مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

مقایسه اثربخشی آموزش کاهش استرس مبتنی بر ذهن آگاهی و آموزش متمرکز بر شفقت بر سبک های مقابله با استرس در بیماران مبتلا به بیماری عروق کرونر قلب

نوع مقاله : مقاله پژوهشی

نویسندگان
Samaneh Elahi Mehr 1
Hamid Nejat 2
Hossein Akbari 3
Ehsan Ormoz 4
1 Ph.D. student in counseling, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
2 Department of Education Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
3 Department of Education Sciences, Qouchan Branch, Islamic Azad University, Qouchan, Iran.
4 Department of Mathematics and Statistics, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
10.22038/jfmh.2023.22936
چکیده
مقدمه: این پژوهش با هدف مقایسه اثربخشی آموزش کاهش استرس مبتنی بر ذهن آگاهی (MBSR) و آموزش متمرکز بر شفقت (CFT) بر سبک های مقابله با استرس در بیماران مبتلا به بیماری عروق کرونر انجام شد.
روش  کار: جامعه آماری این مطالعه بالینی را کلیه بیماران مبتلا به بیماری عروق کرونر قلب مراجعه کننده به کلینیک قلب و عروق سامان مشهد در تیر تا مرداد 1400 تشکیل می دادند که 45 بیمار به روش داوطلبانه انتخاب شدند. آنها به طور تصادفی در دو گروه آزمایش و یک گروه کنترل قرار گرفتند. گروه‌های آزمایشی MBSR را بر اساس طرح آموزشی Kabat-Zinn (2005) یا CFT بر اساس طرح آموزشی گیلبرت (2009) در 8 جلسه دریافت کردند. شرکت کنندگان پرسشنامه سبک های مقابله با استرس لازاروس و فولکمن (1988) را تکمیل کردند. داده ها با استفاده از آزمون تحلیل واریانس مختلط با اندازه گیری های مکرر و نرم افزار SPSS-23 مورد تجزیه و تحلیل قرار گرفت.
یافته ها: نتایج نشان داد که آموزش مبتنی بر شفقت باعث افزایش سبک مقابله مستقیم و خویشتن داری و کاهش سبک مقابله ای اجتنابی و سبک مقابله ای گریز-اجتنابی می شود. MBSR سبک مقابله با مسئولیت، حل مسئله برنامه ریزی شده، ارزیابی مجدد مثبت و سبک مقابله فرار-اجتناب را به طور قابل توجهی کاهش می دهد (P<01/0). همچنین اثربخشی MBSR بر مسئولیت پذیری به طور معنی داری بیشتر از CFT بود (05/0 P<).
نتیجه‌گیری: به نظر می‌رسد که آموزش کاهش استرس مبتنی بر ذهن‌آگاهی و آموزش متمرکز بر شفقت می‌تواند وضعیت روانی بیماران مبتلا به بیماری عروق کرونر را بهبود بخشد.
کلیدواژه‌ها
استرس
بیماری عروق کرونر
سبک‌های مقابله
شفقت
ذهن آگاهی

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مجله اصول بهداشت روانی
دوره 25، شماره 3
خرداد و تیر 1402
صفحه 169-178