مجله علوم پزشکی صدرا

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اخبار و اعلانات

اثربخشی درمان مبتنی بر پذیرش و تعهد بر فرسودگی شغلی، فرسودگی زناشویی و تاب‌آوری خانواده پرستاران در زمان شیوع کووید-19

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری مشاوره، دانشکده روانشناسی و علوم تربیتی، دانشگاه خوارزمی تهران، ایران

2 استاد، دکترای تخصصی مشاوره، دانشکده روانشناسی و علوم تربیتی، دانشگاه خوارزمی تهران، ایران

3 دانشیار، دکترای تخصصی مشاوره، دانشکده روانشناسی و علوم تربیتی، دانشگاه خوارزمی تهران، ایران

4 دانشیار، دکترای تخصصی زنان و زایمان (فلوشیپ آنکولوژی زنان)، دانشکده علوم پزشکی، دانشگاه تهران، ایران

10.30476/smsj.2024.98096.1404

چکیده

مقدمه: با توجه به اهمیت شغل پرستاری که حلقه اتصال بین سازمان بهداشت و درمان کشور و بیماران است، اغلب پژوهش‌های اخیر، درصدد بررسی مشکلات شغلی و خانوادگی پرستاران بوده و پژوهش‌های کمتری به مداخله و رویکردهای درمانی در این خصوص پرداخته‌اند. پژوهش حاضر با هدف اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد بر فرسودگی شغلی، فرسودگی زناشویی و تاب‌آوری خانواده پرستاران متأهل انجام گرفته است.
مواد و روش‌ها: روش پژوهش آزمایشی با طرح پیش‌آزمون-پس‌آزمون-پیگیری بود. جامعه آماری همه پرستاران یکی از بیمارستان‌های تهران در سال 1399-1401 در دوران شیوع کرونا بود. نمونه شامل 24 پرستار (12 نفر گروه آزمایش و 12 نفر گروه کنترل) بودند که به روش نمونه‌گیری تصادفی ساده انتخاب شدند. پرسشنامه‌های مورد استفاده در این پژوهش پرسشنامه فرسودگی شغلی مسلش (1981)، فرسودگی زناشویی پاینز (1996) و تاب‌آوری خانواده سیکسبی (2005) بود. داده‌ها با آزمون تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی تحلیل شدند.
یافته‌ها: نتایج نشان داد که درمان مبتنی بر پذیرش و تعهد منجر به کاهش معنادار (01/0>P) فرسودگی شغلی، فرسودگی زناشویی و افزایش معنادار تاب‌آوری خانواده در پرستاران متأهل شده است (01/0>P). همچنین در مراحل پیگیری، اثر درمان مبتنی بر پذیرش و تعهد بر فرسودگی شغلی حفظ شده است (01/0>P).
نتیجه‌گیری: از مهم‌ترین کاربردهای مبتنی بر یافته‌های به دست آمده در این مطالعه می‌توان به این نکته اشاره کرد که با تمرکز بر فرآیندهای پذیرش و تمرکز ذهنی می‌توان به کاهش فرسودگی شغلی و زناشویی پرستاران کمک کرد. برهمین اساس، پیشنهاد می‌شود سیاست‌گذاران حوزه بهداشت و درمان نسبت به این رویکرد درمانی در تصمیم‌گیری‌های خود توجه داشته باشند.

تازه های تحقیق

Shahrbanoo Salehi (Google Scholar)

Kianoush Zahrakar (Google Scholar)

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy on Occupational Burnout, Couple Burnout, and Family Resilience Among Nurses

نویسندگان [English]

  • Shahrbanoo Salehi 1
  • Kianoush Zahrakar 2
  • Esmaeil Asadpour 3
  • Afsaneh Tehranian 4

1 1PhD Counseling Student, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran

2 Professor, PhD in Counseling, Faculty of Psychology and Educational Sciences, Khurazmi University, Tehran, Iran

3 Associate Professor, PhD in Counseling, Faculty of Psychology and Educational Sciences, Khurazmi University, Tehran, Iran

4 Associate Professor, Doctor of Obstetrics and Gynecology (Gynecological Oncology Fellowship), Faculty of Medical Sciences, University of Tehran, Iran

چکیده [English]

Introduction: Considering the importance of the nursing profession, which serves as the link between the country’s health and treatment organization and patients, most recent research has aimed to investigate nurses’ career and family problems. However, fewer studies have addressed intervention and treatment approaches in this regard. This research was conducted to investigate the effectiveness of group therapy, based on acceptance and commitment, on occupational burnout, couple burnout, and family resilience among married nurses.
Methods: The research method was experimental, utilizing a pre-test-post-test design with follow-up phases at one month and three months. The statistical population comprised all the nurses from one of the hospitals in Tehran during the 2020-2022 Coronavirus outbreak. The sample consisted of 24 nurses, 12 in the experimental and 12 in the control group, selected via simple random sampling. The questionnaires used in this research were Meslash’s Burnout Inventory (1981), Pines’s Couple Burnout Measure (1996), and Sixbey’s Family Resilience Assessment Scale (2006). The data were analyzed using a one-way repeated measures Analysis of Variance.
Results: The results demonstrated that therapy based on acceptance and commitment significantly reduced occupational and couple burnout and increased family resilience among married nurses (P<0.01). Furthermore, the effects of treatment based on acceptance and commitment were maintained in the follow-up stages (P<0.01).
Conclusion: One of the key implications of this study’s findings is that emphasizing acceptance processes and mental focus can help mitigate occupational and couple burnout among nurses. Consequently, it is recommended that policymakers in the healthcare sector consider this therapeutic approach in their decision-making processes.

کلیدواژه‌ها [English]

  • Acceptance and commitment therapy
  • Occupational burnout
  • Couple burnout
  • and Family Resilience Nurses
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مجله علوم پزشکی صدرا
دوره 12، شماره 2
فروردین 1403
صفحه 175-192
فایل ها
هم رسانی
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