مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر خودکارآمدی و خودشفقتی زنان بعد از عمل هیسترکتومی

زن و مطالعات خانواده

مقاله 3، دوره 15، شماره 57، آذر 1401، صفحه 55-74   

نوع مقاله: علمی پژوهشی

شناسه دیجیتال (DOI): 10.30495/jwsf.2021.1930693.1573

نویسندگان

سیما فرزانه¹؛ توکل موسی زاده^{* 2}؛ وکیل نظری³

¹دانشجوی دکتری روانشناسی، گروه روانشناسی ، واحد اردبیل ، دانشگاه آزاد اسلامی ، اردبیل، ایران

²استادیار ، گروه روانشناسی، واحد اردبیل ، دانشگاه آزاد اسلامی، اردبیل، ایران ( نویسنده مسئول ) [e-mail]

³استادیار ، گروه روانشناسی ، واحد اردبیل ، دانشگاه آزاد اسلامی، اردبیل ، ایران

چکیده

هیسترکتومی دومین جراحی شایع است که به طور عمده برای آسیب‌های رحمی خوش خیم در زنان انجام می‌شود. هدف از انجام پژوهش حاضر مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر خودکارآمدی و خودشفقتی زنان بعد از عمل هیسترکتومی بود. روش پژوهش حاضر، نیمه­  آزمایشی با طرح پیش­  آزمون- پس  ­آزمون با گروه کنترل بود. جامعه آماری این تحقیق را کلیه زنان هیسترکتومی شده در شهر اردبیل در سال ۱۳۹۹ تشکیل می‌دهند. از این میان تعداد 45 نفر به‌صورت نمونه­  گیری در دسترس انتخاب و پس از جایگزینی تصادفی در سه گروه آزمایشی و گروه کنترل مورد مطالعه قرار گرفتند (در هر گروه 15 نفر) انتخاب شد. داده­های آزمودنی­ها به وسیله مقیاس خودکارآمدی شرر و همکاران (1982) و خودشفقتی نف (۲۰۰۳) جمع­  آوری شد. مدت جلسات درمانی آموزش مبتنی بر پذیرش و تعهد (8 جلسه 90 دقیقه‌ای) و آموزش طرحواره درمانی (8 جلسه 90 دقیقه‌ای) بود که به صورت فردی و هفته‌ی یکبار انجام شد جهت تجزیه‌وتحلیل داده­ها از آزمون کوواریانس چندمتغیره با استفاده از نرم‌افزار SPSS₂₅ استفاده شد. یافته­  ها نشان داد که تفاوت آماری معنی‌داری بین میانگین نمرات دو گروه آزمایش و کنترل، در نمره کل متغیر خودکارآمدی (508/34=F) و متغیر خودشفقتی (378/94=F) وجود داشت. همچنین، در مقایسه درمان مبتنی بر پذیرش و تعهد با طرحواره درمانی بر خودکارآمدی و خودشفقتی مشخص گردید اثربخشی درمان پذیرش و تعهد در افزایش خودکارآمدی نسبت به طرحواره درمانی بیشتر است اما اثربخشی هر دو درمان در بهبود خودشفقتی یکسان می‌باشد. با توجه به اثربخش بودن پروتکل­های درمان مبتنی بر پذیرش و تعهد و طرحواره درمانی بر متغیرهای پژوهش، این دو نوع درمان را می‌توان در کنار دیگر مداخلات روان‌شناختی بکار گرفت.

کلیدواژه‌ها

درمان مبتنی بر پذیرش و تعهد؛ طرحواره درمانی؛ خودکارآمدی؛ خودشفقتی؛ هیسترکتومی

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