نشریه روان پرستاری
پیاپی 2 (تابستان 1392)

Title: the effect of orientation tour with angiography procedure on anxiety and satisfaction of patients undergoing coronary angiography Cardiovascular disease is the most common cause of death worldwide. Despite medical treatment، some patients require coronary angiography for diagnosis of coronary artery occlusion and this is the most definitive diagnostic procedure. Angiography large effect on patient’s anxiety and satisfaction with the treatment and care of patients are affected. This study aimed to the effect of orientation tour on anxiety and satisfaction of patient candidates for coronary angiography procedures. In this experimental study، 148 patients were recruited by convenience sampling. Patients allocated into two groups with block randomization. Patients in Intervention group، in addition to routine training، orientation tour in the angiography unit were taken too. Anxiety was measured in all patients during admission، before surgery and discharge time; the satisfaction was measured in discharge time too. Collection instrument was demographic data، Spielberger state trait anxiety inventory and the Visual Analogue Scale. Data were analyzed by Chi-square and independent t-test with SPSS Ver. 20. The mean anxiety scores between the two groups showed no significant difference (p=0/756). In the intervention group، anxiety scores were significantly decreased compared with the control group (p<0/001). The mean patient satisfaction score at discharge was higher in the intervention group than in the control group، this difference was statistically significant (p<0/001). Angiography orientation tour in patients candidate to coronary angiography reduce anxiety and increase patient satisfaction، therefore this educational approach in patients undergoing coronary angiography were recommended.

Multiple sclerosis [MS] is an acquired chronic neurological disease whose prevalence is more in some areas of Iran. Of its significant features are that most patients are young adults and also it''s disabling nature. Psychiatric disorders such as depression are seen in MS patients considerably. Expression of emotions or emotional Catharsis by writing is one of the cost-effective self-helping methods whose efficacy has been studied on mental and physical health and survival in chronic patients. This method has not been studied on MS patients yet. This research has been conducted to evaluate the effects of Journaling on depression in MS patients. This study has been done in ''Interventional and Quazi experiment'' before and after method، on patients with (MS) coming to MS ASSOSIATION، in TEHRAN، IRAN within (2010). After getting patients’ written consents، candidates were asked to complete first DASS-21 questionnaire and then write negative feelings and emotions about a traumatic event، 30 minutes a day for four continuous weeks. After 1 month they were asked to complete another DASS-21 questionnaire. Finally Data of questionnaire were analyzed by SPSS version 16. Depression score are higher than normal in MS patients. Mean of depression score of intervention group was significantly better than before Journaling (P=0. 008). Journaling efficacy was not dependent on sex and patients age. Journaling and writing emotional expression is effective on depression score in patients with MS.

Different cultural habits through creating different beliefs and attitudes can affect phenomenology and prevalence of symptoms of obsessive-compulsive disorders. This descriptive study was conducted among patients to determine symptomology of obsessive disorder Referred to clinical centers in Tehran with emphasis on culture.

In this descriptive study 103 patients with obsessive–compulsive disorder were selected through non accidental sampling (quota، convenience). Yale Brown Obsessive Compulsive Scale with an open-ended question was used in this study. Convergent and test-retest were also conducted in order to determine the validity and reliability. Data have been analyzed by SPSS software.

The results showed that the most common symptoms of obsession in Iranian patients respectively، Included contamination obsession (92. 23%)، miscellaneous obsessions (66. 99%) and physical obsession (57. 28%) and the most common symptoms of compulsive respectively، Include miscellaneous compulsive (78. 64%)، Cleaning and washing (73. 78%)، and Sift (64. 07%).

The overall pattern of Symptomology obsessive–compulsive disorder in this study sample is consistent with the observed pattern in Western and Eastern cultures in some countries، so that the main features of obsessive–compulsive disorder was relatively independent of cultural variables and only exception is content of OCD in which cultural factors may play a significant role.

Self-esteem is an important aspect of adaptation in all stages of life، which in ageing time finds more importance، especially in mental health of elderly people. Reminiscence is a form of group psychotherapy، through which self-esteem and social intimacy through review of past experience will be affected. The aim of this study was to evaluate the effect of reminiscence group therapy on self-esteem among the elderly in nursing home in Uromie. This research was an experimental study in which elderly people of Ferdous، Azahra، Ara and Khane Sabz nursing homes had the required conditions to enter the study program based on inclusion and exclusion criteria. After cloning senior center groups، the two groups were randomly assigned as the intervention and control groups. Reminiscence group therapy sessions in the intervention group at each center consisted of 8 sessions، held twice a week. Rosenberg self-esteem questionnaire both before and after the intervention and control groups were completed by the elderly. Data Analysis with SPSS software using descriptive and inferential statistics was performed. Our results showed that group reminiscence therapy increased self-esteem scores mean in the intervention group (28. 95±1. 60) compared to those before (26. 30±3. 09). Comparison of self-esteem scores mean between the intervention and control groups after the intervention was statistically significant (P<0. 001). Implementing of reminiscence group therapy had a positive influence on self-esteem of the elderly. This intervention as an inexpensive، easy and independent measure in nursing in all nursing homes and homes is recommended.

Retirement is combining with extensive changes in everyday life، opportunities، expectations، hopes and fears. Since retirement is a major event in the lives of many people and necessary to coping، it discussed as an important issue for health care professionals. The aim of this review article was exploration of coping to retirement. In this systematic review that was done during 2009-2011، we were collected and analyzed all studies and references in retirement and coping with retirement (Persian and English)، without time limitation. This review study was carried out using ISI، MEDLINE and CINAHL database that cover a wide range of scientific literature and journals، the index published their research. Studies in Persian through electronic databases including the Scientific Information Database (SID)، Database of Medical Sciences in Iran articles (IranMedex)، Institute for Scientific Information and Documentation Iran (IranDoc)، Country Information (Magiran) and (Medlib) and search engine (Google) search was performed with Persian words. In addition، offline search that were available in retirement، refer to the archive library journals، dissertations and books، references were also presented at conferences and resources. The results of this search was to obtain after primary investigate of 297 relevant references and finally among of 98 references that the most appropriate in terms of coverage of the subject with emphasis on various aspects of retirement and coping to retirement، were used for this article. These references include of quantitative and qualitative studies، books، and abstracts of research projects. The key concepts involve to coping in retirement include of: “Preparation”، “Healthy”، “Identifying” and “Supporting”، that by precise identification، orderly and planned all the relevant studies can be helpful and effective in coping with retirement. Retirement coping is possible with emphasis on create preparation to retirement، identify of retiree، maintain healthy and enjoyment from supporting of family، leaders، organizations and community. Identify of this concept، creating of social positive attitude towards the phenomenon of retirement are the essential and necessary in coping to retirement.

High incidence of anxiety and depression in patients with coronary artery disease can be associated with serious complications consisting increasing mortality and morbidity and adverse cardiac events. Therefore، this study was conducted to evaluate the incidence of anxiety and depression in patients with coronary artery disease.

This cross-sectional study was conducted in Jamaran heart hospitals; Tehran in 2010 and a total sample size of 300 patients with coronary heart disease were investigated. Convenience sampling method was used to select patients. Hospital Anxiety and Depression scale (HADS) was used for assessment of anxiety and depression. The data were analyzed by SPSS software، version 17، and descriptive and inferential statistic tests were used.

The mean and standard deviation scores for anxiety and depression subscales were، (2. 6) 7. 23، and (2. 6) 6. 74، respectively. Of the patients، 45. 7% had depression and 38% had anxiety. There was statistically significant relationship between age and depression، also anxiety and depression levels (r=0. 67). Patients with a history of hypertension had more anxiety and depression levels (P<0. 05).

Results of this study showed a high incidence of anxiety and depression in patients with coronary artery disease، respectively. Therefore، recommendations for further assessment of the mental status of the patients at admission and planning appropriate interventions according to screening outcomes is recommended.

All over the world، depression is a serious and debilitating public health problem with high prevalence. Medications significantly reduce the depressive symptoms and mortality. However، psychosocial interventions increase efficacy of medication. This study aimed to study the effects of dialectical behavior therapy skills on depressive symptoms and suicidal ideation in depressed patients. Our study design was a quasi-experimental and participants were selected based on volunteer sampling. 18 depressed inpatients were assigned in experimental (n=9) and wait-list control (n=9) groups. Patients were assessed by Beck Depression Inventory (BDI) and Reasons for Living (RFL) Scale before and after training. Dialectical behavior therapy skills training were performed individual weekly format and lasted for over 6 month and 20 sessions. Results of ANCOVA showed that skills training were effective in reducing depressive symptoms. Experimental group had a statistical significance in depression (P=0. 001) and suicidal ideation (P=0. 008) scores. Augmentation of medication with dialectical behavior therapy improves effectiveness of treatment of depressive symptoms and suicidal ideation. Experimental group was superior to control group in reducing symptoms. These skills can be used for the depressed inpatients.

Body dysmorphia (BDD) is a psychiatric illness experienced by up to 20% of patients requesting cosmetic surgery. BDD should be searched out and recognized by the plastic surgeon. This study aimed todetermine the prevalence of Prevalence of body dysmorphia and psychological disorders relatives in cosmetic rhinoplasty volunteer. In the cross-sectional study first 400 patients who referred for treatment to a clinic surgery in Hamedan city in 2009 were selected by convenience sampling and clinical interview with criteria DSM-IV to assess BDD. In the next phase، patients with body dysmorphia were assessed with MMPI questionnaire and clinical interview to identify otherrelative mental disorders. Data analyzed were descriptive statistical. 21 patients had body dysmorphia disorder whose mean and standard deviation of MMPI questionnaire were hypochondrias is 6. 14 (3. 32)، Depression 9. 85 (4. 30)، hysteria 12. 28 (3. 45)، antisocial 9 (4)، paranoia 5. 33 (2. 31)، Psychatseni 9. 57 (4. 33)، schizophrenia 9 (5) and hypomania 5. 66 (3. 16).