مقایسه اثربخشی درمان مبتنی بر ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی

مقالات آماده انتشار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجو دکتری ، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

3 استادیار، گروه روانشناسی ، موسسه اموزش عالی غیر انتفاعی صفاهان ، اصفهان، ایران

4 استادیار، گروه روانشناسی، واحد نجف اباد، دانشگاه آزاد اسلامی ،نجف آباد،، ایران

5 استاد تمام، گروه روان پرستاری، دانشگاه علوم پزشکی ، اصفهان، ایران

10.48308/apsy.2026.240712.1865

چکیده

هدف: تحمل پریشانی در پرستاران از عوامل محافظتی روان‌شناختی اساسی برای حرفه‌ پرستاری به شمار می‌شود؛ لذا پژوهش حاضر باهدف مقایسه اثربخشی درمان مبتنی بر ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی انجام شد.
 
روش: این مطالعه یک پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری و یک گروه کنترل  بود. از بین پرستاران شاغل در بیمارستان امام خمینی شهرستان فلاورجان 44 نفر به‌صورت نمونه‌گیری هدفمند انتخاب و به‌صورت تصادفی در دو گروه آزمایش و یک گروه کنترل گمارده شدند. ابزار پژوهش مقیاس تحمل پریشانی (سیمونز و گاهر، 2005) بود. دو گروه آزمایش به مدت 8 جلسه تحت درمان قرار گرفتند و گروه کنترل هیچ درمانی دریافت نکردند. داده‌ها از طریق تحلیل واریانس با اندازه‌گیری مکرر تحلیل شدند.
 
یافته‌ها: نتایج پژوهش نشان داد تفاوت بین میانگین در پس‌آزمون و پیگیری، نمرات گروه کنترل با دو گروه درمان ذهنی‌سازی و درمان دیالکتیک معنی‌دار می‌باشد (05/0> p). تفاوت بین میانگین نمرات دو گروه درمان ذهنی‌سازی و درمان دیالکتیک معنی‌دار نمی‌باشد (05/0<P).
 
نتیجه‌گیری: بنابراین می‌توان گفت هر دو روش درمانی مؤثر بوده و موجب افزایش تحمل پریشانی در پرستاران دارای مشکلات خستگی روانی شده‌اند. در ضمن بین اثربخشی دو روش درمان ذهنی‌سازی و درمان دیالکتیک بر تحمل پریشانی پرستاران دارای مشکلات خستگی روانی تفاوت وجود ندارد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparing Effectiveness of Mentalization-Based Therapy and Dialectical Therapy on Distress Tolerance in Nurses with Mental Fatigue Problems

نویسندگان [English]

  • Safieh Hadian 1
  • Akram Dehghani 2
  • Razieh Izadi 3
  • Sheida Jabalameli 4
  • Mousa Alavi 5
1 PhD Student, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Assistant Professor, Department of Psychology, Na.c , Islamic Azad University ،Najafabad , Iran.
3 Assistant Professor, Department of Psychology، Safahan Non-Profit Higher Education Institute, Isfahan, Iran
4 . Assistant Professor, Department of Psychology, , Najafabad Branch، Islamic Azad University ،Najafabad, , Iran.
5 Professor, Department of Psychiatric Nursing, University of Medical Sciences, Isfahan, Iran
چکیده [English]

Aim: Distress tolerance in nurses is considered a fundamental psychological protective factor for nursing profession. Therefore, present study was conducted with aim of comparing effectiveness of mentalization-based therapy and dialectical therapy on distress tolerance in nurses with mental fatigue problems.
 
Method: This study was a quasi-experimental study with a pre-test and post-test design and a control group. 44 nurses working at Imam Khomeini Hospital in Falavarjan were selected through purposive sampling and randomly assigned to two experimental groups and a control group. The research instrument was the Distress Tolerance Scale (Simons & Gaher, 2005). The two experimental groups received treatment for 8 sessions, and control group did not receive any treatment. The data were analyzed through analysis of variance with repeated measures.
 
Results: The research results showed that the difference between the mean scores in the post-test and follow-up for the control group was statistically significant compared to the mentalization therapy and dialectical therapy groups (p < 0.05). However, the difference between the mean scores of the mentalization therapy and dialectical therapy groups was not statistically significant (p > 0.05).
 
Conclusion: Therefore, it can be said that both treatment methods are effective and have increased distress tolerance in nurses with mental fatigue problems. In addition, there is no difference between effectiveness of two methods of mentalization therapy and dialectical therapy on distress tolerance in nurses with mental fatigue problems.

کلیدواژه‌ها [English]

  • Nurses
  • Distress Tolerance
  • Mental Fatigue
  • Dialectical Therapy
  • Mentalization-Based Therapy

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