بررسی اثربخشی درمان شناختی رفتاری بر ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ
محورهای موضوعی : روان درمانییگانه ابراهیمی 1 , فاطمه معقول 2 , حسن رضایی جمالویی 3
1 - گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، اصفهان، ایران
2 - مرکز تحقیقات بیماری های گوارش پورسینای حکیم، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.
3 - گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، اصفهان، ایران
کلید واژه: درمان شناختی رفتاری, ترس از عود سرطان, سرطان روده بزرگ,
چکیده مقاله :
تعداد فزایندهای از بیماران مبتلا به سرطان دستگاه گوارش از عوارض جانبی درمان سرطان رنج میبرند که میتواند بر سلامت روانی- اجتماعی آنها از جمله وضعیت خلقی و کیفیت زندگی آنها تأثیر بگذارد. هدف از پژوهش حاضر، بررسی اثربخشی درمان شناختی- رفتاری بر ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ بود. این مطالعه بصورت نیمه آزمایشی با طرح پیش آزمون – پس آزمون با گروه کنترل بود. 22 نفر با روش نمونه گیری هدفمند به عنوان نمونه مورد نظر پژوهش انتخاب شدند و سپس به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. ابزار گردآوری داده ها پرسشنامه 42 سوالی ترس از عود سرطان بود. برای هر دو گروه پرسشنامه ترس از عود سرطان تکمیل شد. سپس، گروه آزمایش در جلسات آموزشی درمان شناختی رفتاری به مدت 8 جلسه 90 دقیقه ای شرکت کردند اما گروه کنترل مداخله ای دریافت نکرد. میانگین (انحراف معیار) نمره کل ترس از عود سرطان در گروه آزمایش از پیش آزمون به پس آزمون کاهش یافت و تفاوت معنی دار بود ولی در گروه کنترل این میانگین ها تفاوت چندانی با یکدیگر نداشتنند. بر اساس یافته های به دست آمده از پژوهش حاضر، درمان شناختی رفتاری می تواند باعث کاهش ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ شود.
An increasing number of patients with colorectal cancer suffer from side effects of cancer treatment, which can affect their psychosocial health, including their mood and quality of life. The purpose of this study was to investigate the effectiveness of cognitive behavioral therapy on the fear of cancer recurrence in patients with colorectal cancer. This study was semi-experimental with a pre-test-post-test design with a control group. 22 people were selected as the target sample of the research with the purposeful sampling method and then they were randomly divided into two experimental and control groups. The data collection tool was the 42-question Fear of cancer recurrence questionnaire. Questionnaire was completed for both groups. Then, the experimental group participated in cognitive behavioral therapy training sessions for 8 sessions of 90 minutes, but the control group did not receive any intervention. The mean (standard deviation) of the total score of fear of cancer recurrence in the experimental group decreased from pre-test to post-test and the difference was significant but in the control group, these averages did not differ much from each other. Based on the findings of the present study, cognitive behavioral therapy can reduce the fear of cancer recurrence in patients with colorectal cancer.
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