اثربخشی آموزش ذهن‌آگاهی مبتنی بر پذیرش و تعهد بر امید به زندگی و کیفیت زندگی دیابتیک در مبتلایان به دیابت بارداری

نوع مقاله : مقاله پژوهشی

نویسنده

کارشناس ارشد روانشناسی عمومی، گروه روانشناسی، واحد کرمان، دانشگاه آزاد اسلامی، کرمان، ایران (نویسنده مسئول) Email: amir.karamouz@gmail.com

چکیده

مقدمه: دیابت بارداری دارای پیامدهای منفی بسیاری از جمله کاهش امید به زندگی و افت کیفیت زندگی دیابتیک است. بنابراین، هدف پژوهش حاضر تعیین اثربخشی آموزش ذهن‌آگاهی مبتنی بر پذیرش و تعهد بر امید به زندگی و کیفیت زندگی دیابتیک در مبتلایان به دیابت بارداری بود.
روش پژوهش: این مطالعه نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون با گروه گواه بود. جامعه پژوهش زنان مبتلا به دیابت بارداری مراجعه‌کننده به مراکز بهداشتی و درمانی منطقه یک شهر تهران در فصل تابستان ۱۳۹۹ بودند که تعداد 40 نفر از آنها پس از بررسی ملاک‌های ورود به مطالعه با روش نمونه‌گیری دردسترس انتخاب و با روش تصادفی به کمک قرعه‌کشی در دو گروه مساوی جایگزین شدند. گروه آزمایش 8 جلسه 90 دقیقه‌ای تحت آموزش ذهن‌آگاهی مبتنی بر پذیرش و تعهد قرار گرفت و در این مدت گروه گواه آموزشی ندید. داده‌ها با مقیاس امید به زندگی (اسنایدر و همکاران، 1991) و سیاهه کوتاه‌شده بالینی کیفیت زندگی دیابتیک (بروگز و همکاران، 2004) گردآوری و با روش تحلیل کوواریانس چندمتغیری در نرم‌افزار SPSS-24 تحلیل شدند.
یافته های پژوهش: یافته‌ها نشان داد که بین گروه‌های آزمایش و گواه در هر دو متغیر امید به زندگی و کیفیت زندگی دیابتیک تفاوت معنی‌داری وجود داشت. به عبارت دیگر، آموزش ذهن‌آگاهی مبتنی بر پذیرش و تعهد باعث افزایش امید به زندگی (001/0, P=93/18=F) و کیفیت زندگی دیابتیک (001/0, P=91/21=F) در مبتلایان به دیابت بارداری شد.
نتیجهگیری : طبق نتایج پژوهش حاضر، برای بهبود امید به زندگی و کیفیت زندگی دیابتیک می‌توان از روش آموزش ذهن‌آگاهی مبتنی بر پذیرش و تعهد در کنار سایر روش‌های آموزشی استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of mindfulness based on acceptance and commitment education on life expectancy and diabetic quality of life in patients with gestational diabetes

نویسنده [English]

  • SeyedAmir Meysam Karamooz Mahmoodabadi
MA of General Psychology, Department of Psychology, Kerman Branch, Islamic Azad University, Kerman, Iran (Corresponding Author), Email: amir.karamouz@gmail.com
چکیده [English]

Introduction: Gestational diabetes has many negative consequences including reduced life expectancy and diabetic quality of life. Therefore, the aim of the present study was determining the effectiveness of mindfulness based on acceptance and commitment education on life expectancy and diabetic quality of life in patients with gestational diabetes.
Method: This study was semi-experimental with a pretest and posttest design with a control group. The research population was women with gestational diabetes referring to the health and treatment centers of first region of Tehran city in the winter season of 2021 year, witch number of 40 people of them after reviewing the inclusion criteria to study were selected by available sampling method and replaced by random method with the help of lottery into two equal groups. The experimental group underwent 8 sessions of 90 minutes of mindfulness based on acceptance and commitment education and during this time the control group did not receive any training. Data were collected with the life expectancy scale and diabetes quality of life brief clinical inventory and were analyzed by multivariate analysis of covariance method in SPSS-24 software.
Results: The findings showed that there was a significant difference between the experimental and control groups in both variables of life expectancy and diabetic quality of life. In the other words, mindfulness based on acceptance and commitment education led to increase the life expectancy (F=18.93, P=0.001) and diabetic quality of life (F=21.91, P=0.001) in patients with gestational diabetes.
Conclusion: According to the results of the present research, to improve the life expectancy and diabetic quality of life can be used the method of mindfulness based on acceptance and commitment education along with other training methods.

کلیدواژه‌ها [English]

  • diabetic quality of life "gestational diabetes" life expectancy" mindfulness based on acceptance and commitment
1- Phan L., Kubota J., Pignotti GAP.. Carbohydrate knowledge observed to be low in Vietnamese women with gestational diabetes mellitus. Journal of Nutrition Education and Behavior. 2022;54(6):551-556.
2- Sun Z, Wang S., Yang R., Li X., Yang Y., Qi X.. Gestational diabetes mellitus and risks of gynecologic cancers: Results from a nationwide Swedish twin study. Gynecologic Oncology. 2021;162(1):142-147.
3- Li L, Fang JD. Myo-inositol supplementation for the prevention of gestational diabetes: A meta-analysis of randomized controlled trials. European J Obstetrics & Gynecology and Reproductive Biology. 2022;273:38-43.
4- Kadkhodai F., Badakhsh M., Amirshahi M.. The effect of counseling on health promotion behaviors in diabetic mothers; Zabol 2018. Journal of Diabetes Nursing. 2019;7(4):983-991. [Persian]
5- Karbalai Harafteh F.S., Karami Mohajeri Z., Kia S.. The effect of self-care training on perceived stress, health literacy, and self-care behaviors in women with gestational diabetes. Community Health Journal. 2020;14(2):30-39. [Persian]
6- Sarkodie S.A., Strezov V., Jiang Y., Evans T.. Proximate determinants of particulate matter (PM2.5) emission, mortality and life expectancy in Europe, Central Asia, Australia, Canada and the US. Science of the Total Environment. 2019;683:489-497.
7- Firchal E.W., Sjoberg F., Fredrikson M., Pompermaier L., Elmasry M., Steinvall I.. Long-term survival among elderly after burns compared with national mean remaining life expectancy. Burns. 2021;47(6):1252-1258.
8- Grisolia J.M., Longo A., Hutchinson G., Kee F.. Comparing mortality risk reduction, life expectancy gains, and probability of achieving full life span, as alternatives for presenting CVD mortality risk reduction: A discrete choice study of framing risk and health behaviour change. Social Science & Medicine. 2018;211:164-174.
9- Brooks J.C., Shavelle R.M., Strauss D.J., Hammond FM, Harrison-Felix C.L.. Life expectancy of 1-year survivors of traumatic brain injury, 1988-2019: Updated results from the TBI model systems. Archives of Physical Medicine and Rehabilitation. 2022;103(1):176-179.
10- Xie Y., Bowe B., Yan Y., Cai M., Al-Aly Z.. County-level contextual characteristics and disparities in life expectancy. Mayo Clinic Proceedings. 2021;96(1):92-104.
11- Pantzartzis K.A., Manolopoulos P.P., Paschou S.A., Kazakos K., Kotsa K., Goulis D.G.. Gestational diabetes mellitus and quality of life during the third trimester of pregnancy. Quality of Life Research. 2019;28:1349–1354.
12- Liu J., Wang S., Leng J., Li J., Huo X., Han L., et al. Impacts of gestational diabetes on quality of life in Chinese pregnant women in urban Tianjin, China. Primary Care Diabetes. 2020;14(5):425-430.
13- Abdelbasset W.K., Elsayed S.H., Nambi G., Tantawy S.A., Kamel D.M., Eid M.M., et al. Potential efficacy of sensorimotor exercise program on pain, proprioception, mobility, and quality of life in diabetic patients with foot burns: A 12-week randomized control study. Burns. 2021;47(3):587-593.
14- Brown G.C., Brown M.M., Sharma S.. Ethnicity and diabetic quality-of-life. The American Journal of the Medical Sciences. 2019;358(2):121-126.
15- Prajapati V.B., Blake R., Acharya L.D., Seshadri .S. Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQoL)-17 questionnaire. Brazilian Journal of Pharmaceutical Sciences. 2017;53(4):e17144:1-19.
16- Josefsson T., Tornberg R., Gustafsson H., Ivarsson A.. Practitioners’ reflections of working with the mindfulness-acceptance-commitment (MAC) approach in team sport settings. Journal of Sport Psychology in Action. 2020;11(2):92-102.
17- Schwanhausser L.. Application of the mindfulness-acceptance-commitment (MAC) protocol with an adolescent springboard diver. Journal of Clinical Sport Psychology. 2009;3(4):377-395.
18- Papenfuss I., Lommen MJ.J, Huisman M., Ostafin BD.. Aversive response to uncertainty as a mediator for the effect of a mindfulness intervention on symptoms of anxiety. International Journal of Psychophysiology. 2022;179:30-42.
19- Caletti E., Massimo C., Magliocca S., Moltrasio C., Brambilla P., Delecchio G.. The role of the acceptance and commitment therapy in the treatment of social anxiety: An updated scoping review. Journal of Affective Disorders. 2022;310:174-182.
20- Josefsson T., Ivarsson A., Gustafsson H., Stenling A., Lindwall M., Tornberg R., Boroy J.. Effects of mindfulness-acceptance-commitment (MAC) on sport-specific dispositional mindfulness, emotion regulation, and self-rated athletic performance in a multiple-sport population: An RCT study. Mindfulness. 2019;10:1518-1529.
21- Zhao C., Lai L., Zhang L., Cai Z., Ren Z., Shi C.. The effects of acceptance and commitment therapy on the psychological and physical outcomes among cancer patients: A meta-analysis with trial sequential analysis. Journal of Psychosomatic Research. 2021;140:110304.
22- Munoz R.T., Hoppes S., Hellman C.M., Brunk K.L., Bragg J.E., Cummins C.. The effects of mindfulness meditation on hope and stress. Research on Social Work Practice. 2018;28(6):696-707.
23- Bahramiabdolmalaki S., Homayouni A., Aliyali M.. Effectiveness of acceptance and commitment therapy on resilience, psychological well-being, and life expectancy in asthmatic patients. The Journal of Toloo-e-Behdasht. 2021;20(1):55-68. [Persian]
24- Izadabadi Z., Balvardi M., Imani-goghary Z.. Effectiveness of mindfulness and metacognition education on social welfare and life expectancy of nurses. Iranian Journal of Psychiatric Nursing. 2020;8(5):14-24. [Persian]
25- MirMahdi S.R., Rezaali M.. The effectiveness of mindfulness-based cognitive therapy on resilience, emotion regulation and life expectancy among women with diabetes 2. Health Psychology. 2019;7(4):167-183. [Persian]
26- Chu X., Lou Y., Wang Z., Xu Q.. Effect of mindfulness based cognitive therapy on the mental health and quality of life in patients with breast cancer. Indian Journal of Pharmaceutical Sciences, 2020; 7: 48-52.
27- Moeenizadeh M., Nezampour R., Hashemi Golestan N.S.. The effect of stress-based mindfulness training on marital conflict and quality of life of veteran spouses in Mashhad. Journal of Military Caring Sciences. 2021;8(1):1-12. [Persian]
28- Omidbeygi M., Hassanabadi H., Hatami M., Vaezi A.A. The effectiveness of acceptance and commitment therapy on psychological flexibility, post traumatic growth and quality of life in women with breast cancer. Journal of Clinical Psychology. 2020;12(3):47-58. [Persian]
29- Mohammadpour M., Rafinia P., Sabahi P., Najafi M.. Comparing the effectiveness of mindfulness-based cognitive therapy (MBCT) and acceptance and commitment therapy (ACT) on improving quality of life components in patients with focal epilepsy. Journal of Modern Psychological Research. 2020;15(57):1-18. [Persian]
30- Isanejad O., Azadbakht F.. A comparison of the effectiveness of acceptance and commitment therapy and mindfulness-based cognitive therapy approaches on the quality of life and resiliency among disabled veterans’ wives with war-related posttraumatic stress disorder (PTSD). Journal of Military Psychology. 2019;10(38):57-69. [Persian]
31- Mahdi H., Maddah S.M.B., Mahammadi F. The effectiveness of self-care training on quality of life among elderlies with diabetes. Iranian Journal of Rehabilitation research in Nursing. 2016;2(4):32-39. [Persian]
32- Namani E., Mazahab Yousefi A.. The effectiveness of the combination of acceptance and commitment therapy (ACT) and mindfulness methods on cognitive flexibility and dysfunctional attitudes among orphan adolescent girls. Research in Clinical Psychology and Counseling. 2019;9(2):5-27. [Persian]
33- Snyder C.R., Harris C., Anderson J.R., Holleran S.A., Irving L.M., Sigmon S.T., et al. The will and the ways: development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology. 1991;60(4): 570-585.
34- Heydari Alkasiri Z., DashtBozorgi Z.. The effect of positivistic education on optimism, life expectancy and self-management in patients with diabetes. Iranian Journal of Culture and Health Promotion. 2021;5(1):108-115. [Persian]
35- Burroughs T.E., Desikan R., Waterman B.M., Gilin D., McGill J.. Development and validation of the diabetes quality of life brief clinical inventory. Diabetes Spectrum. 2004;17(1):41-49.
36- Hemmat Makan N., Golshani F., Baghdasarians A., Emamipour S.. The effect of self-care education on blood glucose, diabetic quality of life and emotional behavioral disorders in adolescents with diabetes. Journal of Diabetes Nursing. 2021;9(1):1274-1286. [Persian]