اثربخشی برنامه مداخله روان شناختی خانواده محور بر بهبودی نشاط معنوی در بیماران مبتلا به مالتیپل اسکلروزیس

مقدمه: پژوهش ها درباره تدوین و اثربخشی برنامه مداخله روان شناختی خانواده محور بر اهمیت ارتقای نشاط معنوی در بیماران مبتلا به مالتیپل اسکلروزیس محدود است. لذا هدف پژوهش حاضر علاوه بر تدوین برنامه، تعیین اثربخشی مداخله روان شناختی خانواده محور بر بهبودی نشاط معنوی در مبتلایان به  مالتیپل اسکلروزیس بود.روش کار: طرح پژوهش شامل دو بخش کیفی و کمی بود. در بخش کیفی برنامه مداخله خانواده محور تدوین شد و در بخش کمی این پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون-پس آزمون با پیگیری سه ماهه به همراه گروه کنترل بود. در بخش کیفی جامعه آماری شامل اساتید روانشناسی، بیماران  مالتیپل اسکلروزیس و روانشناسان ساکن تهران بود که سابقه کار با بیماران مالتیپل اسکلروزیس را داشتند. نمونه شامل 4 نفر از اساتید روانشناسی، 4 نفر از روانشناسانی که تجربه کار با بیماران مالتیپل اسکلروزیس را داشتند و 4 بیمار مبتلا به مالتیپل اسکلروزیس بود که به روش هدفمند انتخاب شدند. در بخش کمی جامعه آماری پژوهش شامل کلیه بیماران مبتلا به مالتیپل اسکلروزیس ساکن تهران که عضو انجمن ام اس بودند و در بهار 1402 به انجمن ام اس مراجعه کردند. به منظور تشکیل دو گروه با استفاده از روش نمونه‌گیری هدفمند، ابتدا 32 نفر  انتخاب شدند و سپس به صورت تصادفی در دو گروه آزمایش و گروه کنترل گروه‌بندی شدند. از پرسشنامه و نظرسنجی به منظور گردآوری داده های بخش کیفی استفاده شد، همچنین از پرسشنامه نشاط معنوی افروز (1395)، برای جمع آوری داده ها در بخش کمی استفاده شد. داده های پژوهش در بخش کیفی به وسیله روش لاوشه و داده ها در بخش کمی با استفاده از آزمون های تحلیل واریانس مختلط با اندازه گیری های تکراری در نرم افزار spss نسخه 22 تحلیل شد.یافته ها: نتایج بررسی روایی برنامه تدوین شده نشان داد، برنامه روانشناختی خانواده محور از روایی بالایی برخوردار است (0.84=r). دیگر نتایج نشان داد، بین نشاط معنوی (5.730=f، 0.023=p) و مولفه های آن شامل احساس و رفتار (5.395=f، 0.027=p)  و باورها (5.754=f، 0.023=p) در گروه آزمایش و کنترل تفاوت معنادار وجود دارد و این تفاوت در نتیجه اجرای مداخله برنامه روانشناختی خانواده محور در گروه آزمایش است.نتیجه گیری: با توجه به نتایج یافته های این پژوهش، برنامه مداخله خانواده محور تدوین شده روشی موثر در بهبود نشاط معنوی در بیماران مبتلا به مالتیپل اسکلروزیس است لذا به درمانگران و مراکز مالتیپل اسکلروزیس بر لزوم استفاده از برنامه های مداخله روانشناختی خانواده محور جهت بهبود وضعیت روانشناختی این بیماران پیشنهاد می شود.

development and effectiveness of a family-oriented psychological intervention program on improving spiritual vitality in patients with multiple sclerosis

introduction: researches about the development and effectiveness of the family-centered psychological intervention program on the importance of promoting spiritual vitality in patients with multiple sclerosis are limited. therefore, the aim of the current research, in addition to developing a program, was to determine the effectiveness of family-oriented psychological intervention on the improvement of spiritual vitality in patients with multiple sclerosis.methods: the research design included two qualitative and quantitative parts. in the qualitative part, a family-centered intervention program was developed and in the quantitative part of this research, it was a semi-experimental type with a pre-test-post-test design with a three-month follow-up along with a control group. in the qualitative part, the statistical population included psychology professors, multiple sclerosis patients and psychologists living in tehran who had experience working with multiple sclerosis patients. the sample included 4 psychology professors, 4 psychologists who had experience working with multiple sclerosis patients, and 4 patients with multiple sclerosis who were selected in a targeted manner. in the quantitative part, the statistical population of the study includes all patients with multiple sclerosis living in tehran who were members of the ms association and in the spring of 2023, they referred to the ms association. in order to form two groups using the purposeful sampling method, first, 32 people were selected and then they were randomly grouped into two experimental and control groups. questionnaires and surveys were used to collect qualitative data. also, afrooz spiritual vitality questionnaire (2015) was used to collect data in the quantitative part. the research data were analyzed in the qualitative part by the laushe method and the data in the quantitative part by using mixed variance analysis tests with repeated measurements in spss software version 22.results: the results of the validation of the developed program showed that the family-oriented psychological program has high validity (r=0.84). other results showed that between spiritual vitality (f = 5.730, p = 0.023) and its components including feelings and behavior (f = 5.395, p = 0.027) and beliefs (5.754). f, p=0.023) there is a significant difference in the experimental and control groups, and this difference is the result of the implementation of the family-oriented psychological program intervention in the experimental group.conclusions: according to the results of this research, the developed family-centered intervention program is an effective method in improving spiritual vitality in patients with multiple sclerosis, therefore, multiple sclerosis therapists and centers are advised to use family-oriented psychological intervention programs to improve the psychological status of these patients.introduction: researches about the development and effectiveness of the family-centered psychological intervention program on the importance of promoting spiritual vitality in patients with multiple sclerosis are limited. therefore, the aim of the current research, in addition to developing a program, was to determine the effectiveness of family-oriented psychological intervention on the improvement of spiritual vitality in patients with multiple sclerosis.methods: the research design included two qualitative and quantitative parts. in the qualitative part, a family-centered intervention program was developed and in the quantitative part of this research, it was a semi-experimental type with a pre-test-post-test design with a three-month follow-up along with a control group. in the qualitative part, the statistical population included psychology professors, multiple sclerosis patients and psychologists living in tehran who had experience working with multiple sclerosis patients. the sample included 4 psychology professors, 4 psychologists who had experience working with multiple sclerosis patients, and 4 patients with multiple sclerosis who were selected in a targeted manner. in the quantitative part, the statistical population of the study includes all patients with multiple sclerosis living in tehran who were members of the ms association and in the spring of 2023, they referred to the ms association. in order to form two groups using the purposeful sampling method, first, 32 people were selected and then they were randomly grouped into two experimental and control groups. questionnaires and surveys were used to collect qualitative data. also, afrooz spiritual vitality questionnaire (2015) was used to collect data in the quantitative part. the research data were analyzed in the qualitative part by the laushe method and the data in the quantitative part by using mixed variance analysis tests with repeated measurements in spss software version 22.results: the results of the validation of the developed program showed that the family-oriented psychological program has high validity (r=0.84). other results showed that between spiritual vitality (f = 5.730, p = 0.023) and its components including feelings and behavior (f = 5.395, p = 0.027) and beliefs (5.754). f, p=0.023) there is a significant difference in the experimental and control groups, and this difference is the result of the implementation of the family-oriented psychological program intervention in the experimental group.conclusions: according to the results of this research, the developed family-centered intervention program is an effective method in improving spiritual vitality in patients with multiple sclerosis, therefore, multiple sclerosis therapists and centers are advised to use family-oriented psychological intervention programs to improve the psychological status of these patients.