مجله علوم پزشکی پارس

تاثیر آموزش از راه دور مدیریت استرس به شیوه شناختی رفتاری روی علائم روانی بیماران کووید-19: یک مطالعه کارآزمایی بالینی تصادفی شده

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی روانشناسی سلامت، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسالمی، نجف آباد، ایران

2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسالمی، نجف آباد، ایران

3 استادیار، گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی آجا، تهران، ایران

4 استادیار، گروه بیماریهای عفونی و گرمسیری، دانشکده ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: بیماران کووید-19 استرس زیادی را ادراک می‌کنند و دچار علائم روانی مختلفی همچون افسردگی، استرس و اضطراب می‌شوند. چون این بیماران ملزم به رعایت شرایط قرنطینه هستند، می‌توان از روش آموزش از راه دور برای آنان استفاده کرد. بنابراین، مطالعه حاضر با هدف بررسی تاثیر آموزش از راه دور مدیریت استرس به شیوه شناختی رفتاری روی علائم روانی بیماران کووید-19 انجام شد.
روش کار: در این کارآزمایی بالینی تصادفی شده، جامعه پژوهش تمامی بیماران کووید-19 مراجعه‌کننده به بیمارستان غرضی شهر اصفهان در زمستان سال 1400 بودند. با روش نمونه‌گیری در دسترس 70 نفر از آنها انتخاب و به روش تصادفی‌سازی محدود به دو گروه مداخله و کنترل (35 نفر) تقسیم شدند. برای گروه مداخله برنامه آموزش از راه دور مدیریت استرس به شیوه شناختی رفتاری طی پنج جلسه 60 دقیقه‌ای در طی دو هفته اجرا شد. گروه کنترل آموزشی دریافت نکرد. شاخص‌ علائم روانی، قبل و بعد از جلسات آموزش با استفاده از پرسش نامه DASS-21 اندازه‎‌گیری شدند. داده‌ها با نرم‌افزار SPSS-21 با انجام آزمون‌های مربع کای، تحلیل واریانس، تی مستقل و زوجی و همچنین تحلیل کوواریانس مورد تجزیه و تحلیل قرار گرفتند.
یافته‌ها: آموزش از راه دور مدیریت استرس به شیوه شناختی رفتاری بر تمامی ابعاد علائم روانی بیماران کووید-19 در گروه مداخله تاثیر معنادار داشته و باعث کاهش آن شده است (p≤0.05).
نتیجه‌گیری: بر اساس نتایج، این شیوه آموزش می‌تواند علائم روانی بیماران کووید-19 را بهبود بخشد. با توجه به امکان استفاده راحت و فراگیر آموزش از راه دور، استفاده از این روش آموزش به بیمار در شرایط پاندمیک مشابه، توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Distance Education of Stress Management in a Cognitive-Behavioral Way on The Psychological Symptoms of Covid-19 Patients: a Randomized Clinical Trial.

نویسندگان [English]

  • Hossein Hosseini Naveh 1
  • Mojtaba Ansari Shahidi 2
  • Amir Mohsen Rahnejat 3
  • Mohammadreza Yazdani 4

1 Ph.D. student in health psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

3 Ph.D. Assistant Professor of Psychology, Department of Clinical Psychology, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran

4 Assistant Professor, Department of Infectious Diseases and Tropical Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Introduction: Covid-19 patients perceive a lot of stress and suffer from psychological symptoms including depression, stress and anxiety. Because these patients are required to comply with quarantine conditions, remote training can be used for these patients. Therefore, this study was conducted with the aim of investigating the effect of remote training of stress management in a cognitive-behavioral way on the psychological symptoms of covid-19 patients.
Materials and Methods: In this randomized clinical trial, the research population was all the patients with Covid-19 referred to the Dr.Garazi hospital in Isfahan city in the winter of 1400. 70 people were selected by available sampling method and divided into two intervention and control groups (35 people) by limited randomization method. For the intervention group, remote training program on stress management was implemented in five sessions of 60 minutes in two weeks. The control group did not receive training. Psychological symptoms were measured before and after the training sessions using the DASS-21 questionnaire. The data were analyzed with SPSS21 software and at two levels of descriptive and inferential statistics and by performing chi-square tests, analysis of variance, independent and paired t-
test, and analysis of covariance.
Results: Remote training of stress management in a cognitive-behavioral way has had a significant effect on all dimensions of psychological symptoms of covid-19 patients in the intervention group and has reduced them in the intervention group (p≤0.05).
Conclusion: Based on the results, this method of training can improve the psychological symptoms of covid-19 patients. Considering the possibility of easy and comprehensive use of distance education, it is recommended to use this method of teaching patients in similar pandemic conditions.

کلیدواژه‌ها [English]

  • Distance Education
  • Psychological Distress
  • Cognitive Behavioral Therapy
  • Psychological Symptoms
  • Covid-19
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مجله علوم پزشکی پارس
دوره 20، شماره 4
دی 1401
صفحه 17-26