fa اثربخشی درمان شناختی-رفتاری بر سلامت ‌عمومی و کیفیت ‌زندگی بیماران مبتلا به سندرم روده تحریک پذیر تخصصي Special مروری Review <strong><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">مقدمه:</span></span></strong> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">یکی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">چالش</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">های</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بیماران</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">مبتلا</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">سندرم</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">روده</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">تحریک</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">‌</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">پذیر</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">کاهش</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">کیفیت</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">زندگی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">و</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">سلامت عمومی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بیماران</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">است</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">. </span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">دهه</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">اخیر</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">شناختی-رفتاری</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">به</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">عنوان</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">یکی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان‌</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">&shy;</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">های</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">موثر</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">در</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بسیاری</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">از</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">اختلالات</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">معرفی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">شده</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">است.</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">پژوهش حاضر با هدف تعیین اثربخشی </span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;"> شناختی-‌رفتاری </span></span>&nbsp;<span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بر سلامت</span></span><span dir="LTR"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">&shy;</span></span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">عمومی</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">و کیفیت&shy; زندگی بیماران مبتلا به سندرم روده تحریک‌&shy;پذیر انجام گرفته است.</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;"></span></span><br> <strong><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">روش کار:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:14.0pt;"> پژوهش از نوع نیمه &shy;تجربی پیش&shy; آزمون و پس &shy;آزمون با گروه گواه است. جامعه آماری بیماران مبتلا به سندرم روده تحریک&shy; پذیر در زمستان سال 1397 بودند. حجم نمونه شامل 30 نفر، به روش نمونه &shy;گیری در دسترس انتخاب و در دو گروه 15 نفری آزمایش و گواه&nbsp; قرار گرفتند. در این پژوهش از پرسشنامه سلامت عمومی گلدبرگ و همکاران و کیفیت زندگی سازمان بهداشت جهانی استفاده شد. گروه آزمایش تحت درمان شناختی-رفتاری به مدت 10 جلسه&shy; 90 دقیقه‌&shy;ای قرار گرفتند و گروه گواه هیچ مداخله‌&shy;ای دریافت نکردند. داده‌&shy;ها </span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">با استفاده از تحلیل کواریانس تجزیه و تحلیل شد.</span></span><br> <strong><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">نتایج:</span></span></strong><span style="font-family:b nazanin;"><span style="font-size:14.0pt;"> نتایج به‌دست آمده نشان داد </span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;"> شناختی-رفتاری در افزایش سلامت عمومی (0.001</span></span><span dir="LTR"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">p=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">)</span></span> <span style="font-family:b nazanin;"><span style="font-size:14.0pt;">و کیفیت زندگی(0.026</span></span><span dir="LTR"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">p=</span></span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">) بیماران موثر است</span></span><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">. میانگین نمرات سلامت عمومی و کیفیت زندگی در گروه آزمایش نسبت به گروه گواه &nbsp;بهبود یافته است.</span></span><br> <strong><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بحث و نتیجه&shy; گیری:</span></span></span></strong> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">به</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">نظر</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">می</span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">‌</span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">رسد</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">که</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">با</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">اجرای</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">درمان</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">شناختی-رفتاری</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">می‌توان</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">به</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">ارتقای</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">کیفیت </span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">&shy;</span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">زندگی</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">و</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">سلامت عمومی</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">در</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">بیماران</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">مبتلا</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">به</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">سندرم</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">روده</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">تحریک‌</span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">&shy;</span></span></span><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">پذیر</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">کمک</span></span></span> <span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:14.0pt;">کرد</span></span></span> <strong>Background:</strong> One of the challenges of patients with irritable bowel syndrome is to reduce the quality of life and general health of patients. In the last decade, cognitive-behavioral therapy has been introduced as one of the effective treatments for many disorders. The purpose of this study was to determine the effectiveness of cognitive-behavioral therapy on the general health and quality of life of patients with irritable bowel syndrome.<br> <strong>methods:</strong> The research is a semi-experimental pre-test and post-test with the control group. The statistical population included patients with irritable bowel syndrome who were in 2019. Sample size included 30 people from this community, who were selected by available sampling method and tested in two equal groups. The Global health questionnaire, Goldberg et al., and the quality of life of the world health organization were used. The experimental group received cognitive-behavioral therapy for 10 sessions of 90 minutes and the control group received no intervention. The data was analyzed using covariance analysis.<br> <strong>Results:</strong> The results showed that cognitive-behavioral therapy was effective in increasing general health (P = 0.001) and quality of life (P = 0.026). In other words, the average of general health and quality of life scores in the experimental group was improved in comparison with the control group.<br> <strong>Conclusion:</strong> It seems that by implementing cognitive-behavioral therapy, it is possible to improve the quality of life and general health in patients with irritable bowel syndrome. درمان شناختی-رفتاری, سلامت‌عمومی, کیفیت‌زندگی cognitive-behavioral therapy, general health, quality of life 5 10 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-1-214&slc_lang=fa&sid=1 رسول چمنی قلندری 10031947532846003168 10031947532846003168 Yes محمد افشار اردلان 10031947532846003169 10031947532846003169 No فریده دکانه ای فرد 10031947532846003170 10031947532846003170 No سعیده چمنی 10031947532846003171 10031947532846003171 No اشرف قمچیلی 10031947532846003172 10031947532846003172 No حجت زارعی 10031947532846003173 10031947532846003173 No نادر تاری برازین 10031947532846003174 10031947532846003174 No عیسی پیری 10031947532846003175 10031947532846003175 No