Baniasadi, F., Borjali, A., Poursharifi, H., & Mofid, B. (2021). The Effectiveness of Acceptance and Commitment Therapy (ACT) on Health-Related Quality of Life in People with Prostate Cancer: A Quasi-Experimental Study. Journal of Rafsanjan University of Medical Sciences, 20(1), 69-84. https://doi.org/10.52547/jrums.20.1.69
ﭼ ﻪﻨﯿﻣز :فﺪﻫ و ناﻮﻨﻋ ﻪﺑ نﺎﻃﺮﺳ ﮏﯾ ﺶﻨﺗ ﻪﺛدﺎﺣ ﻣ از ﯽ ﭘ ﺎﺑ ﺪﻧاﻮﺗ يﺎﻫﺪﻣﺎﯿ ﻔﻨﻣ ﯽ دﺪﻌﺘﻣ ي ﺖﻣﻼﺳ ﻒﻠﺘﺨﻣ دﺎﻌﺑا و ﺪﺷﺎﺑ هاﺮﻤﻫ ﻤﺴﺟ ،ﯽ ﻧاور ﯽ ﮔداﻮﻧﺎﺧ و ﯽ ﺑ رﺎﻤﯿ ﻪﺑ ار ﺑ ﺮﻄﺧ ﯽ ا ﻌﺗ فﺪﻫ ﺎﺑ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ .دزاﺪﻧ ﻦﯿﯿ ﺸﺨﺑﺮﺛا ﯽ نﺎﻣرد ﺬﭘ شﺮﯾ ﮐ ﺮﺑ ﺪﻬﻌﺗ و ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ﻼﺘﺒﻣ ﺖﻣﻼﺳ ﻪﺑ ﻪﺘﺴﺑاو نﺎﯾ تﺎﺘﺳوﺮﭘ نﺎﻃﺮﺳ ﻪﺑ .ﺪﺷ مﺎﺠﻧا و داﻮﻣ شور :ﺎﻫ ﻧ عﻮﻧ زا ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﻪﻤﯿ ﺎﻣزآ ﯽﺸﯾ ﭘ ﺎﺑ ﺶﯿ ﺲﭘ ،نﻮﻣزآ ﭘ و نﻮﻣزآ ﯽ ﮔ يﺮﯿ .دﻮﺑ هاﻮﮔ هوﺮﮔ ﺎﺑ هاﺮﻤﻫ 40 ﺮﻔﻧ زا ﺑ نارﺎﻤﯿ ﺳ ﻪﺑ ﻼﺘﺒﻣ ﻪﻌﺟاﺮﻣ تﺎﺘﺳوﺮﭘ نﺎﻃﺮ ﺪﻨﻨﮐ ه ﺑ ﻪﺑ نﺎﺘﺳرﺎﻤﯿ ﻓﺎﺒﻟ ﯽ اﺪﻬﺷ و داﮋﻧ ي ﺮﺠﺗ ﺶﯾ رد لﺎﺳ 1398 رد شور ﻪﺑ ، ﻪﺑ ﺲﭙﺳ و بﺎﺨﺘﻧا سﺮﺘﺳد ترﻮﺻ ﻓدﺎﺼﺗ ﯽ ﺎﻣزآ هوﺮﮔ ود رد ﺶﯾ ) 20 ) لﺮﺘﻨﮐ و (ﺮﻔﻧ 20 .ﺪﻧﺪﺷ شرﺎﻤﮔ (ﺮﻔﻧ ﺬﭘ نﺎﻣرد شﺮﯾ و ﻪﺴﻠﺟ ﺖﺸﻫ ﺐﻟﺎﻗ رد ﺪﻬﻌﺗ 90 ﻗد ﻪﻘﯿ ا ي اﺮﺑ ي ﺎﻣزآ هوﺮﮔ ﺶﯾ هوﺮﮔ و ﺪﺷ اﺮﺟا ﻪﻠﺧاﺪﻣ لﺮﺘﻨﮐ ا ي رد ﺖﻓﺎﯾ ﺪﻧدﻮﻤﻨﻧ . ﺖﮐﺮﺷ هﺪﻨﻨﮐ ﺎﻫ ﭘ ﻪﻠﺣﺮﻣ رد ﺶﯿ ﺲﭘ ،نﻮﻣزآ ﭘ و نﻮﻣزآ ﯽ ﮔ يﺮﯿ ﺶﺳﺮﭘ ﻪﺑ ﻪﻣﺎﻧ ﮐ ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ) ﺖﻣﻼﺳ ﺎﺑ ﻂﺒﺗﺮﻣ SF-36 ﺦﺳﺎﭘ ( .ﺪﻧداد اﺮﺑ ي ﺰﺠﺗ ﻪﯾ ﻠﺤﺗ و ﻞﯿ هداد زا ﺎﻫ ﻠﺤﺗ ﻞﯿ راو ﺲﻧﺎﯾ هزاﺪﻧا ﺎﺑ ﮔ يﺮﯿ ﺎﻫ ي ﺮﮑﻣ ر ا .ﺪﺷ هدﺎﻔﺘﺳ ﻪﺘﻓﺎﯾ :ﺎﻫ ﻖﺒﻃ ﻧ ﺎﺘ ،ﺞﯾ ﻨﺘﺒﻣ نﺎﻣرد ﯽ ﺬﭘ ﺮﺑ شﺮﯾ ﻧاور ﺖﻣﻼﺳ دﻮﺒﻬﺑ ﺮﺑ ﺪﻬﻌﺗ و ،ﯽ ﻧﺎﻤﺴﺟ ﺖﻣﻼﺳ ﯽ ﻠﮐ هﺮﻤﻧ و ﯽ ﮐ ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ﺑ نارﺎﻤﯿ ) ﺖﺳا هدﻮﺑ ﺮﺛﺆﻣ تﺎﺘﺳوﺮﭘ نﺎﻃﺮﺳ ﻪﺑ ﻼﺘﺒﻣ 001 / 0 < P ﻐﺗ ﻊﺑﺎﻨﻣ ﺮﺛا هزاﺪﻧا .( ﺮﯿﯿ ﺑ ﻦﯿ ﻫوﺮﮔ ،ﯽ نورد ﻫوﺮﮔ ﯽ ﻠﻣﺎﻌﺗ و ﯽ اﺮﺑ ي ﻐﺘﻣ ﺮﯿ ﮐ ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ﺗﺮﺗ ﻪﺑ ﺐﯿ 1 / 73 ، 4 / 64 و 2 / 11 ﺪﺻرد دﻮﺑ . ﺘﻧ ﻪﺠﯿ ﮔ يﺮﯿ : ﺎﺘﻧ ﺞﯾ ﮐﺎﺣ ﻪﻌﻟﺎﻄﻣ ﯽ ﺛﺄﺗ زا ﺮﯿ ﻨﺘﺒﻣ نﺎﻣرد ﻪﻠﺧاﺪﻣ ﯽ ﺬﭘ و ﺪﻬﻌﺗ ﺮﺑ شﺮﯾ ﮐ ءﺎﻘﺗرا رد ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ﺖﻣﻼﺳ ﻪﺑ ﻪﺘﺴﺑاو ﺎﻣزآ هوﺮﮔ رد ﺶﯾ اﺮﺑﺎﻨﺑ .دﻮﺑ ،ﻦﯾ ﻣ ﯽ ا زا ناﻮﺗ ﻦﯾ اﺮﺑ ﻪﻠﺧاﺪﻣ ي ﮐ ﺢﻄﺳ ءﺎﻘﺗرا ﺖﯿﻔﯿ ﯽﮔﺪﻧز ﺑ نارﺎﻤﯿ .دﻮﻤﻧ هدﺎﻔﺘﺳا نﺎﻃﺮﺳ ﻪﺑ ﻼﺘﺒﻣ هژاو ﺎﻫ ي ﻠﮐ يﺪﯿ : نﺎﻣرد ﺬﭘ شﺮﯾ ﮐ ،ﺪﻬﻌﺗ و ﺖﯿﻔﯿ ﮔﺪﻧز ،ﯽ تﺎﺘﺳوﺮﭘ نﺎﻃﺮﺳ ،ﺖﻣﻼﺳ
Background and Objectives: Cancer as a stressful event can have many negative consequences and endanger the various dimensions of physical, mental and family health of the patient. The aim of this study was to determine the effectiveness of acceptance and commitment therapy on health-related quality of life in people with prostate cancer.
Materials and Methods: The present research was a quasi-experimental study with pre-test, post-test and follow-up with a control group. Forty patients with prostate cancer were selected by convenience sampling method from those referred to Labbafinejad and Shohada-e-Tajrish hospitals in 2019 and randomly assigned to experimental and control groups (20 patients in either group). Acceptance and commitment therapy was performed in eight 90-minute sessions on the experimental group. The control group did not receive any intervention. Participants answered the Short Form Health Survey (SF-36) in the pre-test, post-test and follow-up stages. Repeated measures ANOVA was used to analyze the data.
Results: The results showed that acceptance and commitment therapy was effective on improving mental health, physical health and overall quality of life score of patients with prostate cancer (p<0.001). The magnitude of the effect of sources of intergroup, intragroup and interactive change for the quality of life was 73.1%, 64.4% and 11.2%, respectively.
Conclusion: The results of the study showed the effect of commitment-based therapy and acceptance intervention in improving the quality of health-dependent life in the experimental group. Therefore, this intervention can be used to improve the quality of life in cancer patients.