اثر بخشی درمان شناختی رفتاری بر کیفیت زندگی، اضطراب و خستگی روانی پرستاران بخش سرطان: یک مطالعه کارآزمایی بالینی

مقدمه: پرستاران به عنوان یکی از اعضای تیم مراقبت با استرس شغلی مواجهه هستند و استرس های مداوم بر سلامت روان آنها تاثیر می گذارد. این مطالعه با هدف تاثیر درمان شناختی رفتاری بر کیفیت زندگی، اضطراب و خستگی روانی پرستاران بخش سرطان در سال 1396 انجام شد.روش کار: روش پژوهش از نوع نیمه تجربی با طرح پیش آزمونپس آزمون گروه با گروه کنترل است. جامعه ی آماری پژوهش شامل را پرستارن سرطان مرکز درمانی شهید قاضی تبریز در سال 1396 تشکیل می دادند. 30 نفر به صورت نمونه گیری در دسترس انتخاب شدند و به روش تخصیص تصادفی در دو گروه آزمایش و کنترل (15نفر برای هر گروه) قرار گرفتند. گروه آزمایش در 10 جلسه 45 دقیقه ای درمان شناختی رفتاری به صورت گروهی شرکت کردند. در حالی که گروه کنترل هیچ مداخله ای دریافت نکردند. قبل از شروع درمان، و پس از درمان پرسشنامه های کیفیت زندگی، اضطراب و خستگی روانی در اختیاران گروه آزمایش و کنترل قرار گرفت. داده های جمع آوری شده با کمک آزمون تحلیل کوورایانس چندمتغیره (mancoa) با نرم افزار spss تجزیه و تحلیل شدند.یافته ها: نتایج نشان داد که بین میانگین نمرات گروه آزمایش و کنترل در پس آزمون تفاوت معناداری وجود دارد و درمان شناختی رفتاری به طور معناداری موجب افزایش کیفیت زندگی و کاهش اضطراب و خستگی پرستاران شده است (0.001>p).نتیجه گیری: با توجه به نتایج، می توان از این روش درمانی به عنوان یک فعالیت درمانی موثر در بهبود کیفیت زندگی، کاهش اضطراب و خستگی پرستاران در جهت پیشبرد اهداف بهداشتی و مراقبتی استفاده کرد.

Efficacy of Cognitive Behavior Therapy on Quality of life, Anxiety and Fatigue of cancer section’s nurses: A Clinical Trail study

Introduction: As one of the members of the care team, nurses are confronted with a lot of workassociated stress whereby they will experience mental health problem if this stress continues. This study aims at investigating the efficacy of cognitive behavior therapy on quality of life, anxiety and fatigue of cancer section nurse rsquo;s at 2017. Methods: Research method was quasi experimental with pretestposttest design with control group. The study population of this study included nurses employed at cancer section in Shahid Ghazi Hospital. 30 nurses were selected by available sampling method and randomly were allocated in two groups of experimental and control (30 participants for each group). Experimental group participated in 10 sessions of 45minute group cognitive behavior therapy and control group received no intervention. Subjects in both experimental and control groups have answered quality of life, anxiety and fatigue scales before treatment and after treatment. Data were analyzed by multivariate analysis of covariance (MANCOVA). Results: Results indicated that there were significant differences in posttest mean scores of experimental and control groups and cognitive behavior therapy could significantly increase quality of life and reduce anxiety and fatigue of nurses (P < 0.001). Conclusions: According to the results, this therapeutic approach can be used as an effective therapeutic activity in improving quality of life and decreasing anxiety and fatigue of nurses in order to promote health and care purposes. Based on research findings it is recommended by cognitive behavior therapy for nurses, the quality of life, anxiety and fatigue be changed.Key words: Cognitive Behavioral Therapy, Quality of Life, Anxiety, Fatigue, NurseIntroduction: As one of the members of the care team, nurses are confronted with a lot of workassociated stress whereby they will experience mental health problem if this stress continues. This study aims at investigating the efficacy of cognitive behavior therapy on quality of life, anxiety and fatigue of cancer section nurse rsquo;s at 2017. Methods: Research method was quasi experimental with pretestposttest design with control group. The study population of this study included nurses employed at cancer section in Shahid Ghazi Hospital. 30 nurses were selected by available sampling method and randomly were allocated in two groups of experimental and control (30 participants for each group). Experimental group participated in 10 sessions of 45minute group cognitive behavior therapy and control group received no intervention. Subjects in both experimental and control groups have answered quality of life, anxiety and fatigue scales before treatment and after treatment. Data were analyzed by multivariate analysis of covariance (MANCOVA). Results: Results indicated that there were significant differences in posttest mean scores of experimental and control groups and cognitive behavior therapy could significantly increase quality of life and reduce anxiety and fatigue of nurses (P < 0.001). Conclusions: According to the results, this therapeutic approach can be used as an effective therapeutic activity in improving quality of life and decreasing anxiety and fatigue of nurses in order to promote health and care purposes. Based on research findings it is recommended by cognitive behavior therapy for nurses, the quality of life, anxiety and fatigue be changed.