fa ببررسی تأثیر حساسیت‌زدایی با حرکات چشم و پردازش مجدد بر عملکرد شناختی بیماران مبتلا به انفارکتوس میوکارد عمومى General پژوهشي Research <div><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زمینه </span></span></span></b><b>&nbsp;</b><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">با توجه به شیوع بالای &nbsp;انفارکتوس میوکارد و وجود مشکلات شناختی در این بیماران، انجام مداخلات موثر جهت ارتقا </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">عملکرد شناختی و فرآیند‌های ذهنی آنان ضروری می‌باشد، لذا هدف از این مطالعه تعیین و بررسی تأثیر حساسیت</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زدایی با حرکات چشم و پردازش مجدد بر عملکرد شناختی بیماران مبتلا به &nbsp;انفارکتوس میوکارد بود.</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روش بررسی: </span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">این یک مطالعه کارآزمایی بالینی می‌باشد که در سال1401- 1400 بر روی 60 بیمار مبتلا به انفارکتوس میوکارد در مراکز درمانی شهر یاسوج انجام شد. بیماران به &shy;صورت تصادفی در دو گروه کنترل و مداخله قرار گرفتند. بیماران گروه مداخله 6 جلسه انفرادی 60 دقیقه‌ای </span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black">EMDR</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> را طی 2 هفته دریافت کردند، ولی بیماران گروه کنترل تنها مراقبت&shy;های روتین را دریافت کردند. اطلاعات</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">استفاده پرسشنامه دموگرافیک قبل از مداخله و عملکرد شناختی فولستین قبل</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">و پس از اتمام مداخله در دو</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">گروه</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">جمع‌آوری گردید. &nbsp;داده‌های جمع‌آوری شده با استفاده از آزمون‌های آماری تحلیل کوواریانس چندمتغیره و تی مستقل تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span><span><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">یافته‌ها:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> اکثریت بیماران مرد(7/66 درصد) و در دامنه سنی60ـ51 &nbsp;سال بودند. پس از اجرای </span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black">EMDR</span></span></span><span style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> میانگین نمره کل عملکرد شناختی و تمامی خرده مقیاس‌های آن در گروه مداخله به طور معنی‌داری بیشتر از گروه کنترل بود(001/0</span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black">p<</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">). </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">پس از تعدیل نمرات پس‌آزمون از طریق حذف اثر پیش‌آزمون، مشخص شد که مداخله بر تقویت عملکرد شناختی تأثیر معنی</span></span></span><span lang="FA" style="font-size:9.0pt"><span style="font-family:Yagut"><span style="color:black">‌</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">دار داشته است(889/0=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">partial &eta;2 </span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">، 001/0</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">p<</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">، 48/440=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">F</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">).</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span><span><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span><span><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> با توجه به تأثیر مثبت مداخله درمانی </span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black">EMDR</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> بر عملکرد شناختی بیماران مبتلا به &nbsp;انفارکتوس میوکارد در مطالعه حاضر، می‌توان با ادغام این نوع مداخلات درمانی در مراقبت‌های روتین جهت تقویت عملکرد شناختی این بیماران گام مؤثری برداشت.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span><span><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span><span><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">&nbsp;</span></span></span></span></span></span></span></span></span></span></div> <div></div> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Abstract</span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Background & aim: </span></span></span></b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Considering the high prevalence of myocardial infarction and the presence of cognitive problems in these patients, it is necessary to carry out effective interventions to improve their cognitive function and mental processes. Therefore, the present study was conducted with the aim of investigating the effect of desensitization with eye movements and reprocessing on the cognitive function of patients with myocardial infarction.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"></span></span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Methods:</span></span></span></b> <span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">The present clinical-trial study was conducted in 2020-2021 on 60 patients with myocardial infarction in medical centers of Yasuj, Iran. Patients were randomly divided into two control and intervention groups. Patients in the intervention group received 6 individual 60-minute EMDR sessions over 2 weeks. Patients in the control group received only routine care. Information was collected using a demographic information questionnaire before the intervention and Fulstein&#39;s cognitive function before and after the intervention in two groups. Data analysis was done by SPSS V.21.0 software and descriptive (mean, standard deviation, frequency and percentage) and inferential (multivariate covariance analysis and independent t) statistics.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"></span></span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Results:</span></span></span></b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"> The majority of patients were male (66.7%) and were in the age range of 51-60 years. After the implementation of EMDR, the average score of the total cognitive function and all its subscales in the intervention group was significantly higher than the control group (p<0.001). After adjusting the post-test scores by removing the pre-test effect, it was revealed that the intervention had a significant effect on strengthening cognitive performance (F=440/48, p<0/001, partial &eta;2&nbsp;= 0/889).</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"></span></span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"> Considering the positive effect of EMDR therapeutic intervention on the cognitive performance of patients with myocardial infarction in the present study, it is possible to take an effective step by integrating this type of therapeutic intervention in routine care to strengthen the cognitive performance of these patients.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"></span></span></span></b></span></span></span><br> &nbsp; انفارکتوس میوکارد, حساسیت‌زدایی با حرکات چشم و پردازش مجدد, عملکرد شناختی Myocardial infarction, Eye movement desensitization and reprocessing, Cognitive function 442 454 http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-2661-3&slc_lang=fa&sid=1 A Behnammoghadam عزیز بهنام مقدم Aziz.behnam@yahoo.com 100319475328460027966 100319475328460027966 No Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران A Maredpour علیرضا ماردپور ali.mared@yahoo.com 100319475328460027967 100319475328460027967 No Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران F Zadeh Bagheri فاطمه زاده باقری f.zadehbagheri@gmail.com 100319475328460027968 100319475328460027968 No Department of Cardiology, Yasuj University of Medical Sciences, Yasuj, Iran گروه قلب و عروق، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران A Mahmoudi آرمین محمودی dehlidena@yahoo.com 100319475328460027969 100319475328460027969 Yes Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران