fa بررسی اثربخشی معنویت درمانی بر افزایش امید در زنان مبتلا به سرطان پستان روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article &nbsp;<br> <strong>زمینه و هدف:</strong> سرطان پستان دومین عامل مرگ و میر ناشی از سرطان در میان زنان است که علاوه بر عوارض سنگین جسمی،عوارض روانشناختی هم در پی دارد.لذا بررسی مداخلات روانشناختی موثر در راستای بهبود وضعیت روانی این مبتلایان دارای اهمیت می باشد.تحقیق حاضر با هدف ارزیابی اثربخشی معنویت درمانی بر افزایش امید در زنان مبتلا به سرطان پستان&nbsp; می‌باشد.<br> <strong>روش بررسی:</strong> این پژوهش یک مطالعه‌ی نیمه آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل می‌باشد. جامعه آماری را زنان مبتلا به سرطان پستان مراجعه کننده به بیمارستان امید مشهد تشکیل داده اند. نمونه گیری به شیوه دردسترس بود که برای هر گروه (کنترل و آزمایش) 14 نفر به صورت تصادفی گمارش شدند. ابتدا پیش آزمون از هر دو گروه براساس پرسشنامه امید اشنایدر از هردو گروه گرفته شد، سپس، گروه آزمایش طی 12 جلسه‌ای 120 دقیقه‌ای تحت مداخله معنویت درمانی قرار گرفتند و گروه کنترل مداخله ای دریافت نکرد. پس از پایان مداخله از هردوگروه پس آزمون گرفته شد و مجدد پس از سه ماه هر دو گروه مورد پیگیری قرار گرفتند. روش تجزیه و تحلیل داده ها، آزمون تحلیل واریانس با اندازه گیری مکرر بود.<br> <strong>یافته ها</strong>:&nbsp; نتایج نشان داد، اثر تعاملی گروه و زمان معنادار بوده است. همچنین، در گروه آزمایش متغیر امید در سطح معناداری (<span dir="LTR">p<0/05</span>) افزایش داشت.<br> <strong>&nbsp;نتیجه گیری</strong>: یافته های پژوهش حاضر مشخص می کند که معنویت درمانی گروهی می تواند موجب ارتقا و افزایش امید در بیماران مبتلا به سرطان پستان شود. لذا از این یافته می توان در بسته درمانی مبتلایان به سرطان پستان کمک گرفت.&nbsp;<br> &nbsp;<br> &nbsp; <strong>Abstract</strong><br> &nbsp;<br> <strong>Background:</strong> Breast cancer is the second leading cause of cancer death among women, which, in addition to heavy physical complications, also causes psychological complications. Therefore, effective psychological interventions in order to improve the mental status of these patients are important. Psychological interventions have been undertaken to help increase this factor and factors associated with breast cancer. Spirituality is the search for meaning and purpose in order to communicate with the sacred source or the ultimate reality. Spirituality, whether seeking a relationship with a holy source or an ultimate reality, is accompanied by a kind of excellence and responsible ethics towards this sacred source or the ultimate reality. Spiritual intervention has been considered as an effective therapeutic method in recent years. Religion and spirituality provide a series through which human beings can understand the meaning of their lives. That is why spirituality, a strong predictor of hope and mental health, is an important source of physical health and improvement of the condition of the disease. In fact, we have a special need for intervention in patients with cancer.<br> Hope increase the power of conformity and sign of mental health, and having a plan for real life with the true purpose and purpose of making a living hope is one of the important and essential factors in human life, life expectancy and an attempt to discover the effective variables that lie beyond Improving life expectancy. After Frankl, other scholars have defined life expectancy and studied various aspects of it. Levin and Shayder consider Omid as one of the sources of resilience that can have a positive impact on the health and well-being of individuals when stressed. The purpose of this study was to evaluate the efficacy of spiritual healing in increasing the hope in women with breast cancer.<span dir="RTL"></span><br> <strong>Methods:</strong> The method of present study was a semi-experimental study with pre-posttest, a 3 month follow-up and control group design. The population was women with breast cancer at Omid Hospital of Mashhad, Iran. After considering the inclusion and exclusion of sampling, an availability sampling method was conducted to recruit subjects. The study has been done in 2017. First, we randomly assigned 14 patients for each group (control and experimental groups), then, we conducted pretests for each group using Hope Questionnaire (the reliably and validity of this scale is good). Next, experimental group received the spiritual therapy (12 sessions, 120 minutes), and control group did not receive any programs. After the program, both groups were assessed as a posttest and after three months, were again measured as a follow- up session. Finally, the data put into SPSS22 and were analyzed using a repeated measure of ANOVA and descriptive indexes such as arithmetic mean and standard deviation.<br> <strong>Results</strong>: The mean age of the experimental and control group was 47.92 (SD: 9.77) and 46.85 (SD: 8.72), respectively. In the results section, firstly, the ANOVA hypothesis was examined. The findings showed that all the assumptions of variance analysis were confirmed. Subsequently, the results showed that spiritual therapy had a significant effect on the increase in hope in cancer patients (P <0.05).<br> <strong>Conclusion</strong>: The findings of this study indicate that group spiritual healing can promote and increase hope in patients with breast cancer. Therefore, this finding can be used in the therapeutic package of patients with breast cancer.<br> &nbsp;<br> &nbsp;<br> &nbsp; کلیدواژه ها: معنویت درمانی،امید، سرطان پستان. Keywords: Spirituality, Hope, Breast Cancer. 0 0 http://jdisabilstud.org/browse.php?a_code=A-10-1074-2&slc_lang=fa&sid=1 ZAHRA TAGHAVI زهرا تقوی - taghavi4232@gmail.com 100319475328460014140 100319475328460014140 No Gorgan Azad University دانشگاه ازاد گرگان ALI MOHAMMAD NAZARI علی محمد نظری Amnazariy@yahoo.com 100319475328460014141 100319475328460014141 Yes Shahroud University of Medical Sciences دانشگاه علوم پزشکی شاهرود Soodabeh shahidsales سودابه شهید ثالث Shahidsaless@mums.ac.ir 100319475328460014142 100319475328460014142 No Mashhad University of Medical Sciences دانشگاه علوم پزشکی مشهد Afsaneh Khajevand khoshali افسانه خواجه وند خوشلی Khajevand-a@yahoo.com 100319475328460014143 100319475328460014143 No Gorgan Azad University دانشگاه ازاد گرگان