اثربخشی آموزش ذهنیت‌سازی بر کاهش فرسودگی همدلانه ناشی از ترومای ثانویه و بهبود تنظیم هیجان در پرستاران بخش مراقبت‌های ویژه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی بالینی، دانشکدۀ علوم پزشکی، واحد نجف‌آباد، دانشگاه آزاد اسلامی، نجف‌آباد، ایران.

2 گروه روانشناسی بالینی، دانشکدۀ علوم و فناوری‌های پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران (نویسنده مسئول).

3 گروه روانشناسی بالینی، دانشکدۀ علوم و فناوری‌های پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

4 گروه مشاوره، دانشکدۀ علوم انسانی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران.

5 گروه روانشناسی بالینی، دانشکدۀ علوم پزشکی،واحد آشتیان، دانشگاه آزاد اسلامی، آشتیان، ایران.

10.22038/mjms.2026.95480.5279

چکیده

زمینه و هدف: این پژوهش با هدف تعیین اثربخشی آموزش ذهنیت‌سازی (Mentalization-Based Training) بر کاهش فرسودگی همدلانه و بهبود تنظیم هیجان در پرستاران ICU انجام شد.
روش کار: این مطالعه یک کارآزمایی نیمه‌تجربی با طرح پیش‌آزمون-پس‌آزمون و گروه کنترل همراه با پیگیری سه ماهه بود. جامعه پژوهش شامل پرستاران ICU بیمارستان‌های تهران بود که از میان آن‌ها ۴۰ نفر به صورت تصادفی در دو گروه مداخله (۲۰ نفر) و کنترل (۲۰ نفر) قرار گرفتند. پس از حذف ۵ نفر ، ۳۵ شرکت‌کننده (۱۶ نفر در گروه مداخله و ۱۹ نفر در گروه کنترل) مطالعه را تکمیل کردند. گروه مداخله طی ۸ جلسه ۹۰ دقیقه‌ای آموزش‌های ذهنیت‌سازی را دریافت کردند. داده‌ها با استفاده از پرسشنامه فرسودگی همدلانه (CFI) و پرسشنامه تنظیم هیجان (ERQ) جمع‌آوری و با روش تحلیل کوواریانس (ANCOVA) و تحلیل واریانس با اندازه‌گیری مکرر (Repeated Measures ANOVA) تحلیل شدند.
یافته‌ها: نتایج نشان داد که آموزش ذهنیت‌سازی تأثیر معناداری بر کاهش نمرات فرسودگی همدلانه (شامل ترومای ثانویه و خستگی همدلی) و بهبود استراتژی‌های تنظیم هیجان داشت. در مرحله پس‌آزمون، نمره کل فرسودگی همدلانه در گروه مداخله به طور معناداری کاهش یافت (F=18.52, P<0.001) و نمرات بازارزیابی شناختی افزایش (F=22.15, P<0.001) و سرکوب بیان کاهش یافت (F=15.48, P<0.001). این اثرات در مرحله پیگیری سه ماهه نیز پایداری خود را حفظ کردند.
نتیجه‌گیری: آموزش ذهنیت‌سازی به عنوان یک مداخله ساختاریافته و کارآمد، می‌تواند با تقویت مرزبندی عاطفی و بهبود تنظیم هیجان، از فرسودگی همدلانه پرستاران ICU جلوگیری کند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Mentalization-Based Training on Reducing Compassion Fatigue Due to Secondary Traumatic Stress and Improving Emotion Regulation in ICU Nurses

نویسندگان [English]

  • Zahra Rahimi Rad 1
  • Hanieh Abbasi 2
  • Fatemeh Razzaghi 3
  • Zahra Kalhor 4
  • Zahra Sadat Mohseni Nia 5
1 Department of Clinical Psychology, Faculty of Medicine , Na.C., Islamic Azad University, Najafabad, Iran
2 Department of Clinical Psychology, Faculty of Medical Science and Technologies, Islamic Azad University, SR.C., Tehran, Iran. (Corresponding Author)
3 Department of Clinical Psychology, Faculty of Medical Science and Technologies, Islamic Azad University, SR.C., Tehran, Iran.
4 Department of Counseling, Faculty of Humanities, Islamic Azad University, Qo.C., Qom, Iran.
5 Department of Clinical Psychology, Faculty of Medicine, Ash.C., Islamic Azad University, Ashtian, Iran.
چکیده [English]

Background and Objective: This study aimed to determine the effectiveness of Mentalization-Based Training on reducing compassion fatigue and improving emotion regulation in ICU nurses.
Methods: This was a quasi-experimental study with a pretest-posttest design and a control group, including a three-month follow-up. The study population consisted of ICU nurses from hospitals in Tehran. Forty participants were randomly assigned to an intervention group (n=20) and a control group (n=20). After exclusions (4 dropouts in the intervention group and 1 in the control group), data from 35 participants (16 in the intervention group and 19 in the control group) were analyzed. The intervention group received eight 90-minute sessions of mentalization-based training. Data were collected using the Compassion Fatigue Index (CFI) and the Emotion Regulation Questionnaire (ERQ) and analyzed using Analysis of Covariance (ANCOVA) and Repeated Measures ANOVA.
Results: The results showed that mentalization-based training had a significant effect on reducing compassion fatigue scores (including secondary traumatic stress and compassion fatigue) and improving emotion regulation strategies. In the post-test phase, total compassion fatigue scores decreased significantly in the intervention group (F=18.52, P<0.001), while cognitive reappraisal scores increased (F=22.15, P<0.001) and expressive suppression scores decreased (F=15.48, P<0.001). These effects were maintained at the three-month follow-up.
Conclusion: Mentalization-based training, as a structured and effective intervention, can prevent compassion fatigue in ICU nurses by enhancing emotional boundary-setting and improving emotion regulation.

کلیدواژه‌ها [English]

  • Mentalization
  • Compassion Fatigue
  • Secondary Traumatic Stress
  • Emotion Regulation
  • ICU Nurses

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 69، شماره 3
خرداد1405
خرداد 1405
صفحه 339-345

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