اثربخشي آموزش گروهي معنادرماني بر كيفيت زندگي همسران جانبازان دچار اختلال استرس پس از سانحه

The Effectiveness of Group Logo-Therapy Training on the Quality of Life of Spouses of Veterans with Post-Traumatic Stress Disorder

زﻣﯿﻨﻪ و ﻫﺪف: ﻣﺮاﻗﺒﺖ از ﺟﺎﻧﺒﺎزان دﭼﺎر اﺧﺘﻠﺎل اﺳﺘﺮس ﭘﺲ از ﺳﺎﻧﺤﻪ، داراي ﻋﻮارض ﺟﺴﻤﯽ و رواﻧﯽ ﻣﺘﻌﺪدي اﺳﺖ ﮐﻪ ﺑﯿﺸﺘﺮ ﻣﺘﻮﺟﻪ ﻫﻤﺴﺮان آﻧﻬﺎ ﻣﯽﺷﻮد و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ آﻧﻬﺎ را ﺗﺤﺖ ﺗﺎﺛﯿﺮ ﻗﺮار ﻣﯽدﻫﺪ. ﻫﺪف اﯾﻦ ﻣﻄﺎﻟﻌﻪ، ﺗﻌﯿﯿﻦ اﺛﺮﺑﺨﺸﯽ آﻣﻮزش ﮔﺮوﻫﯽ ﻣﻌﻨﺎدرﻣﺎﻧﯽ ﺑﺮ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﻫﻤﺴﺮان ﺟﺎﻧﺒﺎزان دﭼﺎر اﺧﺘﻠﺎل اﺳﺘﺮس ﭘﺲ از ﺳﺎﻧﺤﻪ ﺑﻮد. روشﻫﺎ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﯾﮏ ﭘﮋوﻫﺶ ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ از ﻧﻮع ﭘﯿﺶ آزﻣﻮن- ﭘﺲ آزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. واﺣﺪﻫﺎي ﭘﮋوﻫﺶ را 60 ﻧﻔﺮ از ﻫﻤﺴﺮان ﺟﺎﻧﺒﺎزان دﭼﺎر اﺧﺘﻠﺎل اﺳﺘﺮس ﭘﺲ از ﺳﺎﻧﺤﻪ در ﺑﯿﻤﺎرﺳﺘﺎن اﺑﻦ ﺳﯿﻨﺎ ﻣﺸﻬﺪ ﺗﺸﮑﯿﻞ ﻣﯽدادﻧﺪ ﮐﻪ ﺑﺮ اﺳﺎس ﺗﺨﺼﯿﺺ ﺗﺼﺎدﻓﯽ ﺑﻪ دو ﮔﺮوه ﻣﺴﺎوي ﺗﻘﺴﯿﻢ ﺷﺪﻧﺪ. اﺑﺰارﮔﺮدآوري داده ﻫﺎ، ﭘﺮﺳﺸﻨﺎﻣﻪ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ 36-SF ﺑﻮد ﮐﻪ در ﺳﻪ ﻣﺮﺣﻠﻪ ﻗﺒﻞ از ﻣﺪاﺧﻠﻪ، ﺑﻌﺪ و دو ﻣﺎه ﺑﻌﺪ از ﻣﺪاﺧﻠﻪ ﺗﮑﻤﯿﻞ ﺷﺪ. ﻣﺪاﺧﻠﻪ ﺷﺎﻣﻞ آﻣﻮزش ﮔﺮوﻫﯽ ﻣﻌﻨﺎدرﻣﺎﻧﯽ در ﻃﯽ 9 ﺟﻠﺴﻪ ﺑﻮد. ﯾﺎﻓﺘﻪﻫﺎ: ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮه ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﮐﻠﯽ ﮔﺮوه ﻣﺪاﺧﻠﻪ، از 84/1±8/3 در ﻣﺮﺣﻠﻪ ﻗﺒﻞ از ﻣﺪاﺧﻠﻪ ﺑﻪ 88/4±5/1 در ﺑﻌﺪ از ﻣﺪاﺧﻠﻪ و 104/5±3/4 در ﻣﺮﺣﻠﻪ ﭘﯿﮕﯿﺮي دو ﻣﺎه ﺑﻌﺪ ﺗﻐﯿﯿﺮ ﯾﺎﻓﺘﻪ اﺳﺖ ﮐﻪ ﺑﻪ ﻃﻮر ﻣﻌﻨﯽ داري ﺑﯿﺸﺘﺮ از ﮔﺮوه ﮐﻨﺘﺮل ﻣﯽ ﺑﺎﺷﺪ )0/005< p(. در ﮔﺮوه ﮐﻨﺘﺮل ﻧﯿﺰ ﻣﯿﺎﻧﮕﯿﻦ ﻧﻤﺮه ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﮐﻠﯽ در ﻣﺮﺣﻠﻪ ﺑﻌﺪ از ﻣﺪاﺧﻠﻪ و ﻣﺮﺣﻠﻪ ﭘﯿﮕﯿﺮي دو ﻣﺎه ﺑﻌﺪ ﺑﻪ ﻃﻮر ﻣﻌﻨﯽ داري ﻧﺴﺒﺖ ﺑﻪ ﻣﺮﺣﻠﻪ ﻗﺒﻞ ﻣﺪاﺧﻠﻪ ﮐﺎﻫﺶ ﯾﺎﻓﺖ )0/001< p(. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎﯾﺞ ﺑﻪ دﺳﺖ آﻣﺪه از اﯾﻦ ﭘﮋوﻫﺶ ﮐﻪ ﻣﺒﯿﻦ ﺗﺄﺛﯿﺮ ﻣﻌﻨﺎ درﻣﺎﻧﯽ ﮔﺮوﻫﯽ ﺑﺮ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ اﺳﺖ، ﻣﯽﺗﻮان از آن ﺟﻬﺖ ارﺗﻘﺎي ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ اﻓﺮاد ﺟﺎﻣﻌﻪ، ﺑﻪ وﯾﮋه ﺧﺎﻧﻮاده ﺟﺎﻧﺒﺎزان اﺳﺘﻔﺎده ﻧﻤﻮد.

Background and Aim: Caring for veterans with post-traumatic stress disorder (PTSD) has a number of physical and psychological effects that affect their spouses and their quality of life. The aim of this study was to evaluate the effectiveness of group logo-therapy training on the quality of life of spouses of veterans with PTSD. Methods: This was a quasi-experimental pretest-posttest study with a control group. Sixty spouses of veterans with PTSD in Ibn Sina Hospital in Mashhad were divided into two equal groups based on random allocation. Data collection tool was SF-36 quality of life questionnaire which was completed in three stages before the intervention, after and two months after the intervention. The intervention included group training in logo-therapy for 9 sessions. Results: The mean score of overall quality of life in the intervention group changed from 84.1±8.3 in the pre-intervention stage to 88.4±5.1 in the post-intervention stage and 104.5±3.4 in the follow-up stage two months later. It was significantly more than the control group (p<0.005). In the control group, the mean score of overall quality of life in the post-intervention stage and the follow-up stage two months later significantly decreased compared to the pre- intervention stage (p<0.001). Conclusion: According to the results of this study, which shows the effect of group logo-therapy on quality of life, it can be used to improve the quality of life of people in the community, especially the families of veterans.