اثربخشی آموزش یوگای خنده بر کیفیت زندگی و سلامت روانی زنان دچار دیابت

ﻫﺪف: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ آﻣﻮزش ﯾﻮﮔﺎی ﺧﻨﺪه ﺑﺮ ﺳﻼﻣﺖ روان و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ اﻧﺠﺎم ﺷﺪ. روش: روش ﭘﮋوﻫﺶ ﺷﺒﻪ آزﻣﺎﯾﺸﯽ ﺑﺎ ﮔﺮوه آزﻣﺎﯾﺶ و ﮔﻮاه، ﻃﺮح ﭘﯿﺶ آزﻣﻮن، ﭘﺲ آزﻣﻮن و ﭘﯿﮕﯿﺮی دو ﻣﺎﻫﻪ ﺑﻮد. ﺟﺎﻣﻌﻪ ی آﻣﺎری ﺗﻌﺪاد 70 ﻧﻔﺮ، ﻣﻌﻠﻤﺎن زن ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ ﻣﺪارس ﻣﻨﺎﻃﻖ 1و 2 آﻣﻮزش و ﭘﺮورش ﺷﻬﺮﺳﺘﺎن زاﻫﺪان در ﺳﺎل 1397 درﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪ. اﯾﻦ اﻓﺮاد از ﻃﺮﯾﻖ ارﺳﺎل ﺑﺨﺸﻨﺎﻣﻪ از ﺳﻮی آﻣﻮزش و ﭘﺮورش، ﺷﻨﺎﺳﺎﯾﯽ ﺷﺪﻧﺪ ﮐﻪ60 ﻧﻔﺮﺷﺎن ﻣﻌﯿﺎرﻫﺎی ورود و ﺧﺮوج ﭘﮋوﻫﺶ را ﺗﺎﻣﯿﻦ ﻣﯽ ﮐﺮدﻧﺪ. اﯾﻦ 60 ﻧﻔﺮ ﺑﺎ اﺳﺘﻔﺎده از روش ﻧﻤﻮﻧﻪ ﮔﯿﺮی ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه 30 ﻧﻔﺮه ی آزﻣﺎﯾﺶ و ﮔﻮاه ﺟﺎﯾﮕﺬاری ﺷﺪﻧﺪ. ﺑﺮﻧﺎﻣﻪ ﯾﻮﮔﺎی ﺧﻨﺪه ﭘﺰﺷﮑﯽ (1391) در 8 ﺟﻠﺴﻪ 60 دﻗﯿﻘﻪ ای ﮔﺮوﻫﯽ، ﺑﺮ روی اﻋﻀﺎی ﮔﺮوه آزﻣﺎﯾﺶ اﺟﺮا ﮔﺮدﯾﺪ و ﺳﻼﻣﺖ روان و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ اﻓﺮاد ﻫﺮ دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮔﻮاه ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮﺳﺸﻨﺎﻣﻪ ﻫﺎی ﺳﻼﻣﺖ ﻋﻤﻮﻣﯽ ﮔﻠﺪﻧﺒﺮگ و ﻫﯿﻠﺮ (1978)، و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﭘﺎرﮐﺮﺳﻮن، ﺑﺮاودﻫﯿﺪ و ﺗﺲ (1990) ﺳﻨﺠﯿﺪه ﺷﺪ. داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮن ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ ﻣﺨﺘﻠﻂ ﺑﺎ اﻧﺪازه ﮔﯿﺮی ﻣﮑﺮر ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﻧﺘﺎﯾﺞ ﺣﺎﮐﯽ از ﺗﺄﺛﯿﺮ آﻣﻮزش ﯾﻮﮔﺎی ﺧﻨﺪه ﺑﺮ ﻋﻼﺋﻢ ﺟﺴﻤﺎﻧﯽ (4/55 =f، 0/037 =p)، ﻋﻼﺋﻢ اﺿﻄﺮاﺑﯽ و اﺧﺘﻼل ﺧﻮاب (3/33 =p= 0/024 ،f)، ﮐﺎرﮐﺮد اﺟﺘﻤﺎﻋﯽ (4/35 =p= 0/041 ،f)، ﻋﻼﺋﻢ اﻓﺴﺮدﮔﯽ (4/92 =p= 0/030 ،f) و ﻧﻤﺮه ﮐﻞ ﺳﻼﻣﺖ روان(3/68 =f، 0/046 =p) و ﻧﻤﺮه ﮐﻞ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ (6/63 =p= 0/021 ،f) و ﭘﺎﯾﺪاری اﯾﻦ ﺗﺄﺛﯿﺮ در ﻣﺮﺣﻠﻪ ﭘﯿﮕﯿﺮی ﺑﻮد. ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﯾﺎﻓﺘﻪ ﻫﺎ ﻧﺸﺎن ﻣﯽ دﻫﻨﺪ ﮐﻪ ﯾﻮﮔﺎی ﺧﻨﺪه ﺑﺮ اﻓﺰاﯾﺶ ﺳﻼﻣﺖ روان و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ دﯾﺎﺑﺖ، ﺗﺎﺛﯿﺮ داﺷﺘﻪ اﺳﺖ.

Effectiveness of laughter Yoga training on quality of life and mental health of Diabetic women

Aim: The purpose of this study was to determine the effectiveness of laughter yoga training on quality of life and mental health of women with diabetes. Method: A quasiexperimental study with two experimental groups, a control group, pretest, posttest and twomonth followup and the statistical population was 70 female teachers with diabetes in Zahedan in 1397. Sixty women were selected from this community in an accessible manner and randomly assigned 30 individuals in each of the experimental and control groups. Research tools Goldberg and Hiller (GHQ28) and Parkerson and Berhadot (1990) and Health Laughter Yoga Program (2011) were administered to the experimental group in eight 60minute group sessions once a week. Data were analyzed using repeated measures analysis of variance. Results: The results indicated the effect of laughter yoga training on physical symptoms (F=4.55, P = 0.037), anxiety symptoms and sleep disorder (F = 3.33, P = 0.024), social functioning (F = 4.35, P = 0.041), depressive symptoms (F = 4.92, P=0.030), total mental health score (F = 3.68, P = 0.046), and Total Quality of Life Score (F = 5.12, P = 0/021) and this effect was sustained at followup. Conclusion: According to the findings of this study, laughter yoga training can be used as a complementary therapy along with other therapies to improve the mental health and quality of life of women with diabetes.