task-oriented
در نشریات گروه پزشکی-
Objectives
This study determines the effect of the Bobath approach versus task task-oriented approach for motor activity, activities of daily living and quality of life (QoL) in young stroke patients.
MethodsBased on the inclusion and exclusion criteria, 60 patients participated in this study from different clinical setups (30 subjects in each group). The patients were analyzed after a three-month follow-up with the following three assessment tools: Barthel index (BI) scale for assessment of activities of daily living, motor assessment scale (MAS) for motor function and stroke-specific QoL scale (SSQOL) in post-stroke patients.
ResultsThis study included two treatment groups (group A and group B) with an equal distribution of participants. Paired sample t-tests were applied to compare pre and post-treatment measures within each group. The results indicated significant changes in several measures. In pair 1 (pre-BI vs post-BI), the index showed a significant improvement after treatment. In pair 2 (pre-MA vs post-MA), the index also showed a significant improvement after treatment. However, in pair 3 (pre-SSQOL vs post-SSQOL), there were no significant changes in the SSQOL index. Furthermore, the independent sample t-tests were conducted to compare the measures between the groups. Accordingly, the results showed significant differences in some measures. In terms of pre-treatment BI and post-treatment BI, group A showed a significantly higher improvement after treatment. Meanwhile, group A showed a significantly higher improvement after treatment in pre-treatment MA and post-treatment MA. However, in pre-treatment SSQOL and post-treatment SSQOL, there were no significant differences between group A and group B in terms of SSQOL after treatment.
DiscussionThis study shows improvement in both treatment groups and effectiveness after the assessment of three different tools which assessed the overall body function of young stroke patients. Following the application of these tools, this study concluded which treatment is most effective as compared to other approaches in young stroke patients. However, in previous studies in which Bobath treatment was also compared with the motor relearning approach in geriatric stroke patients, in patients treated according to motor relearning, in patients who had a short stay in hospitals and those who were treated according to both treatment groups demonstrated effective improvement of body function; however, that study confirmed better results according to gender-wise description, i.e. women treated by motor relearning programme (MRP) are more effective and have better results compared to the Bobath approach.
Keywords: Motor Assessment Scale (MAS), Barthel Index (BI), Stroke Specific Quality Of Life (SSQOL), Task-Oriented -
زمینه و هدف
اختلال اعتیاد به اینترنت، نوعی وابستگی رفتاری است که موجب نقص در عملکرد افراد و بروز اختلالات روانی می شود. این پژوهش با هدف بررسی رابطه بین شفقت خود و اعتیاد به اینترنت با میانجیگری راهبردهای مقابله با استرس در دانشجویان انجام گرفت.
روش بررسی:
روش پژوهش حاضر از نوع همبستگی و تحلیل مسیر بود. جامعه مطالعه شده را دانشجویان دانشگاه تهران، پردیس فارابی قم در سال 98-1397 تشکیل دادند که 230 نفر از این دانشجویان به روش دردسترس انتخاب شدند؛ اما درمجموع 212 پرسش نامه بازگردانده شد که اطلاعات آن ها تحلیل شد. ابزارهای پژوهش، مقیاس شفقت خود (نف، 2003)، پرسش نامه اعتیاد به اینترنت (یانگ، 1998) و پرسش نامه راهبردهای مقابله با موقعیت های استرس زا (اندلر و پارکر، 1990) بود. برای تحلیل داده ها از آزمون ضریب همبستگی پیرسون و تحلیل مسیر در نرم افزارهای SPSS نسخه 26 و AMOS نسخه 24 استفاده شد. تحلیل های آماری در سطح معناداری 0٫05 انجام گرفت.
یافته ها:
نتایج تحلیل مسیر نشان داد، ضریب مسیر شفقت خود به راهبرد مقابله ای مسیله مدار، مثبت و معنادار بود (0٫007=p و 0٫42=β) و ضریب مسیر شفقت خود به راهبرد مقابله ای هیجان مدار، منفی و معنادار بود (0٫001=p و 0٫65-=β). ضریب مسیر راهبرد مقابله ای مسیله مدار به اعتیاد به اینترنت، منفی و معنادار بود (0٫009=p و 0٫31-=β) و ضریب مسیر راهبرد مقابله ای هیجان مدار به اعتیاد به اینترنت، مثبت و معنادار بود (0٫007=p و 0٫44=β). شفقت خود بر اعتیاد به اینترنت اثر مستقیم نداشت؛ بلکه ضریب مسیر غیرمستقیم شفقت خود ازطریق میانجیگری راهبردهای مقابله ای مسیله مدار و هیجان مدار با اعتیاد به اینترنت، منفی و معنادار بود (0٫006=p و 0٫42-=β). مدل نهایی و اصلاح شده تحلیل مسیر از برازش مطلوبی برخوردار بود (0٫038=2χ و 0٫84=p، 0٫99=GFI و 0٫99=CFI و 0٫98=N و 0٫002=RMSEA).
نتیجه گیری:
براساس یافته های پژوهش نتیجه گرفته می شود، شفقت خود، تنها ازطریق راهبردهای مقابله ای مسیله مدار و هیجان مدار می تواند بر اعتیاد به اینترنت اثرگذار باشد. توجه به این مکانیزم اثر می تواند در مداخلات پیشگیری و درمانی برای اعتیاد به اینترنت موثر باشد.
کلید واژگان: شفقت خود، اعتیاد به اینترنت، مسئله مدار، هیجان مدار، اجتنابیBackground & ObjectivesInternet Addiction Disorder (IAD) is characterized by excessive or poorly controlled preoccupations or behaviors regarding that Internet use that leads to impairment or distress. IAD, as a behavioral addiction, has many negative consequences affecting mental health, physical health, and interpersonal relationships. The findings showed that self–compassion is one of the characteristics that can reduce the risk of Internet addiction. Since one of the reasons for the development and continuation of addictive behaviors is stress, the coping strategies employed by people can also affect the risk of Internet addiction. In the task-oriented coping strategy, the individual tries to solve the problem, but in the emotion-oriented coping strategy, the individual tries to reduce negative emotions and avoid stressful situations using the avoidance strategy. The relevant research shows that people using maladaptive coping strategies are more likely to become addicted to the Internet. Therefore, this study aimed to investigate the mediating role of stress coping strategies in the relationship between self–compassion and the risk of IAD.
MethodsThe present research method was a correlational study using the path analysis method. The statistical population of the present study consisted of the students of Tehran University, Farabi Campus (Qom), studying in the 2018–2019 academic year. Considering the criteria for determining the sample size, 230 students were selected using the available sampling method to complete the research questionnaires. However, 212 questionnaires were returned, and their information was analyzed. The inclusion criterion for the students was access to the Internet (having a smartphone or computer). The exclusion criteria for students were as follows: no access to the Internet and incomplete return of the questionnaires. The Self–Compassion Scale (Neff, 2003), Internet Addiction Questionnaire (Young, 1998), and Coping Inventory for Stressful Situations (Endler and Parker, 1990) were used to collect the information. To analyze data, we used descriptive statistics indicators (mean and standard deviation) and the Pearson correlation method and path analysis in SPSS 26 and AMOS 24 software. All statistical analyzes were performed at a significance level of 0.05.
ResultsThe results of path analysis showed that the path coefficient of self–compassion to the task-oriented coping strategy was positive and significant (p=0.007, b=0.42), and the path coefficient of self–compassion to the emotion-oriented coping strategy was negative and significant (p=0.001, b=–0.65). The path coefficient of task-oriented coping strategy to Internet addiction was negative and significant (p=0.009, b=–0.31), and the path coefficient of emotion-oriented coping strategy to Internet addiction was positive and significant (p=0.007, b=0.44). Self–compassion had no direct effect on Internet addiction; instead, the indirect path coefficient of self–compassion through the mediation of task-oriented and emotion-oriented coping strategies with Internet addiction was negative and significant (p=0.006, b=–0.42). Moreover, the fit indices of the model showed a good fit of the final and modified model with the data (χ2=0.038, p=0.84, GFI=0.99, CFI=0.99, NFI=0.98, RMSEA=0.002).
ConclusionFindings show that self–compassion can only affect the risk of Internet addiction through task-oriented and emotion-oriented coping strategies. It is helpful to consider these effective mechanisms in preventing and diagnosing IAD.
Keywords: Self–compassion, Internet addiction, Task–Oriented, Emotion–Oriented, Avoidance
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