نوع مقاله : پژوهشی
نویسندگان
1 استاد روان شناسی، دانشگاه پیام نور، تهران، ایران
2 پژوهشگر پسادکتری عصب روان شناسی بالینی-دانشگاه پیام نور-
چکیده
دردهای نوروپاتی دیابتی که از عوارض شایع دیابت مزمن هستند، تأثیر منفی زیادی بر کیفیت خواب و کیفیت زندگی مبتلایان به دیابت دارند. بنابراین، این پژوهش با هدف تعیین اثر خالص و ترکیبی tDCS آندی ناحیه M1 و ناحیه F3 در بهبود کیفیت خواب و کیفیت زندگی در مبتلایان به دیابت نوع 2 دارای دردهای نوروپاتیک انجام گرفت. پژوهش حاضر، یک کــار آزمــایی بــالینی تصــادفی چهار گروهـــی دو ســر کور می باشــد. جامعه آماری پژوهش حاضر، کلیه بیماران 45 تا 65 ساله مبتلا به دیابت نوع 2 عضو انجمن دیابت شهرستان بناب در زمستان 1400 و بهار 1401 بودند که توسط متخصصان، دارای دردهای نوروپاتیک شناسایی شده بودند. نمونه پژوهش 48 تن بودند که به روش هدفمند انتخاب شدندو بطور تصادفی در 3 گروه آزمایشی و 1 گروه کنترل-شم جایگزین شدند. بیماران گروههای 4 گانه به مدت 12 جلسه، سه بار در هفته، مداخلات مربوط به خود را اخذ کردند. ابزار گردآوری اطلاعات، مقیاس استاندارد کیفیت خواب پیتزبورگ (P.S.I.Q) و پرسشنامه کیفیت زندگی ۳۶ سوالی (SF-36) بود. طبق یافته ها فقط تحریک هر دو ناحیه M1 و F3 در بهبود کیفیت خواب بیماران دیابتی، موثر واقع شده بود. در مورد افزایش کیفیت زندگی نیز، اثر درمان ترکیبی (تحریک هر دو ناحیه M1 و F3) بطور معناداری از تحریک ناحیه F3 و تحریک شم، بیشتر بود. از طرفی، اثر دیده شده تا مرحله پیگیری 3 ماهه، پایدار مانده بود. با توجه به نتایج این پژوهش، توانبخشی عصب روان شناختی از طریق تحریک الکتریکی نواحی M1 و F3 مغز، برای ارتقا کیفیت خواب و زندگی مبتلایان به دردهای نوروپاتی دیابتی، حمایت می شود.
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