نشریه روان پرستاری
پیاپی 4 (زمستان 1392)

The growth of the elderly society and contagion of various cognitive impairments and disorders among this age group، attending accessible، inexpensive and low-side cure and care methods has become a necessary issue. The purpose of the present study was to investigate group reminiscence effects on cognitive abilities of mild cognitive impaired elders. This research was in the semi-experimental category aimed to determine the influences of group reminiscence on cognitive abilities of mild cognitively impaired elderly at the “Jahandidegan-e-Shiraz” institute. Thus، Seventy two 60-84 years old people of this institute (48 females and 24 males) were purposefully chosen، as the subjects، and were divided into three teams of group reminiscence، group intervention and without intervention، considering the same proportion between the three teams. Mini-Mental State Examination (MMSE) was implemented on the subjects، before and after the interventions. The reminiscence intervention was in a manner that the group reminiscence team attended 8 group reminiscence sessions (one weekly session with the spans of 60 to 90 min). Meetings of the first evidence team (group talks) were similar to the group reminiscence one، except for those meetings which were held without any reminiscence، and its subjects were talking about usual and daily issues، as a group. The third team (the second evidence group) didn’t receive any intervention، during the research. Cognitive abilities increased significantly، among the two teams of group reminiscence and group intervention. Also، the increase in group reminiscence team was significantly further than those of two other groups، and the increment of group intervention team was significantly more than that of the group without intervention (P<0. 05). According to results of this study، it should be considered that the elderly، who have mild cognitive impairments، could improve their cognitive abilities by group reminiscence. It seems، even group talking could increase cognitive abilities of these elders. Though، it is appropriate to execute the group talking in a group reminiscence manner. However، further researches are required، to achieve more accurate conclusions.

Due to the high prevalence of mental disorders and the effectiveness of ECT، this treatment has been regarded as a useful and effective therapeutic measure. But patients have usually severe anxiety that can affect their mental health. The purpose of this study was to determine the effect of supportive nursing care in reducing anxiety of patients receiving ECT.

This clinical trial was conducted in a Baharan Psychiatric Hospital of Zahedan. A total of 70 cases of patients who received ECT were randomly allocated to control (n = 35) and intervention (n = 35) groups. The data collection tools were demographic characteristics questionnaire، Spielberg State and Trait anxiety inventory (STAI) questionnaire. For the Intervention group the supportive nursing care was delivered by trained nurses on the intellectual، emotional، physical domains. The control group received only routine intervention. The anxiety level was measured and compared pre and post intervention) End sessions ECT) for two groups. The data was analyzed by SPSS using chi-square test، independent t-test and paired t-test and covariance.

Results showed that both groups were homogeneous on the socio-demographic differences. The mean state and trait anxiety in the intervention group compared with the control group was significantly reduced (P≤0/001). While controlling the effects of individual and social variables، the results showed significant differences between two groups in the mean scores of state and trait anxiety after the intervention (P≤0/001).

The Results confirmed supportive nursing care in reducing state، trait، and all anxiety of patients receiving electroconvulsive therapy. It is recommended to use this method for reducing anxiety in patients receiving ECT.

Thalassemia is a chronic genetic disease which similar to any other chronic illnesses it influences people’s psychological state. And they can be at the risk of getting depression. This study was designed to examine the impact of Partnership Care Model on Depression of Adolescent with β-thalassemia. This quasi-experimental study was performed by selecting 60 Adolescents with β-thalassemia whom were randomly selected and classified into two groups of intervention (n=30) and control (n=30) groups in Shaheed Dastgheyb Hospital in Shiraz. The partnership care model of 4 main steps of orientation، sensitization، control and evaluation in the experimental group was administered for 3 months. Data collection tool was Depression Anxiety Stress Scale-21 questionnaire that assessed adolescents’ depression before and after 3 months which was completed by both groups. The data were analyzed using SPSS v. 16 and chi-square، t-tests and paired t-test. There was no significant difference in depression score between two groups before intervention p= (0/532). But the difference was shown significant between two groups after intervention using independent t test P = (0/0001). Pair t test showed a significant difference in the depression reduction in the test group after the intervention P= (0. 001)، whereas the mean depression score of the control group showed more reduction after the intervention than before the intervention، however the difference wasn’t significant p= (0/621). Applying partnership care model can reduce level of depression in adolescents with β-thalassemia. Therefore، it is recommended to use this model to reduce depression in adolescent with β-thalassemia..

Nowadays، The importance of psycho – social issues in physical health of the individual and Investigation the personality traits of people with cancer has been considered as a major topic of interest of health psychologists in the field of health psychology. This study aimed to investigate the relationship between D type of personality and perceived stress with health behaviors in women with breast cancer was studied.

In this descriptive study with correlation method، 60 women with breast cancer of Ahwaz Golestan hospital in 2013 selected by using convenient sampling methods. in order to variables measurement،personality D type tests (Denollet)، perceived stress scale (Kohen) health status questionnaireof Loge and Kass were used. The research data were analyzed using descriptive statistics and multiple regression analysis.

In this study، there was a significant inverse relationship between D type of personality and perceived stress with health behaviors، (p<0. 01 and r=-0. 56) and (r=-0. 34 and p<0. 05)، respectively. The results of multiple regression analysis showed that D type of personality and perceived stress variables are good predictors of health behaviors in breast cancer patients.

according to findings of study، we can conclude that in health behavior of patients with breast cancer، Individual factors، especially negative emotions، social inhibition and also perceptual factors such as perceived stress، have played a decisive role. Accordingly، considering the characteristics of personality D type and perceived stress as predictors of health behavior factors in breast cancer patients is essential.

Parents who have children with chronic disease are susceptible to anxiety and depression. Parental anxiety and depression is associated with decreased sense of responsibility toward care، education and nutrition for their children and also for their mental disorder effect on their children’s mental and emotional health. The purpose of this study was to determine parent’s anxiety and depression of children with chronic disease in Tehran Mofid pediatric Hospital. The present study is cross-sectional study that was conducted in 2010. 440 parents of hospitalized children with chronic diseases were selected with simple random sampling. Study’s tool was Hospital Anxiety and Depression Scale. Data were analyzed with descriptive statistics and Independent t-test and Pearson correlation tests. The results showed that 49. 1% of parents had moderate to severe and 24. 5% had mild anxiety. Also 31. 8% of samples were with moderate to severe depression and 27. 3% with mild depression. Child gender، location، duration of hospitalization of children showed significant association with the level of anxiety and depression (p<0. 05)، as well as a significant relationship between parent''s gender، history of anxiety and parent''s age with depression levels was observed (p<0. 05). According to results of this study، it is recommended to screen depression in parents of children with chronic illnesses in hospitals and clinics

Multiple sclerosis is one of the most common chronic diseases of central nervous system that can change people’s life especially in youth. It causes serious loss of quality of life and gradually increases people’s inability. One of the successful measures of therapeutic interventions in chronic patients is quality of life. Therefore، the present study was an attempt to investigate the effect of hope therapy on quality of life in multiple sclerosis patients. In this study، one of the quasi- experimental designs called unequal control design was used. Sampling of this study was objective، voluntary and available. 24 subjects on voluntary basis in control and experimental groups were counted. Questionnaire of quality of life was used to collect data. After administering pre-test، experimental group participated in 8 sessions of 90 minutes of hope-therapy but control group received no interventions during the experiment. Both groups were finally post–tested. Data were analyzed with SPSS software and ANOVA test. The results showed that after therapeutic sessions، quality of life in experimental group in comparison to control group found a significant difference، while، gender effect wasn’t significant. The interactive effect of gender and intervention wasn’t also significant. It means that behavioral change of subjects participating in post-test on quality of life in both groups didn’t depend on their gender. Hope-therapy improved quality of life in multiple Sclerosis patients. Therefore، using therapeutic approach in multiple sclerosis patients and other patients with chronic diseases is recommended.

Depression is a common mood disorder that causes distortion of the patient''s self-esteem. The first and most important factor in the formation of self-esteem is an interaction with family members. As one of the main risk factors of depression is distress in family processes، that means family functions in various conditions، therefore the present study was aimed to investigate the correlation between family processes and self-esteem in depressed patients. 180 depressed patients were selected by propose sampling. A questionnaire completed by self-report was used for data collection. It included 3 parts: demographic، family process scale and Rosenberg self-esteem scale. Data was analyzed by version 17 SPSS software. Family processes score in majority of samples was mediocre (53/86). The samples maximum and minimum score was in religious belief (7/55) and decision making (4/18) dimensions respectively. The self-esteem score in majority of samples was mediocre. Also results show that a positive and significant correlation between all the family processes dimensions، expect religious belief dimension، and self-esteem (p<0/00). In general، majority of samples had a mediocre family processes and self-esteem، indicating a significant and positive correlation between family processes and self-esteem.

Assertiveness skills provides strategies for handling conflict، communicating assertively and developing relationships that can be applied both at work and in your personal life. The aim of this study was to study the effects of assertiveness training skills on the assertive and self-esteem male students of secondary schools. This study was experimental study before and after control group test. The participants of this research were selected form 30 students in secondary school in Khoramabad city 2012-2013. Data gathering was used via Cooper Smith Self Esteem Inventory (CSEI) and Assertiveness Self Report Inventory (ASRI). The experimental group was given 8 sessions’ weekly education assertiveness training skills. The control group did not receive intervention. In order to، explore the effects of assertiveness training skills on assertiveness and self-esteem among participants. For analyses the data were tested by t -test and covariate (ANCOVA). The results from ANCOVA Test revealed that assertiveness training group therapy increases self-esteem and the assertiveness training skills in experimental group. (P<0. 001) The educational assertiveness training and other social skills training are recommend in all students group to prevent mental disorder and help promote students mental health in youth community.