر کاهش بار مراقبت و خستگی از شفقت در مراقبین بیماران مبتلا به دمانس تأثیر معنی‌دار داشت.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Emotion Efficacy Therapy on Burden and Compassion Fatigue of Caregivers Patients with Dementia

نویسندگان [English]

  • Nahid Ramezani 1
  • Ilnaz Sajjadian 2
  • Gholamreza Manshaee 3
  • Majid Barekatain 4
1 PhD Candidate, Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 Associate Professor, Department of Clinical Psychology, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
3 Associate Professor, Department of Psychology, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
4 Professor, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: The high prevalence of dementia worldwide and its assosiated psychological consequences, including caregiving burden and compassion fatigue, puts the mental health of their caregivers at risk. The aim of this study was to determine the effectiveness of emotion efficacy therapy on caregiving burden and compassion fatigue in caregivers of patients with dementia.
Methods: This was a semi-experimental research of pre-test-post-test type with a control group, which was conducted in 2022 among caregivers of dementia patients referred to neurology clinics in Isfahan city. Thirty participants were selected through purposeful sampling, based on inclusion and exclusion criteria and randomly assigned to either the experimental or control group. The experimental group received eight weekly 90-minute sessions of emotional efficiency therapy. The research tool was Zarit's burden of care and Stamm's professional life quality questionnaires. After analyzing the data, it was done with repeated measures variance analysis.
Findings: The effect of EET on reducing caregiving burden and compassion fatigue in the post-test is 16.1% and 17.4%, respectively. The effect of EET on caregiving burden and compassion fatigue variables in the follow-up phase is 15.2% and 15.6%, respectively. The difference between the two groups is not significant in the pre-test stage, but in the post-test and follow-up stages, a significant difference has been obtained between the control group and the test in both variables.
Conclusion: Emotion efficacy therapy significantly reduces caregiving burden and compassion fatigue in caregivers of patients with dementia.

کلیدواژه‌ها [English]

  • Caregiver
  • Burden
  • Compassion fatigue
  • Dementia
  • Emotion

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 720
هفته 4 تیر
خرداد و تیر 1402
صفحه 373-381

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سابقه مقاله

  • تاریخ دریافت: 20 دی 1401
  • تاریخ پذیرش: 10 تیر 1402

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