fa اثربخشی مداخله شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی بر حافظه فعال و تعادل مردان سالمند مسائل جسمی سالمندان elderly physical issues پژوهشي اصیل Original research <br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">از</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">دست</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">دادن</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">تعادل و کاهش حافظه فعال</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">به</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">دلایل</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مختلفی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مانند</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مفاصل</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">سفت</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یا</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">آسیب</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">دیده</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یا</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">موارد</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">جدی</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">&shy;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">تر</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مانند</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">یک</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">بیماری</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">عصبی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">رخ</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="background:white"><span style="line-height:107%"><span b="" mitra="" style="font-family:">می‌دهد</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">. </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">این پژوهش با هدف تعیین اثربخشی مداخله شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی بر حافظه فعال و تعادل سالمندان مرد<b> </b>انجام شد.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش کار: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">ر</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">وش پژوهــش از نــوع نیمــه تجربــی و پیش&shy;آزمــون، پس&shy;آزمــون بــا گــروه کنتــرل بــود. جامعــه آمــاری شــامل کلیه سالمندان مرد شهر بم در سال 1403 بودنــد کــه 30 نفــر (15 نفر گــروه آزمایــش و 15 نفــر گــروه کنتــرل) بــه روش نمونــه&shy;گیــری در دســترس انتخــاب شــدند. ابــزار گــردآوری داده هــا پرسشـنامه&shy;هـای حافظه فعال ان بک (1985) و تعادل برگ (2012) بـود. مداخلـه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مداخله شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی &nbsp;</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در 8 جلسه 60 دقیقه&shy;ای و هفته&shy;ای دو بار بـر روی گـروه آزمـایش انجـام شـد و گـروه کنتـرل هیـچ&shy;گونـه مداخلـه&shy;ای دریافـت نکردنـد. تجزیـه و تحلیـل داده&shy;هـا بـا آزمـون&shy;هـای توصیفـی (میانگیـن و انحـراف اسـتاندارد) و تحلیـل کوواریانـس و بـا اسـتفاده از نـرم افـزار</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نسـخه 24 انجـام شـد. میـزان</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">کمتـر از 05/0 معنـی&shy;داری در نظـر گرفتـه شـد</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته&shy;ها: </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در متغیـر حافظه فعال، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون 40/7</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"> &plusmn; </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">19/77 و در پـس آزمـون 43/10</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black"> &plusmn; </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">59/96 و در متغیـر تعادل، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون 74/7</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">92/36 و در پـس آزمـون 37/6</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">82/47 بـه دسـت آمـد. نتایـج تحلیـل کوواریانـس نیـز نشـان داد کـه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مداخله شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی &nbsp;بر حافظه فعال و تعادل سالمندان مرد<b> </b></span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">تاثیـر داشـت (01/0</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span style="color:black">P <</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه&shy;گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بـر اسـاس یافتـه&shy;هـای پژوهـش، تمرین&shy;های موجود در مداخله شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی، باعث افزایش عملکرد و فعالیت&shy;های ذهنی درگیر در بازتوانی شناختی و درنتیجه بهبود توانایی&shy;های شناختی سالمندان نظیر حافظه فعال و تعادل آنان می&shy;شو</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">د</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">.</span></span></span></span></span></span></span></span></span><br> <br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Loss of balance and decreased working memory occur for various reasons such as stiff or damaged joints or more serious cases such as a neurological disease. This study aimed to determine the effectiveness of cognitive behavioral intervention integrated with mindfulness on working memory and balance in elderly men. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The research method was a quasi-experimental, pre-test, post-test design with a control group. The statistical population included all elderly men in Bam in 2024, of which 30 people (15 in the experimental group and 15 in the control group) were selected by convenience sampling. The data collection tools were the working memory questionnaires of N. Beck (1985) and the balance questionnaire of Berg (2012). Cognitive behavioral intervention integrated with mindfulness was performed on the experimental group in 8 60-minute sessions twice a week, and the control group did not receive any intervention. A P value of less than 0.05 was considered significant. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In the working memory variable, the mean and standard deviation of the experimental group at pre-test was 77.19 &plusmn; 7.40 and at post-test was 96.59 &plusmn; 10.43, and in the balance variable, the mean and standard deviation of the experimental group at pre-test was 36.92 &plusmn; 7.74 and at post-test was 47.82 &plusmn; 6.37. The results of the analysis of covariance also showed that the cognitive behavioral intervention integrated with mindfulness had an effect on the working memory and balance of elderly men (P < 0.01). </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Based on the research findings, the exercises included in the cognitive behavioral intervention integrated with mindfulness increase the performance and mental activities involved in cognitive rehabilitation and, as a result, improve the cognitive abilities of the elderly, such as their working memory and balance. </span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> &nbsp; شناختی رفتار‌ی یکپارچه‌شده با ذهن‌آگاهی, حافظه فعال, تعادل, سالمندان مرد. Cognitive behavioral intervention integrated with mindfulness, working memory, balance, aged. 1 8 http://joge.ir/browse.php?a_code=A-10-872-1&slc_lang=fa&sid=1 morad hossini مراد حسینی hosseni@gmail.com 10031947532846009139 10031947532846009139 No parvaneh khajehpoor پروانه خواجه پور khajehpoor@gmail.com 10031947532846009140 10031947532846009140 Yes zohreh mohammadaghae زهره محمد آقایی mohammadaghaei@gmail.com 10031947532846009141 10031947532846009141 No Azita abbasi آزیتا عباسی اصل abbasi@gmail.com 10031947532846009142 10031947532846009142 No