Journal of Diabetes Nursing
فصلنامه پرستاری دیابت
J Diabetes Nurs
Medical Sciences
http://jdn.zbmu.ac.ir
1
admin
2345-5020
2423-5571
fa
jalali
1404
8
1
gregorian
2025
11
1
13
4
online
1
fulltext
fa
اثربخشی معنادرمانی گروهی بر اضطراب، معنای زندگی و بهزیستی روانشناختی بیماران مبتلابه دیابت نوع 2
The Effectiveness of Group Logotherapy on Anxiety, Meaning in Life, and Psychological Well-being in Patients with Type 2 Diabete
مداخلات برای دیابت
Interventions for diabetes
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">مقدمه</span><span style="background:yellow"><span style="background-color:#ffffff;">: </span></span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">ابتلا به بیماریهای مزمن نظیر دیابت، علاوه بر عوارض جسمانی، با چالشهای روانشناختی متعددی همراه است که کیفیت زندگی بیماران را تحت تأثیر قرار میدهد. شناسایی مداخلات روانشناختی متناسب با رنج بیماریهای مزمن میتواند نقش بسزایی در سازگاری این بیماران داشته باشد؛ از این رو، پژوهش حاضر با هدف بررسی اثربخشی معنادرمانی گروهی بر کاهش اضطراب، افزایش معنای زندگی و بهبود بهزیستی روانشناختی در بیماران مبتلا به دیابت نوع دو انجام شد</span><b><span style="background-color:#ffffff;">.</span></b></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">روش:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> پژوهش حاضر به روش نیمه آزمایشی با طرح پیش آزمون-پس آزمون و گروه کنترل انجام شد. جامعه آماری شامل </span><span style="background:yellow"><span style="background-color:#ffffff;">بیماران مبتلا به دیابت نوع دو</span></span><span style="background-color:#ffffff;"> مراجعهکننده به مراکز درمانی دیابت شهر اصفهان در سال </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۴۰۴</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> بود که از میان آنها </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۳۰</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> نفر به روش نمونهگیری هدفمند انتخاب و بهصورت </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">تصادفیسازی ساده (قرعهکشی)</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> در دو گروه آزمایش (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۵</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> نفر) و کنترل (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۵</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> نفر) جایدهی شدند. گروه آزمایش تحت </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۰</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> جلسه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۹۰</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;"> دقیقهای معنادرمانی گروهی قرار گرفت، درحالیکه گروه کنترل مداخلهای دریافت نکرد. دادهها با استفاده از پرسشنامههای اضطراب کاسکال (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۹۹۰)</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">، معنای زندگی استگر (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۲۰۰۶) </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">و بهزیستی روانشناختی ریف (</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">۱۹۸۹) </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="background-color:#ffffff;">جمعآوری و با روش تحلیل کوواریانس چند متغیری تحلیل شدند.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">یافتهها</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: یافتهها نشان داد که معنادرمانی گروهی بهطور معناداری منجر به کاهش اضطراب </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">(59/0=</span></span></span>η²<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">001/0</span></span></span>p<<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> 14/40=</span></span></span>F<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> افزایش معنای زندگی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">(40/0=</span></span></span>η²<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">001/0</span></span></span>p<<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> 13/18=</span></span></span>F<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">و بهبود بهزیستی روانشناختی (</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">16/0=</span></span></span>η²<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">001/0</span></span></span>p<<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> 18/5=</span></span></span>F<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> در بیماران مبتلابه دیابت نوع دو شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتیجهگیری</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: <span style="background:yellow"><span style="background-color:#ffffff;">بر اساس نتایج، معنادرمانی گروهی از طریق بازتعریف هویت فراتر از برچسب بیماری و کمک به پذیرش رنجهای گریزناپذیر جسمانی، قادر است شاخصهای سلامت روانی بیماران را ارتقا دهد. بنابراین، این مداخله روانشناختی وجودی میتواند بهعنوان یک روش مکمل و کارآمد در کنار درمانهای متداول پزشکی، در برنامههای جامع مراقبتی و حمایتی برای ارتقای بهزیستی و کاهش اضطراب بالینی بیماران مبتلا به دیابت نوع دو مورد استفاده قرار گیرد.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;">Introduction:</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="background-color:#ffffff;">Contracting chronic diseases such as diabetes involves not only physical complications but also numerous psychological challenges that affect patients' quality of life. Identifying psychological interventions tailored to the suffering of chronic illnesses can play a vital role in these patients' adaptation. Therefore, the present study aimed to investigate the effectiveness of group logotherapy on reducing anxiety, increasing the meaning of life, and improving the psychological well-being of patients with type 2 diabetes.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;">Methods:</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;"> This study employed a quasi-experimental design with a pretest-posttest control group. The statistical population consisted of patients </span><span style="background:yellow"><span style="background-color:#ffffff;">with type 2 diab</span></span><span style="background-color:#ffffff;">etes referring to diabetes treatment centers in Isfahan in 2025. from whom 30 individuals were selected through purposive sampling and randomly assigned to experimental (n = 15) and control (n = 15) groups via simple randomization (lottery). The experimental group participated in 10 sessions of 90-minute group logotherapy, while the control group received no intervention. Data were collected using the Cattell Anxiety Questionnaire (1990), the Meaning in Life Questionnaire (Steger, 2006), and Ryff’s Psychological Well-Being Scale (1989). Data analysis was conducted using multivariate analysis of covariance (MANCOVA).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;">Results:</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;"> Findings indicated that group logotherapy significantly reduced anxiety (F = 40.114, P < 0.001, η²= 0.59) increased meaning in life (F= 18.13, P < 0.001, η²= 0.40) and improved psychological well-being (F= 5.18, P < 0.001, η²= 0.16) among patients with type 2 diabetes.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;">Conclusion:</span></span></span></b><span style="font-size:11.0pt"><span style="line-height:150%"><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="background-color:#ffffff;">Based on the results, group logotherapy can enhance patients' mental health indicators by redefining identity beyond the label of illness and fostering acceptance of unavoidable physical suffering. Consequently, this existential psychological intervention can be utilized as an efficient complementary method alongside conventional medical treatments within comprehensive care and support programs to promote well-being and alleviate clinical anxiety in patients with type 2 diabetes.</span></span></span></span></span></span></span><br>
معنادرمانی, اضطراب, معنای زندگی, بهزیستی روانشناختی, دیابت نوع دو
Logotherapy, Anxiety, Meaning in Life, Psychological Well-being, Type 2 Diabetes
0
0
http://jdn.zbmu.ac.ir/browse.php?a_code=A-10-758-1&slc_lang=fa&sid=1
Hassan
Shafiei
حسن
شفیعی
h_shafiee@pnu.ac.ir
10031947532846007890
10031947532846007890
Yes
Azam
Seyedan Ghaleh Jozdani
اعظم
سیدان قلعه جوزدانی
azamseyyedan@yahoo.com
10031947532846007891
10031947532846007891
No