fa تاثیر آموزش مدیریت تنش بر بهبود کیفیت زندگی بیماران مبتلا به دیابت نوع2 مدیریت سلامت health management كاربردي Applicable <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="FA" style="line-height: 125% font-family:">مقدمه: </span></b><span lang="AR-SA" style="line-height: 125% font-family:">یکی از مفاهیم بسیار مهم در بیماری های مزمن مفهوم کیفیت زندگی است</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="line-height: 125% font-family:" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="line-height: 125% font-family:">و بیماری دیابت نیز از این قاعده مبرا نیست . ارتقاء کیفیت زندگی این بیماران از طرق مختلف صورت می پذیرد </span><span lang="FA" style="line-height: 125% font-family:">و </span><span lang="AR-SA" style="line-height: 125% font-family:">یکی از این روش ها کنترل یا به عبارتی مدیریت تنش است. لذا این مطالعه با هدف تعیین تاثیر آموزش مدیریت تنش بر بهبود کیفیت زندگی بیماران مبتلا به دیابت نوع 2، صورت گرفت.</span><span style="line-height: 125% font-family:" dir="ltr"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family:">مواد و روش ها:</span></b><span lang="AR-SA" style="line-height: 125% font-family:"> مطالعه حاضر </span><span lang="FA" style="line-height: 125% font-family:">یک مطالعه </span><span lang="AR-SA" style="line-height: 125% font-family:">نیمه تجربی می باشد. نمونه های این پژوهش را 96 نفر از بیماران مبتلا به دیابت نوع 2 مرکز دیابت شهر کرمان تشکیل دادند (48 نفر در گروه کنترل و 48 نفر در گروه مداخله)، که به صورت در دسترس انتخاب شدند. بیماران گروه مداخله طی یک دوره 5/1 ماهه برای 10 جلسه<font face="B Mitra"><font size="3"><span style="mso-spacerun: yes"> </span>2 ساعتی (هر هفته دو جلسه) مورد آموزش قرار گرفتند. کیفیت زندگی بیماران گروه مداخله وکنترل قبل و بعد از مداخله با استفاده از پرسشنامه</font></font></span><span lang="FA" style="line-height: 125% font-family:">" </span><span lang="AR-SA" style="line-height: 125% font-family:">کیفیت زندگی<span style="mso-spacerun: yes"><font face="B Mitra" size="3"> </font></span></span><span dir="ltr"></span><span dir="ltr"></span><span style="line-height: 125% font-family:" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Times New Roman"><font size="3"><span style="mso-spacerun: yes"> </span>SF36</font></font></span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family:"><span dir="rtl"></span><span dir="rtl"></span> "</span><span dir="ltr"></span><span dir="ltr"></span><span style="line-height: 125% font-family:" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span>36-Item Short Form Health Survey</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="line-height: 125% font-family:"><span dir="rtl"></span><span dir="rtl"></span>" </span><span lang="AR-SA" style="line-height: 125% font-family:">اندازه گیری شد. داده ها با استفاده از نرم افزار</span><span style="line-height: 125% font-family:" dir="ltr">SPSS </span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 125% font-family:"><span dir="rtl"></span><span dir="rtl"></span><font size="3"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>نسخه 20 مورد</font></font></span><span lang="AR-SA" style="line-height: 125% font-family:"> </span><span lang="AR-SA" style="line-height: 125% font-family:">تجزیه و تحلیل قرار گرفت. <span class="longtext"><o:p /></span></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family:">یافته ها:</span></b><span lang="AR-SA" style="line-height: 125% font-family:"> <font face="B Mitra"><font size="3"><span style="color: black">میانگین و انحراف معیار نمره کل کیفیت زندگی در دو گروه</span> کنترل و مداخله </font></font></span><span lang="FA" style="line-height: 125% font-family:">قبل </span><span lang="AR-SA" style="line-height: 125% font-family:">از آموزش به ترتیب 53/15</span><span lang="AR-SA" style="line-height: 125% font-family:">±</span><span lang="AR-SA" style="line-height: 125% font-family:">1/54 و 79/14</span><span lang="AR-SA" style="line-height: 125% font-family:">±</span><span lang="AR-SA" style="line-height: 125% font-family:">32/54 و بعد از آموزش 69/16</span><span lang="AR-SA" style="line-height: 125% font-family:">±</span><span lang="AR-SA" style="line-height: 125% font-family:">21/54 و 41/12</span><span lang="AR-SA" style="line-height: 125% font-family:">±</span><span lang="AR-SA" style="line-height: 125% font-family:">52/63 بود. نتایج تفاوت معنی داری در کیفیت زندگی بیماران مبتلا به دیابت نوع 2 بعد از مداخله نسبت به قبل از مداخله نشان داد (0001/0></span><span style="line-height: 125% font-family:" dir="ltr">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 125% font-family:"><span dir="rtl"></span><span dir="rtl"></span>).<span style="mso-spacerun: yes"><font face="B Mitra" size="3"> </font></span></span><b>^{<span style="line-height: 125% font-family:" dir="ltr"><o:p /></span>}</b></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: rtl" dir="rtl"><b><span lang="AR-SA" style="line-height: 125% font-family:">نتیجه گیری</span></b><span dir="ltr"></span><span dir="ltr"></span><b><span lang="AR-SA" style="line-height: 125% font-family:" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span></b><b><span style="line-height: 125% font-family:" dir="ltr">:</span></b><span lang="AR-SA" style="line-height: 125% font-family:">یافته های این پژوهش نشان داد که آموزش مدیریت تنش موجب بهبود کیفیت زندگی بیماران گروه مداخله شده است. پیشنهاد می شود از این شیوه به عنوان یک روش مکمل برای بهبود کیفیت زندگی بیماران دیابتی و سایر بیماران مزمن استفاده شود.</span><span style="line-height: 125% font-family:" dir="ltr"><o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt"><b><span lang="X-NONE" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman" mso-ansi-language: X-NONE">Introduction</span></b><span lang="X-NONE" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman" mso-ansi-language: X-NONE">: Quality of life in chronic diseases such as diabetes is a very important concept. Quality of life enhancement of these patients is done in different ways. One of these methods is control stress management. Therefore, this study aimed to determine the </span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">e</span><span lang="X-NONE" style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman" mso-ansi-language: X-NONE">effectiveness of stress management training on improved quality of life in patients with type 2 diabetes</span><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt"><b><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">Materials and Methods: </span></b><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">This study was a quasi-experimental intervention study. The study sample was consisted of 96 female and male patients with type 2 diabetes (48 patients in the control group and 48 patients in the intervention group), that were participated in convenience method. Quality of life in patients before and after the intervention groups was measured with a questionnaire SF36.  Data were collected and analyzed with SPSS/20. <o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoFootnoteText" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt unicode-bidi: embed direction: ltr"><font face="Times New Roman"><b><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">Findings</span></b><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">: The total mean score of quality of life before and after intervention in the control group was</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US"> 54.1</span><span lang="X-NONE" style="mso-bidi-font-family: "B Mitra""><font size="2">±</font></span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">15</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">.</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">53</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra""> and</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US"> 54.32</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">±</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">14</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">.</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">79</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">. The total mean score of quality of life before and after intervention in the intervention group was </span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">54.21</span><span lang="X-NONE" style="mso-bidi-font-family: "B Mitra""><font size="2">±</font></span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">16</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">.</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">69</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra""> and </span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">63.52</span><span lang="X-NONE" style="mso-bidi-font-family: "B Mitra""><font size="2">±</font></span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">12</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">.</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">41</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra"">. The results showed there is significant difference in quality of life the patients with type 2 diabetes before and after stress management training  (</span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US">P</span><span lang="X-NONE" style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra""><0.0001). </span><span style="line-height: 125% font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ansi-language: EN-US"><o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: 125% text-indent: 11.35pt"><b><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">Conclusions</span></b><span style="line-height: 125% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: "B Mitra" mso-fareast-font-family: "Times New Roman"">: The results showed that education of stress management will improve the quality of life in intervention group. It is recommended that the supplement treatment to be provided be used for diabetics patients and other chronic patients.<o:p /></span></p><font face="Times New Roman" size="3"> </font> آموزش مدیریت تنش، کیفیت زندگی، دیابت نوع 2 Stress management, Quality of life, Type 2 diabetes 16 24 http://jhpm.ir/browse.php?a_code=A-10-450-1&slc_lang=fa&sid=1 M Fuladvandi معصومه فولادوندی 10031947532846002460 10031947532846002460 No School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بم ، بم، ایران M Aziz Zadeh Foroozi منصوره عزیززاده فروزی 10031947532846002461 10031947532846002461 No School of Nursing and Midwifery, Kerman Medical University, Kerman, Iran. دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمان، کرمان، ایران A Asad Abadi آذر اسدآبادی 10031947532846002462 10031947532846002462 No Department of Epidemiology and Biostatistics, Faculty of Public Health, Kerman Medical University, Kerman, Iran. گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران. GR Fuladvandi غلامرضا فولادوندی 10031947532846002463 10031947532846002463 No School of Industrial Management,Tehran University, Tehran, Iran. ، گروه مدیریت صنعتی، دانشکده مدیریت، دانشگاه تهران، تهران، ایران T Lashkari طاهره لشکری na.lashkari@gmail.com 10031947532846002464 10031947532846002464 Yes Kerman Medical University, Kerman, Iran دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمان، کرمان، ایران. L Malekian لیلا ملکیان 10031947532846002465 10031947532846002465 No School of Nursing and Midwifery, Kerman Medical University, Kerman, Iran دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمان، کرمان، ایران.