بررسي تاثير درمان مبتني بر پذيرش و تعهد بر ميزان خستگي و اضطراب بيماران مبتلا به سرطان پستان "گزارش سه مورد"

The Evaluation of effect of acceptance and commitment therapy on fatigue and anxiety in patients with breast cancer

اين مطالعه با هدف بررسي اثربخشي درمان مبتني بر پذيرش و تعهد در كاهش خستگي و اضطراب بيماران مبتلا به سرطان پستان انجام شد. روش: اين پژوهش از نوع مطالعه تك آزمودني چند خط پايه­اي است. از نظر جنسيت، مؤنث و در گروه سني 50-30 سال كه در سال 1394 به بيمارستان شهداي هفتم تير شهر ري و كلينيك دكتر دهقان در تهران مراجعه كرده بودند به روش نمونه گيري در دسترس انتخاب شدند. براي سنجش خستگي، از مقياس سنجش شدت خستگي (FSS)، و براي سنجش اضطراب، از پرسشنامه اضطراب بك استفاده شد. يافته­ها: نتيجه گيري: درمان مبتني بر پذيرش و تعهد، در كاهش خستگي و اضطراب بيماران مبتلا به سرطان پستان مؤثر است.

The aim of current research is to evaluate effectiveness of acceptance and commitment therapy fatigue and anxiety in patient with breast cancer. Materials and methods: The study is based on single subject- -multiple baseline. The target population included all patients with breast cancer in Tehran province affected by fatigue and anxiety. Among them, three female patients in 30-50 age group were selected according to convenience sampling. Fatigue severity scale and Beck anxiety inventory were applied to measure fatigue and anxiety respectively. In the study, the patients were treated with acceptance and commitment therapy method during 12 sessions and each session was around 90-120 min. The participants were assessed at third and sixth sessions as well as after intervention and 1-month follow-up. Results: The results showed that patients at pre-treatment had high fatigue and anxiety, which were reduced significantly during treatment and the treatment gains were maintained 1-month follow-up. Conclusion: Acceptance and commitment therapy is an effective method for breast cancer patients who have fatigue and anxiety.