Razi Journal of Medical Sciences

fa اثربخشی درمان چند وجهی لازاروس در بهزیستی روانشناختی و استرس پس از سانحه پرستاران The Effectiveness of Lazarus Multimodal Therapy in Psychological Well-Being and Post-Traumatic Stress of Nurses روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: پرستاران شاغل در بخش های کرونا در محیط بالینی هر روز شاهد رنجهای فراوان و ناراحتیهای دیگران هستند و بیماری کرونا روی بهزیستی روانشناختی متخصصان سلامت همگانی تاثیرگذار است. لذا هدف از این تحقیق بررسی اثربخشی درمان چند وجهی لازاروس در بهزیستی روانشناختی و استرس پس از سانحه پرستاران شاغل در بخش کرونا بیمارستان تامین اجتماعی شهر قزوین بود. روش کار: این پژوهش از نوع مطالعه نیمه آزمایشی بوده و با استفاده از طرح گروههای نامعادل(آزمایش و گواه) با پیش آزمون- پس آزمون-پیگیری انجام شد. جامعه آماری پژوهش حاضر شامل تمامی پرستاران شاغل در بخش کرونای بیمارستان تامین اجتماعی استان قزوین بود. نمونه شامل 45  نفر از پرستاران شاغل در بخش کرونای بیمارستان تامین اجتماعی استان قزوین بودند. ابزار پژوهش عبارت بود از پرسشنامهی بهزیستی روانشناختی ریف، جلسات درمان گروهی چندوجهی لازاروس و مقیاس می سی سی پی (PTSD) استفاده شد. برای انجام تجزیه و تحلیل دادههای تحقیق از نرم‌افزار کامپیوتری SPSS21 استفاده شد. یافته‌ها: نتایج نشان داد که در رابطه با عامل درون گروهی مقدار F محاسبه شده برای اثر مراحل (پیش آزمون ، پس آزمون و پیگیری) در سطح 05/0 برای مؤلفههای بهزیستی روانشناختی و استرس پس از سانحه معنادار است، در نتیجه بین میانگین نمرات پیش آزمون، پس آزمون و پیگیری مؤلفههای بهزیستی روانشناختی و استرس پس از سانحه در مراحل سه گانه پیش آزمون، پس آزمون و پیگیری درمانی تفاوت معنا دار وجود دارد. نتیجه‌گیری: با توجه به نتایج بدست آمده درمان چند وجهی لازاروس در بهزیستی روانشناختی و استرس پس از سانحه پرستاران شاغل در بخش کرونا بیمارستان تامین اجتماعی شهر قزوین موثر است.   <div style="text-align: justify;">Background & Aims: Nurses working in Corona wards in the clinical environment witness many sufferings and discomforts of others every day and special hospital situations such as sickening death of patients, insomnia, uncertainty, and disruption in interpersonal relationships at all levels. It increases stress and decreases mental health in them, and this affects other areas and overshadows the work efficiency of the care system and their quality. According to the research results, the coronavirus affects the psychological well-being of public health professionals. Therefore, the purpose of this research was to the effectiveness of the Lazarus multifaceted treatment in psychological well-being and post-traumatic stress of nurses working in the Corona department of Qazvin Social Security Hospital. Methods: This research is a semi-experimental study and was carried out using the design of unequal groups (experiment and control) with pre-test-post-test-follow-up. Also, to check the durability of the treatment effect, a follow-up stage was also conducted and its results were compared with the post-test stage. The statistical population of the present study included all the nurses working in the Corona department of the Social Security Hospital of Qazvin province. The sample consisted of 45 nurses working in the corona department of social security hospital in Qazvin province. These people were selected as a purposeful sampling and randomly divided into two experimental groups and one control group. In this study, the non-random sampling method is purposeful. The criteria for entering the research were being employed in the Corona department, age between 30 and 50 years, not receiving psychological treatment until 6 months ago, and not suffering from personality disorders and psychosis. Also, the absence of more than two sessions in therapy sessions and attending psychological therapy courses simultaneously with the implementation of the research were the criteria for exiting the research. The research tools were the Riff psychological well-being questionnaire, Lazarus multimodal group therapy sessions, and the Mississippi PTSD scale. SPSS21 computer software was used to analyze the research data. Results: The results of Table 5 show that to the intragroup factor, the F value calculated for the effect of the stages (pre-test, post-test, and follow-up) is significant at the 0.05 level for the components of psychological well-being and post-traumatic stress (05 As a result, there is a significant difference between the average scores of pre-test, post-test, and follow-up of psychological well-being components and post-traumatic stress in the three phases of pre-test, post-test and treatment follow-up. To investigate the effect of the Lazarus multifaceted treatment method on the scores of psychological well-being components and post-traumatic stress in the pre-test, post-test, and follow-up stages, the mixed variance analysis method (one within-subjects factor and one between-subjects factor) was used. The three stages of pre-test, post-test, and follow-up were considered as within-subject factors and the grouping of subjects into two groups was considered as a between-subject factor. To investigate the significant difference between the averages of the components of psychological well-being and post-traumatic stress in two groups in the three stages of treatment, the assumption of Kreuth was first investigated. The variance of the difference between all combinations of groups (Kreuth) must be the same. To check this assumption, the test of Kreuth was used, the results of which are listed in Table 4. As can be seen in Table 4, the assumption of Kreuth is not established. Conclusion: According to the obtained results, the Lazarus multifaceted treatment is effective in the psychological well-being and post-traumatic stress of nurses working in the Corona department of Qazvin Social Security Hospital. Multimodal treatment does not add hard recommendations to these factors, some cases are clearly on the multimodal or even view that all of these are shown. Our example describes a violinist whose career was in serious jeopardy, causing him to experience extreme anxiety at times. He responded very well to regular desensitization. In cases where a specific approach does not bring improvement, we perform multimodal treatment or BASIC ID in its entirety. The therapist or data collection begins with preliminary interviews and a multifaceted life history questionnaire, and this information leads to the creation of a face profile. In addition to face profiles, another multifaceted evaluation method is the use of structural profiles. In multidimensional therapy, Lazarus is given special attention as a model of learning to solve problems, the therapist as a guide follows the weakening of ineffective behaviors and attitudes, attitudes such as perfectionist expectations with a negative bias, and poor self-care behaviors that are the main problems. In addition to the importance of favorable interpersonal relationships to obtain the necessary social support for psychological disorders, and finally, attention to the biological dimension and the need for healthy behaviors such as regular exercise, proper sleep, and reducing alcohol and tobacco consumption. Other influencing factors can explain the effectiveness of this therapeutic intervention in the psychological condition of nurses.</div> درمان چند وجهی لازاروس, بهزیستی روانشناختی, استرس پس از سانحه, پرستاران, کرونا Lazarus Multifaceted Therapy, Psychological Well-Being, Post-Traumatic Stress, Nurses, Corona 1 12 http://rjms.iums.ac.ir/browse.php?a_code=A-10-8324-1&slc_lang=fa&sid=1 Mohammad Reza Bagheri محمدرضا باقری 3900319475328460090119 3900319475328460090119 No PhD Student Psychology, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran دانشجوی دکتری روانشناسی، گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران Sophia Khaneghahi سوفیا خانقاهی s.khaneghahi@iauzah.ac.ir 3900319475328460090120 3900319475328460090120 Yes Assistant Professor, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran استادیار، گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران Mohammad Ali Fardin محمدعلی فردین 3900319475328460090121 3900319475328460090121 No Assistant Professor, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran استادیار، گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران