fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب درد و کیفیت زندگی زنان با تجربه جراحی پستان مديريت درد مزمن Chronic pain managment پژوهشي Original <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">زمینه و هدف</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">: عمل ماستکتومی زنان را درگیر مشکلات روان‌شناختی از جمله افزیش اضطراب درد و کاهش کیفیت زندگی می‌کند. هدف پژوهش حاضر تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب درد و کیفیت زندگی زنان با تجربه جراحی پستان بود.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">مواد و روش‌‌ها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">: روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. در مجموع، 30 زن با داشتن ملاک‌های ورود به‌مطالعه با روش نمونه‌گیری هدفمند و از میان کلیه زنان ماستکتومی‌شده شهر تبریز در سال 1403 که مشغول گذراندن دوره پرتودرمانی خود بودند انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. اعضای گروه‌ آزمایش درمان مختص خود را در 8 جلسه 5/1 ساعته دریافت کردند، اما گروه کنترل درمانی دریافت نکردند. هر دو گروه، پیش، پس و 4 ماه پس از مداخله به‌ پرسشنامه‌های 20 سوالی اضطراب درد مک</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">کراکن</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">دینگرا و 36 سوالی کیفیت زندگی پاسخ دادند. داده</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:Arial">‌</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">ها توسط آزمون تحلیل واریانس با اندازه‌گیری مکرر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تجزیه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تحلیل</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتایج: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">بین</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نمرات</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">اضطراب درد و کیفیت زندگی گروه آزمایش و کنترل</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">پیش</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:Arial">‌</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">آزمون</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تفاوت معنی‌داری</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">وجود</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نداشت (05/0</span></span></span><span lang="FA" new="" roman="" style="font-family:" times=""><</span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">). نتایج نشان داد که درمان مبتنی بر پذیرش و تعهد در مقایسه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با گروه کنترل، اضطراب درد و کیفیت زندگی زنان با تجربه جراجی پستان را در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">پس‌آزمون به‌ترتیب کاهش و افزایش داده است (001/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">). تأثیر درمان مبتنی بر پذیرش و تعهد بر اضطراب درد و کیفیت زندگی در مرحله پیگیری ماندگار بود (001/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">).</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتیجه‌گیری</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">: به‌نظر می‌رسد درمان مبتنی بر پذیرش و تعهد می‌تواند سبب کاهش اضطراب درد و افزایش کیفیت زندگی زنان با تجربه جراجی پستان شود، از این&rlm;رو به احتمال زیاد می&rlm;تواند راهبرد درمانی مفیدی برای بهبود اضطراب درد و کیفیت زندگی زنان با تجربه جراجی پستان باشد.</span></span></span><span style="font-family:"B Zar"" lang="FA"></span></span></span></span></span></span> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Aims and background</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Mastectomy causes women to experience psychological problems, including increased pain anxiety and decreased quality of life. The aim of this study was to determine the effectiveness acceptance & commitment therapy on pain anxiety and quality of life in women with breast surgery experience.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">:</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This study was a quasi-experimental with a pretest-posttest </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">design and follow-up with a control group.</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In total, 30 women </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">who met the inclusion criteria were selected through purposive sampling from among all women who had undergone mastectomy in <st1:place w:st="on"><st1:city w:st="on">Tabriz</st1:city></st1:place> in 2024 and were undergoing radiation therapy, and were randomly assigned to two experimental and control groups.</span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Members of the experimental group received their specific treatment in eight sessions of 1.5-hour, however, the control group did not receive treatment.</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Both groups answered the 20-question McCracken and Dhingra pain anxiety and the 36-question quality of life questionnaires, before, after, and 4 months after the intervention. Data were Analyzed using ANOVA with repeated measures.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:<b> </b></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">There was no significant difference between the pain anxiety and quality of life in the experimental and control groups in the pretest (P<0.05). The results showed that acceptance and commitment therapy, compared to the control group, reduced and increased pain anxiety and quality of life in women with breast surgery experience in the post-test, respectively (P<0.001). The effect of acceptance and commitment therapy on pain anxiety and quality of life was lasting at the follow-up stage (P<0.001).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">It seems that </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">acceptance & commitment therapy </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">can reduce pain anxiety and increase quality of life in </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">women </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with breast surgery experience</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">, therefore it is likely to be a useful treatment strategy to improve the pain anxiety and quality of life in </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">women </span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with breast surgery experience</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"Times New Roman""></span></span></span></span></span></span> درمان مبتنی بر پذیرش و تعهد, اضطراب درد, کیفیت زندگی, ماستکتومی Acceptance &, Commitment Therapy, Pain Anxiety, Quality of Life, Mastectomy 12 23 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-20&slc_lang=fa&sid=1 Bahman Abdolpour بهمن عبدلپور abdolpoorbahman@gmail.com 100319475328460019788 0009-0007-8151-8205 No MA in General Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran کارشناسی ارشد روان‌شناسی عمومی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران Mahdieh Nejati مهدیه نجاتی MahdiehNejati78@gmail.com 100319475328460019789 100319475328460019789 No MA in General Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran کارشناسی ارشد روان‌شناسی عمومی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران Zahra Dastar زهرا داستار zahradastar97@gmail.com 100319475328460019790 100319475328460019790 No BA in General Psychology, Islamic Azad University, Tabriz, Iran کارشناسی روان‌شناسی عمومی، دانشگاه آزاد اسلامی، تبریز، ایران Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری نژاد hadiAkbarinejhad@yahoo.com 100319475328460019791 100319475328460019791 Yes Department of Psychology, University College of Nabi Akram, Tabriz, Iran گروه روان‌شناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران