The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1398
10
1
gregorian
2020
1
1
27
10
online
1
fulltext
fa
اثربخشی برنامۀ بازگشت به اجتماع بر بینش در افراد مبتلا به اسکیزوفرنیا
Effect of Community Re-Entry Program (CRP) on Insight of Patients with Schizophrenia
روانشناسی
Psychology
پژوهشي
Original article
<div style="text-align: justify;"><strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> استفاده از درمانهای توانبخشی در کنار درمان دارویی میتواند کمک شایانی به روند درمان بیماران مبتلا به اسکیزوفرنیا و بازگشت آنها به جامعه بکند. در پژوهش حاضر به بررسی اثربخشی برنامۀ بازگشت به اجتماع بر بهبود بینش در افراد مبتلا به اسکیزوفرنیا پرداخته شده است.</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش بررسی:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> پژوهش حاضر یک کارآزمایی بالینی است از</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نوع</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">پیش</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">آزمون</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">- </span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">پسآزمون با</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">جامعه آماری شامل کلیه بیماران مبتلا به اسکیزوفرنیای بستری در مرکز توانبخشی طلوع بود. برای</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">منظور40</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نفر</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">بیماران بستری در مرکز توانبخشی طلوع که معیارهای ورود به مطالعه را داشتند،</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نمونهگیری در</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">دسترس</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">انتخاب</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">صورت</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تصادفی</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">آزمایش (20 نفر)</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گواه</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">(20نفر) کاربندی</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">شدند</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">. </span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گروه آزمایش، برنامۀ بازگشت به اجتماع را </span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">مدت</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> شانزده جلسه</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">دریافت</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">کرد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">. </span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گروهها</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">قبل</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">از شروع مداخله،</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">بعد</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">اتمام</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> و دو ماه بعد، از نظر بینش</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> با پرسشنامه علائم مثبت و منفی آندرسون مورد</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">آزمون</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">قرار</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گرفتند. برای تحلیل دادهها از آزمون </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">T</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> برای دو گروه مستقل و تحلیل کوواریانس با نرمافزار </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SPSS Inc., Chicago, IL; Version 18</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> استفاده شد.</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> یافته ها نشان دهندۀ این است که بیماران گروه مداخلۀ آزمایشی در مقایسه با گروه کنترل پس از اجرای برنامۀ بازگشت به اجتماع درمقیاسهای علایم منفی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> (P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">،از هم گسیختگی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، تهییج (000/0</span></span> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، اضطراب و افسردگی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، علائم مثبت (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> و علائم مثبت و منفی کل(000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> در پس آزمون و در آزمون پیگیری درمقیاسهای علایم منفی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> (P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">، ازهم گسیختگی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، تهییج (01/0</span></span> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، اضطراب و افسردگی (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، علائم مثبت (000/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> وعلائم مثبت و منفی کل(001/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> تفاوت معنادار مشاهده شد.(05/0></span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P-value</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)</span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> مداخلات روانی اجتماعی منجر به بهبود بینش در بیماران مبتلا به اسکیزوفرنیا می شود.</span></span></div>
<pre style="text-align: justify;">
<strong>Introduction:</strong> The use of rehabilitation treatments along with drug therapy can greatly help in the treatment of schizophrenic patients and their return to society. The purpose of this study was to evaluate the effectiveness of the Community Re-entry Program on improving insight in people with schizophrenia.</pre>
<pre style="text-align: justify;">
<strong>Methods:</strong> The present study is a pre-test, post-test clinical trial with the statistical population including all patients with schizophrenia admitted to the Tolue rehabilitation center. For this purpose, 40 patients admitted to Tolue Rehabilitation Center who met the inclusion criteria were selected by convenience sampling method and were randomly assigned to experimental (n = 20) and control (n = 20) groups. The experimental group received a community Re-entry program for sixteen sessions. The groups were tested by Anderson's positive and negative symptoms questionnaire before and after the intervention, after completion and two months later. Data were analyzed using t-test for two independent groups, and covariance analysis by SPSS Inc., Chicago, IL; Version 18 </pre>
<pre style="text-align: justify;">
<strong>Results</strong>: The results showed that patients in experimental group compared to control group after implementation of community Re-entry program on negative symptom scales (P = 0.000), disruption (P = 0.000), excitement (P = 0.000)). Anxiety, depression (P = 0.000), positive symptoms (P = 0.000) and total positive and negative symptoms (P = 0.000) at posttest and follow-up on negative symptom scales (P = 0.000). Significant differences were observed between rupture (P = 0.000), excitement (P = 0.01), anxiety and depression (P = 0.000), positive symptoms (P = 0.000) and total positive and negative symptoms (P = 0.001). (P-value<0/05).</pre>
اسکیزوفرنیا, برنامه بازگشت به اجتماع, بینش
Community re-entry program, Schizophrenia, Insight
1941
1952
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4007-1&slc_lang=fa&sid=1
Zohreh
Parsamoein
زهره
پارسامعین
zohrep@yahoo.com