health

Introduction: University students have a lot of problems in the field of adjustment especially social and health adjustment. Therefore, present research aimed to investigate the effectiveness of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students.
Methods: This research was carried out as a semi-experimental, with a pre-test and post-test design. The statistical population included all nursing students of Islamic Azad University of Pishva branch in 2015-16 academic year. 40 nurses were selected by voluntary sampling method and randomly assigned to two equal groups. The experimental group experienced 8 sessions of 90 minutes of education by group therapy based on acceptance and commitment. Groups completed the dimensions of social and health adjustment of Bell’s adjustment questionnaire. Data were analyzed using SPSS19 and by multivariate analysis of covariance method.
Results: The findings showed there was a significant difference between experimental and control groups in the social and health adjustment. In the other words, group therapy based on acceptance and commitment significantly led to improve the social and health adjustment of nursing students (P≤0/05).
Conclusion: The results are due to the importance of group therapy based on acceptance and commitment on increasing social and health adjustment of nursing students. Therefore, it is suggested that counselors and therapists improve the dimension of adjustment especially social and health adjustment using group therapies based on acceptance and commitment.

دانشجويان مشکالت زيادی در زمینۀ سازگاری بهويژه سازگاری اﺟتماعی و بهداشتی دارند. بنابراين، مقدمه:
پژوهﺶ ﺣاﺿر با هدف بررسی اﺛربﺨشی گروه درمانی مﺒتنی بر پذيرش و تﻌهد بر سازگاری اﺟتماعی و بهداشتی
دانشجويان پرستاری انجام شد.
اين پژوهﺶ بهصورت نیمه آزمايشی با طرح پیﺶآزمون و پﺲآزمون انجام شد. ﺟامﻌۀ آماری روش کار:
بود. در 1394-95 شامﻞ همۀ دانشجويان رشتۀ پرستاری دانشگاه آزاد اسالمی واﺣد پیشوا در سال تﺤﺼیلی
پرستار با روش نمونهگیری داوطلﺒانه انتﺨاب و به روش تﺼادﻓی در دو گروه مﺴاوی ﺟايگﺰين شدند. 40 مجموع
دﻗیقهای با روش گروه درمانی مﺒتنی بر پذيرش و تﻌهد آموزش ديد. گروه ها ابﻌاد 90 گروه آزمايﺶ، هشﺖ ﺟلﺴۀ
ويرايﺶ SPSS سازگاری اﺟتماعی و بهداشتی پرسﺶنامۀ سازگاری بِﻞ را تکمیﻞ کردند. داده ها به کمک نرماﻓﺰار
و با روش تﺤلیﻞ کوواريانﺲ چندمتﻐیری تﺤلیﻞ شدند. 19
ياﻓتهها نشان داد بین گروههای آزمايﺶ و کنترل در سازگاری اﺟتماعی و بهداشتی تفاوت مﻌناداری یافتهها:
به عﺒارت ديگر گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بهصورت مﻌناداری، باعﺚ بهﺒود سازگاری وﺟود داشﺖ.
.(P≤0/05اﺟتماعی و بهداشتی دانشجويان پرستاری شد )
نتايﺞ ﺣاکی از اهمیﺖ گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بر اﻓﺰايﺶ سازگاری اﺟتماعی و نتیجهگیری:
بهداشتی دانشجويان پرستاری بود. بنابراين پیشنهاد میشود مشاوران و درمانگران برای بهﺒود ابﻌاد سازگاری
به ويژه سازگاری اﺟتماعی و بهداشتی از گروه درمانی مﺒتنی بر پذيرش و تﻌهد استفاده کنند.

This trial aimed to assess the effect of an acceptance and commitment therapy (ACT) and mindfulness-based intervention on the various psychological and physical issues associated with obesity. A parallel group randomized controlled trial was conducted with 142 adults with body mass indexes in the overweight or obesity range seeking treatment. Participants were assigned either to the ACT and mindfulness-based group intervention (Mind&Life intervention) plus treatment as usual (TAU) or the TAU-only condition. Individuals receiving the Mind&Life intervention with TAU showed more adherence to the Mediterranean diet, and greater decrease in external eating, weight, and visceral fat both at posttreatment and at 6-month follow-up. Moreover, they displayed a greater reduction in total protein and animal protein intake and GPT enzymes level. By 6-month follow-up, the Mind&Life group experienced a lower impact of weight on quality of life than TAU participants. However, Mind&Life intervention completers showed greater restrained eating levels at follow-up. Overall, this study suggests that an ACT and mindfulness-based group intervention could produce improvements in the impact of weight on quality of life, some eating behaviors, dietary habits, and weight and body composition parameters of people facing weight-related challenges.

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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       

Introduction: Psychosomatic experts have tried to associate mental disorders to physical illnesses. The vulnerability of different parts of the body is thought to depend on fundamental differences between individuals. One of the methods that seems to affect the psychological problems of asthma patients is acceptance and commitment therapy. Therefore, the aim of this study was to evaluate the effectiveness of acceptance- and commitment-based therapy on resilience, psychological well-being, and life expectancy in asthmatic patients.

Methods: This quasi-experimental pre-test and post-test study was conducted on 30 asthmatic patients who were randomly assigned to the experimental (n = 15) and control (n = 15) groups according to the inclusion criteria. Acceptance and commitment therapy sessions were based on the treatment package of Hayes et al. in 8 sessions of 60 minutes on the experimental group and no intervention was performed on the control group. All participants took part in the pre-test and post-test. Collection tools included Conner-Davidson Resilience Questionnaire, Schneider Life expectancy, and Ryf Psychological Well-being.

Results: The results showed a significant difference in the components of resilience, psychological well-being, and life expectancy in asthmatic patients before and after the experiment (p <0.05). In other words, acceptance and commitment-based therapy had a positive effect on resilience, psychological well-being and life expectancy in asthmatic patients and these components have increased in patients.

Conclusion: Findings showed that acceptance- and commitment-based therapy was effective on resilience, psychological well-being, and life expectancy of asthmatic patients. This treatment is suggested to be used in conjunction with drug therapy to improve the psychological symptoms of asthmatic patients.

چکیذه
مقذمه: هتػ بّّى پك ىٌ  اٍى ت تلاي وفؼ ا ؽً اتجبط اغتلالات  اٍ ث و٘ب بّ خىو ا
ه ػٍ و ؽٌٌ. ت َّ ثف ا يٗ اوت آو ت٘ پؿ فٗ ثػ بًّ گ بًَگ ىَ ثؽى ث تفب تٍ بّ إوبو ه ب٘ى اففاؼ
ثىتگ ؼاؼ. ىٗ اق  يٍ بّ و ث ظًف ه وؽ ثف ه ىٍلات  اٍ بًٌٍغت ث و٘باى آون ه ثَف ثب ؽٌ ؼهبى
هجت ثف پؿ فٗي تؼ ؽْ اوت. ث بٌثفا يٗ ؽّف اق پم ضبضف ثفو اثفثػ ؼهبى هجت ثف پؿ فٗي تؼ ؽْ ثف تبة آ ٍ ،ٕ ث كْ ىٗت  اٍ بًٌٍغت اه ؽ٘ ث ق ؽًگ ؼ ث و٘باى آووبته٘ ث ؼَ.
روش بزرسی: ا يٗ پم وً٘ آقهب اق عًَ پ آقه ىَ په آقه ىَ ثف  30 ث و٘ب آوو و ثب ت خَ ث هؼ ب٘ بّ ٍ ؼٍ ث َِت ت بّؼف ث ؼ گف آقهب و تٌفل 15 فًف ه تٌ تّ ؽٌ ؽً، ا دًبم
وّىباى ؼ 8 خلى 60 ؼل م٘ إ ثف Hayes ؽٌ. خلىبت ؼهبى پؿ فٗي تؼ ؽْ ثفاوبن ثىت ؼهب
گف آقهب ت ىٍ ل٘ ؽٌ رّ٘ هؽاغل إ ثف  گف و تٌفل َِت گًففت. لجل ثؼؽ اق
اخفإ خلىبت پ آقه ىَ په آقه ىَ اق فّ ؼ گف گففت ؽٌ. اثكا گفؼآ ٍ بٌهل پفو بٌٍه بّ تبة آ ٍ و فًَ ؼ ؽَٗٗو ىَ، اه ؽ٘ ث ق ؽًگ ا بٌٌ ؽٗ ث كْ ىٗت  اٍى بٌٌغت فٗ ث ؼَ.
یافته ها: تًب حٗ بًٍى ؼاؼ و تفب تٍ هؼ ؼإ ؼ ه لَف بّ تبة آ ٍ ،ٕ ث كْ ىٗت  اٍ بًٌٍغت اه ؽ٘ ث ث ا يٗ هؼ و ؼهبى هجت .)P<0/ ق ؽًگ ؼ ث و٘باى آووبته٘ ؼ لجل ثؼؽ اق اقهب خٍ ؼَ ؼاؼ ) 05
ثف پؿ فٗي تؼ ؽْ ثف تبة آ ٍ ،ٕ ث كْ ىٗت  اٍ بًٌٍغت اه ؽ٘ ث ق ؽًگ ؼ ث و٘باى آووبته٘ اثف هثجت
ؼا تٌ ا يٗ ه لَف بّ ؼ ث و٘باى افكا بٗفت اوت.
نتیجه گیزی: بٗفت بّ بًٍى ؼاؼ ؼهبى هجت ثف پؿ فٗي تؼ ؽْ ثف ه ك٘اى تبة آ ٍ ،ٕ ث كْ ىٗت  اٍ بًٌٍغت اه ؽ٘ ث ق ؽًگ ث و٘باى آووبته٘ ه ثَف ث ؼَ. پ بٌٍْ٘ؼ ه گفؼؼ اق ا يٗ  يٍ ؼهب نّ اوتب ثب ؼهبى
ؼا ؼ ث جْ ؼَ ػلا نٗ  اٍ بًٌٍغت ث و٘باى آووبته٘ اوتفبؼ ؼٌَ.
واصههایکلیذی: ؼهبى هجت ثف پؿ فٗي تؼ ؽْ، تبة آ ٍ ،ٕ ث كْ ىٗت  اٍ بًٌٍغت ،ٖ اه ؽ٘ ث ق ؽًگ ،ٖ
آووبته٘
Downloaded from tbj.ssu.ac.ir at 17:55 IRDT on Saturday May 29th 2021 [ DOI: 10.18502/tbj.v20i1.6186 ]
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