fa مقایسه اثربخشی درمان مبتنی بر تعهد و پذیرش(ACT) و پارادوکس درمانی(PTC) بر استحکام من پرستاران تخصصي Special پژوهشي Research <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span b="" dir="RTL" nazanin="" style="font-family:">چکیده</span></b></span></span><br> <span style="font-size:12pt"><span style="tab-stops:43.85pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:14.0pt"></span></b></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مقدمه: </span></span></b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شغل پرستاری با توجه به وظایف گسترده نیازمند استحکام روان‌شناختی در سطح مناسبی است، بنابراین<b> </b>پژوهش حاضر با هدف مقایسه اثربخشی درمان مبتنی برتعهد و پذیرش و پارادوکس درمانی بر استحکام من پرستاران شاغل یکی ازمراکزدرمانی نظامی &nbsp;شهر تهران انجام شد. </span></span><span style="font-size:14.0pt"></span></span></span><br> <span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span liberation="" mono="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">روش کار</span></span></b><b><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">: </span></span></b><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">روش پژوهش نیمه</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&shy;</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">آزمایشی از نوع پیش‌آزمون</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> _</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> پس‌آزمون با گروه کنترل بود</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جامعه آماری را تمام </span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">125 </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پرستار حائز معیارهای ورود به پژوهش شاغل در بخش</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">&shy;</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">های مختلف یکی از <span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal">مراکز درمانی نظامی</span></span></span></span></span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شهر تهران در سال </span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">1401 </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">تشکیل دادند</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">بر این اساس </span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">45 </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نفر به صورت دردسترس انتخاب شدند و درمرحله بعد به صورت تصادفی به سه گروه </span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">15 </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نفری در دو گروه آزمای</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شی</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> و یک کنترل گمارش شدند</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">این</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پژوهش</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">از پرسشنامه استحکام من بشارت </span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">(2017)</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">، استفاده</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شد</span></span><span lang="HI" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">. </span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">افراد گروه در</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">مانی</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> پذیرش و تعهد در </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">۸</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> جلسه</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">60 دقیقه&shy;ای فردی</span></span> &nbsp;<span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">و گروه درما</span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نی</span></span> <span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">پارادوکس درمانی</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> در </span></span><span lang="FA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">۶</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> جلسه</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">60دقیقه&shy;ای فردی</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">شرکت کردند؛</span></span><span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> اما برای گروه کنترل مداخله صورت نگرفت</span></span> <span lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">جهت تجزیه و تحلیل داده&shy;ها از تحلیل کوواریانس چندمتغیره و آزمون تعقیبی توکی استفاده شد.</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span style="font-family:"B Nazanin""></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:"> درمان مبتنی بر تعهد و پذیرش و پارادوکس&shy;درمانی بر استحکام من پرستاران شاغل یکی از <span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal">مراکز درمانی نظامی</span></span></span></span> شهر تهران اثر دارد؛ اما پارادوکس&shy;درمانی بر استحکام من اثربخشی بیشتری از درمان مبتنی بر تعهد و پذیرش دارد.&nbsp;&nbsp; </span></span><span style="font-size:14.0pt"></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری: </span></span></b><span dir="RTL" lang="AR-SA" style="font-size:14.0pt"><span b="" nazanin="" style="font-family:">این پژوهش تلویحات کاربردی به روان&shy;شناسان و مشاوران با توجه به تأثیر بیشتر پارادوکس درمانی در میزان استحکام من ارایه می&shy;دهد.</span></span> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:14.0pt">Abstract</span></b></span></span> <pre> <span style="font-size:10pt"><span courier="" new="" style="font-family:"><b><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">Introduction</span></span></b><span style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">: Considering the wide range of duties, nursing job requires psychological strength <b>at a suitable level, so the present study was conducted with the aim of comparing the</b> effectiveness of acceptance and commitment therapy(ACT) and paradox therapy(PTC) on the ego strength of nurses working in Military medical centers, Tehran.</span></span></span></span></pre> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:14.0pt">Method</span></b><span style="font-size:14.0pt">: The research method was a semi-experimental type of pre-test - post-test with a control group. The statistical population consisted of all 125 nurses who met the criteria for entering the research working in different departments of one of the military medical centers in Tehran in 1401. Based on this, 45 people were randomly selected and in the next step, they were randomly assigned to three groups of 15 people in two experimental and one control groups. In this research, Man Besharat&#39;s strength questionnaire (2017) was used. People in the acceptance and commitment therapy group participated in 8 individual 60-minute sessions and the paradox therapy group participated in 6 individual 60-minute sessions; But for the control group, there was no intervention, multivariate covariance analysis and Tukey&#39;s post hoc test were used to analyze the data.</span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:14.0pt">Results</span></b><span style="font-size:14.0pt">: The findings showed that the acceptance and commitment therapy<b> </b>and paradox therapy have an effect on the ego strength of nurses working in Military medical centers in Tehran. But paradox therapy is more effective than acceptance and commitment therapy on ego strength.</span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:14.0pt">Conclusion</span></b><span style="font-size:14.0pt">: This research provides practical implications for psychologists and counselors regarding the greater impact of paradox therapy on ego strength.</span></span></span><br> &nbsp; درمان تعهد و پذیرش, پارادوکس­ درمانی, استحکام من. Keywords: acceptance and commitment therapy, paradox therapy, ego strength 12 19 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-274-2&slc_lang=fa&sid=1 Leila Taghilo لیلا تقی لو mmhl7960@gmail.com 10031947532846005795 0009-0001-7964-5965 No Islamic Azad University دانشگاه آزاد اسلامی Leila Sadat Azizi Ziabari لیلا سادات عزیزی ضیابری LS.Azizi@gorganiau.ac.ir 10031947532846005796 10031947532846005796 Yes Islamic Azad University دانشگاه آزاد اسلامی Afsaneh Khajevand Khoshli افسانه خواجوند خوشلی Khajevand_a@gorganiau.ac.it 10031947532846005797 10031947532846005797 No Islamic Azad University دانشگاه آزاد اسلامی Masomeh Damgani Mirmahaleh معصومه دامغانی میر محله Damghani_m@yahoo.com 10031947532846005798 10031947532846005798 No Islamic Azad University دانشگاه آزاد اسلامی