بررسی تأثیر بهزیستی درمانی بر افسردگی، اضطراب و کنترل قند خون در زنان مبتلابه دیابت نوع دو

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران

2 گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران.

چکیده

مقدمه: دیابت نوع دو به گروهی از بیماری‌های سوخت وسازی اطلاق می‌گردد که ویژگی مشترک آن‌ها افزایش سطح قندخون به علت نقص درترشح انسولین،عملکرد آن،یا هردواست.پژوهش حاضرباهدف بررسی اثربخشی بهزیستی درمانی برافسردگی، اضطراب وکنترل قندخون برزنان مبتلابه دیابت نوع دوانجام‌شده است.
روش بژوهش: پژوهش حاضر نیمه تجربی، با استفاده از طرح پیش‌آزمون و پس‌آزمون با گروه کنترل و پیگیری بود. نمونه موردمطالعه به روش نمونه‌گیری در دسترس از میان 100 بیماران مبتلابه دیابت نوع دومراجعه‌کننده به مرکز دیابت پارسیان،شهر مشهد در سال 98-97 تعداد 52 بیمارانتخاب و به‌طور تصادفی به دو گروه 26 نفرِ آزمایش و کنترل گمارده شدند. گروه مداخله طی8 جلسه درمان گروهی90 دقیقه‌ای به مدت دوماه تحت برنامه بهزیستی روان‌شناختی مدل ریف قرارگرفتند؛ وگروه کنترل هیچ درمانی رادریافت نکردند.پرسشنامه های افسردگی بک،اضطراب بک وآزمایش هموگلوبین ای وان سی Hb A1c به‌عنوان ابزار ارزشیابی قبل و بعد از مداخله مورداستفاده قرار گرفت. تحلیل داده‌ها با استفاده ازآزمون های تی زوجی وتحلیل کوواریانس و با استفاده از نرم‌افزار 24-SPSS صورت گرفت.
یافته‌ها: نتایج نشان داده درمان بهزیستی روان‌شناختی برمیزان کاهش افسردگی،اضطراب وهموگلوبین ای وان سی Hb A1c در بیماران مبتلابه دیابت نوع دو تأثیر معنادار داشته است و بین گروه آزمایش و کنترل تفاوت معنی‌داری وجود دارد(05/0>P).
نتیجه‌گیری: نتایج حاصل ازاین مطالعه، بیانگرسودمندی بهزیستی درمانی درکاهش افسردگی،اضطراب ومیزان هموگلوبین ای وان سی Hb A1c دربیماران دیابت نوع دو است؛ بنابراین توصیه می‌شود ازاین رویکرد درمانی درجهت ارتقاء بهزیستی روان‌شناختی این بیماران استفاده شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Wellbeing Therapy on Depression, Anxiety and Blood Sugar in Women with Type 2 Diabetes

نویسندگان [English]

  • Mahnaz Pajoheshgar 1
  • Ali Reza Rajaei 2
  • Gholamreza Khoienejad 1
  • Mohammad-Hussein Bayazi 1
1 Department of Psychology, Torbat-e Jam Branch , Islamic Azad University, Torbat-e Jam, Iran
2 Department of Psychology, Torbat-e Jam Branch , Islamic Azad University, Torbat-e Jam, Iran.
چکیده [English]

Abstract
Introduction: Type 2 diabete is a group of metabolic diseases whose common feature is elevated blood glucoselevels due to defective insulin secretion, functional impairment, or both.This study aimed to investigate the effect of wellbeing therapy on reducing depression, Anxiety and controlling blood sugar in women with Type 2 diabetes.
Materials and Methouds:This quasi-experimental research used a pretest-posttest experimental design with control and follow-up groups. A total of 52 patients were enrolled through convenience sampling from 100 patients [p1] [A2] with type 2 diabetes visiting the Parsian Diabetes Center of Mashhad in 2019-20. They were then randomly assigned to two 26-member (experimental and control) groups. The intervention group received a Ryff psychological well-being program over the course of two months through eight 90-minute group therapy sessions, whereas the control group received no treatment. Data were collected before, after, the intervention using the Beck’s Depression Inventory, Beck’s Anxiety Inventory, and Hemoglobin A1c (HbA1c) test and then analyzed in SPSS 24.
Findings: The results from the multivariate analysis of covariance (MANCOVA) showed that wellbeing therapy has a significant effect on depression, Anxiety, and HbA1c.
Conclusion: Wellbeing therapy is effective in reducing depression, Anxiety and HbA1c levels in type 2 diabetes patients. Therefore, it is recommended that this treatment approach be used to help improve the psychological well-being of these patients.

کلیدواژه‌ها [English]

  • depression
  • Anxiety
  • HbA1c
  • Type II diabetes
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