fa اثربخشی ‌درمان متمرکز بر شفقت بر شدت درد و سلامت روان‌شناختی پرستاران زن مبتلا به میگرن 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="">میگرن علاوه بر مشکلات جسمانی، مسائل روان‌شناختی را تحت تأثیر قرار می‌دهد، بنابراین، در کنار مداخلات پزشکی، باید به مداخلات روان‌شناختی افراد مبتلا پرداخته شود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> پژوهش حاضر با هدف تعیین اثربخشی درمان متمرکز بر شفقت بر شدت درد و سلامت روان‌شناختی پرستاران زن مبتلا به میگرن انجام شد.</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 حاضر نیمه‌تجربی با طرح پیش‌آزمون- پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش را کلیه پرستاران زن مبتلا به میگرن شهر تبریز در سال 1404 تشکیل داد. 30 نفر</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">داشتن</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">ملاک‌های</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">ورود</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">به</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">مطالعه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">با</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">روش</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نمونه‌گیری هدفمند و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">از میان</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">کلیه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">پرستاران زن مبتلا به میگرن شهر تبریز در سال 1404 انتخاب</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="">به‌صورت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تصادفی در دو گروه</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">مداخله و کنترل،</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">هر کدام 15 نفر قرار گرفتند. اعضای گروه مداخله، در 8 جلسه 5/1 ساعته درمان متمرکز بر شفقت را دریافت کردند؛ ولی گروه کنترل هیچ درمان روان‌شناختی را دریافت نکردند. هر دو گروه، پیش، پس و 3 ماه پس از مداخله به‌پرسشنامه‌های 20 سوالی شدت درد مک‌گیل و 28 سوالی سلامت عمومی گلدبرگ پاسخ دادند. داده‌ها توسط آزمون تحلیل واریانس با اندازگیری مکرر تجزیه و تحلیل 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="">شدت </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">درد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> و سلامت روان‌شناختی در</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">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></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" 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:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتایج نشان داد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">که درمان متمرکز بر شفقت 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، شدت درد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> و سلامت روان‌شناختی پرستاران زن مبتلا به میگرن 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 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">درمان متمرکز بر شفقت بر شدت درد و سلامت</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> روان‌شناختی 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:12.0pt"><span style="line-height:115%"><span style="font-family:"B Zar""></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 متمرکز بر شفقت می‌تواند سبب کاهش شدت درد و افزایش سلامت روان‌شناختی پرستاران زن مبتلا به میگرن شود، از این&rlm;رو به احتمال زیاد می&rlm;تواند راهبرد درمانی مفیدی برای بهبود شدت درد و سلامت روان‌شناختی پرستاران زن به میگرن باشد.</span></span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Aims and Background:</span></span></span></b> <span lang="EN" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">In addition to physical problems, migraine affects psychological issues, so, in addition to medical interventions, psychological interventions for affected individuals should be addressed.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">The present study was to determine the effectiveness of compassion-focused therapy on intensity pain and psychological health of women with migraine.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Materials and Methods</span></span></span>:</b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> This study was semi-experimental with a pretest-posttest & follow-up control group design. The statistical population of the research consisted of all female nurses</span></span></span><b> </b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">suffering from migraine in <st1:city w:st="on"><st1:place w:st="on">Tabriz</st1:place></st1:city> city in 2025. In total, 30 person meeting the inclusion criteria were selected by purposeful sampling, and The were randomly divided into the intervention and control groups (15 people each). The members of the experimental group received CFT in 8 sessions of 1.5 hours; but the control group did not receive any psychological treatment. Both groups answered the 20-question McGill pain intensity and 28-question Goldberg&#39;s general health Questionnaires, before, after and 4 months after the intervention. Analysis of findings through repeated measures analysis of variance test.</span></span></span></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=""> There was no significant difference between the scores of intensity pain and psychological health in the experimental and control groups in the pre-test (P<0.05). The results showed that compassion-focused therapy reduced and increased intensity pain and psychological health of female nurses</span></span><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with migraine in the post-test, compared to the control group, respectively (P<0.001). The effect of compassion-focused therapy on intensity pain and psychological health was lasting in the follow-up phase (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=""> It seems that compassion-focused therapy can reduce intensity pain and increase psychological health in female nurses</span></span><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with migraine, therefore it is likely to be a useful treatment strategy to improve the intensity pain and psychological health in female nurses</span></span><b> </b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">with migraine.</span></span></span></span></span></span><br> &nbsp; درمان متمرکز بر شفقت, شدت درد, سلامت روان‌شناختی, میگرن, پرستار Compassion-focused Therapy, Intensity Pain, Psychological Health, Migraine, Nurse 26 38 http://jap.iums.ac.ir/browse.php?a_code=A-10-626-25&slc_lang=fa&sid=1 Mobin Jouyban مبین جویبان Mjouybanpsy@gmail.com 100319475328460020263 0009-0003-7774-7356 No کارشناس ارشد روان‌شناسی بالینی، دانشگاه آزاد اسلامی واحد علوم پزشکی، تبریز، ایران Roya Shirzad Tabrizi رویا شیرزاد تبریزی Royashirzad2003@gmail.com 100319475328460020264 100319475328460020264 No BS in Nursing, Islamic Azad University, Medical Sciences Branch, Tabriz, Iran دانشجوی کارشناسی پرستاری، دانشگاه آزاد اسلامی واحد علوم پزشکی، تبریز، ایران Aysan Razmjou آیسان رزم جو Aysanrazmjou@gmail.com 100319475328460020265 100319475328460020265 No MA Student in Child and Adolescent Clinical Psychology, University of Tabriz, Tabriz, Iran دانشجوی کارشناس ارشد روان‌شناسی بالینی کودک و نوجوان، دانشگاه تبریز، تبریز، ایران Hadi Smkhani Akbarinejhad هادی اسمخانی اکبری نژاد hadiAkbarinejhad@yahoo.com 100319475328460020266 100319475328460020266 Yes Dept of Psychology, University College of Nabi AKram, Tabriz, Iran گروه روان‌شناسی، موسسه آموزش عالی نبی اکرم (ص)، تبریز، ایران