fa بررسی تأثیر آموزش کفایت اجتماعی مبتنی بر مدل فلنر بر مهارت‌های ارتباطی و سازگاری اجتماعی پرستاران بخش روان بیمارستان‌های منتخب آجا تخصصي Special پژوهشي Research <strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">مقدمه:&nbsp;</span></span></span></strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">مهارت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های ارتباطی و سازگاری اجتماعی جزء مهم خدمات پرستاری است؛ و با توجه به این</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">که حرفه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ای اجتماعی است، مستلزم برخورداری از سازگاری اجتماعی بالا می</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">باشد. به ویژه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">&nbsp;پرستاران بخش روان که از عمده مسئولیت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های آن</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ها ایجاد یک رابطه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ی مبتنی بر اعتماد و ایجاد انگیزه در بیماران جهت مشارکت در روند درمان است.</span></span></span><br> <strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">هدف:&nbsp;</span></span></span></strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">هدف از مطالعه حاضر، بررسی تأثیر آموزش کفایت اجتماعی مبتنی بر مدل فلنر بر مهارت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های ارتباطی و سازگاری اجتماعی پرستاران بخش روان می</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">باشد.</span></span></span><br> <strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">مواد و روش</span></span></span></strong><strong><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 11pt;">‌</span></span></span></span></strong><strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">ها:&nbsp;</span></span></span></strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">این مطالعه نیمه تجربی و جامعه آماری آن شامل پرستاران بخش اعصاب و روان بیمارستان</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های آجا در سال 1397 بود. تعداد پرستاران منتخب 60 نفر بود که به طور مساوی بین دو بیمارستان مداخله و کنترل قرار گرفتند. در طول 10 جلسه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ی 60 دقیقه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ای در مدت 2 ماه، آموزش</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های کفایت اجتماعی فلنر، برای پرستاران گروه مداخله اجرا و از پرسشنامه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های مهارت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های ارتباطی بارتون و سازگاری اجتماعی بل، برای جمع</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">آوری داده</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ها استفاده شد. سپس داده</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">ها با استفاده از نرم</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">افزار&nbsp;</span></span></span><span dir="LTR"><span style="color: black;"><span gn="" style="font-family: ">SPSS</span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">&nbsp;نسخه 23 مورد تجزیه و تحلیل آمار توصیفی و استنباطی قرار گرفت.</span></span></span><br> <strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">یافته</span></span></span></strong><strong><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 11pt;">‌</span></span></span></span></strong><strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">ها:&nbsp;</span></span></span></strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">بر اساس نتایج آزمون تی مستقل و تی زوجی آموزش</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های کفایت اجتماعی مبتنی بر مدل فلنر موجب بهبود معنادار میانگین نمرات مهارت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های ارتباطی و سازگاری اجتماعی بعد از مداخله شده است (0/05</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span dir="LTR"><span style="color: black;"><span gn="" style="font-family: ">P<</span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">)؛ و در تمام خرده مؤلفه</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های مهارت ارتباطی، نمرات میانگین بعد از مداخله افزایش داشته است، اما این افزایش میانگین تنها در مورد خرده مؤلفه، مهارت شنیداری در سطح 0/01 معنی</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">دار بود.</span></span></span><br> <strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">بحث و نتیجه</span></span></span></strong><strong><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 11pt;">‌</span></span></span></span></strong><strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 11pt;">گیری:&nbsp;</span></span></span></strong><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">آموزش کفایت اجتماعی فلنر روشی مؤثر در بهبود وضعیت مهارت</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">های ارتباطی و سازگاری اجتماعی پرستاران بخش روان است. متخصصان حوزه سلامت می</span></span></span><span dir="LTR"><span style="color: black;"><span style="font-family: calibri, sans-serif;"><span style="font-size: 12pt;">‌</span></span></span></span><span style="color: black;"><span b="" style="font-family: "><span style="font-size: 12pt;">توانند از این آموزش به عنوان روشی مؤثر در بهبود وضعیت ارتباطی و سازگاری اجتماعی پرستاران بخش روان استفاده کنند.</span></span></span> <strong>Introduction: </strong>Communication skills and social compatibility have long been recognized as an important part of medical and nursing care. Nursing, due to its feature, requires high social compatibility, specially nurses in psychiatric ward whose main responsibilities are to create a relationship based on trust and motivation in patients to participate in the treatment process. In the Fellner Social Competence Model, various components and dimensions of social adequacy are identified and, accordingly, the necessary training is provided for the development of social skills.<br> <strong>Objective: </strong>The present study aimed to investigate the effectiveness of Social Competence training based on Felner Model on Communication Skills and Social Adjustment of nurses in the psychiatric ward.<br> <strong>Materials and Methods: </strong>This study was a quasi-experimental study. Sixty selected nurses in the psychiatric ward of the AJA hospitals (in 2018) were included in the study and equally divided into the experimental and control hospitals. The experimental group was trained in a two-month 10 sessions, each 60 minutes based on Felner Social Competence Model and Barton Communication Skills questionnaire and Bell Social Adjustment questionnaire were used for data collection. Then, data were analyzed based on descriptive and inferential statistics using SPSS 25.<br> <strong>Results: </strong>The result of independent and dependent t tests showed that Social Competence training based on Felner Model significantly improved the mean scores of Communication Skills and Social Adjustment after the intervention (P<0.05). A precise examination of the sub-components of communication skills showed that in all of the sub-components, the scores increased after the intervention but this increase was only significant for the sub-component of listening skills (P=0.01).<br> <strong>Discussion and Conclusion: </strong>Felner Social Competence training is an effective way to improve the Communication Skills and the Social Adjustment of nurses in psychiatric ward. Thus, experts and health professionals can use Felner Social Competence training as an effective way to improve the Communication Skills and the Social Adjustment of their nurses in the psychiatric ward.<br> &nbsp; سازگاری اجتماعی, کفایت اجتماعی, مهارت‌های ارتباطی. Communication Skills, Social Adjustment, Social Competence. 116 126 http://mcs.ajaums.ac.ir/browse.php?a_code=A-10-274-2&slc_lang=fa&sid=1 Mosa Laktarash موسی لاک تراش slaktarash@yahoo.com 100319475328460012605 100319475328460012605 No MSc of Psychiatric Nursing Student, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran. دانشجوی کارشناسی ارشد روان پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران. Fatemeh Kalrozi فاطمه کلروزی fkalroozi@yahoo.com 100319475328460012606 100319475328460012606 Yes MSc in Nursing, Pediatric Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran. کارشناسی ارشد پرستاری، گروه کودکان، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران (* نویسنده مسئول). Seyyed Amir Hosein Pishgooie سید امیر حسین پیشگویی apishgooie@yahoo.com 100319475328460012607 100319475328460012607 No Ph.D., in Nursing, Associate Professor, Medical-Surgical Department, Aja University of Medical Sciences, Faculty of Nursing, Tehran, Iran. دکترای پرستاری، دانشیار، گروه داخلی- جراحی، دانشکده پرستاری، دانشگاه علوم پزشکی آجا، تهران، ایران.