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عقیلی, سید مجتبی, صادق کاظمی, فرنگیس. (1404). اثربخشی ذهن آگاهی بر واکنش پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2. هنرهای کاربردی, 17(1), 111-123. doi: 10.22075/jcp.2025.34464.2917
سید مجتبی عقیلی; فرنگیس صادق کاظمی. "اثربخشی ذهن آگاهی بر واکنش پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2". هنرهای کاربردی, 17, 1, 1404, 111-123. doi: 10.22075/jcp.2025.34464.2917
عقیلی, سید مجتبی, صادق کاظمی, فرنگیس. (1404). 'اثربخشی ذهن آگاهی بر واکنش پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2', هنرهای کاربردی, 17(1), pp. 111-123. doi: 10.22075/jcp.2025.34464.2917
عقیلی, سید مجتبی, صادق کاظمی, فرنگیس. اثربخشی ذهن آگاهی بر واکنش پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2. هنرهای کاربردی, 1404; 17(1): 111-123. doi: 10.22075/jcp.2025.34464.2917

اثربخشی ذهن آگاهی بر واکنش پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2

روان‌شناسی بالینی: نوآوری‌ها در پژوهش و عمل
مقاله 7، دوره 17، شماره 1 - شماره پیاپی 65، فروردین 1404، صفحه 111-123    اصل مقاله (1.15 M)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22075/jcp.2025.34464.2917
نویسندگان
سید مجتبی عقیلی* 1؛ فرنگیس صادق کاظمی2
1استادیار، گروه روانشناسی و علوم تربیتی، دانشگاه پیام نور، تهران، ایران
2کارشناس ارشد روانشناسی، دانشکده علوم انسانی، دانشگاه پیام نور، گرگان، ایران
تاریخ دریافت: 27 خرداد 1403،  تاریخ بازنگری: 11 اسفند 1403،  تاریخ پذیرش: 23 اسفند 1403 
چکیده
مقدمه: دیابت یک بیماری کشنده و خاموش است که سالانه باعث مرگ میلیون‌ها تن در جهان می‌شود این پژوهش با هدف تعیین اثربخشی ذهن‌آگاهی بر واکنش‌پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2 شهر گرگان انجام شد.
روش: تحقیق حاضر نیمه‌آزمایشی و به شیوه پیش‌آزمون_ پس‌آزمون با گروه گواه بود. جامعه آماری پژوهش را تمامی افراد مبتلا به دیابت نوع دو در انجمن دیابت شهر گرگان در سال 1402 تشکیل دادند و 30 نفر به روش در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایشی و کنترل (هر گروه 15 نفر) جایگزین شدند. ابزارهای پژوهش پرسشنامه‌های واکنش‌پذیری به استرس، تبعیت از درمان و معیار زخم واگنر بود. گروه آزمایش درمان ذهن‌آگاهی را در 8 جلسه 60 دقیقه‌ای دریافت کرد، اما گروه گواه تا پایان پژوهش هیچ مداخله روانشناختی دریافت نکردند. داده‌های پژوهش با تحلیل کوواریانس چندمتغیری و استفاده از نسخه 26 نرم‌افزار SPSS تحلیل شدند.
یافته‌ها: یافته‌ها نشان داد که ذهن‌آگاهی بر واکنش‌پذیری به استرس، تبعیت از درمان و بهبود زخم پای بیماران مبتلا به دیابت نوع 2 شهر گرگان اثربخش است (05/0>P).
نتیجه‌گیری: درمان ذهن‌آگاهی منجر به کاهش واکنش‌پذیری به استرس، افزایش تبعیت از درمان و تسریع ترمیم زخم در بیماران مبتلا به دیابت نوع 2 می‌شود. لذا می‌توان از این مدل درمانی به‌عنوان درمان کمکی جهت پیشگیری یا کاهش عوارض دیابت نوع 2 استفاده نمود.
کلیدواژه‌ها
ذهن آگاهی؛ واکنش پذیری به استرس؛ تبعیت از درمان؛ زخم پای دیابتی
عنوان مقاله [English]
The Effectiveness of Mindfulness on Reactivity to Stress, Adherence to Treatment and Healing of Foot Ulcers in Patients with type 2 Diabetes
نویسندگان [English]
Mojtaba Aghili1؛ Farangis Sadegh Kazemi2
1Assistant Professor, Department of Psychology and Educational Sciences, Payame Noor University, Tehran, Iran
2Master of Psychology, Payam Noor University, Gorgan, Iran
چکیده [English]
Introduction: Diabetes is a deadly and silent disease that causes the death of millions of people in the world every year. This research was conducted with the aim of determining the effectiveness of mindfulness on reactivity to stress, adherence to treatment and healing of foot ulcers in patients with type 2 diabetes in Gorgan.
Method: The current research was semi-experimental and pre-test-post-test with a control group. The statistical population of the study consisted of all people with type 2 diabetes in Gorgan Diabetes Association in 2023, and 30 people were selected using the available method and randomly replaced in two experimental and control groups (15 people in each group). The research tools were questionnaires of reactivity to stress, adherence to treatment and Wagner's wound criterion. The experimental group received mindfulness therapy in 8 sessions of 60 minutes, but the control group did not receive any psychological intervention until the end of the study. Research data were analyzed by multivariate covariance analysis and using SPSS software version 26.
Findings: The findings showed that mindfulness is effective on reactivity to stress, adherence to treatment, and healing of foot ulcers in patients with type 2 diabetes in Gorgan city (P<0.05).
Conclusion: Mindfulness therapy reduces reactivity to stress, increases adherence to treatment, and accelerates wound healing in patients with type 2 diabetes. Therefore, this treatment model can be used as an auxiliary treatment to prevent or reduce the complications of type 2 diabetes.
کلیدواژه‌ها [English]
mindfulness, reactivity to stress, adherence to treatment, diabetic foot ulcer
مراجع
منابع

  1. Zhang L, Lin H, Wu W, Zhuan, J, Huang L, Wang Y, Liu J, Hu C, Wei X. A meta-analysis of the impact of pharmacist interventions on clinical outcomes in patients with type-2 diabetes. Patient Education and Counseling, 2023; 120(3): 809-821.
  2. Jalali A, Pourhossein R, Alipour A, Afrooz G. Comparing the effectiveness of stress management method based on cognitive behavioral approach and self-care training and their combination on quality of life in people with type 2 diabetes. Health Psychology, 2022; 11(44): 167-188.
  3. Tang J, Wu T, Hu X, & Gao L. Self-care activities among patients with type 2 diabetes mellitus: A cross-sectional study. International journal of nursing practice, e12987. Advance online publication, 2021; 27(6): 129-138.
  4. Dunachie S, Chamnan P. The double burden of diabetes and global infection in low and middle-income countries. Trans R Soc Trop Med Hyg, 2019; 113(1): 56-
  5. Jellodari S, Soudagar S, Seirafi M, Ghorbani M. The effectiveness of metacognitive therapy on psychological distress and psychological cohesion in patients with type 2 diabetes. Clinical Psychology, 2023; 15(3): 81-94.
  6. Akushevich I, Yashkin AP, Kravchenko J, Fang F, Arbeev K, Sloan F. Identifying the causes of the changes in the prevalence patterns of diabetes in older US adults: A new trend partitioning approach. Journal of Diabetes and its Complications, 2018; 32(4):362-370.
  7. Sadeghian L, Chin Ave M, Fili A. Comparing the effectiveness of stress coping techniques and self-regulation strategies on anxiety and stress in diabetic patients. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 2021; 64(6): 4112-4127.
  8. Sawyers C, Sheerin C, Moore A, Neigh G, Hettema J, Roberson-Nay R. Genetic and environmental influences on alpha amylase stress reactivity and shared genetic covariation with cortisol. Psychoneuroendocrinology, 2023; 161(3): 922-936.
  9. Sato A, Darling K, Ruzicka E, Fahrenkamp A, Shields C, West C, Schuler S. A biobehavioral examination of emotional eating in adolescents: Evaluating the role of acute cortisol stress reactivity in the context of a multi-method assessment of eating in response to stress. Appetite, 2023; 184(1): 648-656.
  10. Sadeghian M, Samadi H, Abbasi Bafghi H, Abedinzadeh Masuleh S. The predictive role of physical activity in reactivity to stress and psychological strength of Faraja employees. Medical Journal, 2023; 12(1): 7-14.
  11. Messerli-Bürgy N, Horsch A, Schindler C, Boichat A, Kriemler S, Munsch S, Crottet B, Marquez-Vidal PM, Borghini A, Puder JJ. Influence of acute physical activity on stress reactivity in obese and normal weight children: a randomized controlled trial. Obesity facts, 2020; 12(1): 115-130.
  12. Fung TS, Liao Y, Liu DX. Regulation of stress responses and translational control by coronavirus. Viruses, 2020; 8(7): 184-196.
  13. Ayoubi J, Begdali I, Mashhadhi A. Effectiveness of integrated cognitive-behavioral therapy with mindfulness on quality of life, psychological distress and adherence to treatment in type 2 diabetic patients. Health Psychology, 2020; 9(34): 75-94.
  14. Mohamed Nor N, Mohd Shukri N, Sidek S. The development and validation of Perceived Adherence Lifestyle Modification Questionnaire (PALM-Q) among type 2 diabetes mellitus patients. Human Nutrition & Metabolism, 2023; 30(12): 166-182.
  15. Khardali A, Syed N, Alqahtani S, Qadri M, Meraya A, Rajeh N, Aqeely F, Alrajhi, S, Zanoom A, Gunfuthi S, Basudan W, Hakami T, Abdelgadir M. Assessing medication adherence and their associated factors amongst type-2 diabetes mellitus patients of Jazan Province, Saudi Arabia: A single-center, cross-sectional study. Saudi Pharmaceutical Journal, 2023; 32(1): 101-119.
  16. Hassania L, Fakhri M, Emadian O. Comparison of the effectiveness of religion-oriented cognitive-behavioral therapy and resilience training in following the treatment of patients with type 2 diabetes. Research in religion and health, 2023; 8(1): 38-52.
  17. Mansour M, Hemati M, Parizad N. The effect of family-centered education on adherence to treatment in patients with type 1 diabetes: a clinical trial. Journal of Nursing and Midwifery, 2020; 18(11): 848-858
  18. Nematollahi S, Barazjani F, Pishdad G, Zakirkish M, Namjooyan F, Ahmadi K. The effect of two combined herbal supplements on health-related quality of life in type 2 diabetes patients. Psychological Achievements, 2023; 30(1): 1-18.
  19. Álvaro F, García M, López M, Barroso M, Martínez J. Health-related quality of life among Spanish patients with diabetic foot ulcer according to Diabetic Foot Ulcer Scale – Short Form. Journal of Tissue Viability, 2023; 4(11): 161-175.
  20. Senjari M, Amini M, Mehrdad N, Mohajeri M. Overview of the prevention and treatment of diabetic foot problems: a summary guide for daily care based on the guidelines of the International Diabetic Foot Task Force. Iranian Journal of Diabetes and Metabolism, 2021; 19(3):123-133.
  21. Ma L, Lin S, Sun S, Ran X. Related factors to illness perception of individuals with diabetic foot ulcers: A structural equation modelling test. Journal of Tissue Viability, 2023; 4(12): 584-596.
  22. Ntuli S, Letswalo D. Diabetic foot and lower limb amputations at central, provincial and tertiary hospitals-underscores the need for organised foot health services at primary healthcare level. The Foot, 2023; 56(11): 203-219.
  23. Tajik A, Hosseini-Al-Madani A, Khodabakhshi-Kolaei A. Comparing the effectiveness of metacognitive therapy-based training and mindfulness-based self-compassion on nurses' anxiety. Clinical Psychology, 2021; 13(4): 87-101.
  24. Van Son J, Nyklicek I, Pop V, Blonk M, Erdtsieck R, & Pouwer F. Mindfulness˚ Based cognitive therapy for people with diabetes and emotional problems. Journal of psychosomatic research, 2021; 77(1): 81-85.
  25. Chen Y, Chiu F, Lin Y, & Chang Y. The Effectiveness of Mindfulness-Based-Stress-Reduction for Military Cadets on Perceived Stress. Psychological Reports, 2022; 125(4): 1915-1936.
  26. Venkatesh Kumar J, Aghili M, Zare M, Asghari Arezou. Effectiveness of mindfulness training on reducing stress on adherence to treatment and consumption of appropriate food for type 2 diabetes patients. Iranian Journal of Health Psychology, 2022; 5(2): 17-26.
  27. Xia T, Lopes S, Chen L, Roth R, Zinzow H, Jones K, Zhang L, Shi L, Jindal M. A feasibility study on low-dose mindfulness-based stress reduction intervention among prediabetes and diabetes patients. Complementary Therapies in Medicine, 2022; 65(5): 281-292.
  28. Alikhah S, Akbari B, Abul Qasemi A. The effectiveness of the cognitive therapy approach based on mindfulness on resilience and body image in patients with skin disorders in interaction with emotional reactivity. Islamic lifestyle centered on health, 2023; 7(2): 94-103.
  29. Mahmoud Salehi H, Davodi I, Nisi A, Mehrabizadeh M. The effectiveness of group-based mindfulness-based recovery promotion training on cognitive reactivity to sad mood and pain-related anxiety in patients with chronic pain. Journal of Sabzevar University of Medical Sciences, 2020; 27(3): 330-337.
  30. Bogusch LM, O'Brien WH. The effects of Mindfulness-based interventions on diabetes-related distress, quality of life, and metabolic control among persons with diabetes: A meta-analytic review. Behavioral Medicine, 2021; 45(1): 19-29.
  31. Kolahi P, Salehi M, Madahi M, Sepah Mansour M. Effectiveness of mindfulness-based stress reduction program on depression and adherence to treatment in female coronary heart patients. Applied Family Therapy, 2022; 3(3): 418-436.
  32. Ellis D, Carcone A, Slatcher R, Naar‐King S, Hains A, Graham A, & Sibinga E. Efficacy of mindfulness‐based stress reduction in emerging adults with poorly controlled, type 1 diabetes: A pilot randomized controlled trial. Pediatric diabetes, 2019; 20(2): 226-234.
  33. Xiao L. Blood sugar reduction of type 2 diabetic patients through a mindfulness intervention program. NeuroQuantology, 2018; 16(1): 57-62.
  34. Vahedi Ardakani H, Koshki,S, Orki M, Kazemi A. The effectiveness of hypnotic therapy and mindfulness-based stress reduction on wound healing and perceived stress in patients after abdominal surgery. Health Psychology, 2022; 11(43): 179-200.
  35. Hamasaki H. The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses. Medicines, 2023; 10(9): 1-13.
  36. Meesters A, Bosch-Meevissen Y, Weijzen, C, Buurman W, Losen M, Schepers J, Thissen M, Alberts H, Schalkwijk, & Peters M. The effect of Mindfulness-Based Stress Reduction on wound healing: a preliminary study. Journal of Behavioral Medicine, 2021; 41(3): 385-397.
  37. Schlotz W, Hammerfald K, Ehlert U, Gaab J. Individual differences in the cortisol response to stress in young healthy men: Testing the roles of perceived stress reactivity and threat appraisal using multiphase latent growth curve modeling. Biological psychology, 2011; 87(2): 257-264.
  38. Azizi Aram S, Basharpour S. The role of rumination, emotion regulation and reactivity to stress in predicting the anxiety of the corona virus (Covid-19) in nurses. Nursing Management Quarterly, 2020; 9(3): 8-18.
  39. Seyed Fatemi N, Rafiei F, Hajizadeh E, Madanlo M. Design and psychometrics of treatment adherence questionnaire in patients with chronic disease: a mixed study. Komesh, 2018; 20(2): 179-191.
  40. Tanharu D, Quds R, Pourrahimi M, Abdi M, Aghaei S, Vali N. Adherence to treatment in patients with diabetes and factors affecting it. Pjohuhan Scientific Journal, 2018; 17(1): 44-37.
  41. Huang Y, Xie T, Cao Y, Wu M, Yu L, Lu S. Comparison of two classification systems in predicting the outcome of diabetic foot ulcers: the Wagner grade and the saint elian wound score systems. Wound Repair Regen, 2015; 23(3): 379-385.
  42. Siegel R. The mindfulness Solution (every day practices for Every Day problems), New York: Guilford. 2010.
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