اثربخشی روان‌درمانی مثبت‌نگر بر توانمندی روانی و رفتارهای ارتقا سلامت پرستاران زن با نشانه‌های اضطراب

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانش آموخته دکتری روانشناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران

2 دانشیار گروه روانشناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران.(نویسنده مسئول)

3 استادیار نوروفیزیولوژی گروه علوم پایه پزشکی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران

4 استادیار گروه روان‌شناسی، واحد شهرکرد، دانشگاه آزاد اسلامی، شهرکرد، ایران

چکیده

مقدمه و هدف: حجم کاری حاصل از وقوع همه‌گیری‌های متعدد ویروس کووید-19 و بار روانی ایجاد شده سبب ایجاد اضطراب در پرستاران می‌شود. بر این اساس پژوهش حاضر با هدف بررسی اثربخشی روان‌درمانی مثبت‌نگر بر توانمندی روانی و رفتارهای ارتقا سلامت پرستاران زن با نشانه‌های اضطراب انجام گرفت.
روش کار: پژوهش حاضر نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه گواه و دوره پیگیری دو ماهه بود. جامعه آماری پژوهش شامل پرستاران زن با نشانه‌های اضطراب شهر اصفهان در سه ماهه زمستان سال 1399 بود. در این پژوهش تعداد 33 پرستاران زن با نشانه‌های اضطراب با روش نمونه‌گیری هدفمند انتخاب و با گمارش تصادفی در گروه‌های آزمایش و گواه گمارده شدند. گروه آزمایش روان‌درمانی مثبت‌نگر را طی یک ماه در 8 جلسه 75 دقیقه‌ای به صورت آنلاین دریافت نمودند. پرسشنامه‌های مورد استفاده در این پژوهش شامل پرسشنامه‌های اضطراب، توانمندی روانی و رفتارهای ارتقا سلامت بود. داده‌ها به شیوه تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرنی مورد تجزیه و تحلیل قرار گرفت.
یافته‌ها: نتایج نشان داد که روان‌درمانی مثبت‌نگر بر توانمندی روانی و رفتارهای ارتقا سلامت پرستاران زن با نشانه‌های اضطراب تأثیر معنادار دارد (p<0/001).
نتیجه‌گیری: بر اساس یافته‌های پژوهش می‌توان چنین نتیجه گرفت که روان‌درمانی مثبت‌نگر با بهره‌گیری از فنونی همانند چشم‌انداز مثبت به زندگی و آموزش خوش‌بینی و امید به آینده می‌تواند به عنوان یک درمان کارآمد جهت افزایش توانمندی روانی و رفتارهای ارتقا سلامت پرستاران زن با نشانه‌های اضطراب مورد استفاده قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Efficacy Of Positive Psychotherapy on the Psychological Empowerment and Promotion of Behaviors Health of Female Nurses with Anxiety Symptoms

نویسندگان [English]

  • Mojgan Navab Daneshmand 1
  • Tayebeh Sharifi 2
  • Shahram Mashhadi Zadeh 3
  • Reza Ahmadi 4
1 Ph. D Student in Psychology, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
2 Associate Professor, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran. Corresponding Author
3 Assistant Professor of Neurophysiology, Department of Basic Medical Sciences, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
4 Assistant Professor, Department of Psychology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
چکیده [English]

Introduction and purpose: The workload resulting from the occurrence of multiple couvid-19 virus epidemic and the psychological burden created causes anxiety in nurses. Therefore the present study was conducted to investigate the efficacy of positive psychotherapy on the psychological empowerment and promotion of behaviors health of female nurses with anxiety symptoms.
Methodology: The present study was quasi-experimental with pretest, posttest and control group design and two-month follow-up stage. The statistical population of the present study included the female nurses with anxiety symptoms in the city of Isfahan in the winter quarter of 2020. 33 female nurses with anxiety symptoms were selected through purposive sampling method and were randomly accommodated into experimental and control groups. The experimental group received positive psychotherapy online in 8 sessions of 75 minutes per month. The applied questionnaires in this study included anxiety questionnaire, psychological empowerment and promotion of behaviors health. The data were analyzed through repeated measurement ANOVA and Bonferroni post hoc test.
Findings: The results showed that the Positive psychotherapy has significant effect on the psychological empowerment and promotion of behaviors health of female nurses with anxiety symptoms (p<0.001).
Conclusion: According to the findings of the present study it can be concluded that positive psychotherapy can be used as an efficient treatment to increase psychological empowerment and promotion of behaviors health of female nurses with anxiety symptoms through employing techniques such as a positive outlook on life and teaching optimism and hope for the future.

کلیدواژه‌ها [English]

  • Anxiety
  • Psychological Empowerment
  • Promotion of Behaviors Health
  • Positive Psychotherapy

مراجع

  1. 1.                    Abram, M.D., Jacobowitz, W. (2021). Resilience and burnout in healthcare students and inpatient psychiatric nurses: A between-groups study of two populations. Archives of Psychiatric Nursing, 35(1), 1-8.

    1. Beck, A.T., Epstein, N., Brown, G., Steer, R.A.(1998). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.

    3.                    Carroll, A.J., Labarthe, D.R., Huffman, M.D., Hitsman, B.(2016). Global tobacco prevention and control in relation to a cardiovascular health promotion and disease prevention framework: A narrative review. Preventive Medicine, 93, 189-197.

    4.                    Celano, C.M., Freedman, M.E., Harnedy, L.E., Park, E.R., Januzzi, J.L., Healy, B.C., Huffman, J.C. (2020). Feasibility and preliminary efficacy of a positive psychology-based intervention to promote health behaviors in heart failure: The REACH for Health study. Journal of Psychosomatic Research, 139, 110-115.

    5.                    Chang, K., Tsai, W., Tsai, C., Yeh, H.I., Chiu, P., Chang, Y., Chen, H., Tsai, J., Lee, S.(2017). Effects of Health Education Programs for the Elders in Community Care Centers – Evaluated by Health Promotion Behaviors. International Journal of Gerontology, 11(2), 109-113.

    1. Cho, J.H., Jae, S.Y., Choo, I.L., & Choo, J. (2014). Health‐promoting behaviour among women with abdominal obesity: a conceptual link to social support and perceived stress. Journal of advanced nursing, 70(6), 1381-1390.

    7.                    Farber, J.E., Payton, C., Dorney, P. (2020). Life balance and professional quality of life among baccalaureate nurse faculty. New Microbes and New Infections, 12, 98-102.

    1. Feig, E.H., Celano, C.M., Massey, C.N., Chung, W., Romero, P., Harnedy, L.E., Huffman, J.C. (2020). Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome. Psychosomatics. In Press, Corrected Proof.
    2. Hi̇çdurmaz, D., Üzar-Özçetin, Y.S. (2020). Now I keep my feet on the ground. Earlier, I was arrogant and felt too big for my boots. Perspectives of people with cancer and oncology nurses on the psychological empowerment process. European Journal of Oncology Nursing, 49, 101-105.
    3. Hollywood, L., Phillips, K.E. (2020). Nurses' resilience levels and the effects of workplace violence on patient care. Applied Nursing Research, 54, 151-155.
    4. Jaser, S.S., Datye, K., Morrow, T., Sinisterra, M., LeStourgeon, L., Abadula, F., Bell, G.E., Streisand, R. (2020). THR1VE! Positive psychology intervention to treat diabetes distress in teens with type 1 diabetes: Rationale and trial design. Contemporary Clinical Trials, 96, 106-111.
    5. Kennedy, A.B., Cambron, J.A., Dexheimer, J.M., Trilk, J.L., Saunders, R.P.(2018). Advancing health promotion through massage therapy practice: A cross-sectional survey study. Preventive Medicine Reports, 11, 49-55.
    6. Kloos, N., Drossaert, C.H.C., Bohlmeijer, E.T., Westerhof, G.J. (2019). Online positive psychology intervention for nursing home staff: A cluster-randomized controlled feasibility trial of effectiveness and acceptability. International Journal of Nursing Studies, 98, 48-56.

    14.                 Lyu, D., Ji, L., Zheng, Q., Yu, B., Fan, Y. (2019). Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses. International Journal of Nursing Sciences, 6(2), 198-203.

    1. McElligott, D., Capitulo, L.K., Morris, L.D.(2010). The effect of a holistic program on health-promoting behaviors in hospital registered nurses. Journal of Holistic Nursing. The American Holistic Nurses Association, 20(10), 1-9.
    2. Peterson, N.A. (2014). Empowerment theory: clarifying the nature of higher-order multidimensional con-structs. American Journal Of Community Psychology, 53(12), 96-108.
    3. Rashid, T. (2008). Positive Psychotherapy. In: Lopez SJ, editor. Positive psychology: Exploring the best in people. Westport CT: Greenwood Publishing Company, 17(4), 146-170.

    18.                 Roberts, N.J., McAloney-Kocaman, K., Lippiett, K., Ray, K., Welch, L., Kelly, C. (2021). Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respiratory Medicine, 176, 106-110.

    1. Shoshani, A., Steinmetz, S., Kanat-Maymon, Y. (2016). Effects of the Maytiv positive psychology school program on early adolescents' well-being, engagement, and achievement, Journal of School Psychology 57, 73–92.

    20.                 Silén, M., Skytt, B., Engström, M.(2019). Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff. Geriatric Nursing, 40(1), 67-71.

    21.                 Tadesse, D.B., Gebrewahd, G.T., Demoz, G.T. (2020). Knowledge, attitude, practice and psychological response toward COVID-19 among nurses during the COVID-19 outbreak in northern Ethiopia. New Microbes and New Infections, 38, 100-105.

    1. Tal, A., Kerret, D. (2020). Positive psychology as a strategy for promoting sustainable population policies. Heliyon, 6(4), 36-39.
    2. Thomas, K.W., Velthouse, B.A. (1990). Cognitive element of empowerment: An interpretive modle of intrinsic task motivation, Academy of Management Review 15, 666-681.
    3. Uliaszek, A.A., Rashid, T., Williams, G.E., Gulamani, T. (2016). Group therapy for university students: A randomized control trial of dialectical behavior therapy and positive psychotherapy, Behavior Research and Therapy, Behavior Research and Therapy, 77, 78-85.

    25.                 Vada, S., Prentice, C., Scott, N., Hsiao, A. (2020). Positive psychology and tourist well-being: A systematic literature review. Tourism Management Perspectives, 33, 100-105.

    1. Walker, S.N., Hill-Polerecky, D.M. (1997). Psychometric evaluation of Health Promoting Lifestyle Profil II. Unpublished manuscript, University of Nebraska Medical Center, College of Nursing, Lincoln.

    27.                 Zhang, X., Ye, H., Li, Y.(2018). Correlates of structural empowerment, psychological empowerment and emotional exhaustion among registered nurses: A meta-analysis. Applied Nursing Research, 42, 9-16.

    1. Zheng, R., Zhou, Y., Qiu, M., Yan, Y., Yue, J., Yu, L., Lei, X., Tu, D., Hu, Y. (2021). Prevalence and associated factors of depression, anxiety, and stress among Hubei pediatric nurses during COVID-19 pandemic. Comprehensive Psychiatry, 104, 152-160.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 5
آذر و دی 1400
صفحه 4160-4173

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