fa اثربخشی مداخله معنادرمانی گروهی بر کیفیت زندگی، تنظیم هیجان و امید به زندگی زنان مبتلا به سرطان پستان روانپزشکی psychology پژوهشي اصیل Original Atricle <span style="font-size:11pt"><span style="line-height:101%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">بیماری سرطان پستان موجب بروز مشکلات روان‌شناختی و کاهش سلامت روان در افراد می‌شود، برای رفع این مشکلات به مداخلات درمانی نیاز است. این پژوهش با هدف تعیین اثربخشی مداخله معنادرمانی گروهی بر کیفیت زندگی، تنظیم هیجان و امید به زندگی زنان مبتلا به سرطان پستان انجام شد</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black">. </span></span></span></span><span lang="FA" style="line-height:101%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:104%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش کار:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش پژوهش،<b> </b>نیمه تجربی</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">با</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">طرح</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">پیش‌آزمون-پس‌آزمون</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">با</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">گروه شاهد</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">بود. جامعه</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">آماری<b> </b>شامل کلیه زنان مبتلا به سرطان پستان مراجعه‌کننده به بیمارستان افضلی‌پور کرمان در سال 1402 بود. از</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">بین</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">آن‌ها</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">تعداد 30 نفر با رضایت کتبی آگاهانه به روش نمونه‌گیری در دسترس</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">انتخاب</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">و</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">به صورت</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">تصادفی و با روش قرعه‌کشی</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">در</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">دو</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">گروه</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">آزمایش</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">و</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">شاهد (15 نفر در گروه آزمایش و 15 نفر در گروه شاهد) جایگزین شدند. افراد</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">حاضر</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">در</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">گروه</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">آزمایش</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">مداخله معنادرمانی گروهی (10 جلسه)</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">و هر هفته دو جلسه و به مدت</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">90 دقیقه</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">دریافت</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">نمودند</span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:104%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> .</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">پرسشنامه‌های</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">مورد</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">استفاده</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">در</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">این</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">پژوهش</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">شامل پرسشنامه‌های کیفیت زندگی، تنظیم هیجان و امید به زندگی بود که در دو مرحله پیش‌آزمون و پس‌آزمون اجرا شدند. داده‌های</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">پژوهش</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">با روش</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">تحلیل</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">کوواریانس تجزیه</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">و</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">تحلیل</span></span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">شد</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:104%"><span b="" nazanin="" style="font-family:"><span style="color:black">. </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:104%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:102%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته‌ها:</span></span></span></span></b> <span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتایج نشان داد قبل از مداخله تفاوت معنی‌داری بین میانگین نمرات کیفیت زندگی، تنظیم هیجان و امید به زندگی گروه مداخله و شاهد وجود ندارد، ولی بین میانگین این نمرات در گروه مداخله و شاهد بعد از مداخله تفاوت معنی‌دار آماری وجود داشت. میانگین و انحراف معیار کیفیت زندگی در پس‌آزمون 29/75</span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> &plusmn; </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">6/91، تنظیم هیجان 98/28 </span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">&plusmn; </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">10/25 و امید به زندگی 39/51</span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> &plusmn; </span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">6/49 به دست آمد (0/001 </span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P <</span></span></span></span><span lang="FA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">)</span></span></span></span><span lang="AR-SA" style="font-size:9.0pt"><span style="line-height:102%"><span b="" nazanin="" style="font-family:"><span style="color:black">.</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:102%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه گیری:</span></span></span></span></b> <span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">با توجه به نتایج این پژوهش معنادرمانی گروهی موجب افزایش کیفیت زندگی، تنظیم هیجان و امید به زندگی در زنان مبتلا به سرطان شده بود. از آن‌جایی که وضعیت روانی مطلوب بیماری در بهبودی آن‌ها تأثیر دارد، بنابراین استفاده از این روش به عنوان یک استراتژی اثربخش برای کاهش مشکلات روان‌شناختی بیماران توصیه می‌شود</span></span></span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">.</span></span></span></span> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet="">Introduction:</span></span></b> <span lang="EN" style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet="">Breast cancer causes psychological problems and decreases psychological health in people, therapeutic interventions are needed to solve these problems. This research was conducted to determine the effectiveness of group meaning therapy intervention on the quality of life, emotional regulation, and life expectancy of women with breast cancer</span></span><span style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet="">.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet=""><span style="letter-spacing:-.1pt">Methods:</span></span></span></b> <span lang="EN" style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet=""><span style="letter-spacing:-.1pt">The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all women with breast cancer referring to the health centers of Kerman city in 2023. Among them, 30 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (15 individuals in the experimental group and 15 in the control group). The people in the experimental group received group-meaning therapy intervention (10 sessions) and two sessions weekly for 90 minutes. The questionnaires used in this research included quality of life, emotion regulation, and life expectancy questionnaires administered in two phases: pre-test and post-test.</span></span></span><span style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet=""><span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet="">Results: </span></span></b><span lang="EN" style="font-size:8.0pt"><span ms="" style="font-family:" trebuchet="">The results showed that before the intervention, there was no significant difference between the average scores of the quality of life, emotion regulation, and life expectancy of the intervention and control groups, but there was a statistically significant difference between the average scores of the intervention and control groups after the intervention. The mean and standard deviation of the quality of life in the post-test was 6.91 &plusmn; 29.75, emotion regulation was 10.25 &plusmn; 98.28, and life expectancy was 6.49 &plusmn; 39.51 (P < 0.001).</span></span><span style="font-size:8.0pt"><span style="font-family:"Trebuchet MS",sans-serif"></span></span></span></span></span></span></span><br> <b><span style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">Conclusions:</span></span></span></b> <span lang="EN" style="font-size:8.0pt"><span style="line-height:115%"><span ms="" style="font-family:" trebuchet="">According to the results of this research, group therapy increased the quality of life, emotion regulation, and life expectancy in women with cancer. Since the favorable mental state of the patient affects their recovery, the use of this method is recommended as an effective strategy to reduce the psychological problems of patients.</span></span></span> معنادرمانی؛ کیفیت زندگی؛ تنظیم هیجان؛ امید به زندگی؛ سرطان پستان Meaning therapy, Quality of life, Emotion regulation, Life expectancy, Breast cancer 146 153 http://jams.arakmu.ac.ir/browse.php?a_code=A-10-7460-1&slc_lang=fa&sid=1 Zahra Ghanbari Zarandi زهرا قنبری زرندی ghanbari.z@pnu.ac.ir 4600319475328460088364 4600319475328460088364 Yes Department of Psychology and Educational Sciences, Payam Noor University, Tehran, Iran گروه روانشناسی و علوم تربیتی، دانشگاه پیام‌نور، تهران، ایران