Iran Journal of Nursing

مقایسه تاثیر گشتالت درمانی و درمان شناختی رفتاری الیس بر ابراز وجود دانشجویان پرستاری

Comparison of the Effect of Gestalt Therapy and Ellis Cognitive-Behavioral Therapy on Assertiveness of Nursing Students

Cognitive Behavioural Therapy, Gestalt psychotherapyResearchIndividual randomized controlled trials with big samples (n>30)Persian
Journal Article - Open access

Abstract

زمینه و هذف: اثطاظ ٍخَز ثِ ػٌَاى يىي اظهْبضت ّبي ظًسگي ثبػث افعايف ػعت ًفؽ، ثيبى هٌغمي افىبض ٍ احؿبؾبت، وبّف اضغطاة، ثْجَز
هْبضت ّبي اضتجبط اختوبػي ٍ هالحظِ حمَق زيگطاى ٍ زض ػيي حبل گطفتي حك ذَز ٍ زض ًْبيت افعايف هيعاى ضضبيت اظ ظًسگي ٍ قبزوبهي
هي قَز. پػٍّف حبضط، ثب ّسف همبيؿِ تبثيط گكتبلت زضهبًي ٍ زضهبى قٌبذتي ضفتبضي اليؽ ثط اثطاظ ٍخَز زاًكدَيبى پطؾتبضي اًدبم قس.
روش بررسی: ايي پػٍّف يه هغبلؼِ وبضآظهبيي ثبليٌي ثب عطح پيف آظهَى- پؽ آظهَى ٍ گطٍُ وٌتطل اؾت. اظ هيبى80 زاًكدَي پطؾتبضي هكغَل
ثِ تحهيل زض زاًكىسُ پطؾتبضي ٍ هبهبيي زاًكگبُ آظاز اؾالهي ًدف آثبز زض ؾبل تحهيلي 93-1392 وِ زض ثسٍ ٍضٍز ثِ زٍضُ وبضآهَظي زض ػطنِ
ثَزًس، وليِ افطازيىِ ًمم زض اثطاظ ٍخَز زاقتٌس ثِ تؼساز 36ً فط ثب اؾتفبزُ اظ پطؾكٌبهِ اثطاظ ٍخَز ASA خسا قسُ ٍ ثِ نَضت تهبزفي ٍ هؿبٍي
زض زٍ گطٍُ آظهَى ٍ يه گطٍُ وٌتطل )ّط گطٍُ 12ً فط( خبيگعيي قسًس. گطٍُ ّبي آظهَى قبهل گكتبلت زضهبًي ٍ زضهبى قٌبذتي ضفتبضي اليؽ، عي
8 خلؿِ تحت آهَظـ لطاض گطفتٌس ٍ گطٍُ وٌتطل هساذلِ اي زضيبفت ًىطز. پؽ آظهَى ثالفبنلِ ثؼس اظ آهَظـ ثب ّوبى اثعاض اًدبم قس ٍ تدعيِ ٍ
تحليل زازُ ّب تَؾظ تحليل وٍَاضيبًؽ، آًبليعٍاضيبًؽ يىغطفِ ٍ آظهَى تؼميجي LSD زض ًطم افعاض SPSSٍ يطايف 20 اًدبم گطفت.
یافته ها: ًتبيح تحليل وٍَاضيبًؽ ًكبى زاز وِ لجل اظ هساذلِ، هيبًگيي ًوطات اثطاظ ٍخَز زض گطٍّْب، اذتالف هؼٌب زاضي ًساقتِ اقت )05/0 >P .)ثؼس
اظ هساذلِ، زض ّط زٍ گطٍُ گكتبلت زضهبًي ٍ زضهبى قٌبذتي ضفتبضي اليؽ ًوطات اثطاظ ٍخَز ثِ عَض هؼٌبزاضي افعايف يبفت )05/0˂P .)تفبٍت
ًوطات اثطاظ ٍخَز ثيي ّط يه اظ گطٍّْبي آظهَزًي ٍ وٌتطل هؼٌبزاض ثَز )05/0˂P .)ايي افعايف زض زٍ گطٍُ آظهَزًي، ثب ّن اذتالف هؼٌب زاض ًساقت
.)P=0/48(
نتیجه گیری کلی: ايي پػٍّف، تبثيط گكتبلت زضهبًي ٍ زضهبى قٌبذتي ضفتبضي اليؽ ضا ثط افعايف هيعاى اثطاظ ٍخَز يىؿبى هيساًس. ثب تَخِ ثِ ًتبيح
هي تَاى اظ زضهبًْبي فَق ثِ نَضت اًتربثي ثِ ػٌَاى قيَُ ّبي ضٍاى زضهبًي زض خْت وبّف ثبٍضّب ٍ هؤلفِ ّبي ًبوبضآهس زاًكدَيبى پطؾتبضي
اؾتفبزُ ًوَز.
Background & Aim: Assertiveness as one of the life skills, leads to an increase in self-esteem, logical expression of thoughts and feelings , reduction of anxiety, improvement of social communication skills and consideration of the rights of others and meanwhile, taking one’s right and finally an increase in life satisfaction and happiness. This study aimed to compare the effect of Gestalt therapy and Ellis Cognitive- Behavioral therapy on assertiveness of nursing students.

Material & Methods: It was a clinical trial, with pre-test - post-test design and control group. Among 80 nursing students enrolled in the school of nursing and midwifery of the Najaf Abad branch of Islamic Azad University in academic year of 2013-2014 who were at the beginning of their field training, those who were deficient in assertiveness (n=36) were detected by ASA questionnaire and randomly assigned into two experimental and one control groups (each = 12). The experimental groups including Gestalt therapy and Ellis Cognitive Behavior therapy received training during 8 sessions, while the control group did not receive any interventions .Post- test was performed immediately after training with the same tool. Data was analyzed by analysis of covariance , one-way ANOVA and post hoc LSD tests using SPSS-PC (v . 20).

Results: Analysis of covariance showed no difference between the groups in terms of assertiveness before intervention (P > 0/05) . After the intervention, a significant increase was seen in the mean score of assertiveness in both Gestalt therapy and Ellis cognitive behavioral therapy (P ˂ 0/05). Assertiveness scores were significant between each test and control groups (P ˂ 0/05). There was no significant difference between experimental groups after the interventions (P=0/48).

Conclusion: As the results showed, the effect of Gestalt therapy and Ellis cognitive behavioral therapy on nursing students’ assertiveness is the same. Accordingly , the above mentioned therapies as methods of psychotherapy could be used alternately to reduce inefficient beliefs of nursing students.

APA citation

Moghimian, M., & Amini, R. (2014). مقایسه تاثیر گشتالت درمانی و درمان شناختی رفتاری الیس بر ابراز وجود دانشجویان پرستاری. Iran Journal Of Nursing, 27, 1-11. http://doi.org/10.29252/ijn.27.89.1