مجله پرستار و پزشک در رزم
سال دهم شماره 35 (تابستان 1401)

Ethics is considered as an integral part of medical science and its recommendations are to guide professional behaviors and practices.The purpose of this study was to obtain the attitudes of medical students (interns and residents) towards the course of medical ethics.

This cross-sectional descriptive-analytical study was performed on 104 students of AJA University of Medical Sciences (intern and residents) as randomly available in 2016. In order to evaluate students' attitudes, two written questionnaires consisting of demographic questions and 36 questions about attitude and practice were prepared and distributed among medical students. Data were analyzed using SPSS-20 software and Mann-Whitney test.

The results showed the two groups of resident and intern in terms of teaching method, the best way to assess student knowledge, the appropriateness of the content, the need to modify and update the presented materials, covering the patient-physician relationship in medical ethics, diagnosing ethical problems, exposure With moral problems and the ability to make the right decision, the ability to defend one's decision, how to make informed decisions, how to act when a patient is mentally incompetent, the ability to convey bad news, and the method of teaching medical ethics, there was a statistically significant difference at the level of 1 percent.

According to the research findings, both interns and residents emphasized the appropriateness of the content, the need to modify and update the content, cover patient-physician relationships and teach medical ethics both cross-sectionally and alongside the clinical courses of medical students.

Meanwhile, the role of employees' social capital as an influential factor on all aspects of the organization can affect the mental health of individuals. Therefore, the present study was conducted to determine the relationship between social capital and mental health of health care personnel in Borujen.

The present study is a predictive correlation study that was done 2020 in Shahrekord University of Medical Sciences. 389 employees of health centers of Borujen city were selected by stratified method and were examined using a three-part questionnaire of demographic characteristics, a researcher-made questionnaire of social capital and a standard questionnaire of public health. Data were analyzed using SPSS16 using descriptive statistics and analytical tests.

Social capital in the dimensions of interaction, ethics and social responsibility can predict the mental health of employees (P <0.001, R2= 0.023). There was no statistically significant relationship with mental health in the dimensions of social trust, social participation and public awareness (P <0.05). The average of the total dimensions of social capital of the staff was 75± 8.40 and the average of the total mental health of the staff was 75.54±13.42.

Due to the predictive role of social capital in the mental health of employees, managers of health organizations should be advised to constantly review the level of mental health and social capital of employees and use training and counseling sessions to increase the dimensions of social capital and Mental health of employees to take action.

Infertility has many negative individual and social consequences and infertile women are exposed to mental health problems. The aim of this study was to investigate the moderating role of individual and family resilience in the relationship between perceived social support and general health in infertile women.

The present study was a correlational study. The statistical population included infertile women referred to the infertility ward of Khatam Al-Anbia Hospital in Tehran in 2019-2020. Through available sampling, 361 people were selected to participate in the study. The Connor-Davidson Resilience Scale, Family Resilience Scale, Perceived Social Support Questionnaire, and General Health Questionnaire were used to collect data. Pearson correlation coefficient and regression methods were used to analyze the data using SPSS software version 22.

According to the results, perceived social support, individual resilience and family resilience had a significant positive correlation coefficient with general health. The regression results showed that individual resilience has a moderating role in the relationship between social support and general health of infertile women.

The general health of infertile women can be improved by strengthening social support and resilience and preventing psychological harm in them.

Looking at recent wars and studying their impact on the military, economic and political independence of countries, as well as anticipating the organization of future wars in science and technology, one can infer the importance of appropriate strategies, approaches, policies, and tactical measures in pursuit of success on the battlefield. Among these measures, planning to train human resources and train future soldiers to be present on the battlefield is crucial. Here, we aimed to provide an overview of the necessary standards related to physical, mental, and skills of future soldiers for the wars.

In the current systematic review, Scopus and Web of science databases were searched in English and Persian languages. Following the search based on a specific search strategy and quality assessment, 22 publications were selected for final review.

According to the considerably consistent literature, various parameters take part in the performance of future soldiers in the battlefield, including but not limited to, physical mental abilities, skills, education, and equipment.

The 18th Principles of Future Battle Principles will be included in training programs for future soldiers to prepare for future wars against hostile enemies.

In cardiovascular patients, stress is a pervasive experience that can affect the recovery process of the disease. The aim of this study was to predict perceived stress based on self-efficacy and psychological hardiness in cardiovascular patients.

The method of the present study was descriptive and correlational. The statistical population of the study included cardiovascular patients referred to cardiac hospitals and cardiac rehabilitation centers in Tehran in 1398, of which 151 people were selected as the sample group by purposive sampling. Data collection tools included Kobasa Hardiness Questionnaire, Cardiac Self-Efficacy Questionnaire and Perceived Stress Scale.

The results showed that self-efficacy and psychological hardiness with perceived stress have a significant negative correlation coefficient. Regression results showed that self-efficacy and psychological toughness had a significant role in predicting perceived stress in heart patients and the share of psychological hardiness was higher (p <0.05(.

Based on the results of this study, cardiovascular patients can help reduce stress and thus improve their health by strengthening their self-efficacy and psychological hardiness.

The aim of this study was to evaluate the effectiveness of resilience training on the psychological capital of young soldiers with divorced parents of army senior military in Isfahan.

The research design was quasi-experimental and included a pretest and posttest that was performed in both experimental and control groups. The statistical population of the present study includes all soldiers with divorced parents of the senior military of the Isfahan city army in 1399. The sample consisted of 50 qualified soldiers who were selected using the available sampling method and were randomly assigned to the control (25) and experimental (25) groups. The educational intervention was performed on the experimental group for 45 days in ten sessions and was not provided to the educational control group. In this study, Mac Gee's diagnostic scales of psychological capital were used as a tool to measure the effectiveness of resilience training on psychological capital and the collected data were analyzed using the covariance method.

The results showed that resilience training method at the level of P <0.001 was significantly effective in increasing the psychological capital of senior soldiers with divorced parents.

The results showed that resilience skills training can be used as an effective way to increase the components of psychological capital in young soldiers with divorced parents of senior military soldiers.

Attention deficit / hyperactivity disorder is a type of neurobehavioral disorder that affects a person's performance in many areas, including academic performance, attention and concentration, and social communication. 

This research, we used a quasi-experimental study with a pre-test and post-test design with a control group. The statistical population consists of students with attention deficit/ hyperactivity disorder in the elementary school of Tehran in the academic year of 2021-2022, who were selected using the selective sampling method and randomly divided into two groups of 20 people, experimental and control groups.  Swanson, Nolan and Pelham fourth edition questionnaire (SNAP-IV) were used to evaluate symptoms of attention deficit/ hyperactivity disorder (ADHD) and Dourtaj academic performance questionnaire was used for academic performance, and CAS cognitive assessment test was used to evaluate neuro-cognitive processes. A pre test was taken from both experimental and control groups, and the experimental group was subjected to the intervention of the rehabilitation computer training program for 3 months.A post-test was taken from was performed for both the experimental and control groups. The follow-up test was performed after 3 months later of the post-test session.

The results of analysis showed that the computer training program had a positive effect on cognitive processes and academic performance of students with attention deficit hyperactivity disorder and it was statistically significant(P˂0.001).   

The computer training program improves cognitive functions (planning, attention and simultaneous, successive processing) and improves the academic performance of students with attention deficit / hyperactivity disorder.

The present study was conducted with the aim of investigating the epidemiology of sleep disorders and clinical symptoms in patients with celiac disease in Razavi Khorasan province. This descriptive research is causal-comparative.

In this study, 260 patients with celiac disease were selected according to Morgan's table among those who referred to Imam Reza Hospital in Mashhad, who were diagnosed by a gastroenterologist and underwent intestinal biopsy. 260 healthy people were selected by available sampling method and in one step they were asked the Epworth Sleepiness Status (ESS), Insomnia Severity Index (ISI), Restless Leg Syndrome (RLS) and Obstructive Sleep Apnea (OSA) questionnaires. Berlin), Sleep Quality Index (PSQI) and Depression, Anxiety and Stress Questionnaire (DASS). Analysis of variance was used by spss22 software to analyze the data.

There is a significant difference between celiac disease patients and healthy people in sleepiness, insomnia severity, restless leg syndrome, obstructive sleep apnea and clinical symptoms (p<0.001). The effect size index showed that 12% of sleep disorders and clinical symptoms are related to the effect of celiac disease, and the group of patients with celiac disease has a higher average Ttg1 status than Ttg2.

Sleep problems cause a series of inflammatory factors in the body, and according to this research, it can be concluded that gluten-free diet has an effect on controlling these factors and thus reducing sleep disorders in celiac patients.

The aim of this study was to evaluate and compare the effectiveness of emotion regulation psychotherapy on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles in cancer patients in Isfahan in 1398. The method of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical population of the present study was all cancer patients in Isfahan province in 1398.

In this study, 30 cancer patients were non-randomly selected from cancer patients in Isfahan province. The experimental group received educational intervention in 8 90-minute sessions over two and a half months. However, the control group did not receive this intervention during the research process. The questionnaires used in this study include the Simmons and Gahr Distress Tolerance Questionnaire (DTS) (2005), the Self-conscious Emotion Questionnaire (TOSCA), GP. Tangney et al. (1989), Wickes (1994) and Fisher & Avery (1991) Conflict Resolution Questionnaire, Garnfsky et al. (2001) Cognitive Emotion Regulation Strategies Questionnaire. The data were analyzed by multivariate covariance using Bonferroni modulation by SPSS23 statistical software

The results of data analysis showed that cognitive emotion regulation is effective on the components of conflict resolution style, self-conscious emotion, distress tolerance and self-blame component of patients (P <0.05).

Emotional regulation psychotherapy has an effect on self-blame, distress tolerance, self-conscious emotion and conflict resolution styles of cancer patients in Isfahan in 1398.