مجله آموزش پرستاری
سال سیزدهم شماره 1 (پیاپی 63، فروردین و اردیبهشت 1403)

Osteoarthritis (OA) is the most common joint disorder in adults, which gradually reduces the joints and increases the pain, leading to disability in daily activities. The purpose of the study is to determine the effectiveness of self-care training in a combined method on the nature of pain and daily activities of patients with knee osteoarthritis.

In this semi-experimental study, 70 patients with osteoarthritis of the knee referred to the Orthopedic and Rheumatology Clinic in Ahvaz were randomly divided into two self-care training groups using a combined method and a control group based on the inclusion criteria. The control group received self-care training in the usual way. In the test group, self-care training was conducted by a combined method (film, lecture, use of pamphlets, SMS) during 5 sessions in groups and individually. The research samples were followed up in person and by phone for three months. The data of the study were completed by using three questionnaires on the nature of Mag Gill pain, pain intensity VAS and WOMAC daily activity before, during one month, two months, and three months after the intervention. The results of the study were analyzed using SPSS 23 software and using descriptive and inferential statistical tests.

Self-care training in a combined method caused a significant decrease in the intensity of pain in the intervention group compared to the control group (P=0.001). Daily activity showed a significant difference between the two intervention and control groups (P=0.001), which indicates improvement in activity in the intervention group. However, there was no significant change in the nature of pain after the intervention compared to before (P=0.01).

According to the results of the research, combined training can be used for self-care and disease management to improve and modify the lifestyle, and improve the health and performance of patients.

Most women of reproductive age experience disorders related to the menstrual cycle called premenstrual syndrome. This research was conducted with the aim of determining the effectiveness of treatment based on acceptance and commitment on mixing thoughts, regulation of excitement and health anxiety of girls with premenstrual syndrome.

This was a semi -experimental study with a pre-test and post-test design with a control group. The statistical population of the research was all the girls who were studying in the second stage of secondary school in Gorgan in the academic year 2022-2023, 30 female students of the second secondary level were selected in a multi-stage cluster and randomly placed in 2 experimental and control groups (15 people in each group). The research tools included Steiner's premenstrual screening questionnaires, Wells' thought confusion, Garnefski and Kraaij's difficulty in regulating excitement, and Salkovskis' health anxiety. Data analysis was done with SPSS-24 software and statistical methods of univariate covariance analysis at a significance level of p<0.05.

The results of the research showed that the pre-test Averages of the variables of mixing of thoughts, emotion regulation and health anxiety before the intervention in the experimental group were 129.67, 111.92, and 162.85 respectively, and after the intervention, it was 93.66, 78.02, and 146.84. were changed In other words, treatment based on acceptance and commitment is effective on mixing thoughts (P<0.001), emotion regulation (P<0.001) and health anxiety (P<0.001) in girls with premenstrual syndrome.

The results of the research indicate that the treatment based on acceptance and commitment led to a reduction in confusion of thoughts, difficulty in regulating excitement and health anxiety in girls with premenstrual syndrome. The use of this treatment is recommended by mental health specialists and therapists in the field of rehabilitation of girls with premenstrual syndrome.

Chronic back pain is one of the most common types of musculoskeletal pain in the elderly. The self-management based of the 5A training program for problem control has positive consequences for the elderly. This study aimed to evaluate the impact of the self-management-based of 5A program on the non-specific chronic low back pain of elderly patients.

This clinical trial study was performed on 66 elderly patients with non-specific chronic low back pain refereed in the specialized and super-specialized clinics of Abadan University of Medical Sciences, 2022. The block randomization method assigned the patients to the experimental and control groups. The experimental group was trained in self-management programs based 5A model for 6 weeks and followed up for 8 weeks.  The scale was measured in two groups before intervention,4 weeks, and 8 weeks after intervention.  Data analysis using SPSS 22 software.

There was no significant difference in the average pain between the experimental and control groups before the intervention, while there was a significant difference between the two groups (P <0.001). In addition, the results showed that there was a significant difference in mean pain score between the two groups after four and eight weeks (P < 0.001).

The implementation of the self-management program based on the 5A model in the elderly with non-specific chronic back pain is effective and can reduce the pain intensity, so nurses can use this self-management method as a supportive and non-pharmacological method in the control of non-specific chronic low back pain.

Death anxiety is one of the human tensions that exists in some professions, including nursing, on a daily basis. Emotion self-regulation includes the process of controlling and expressing emotions. The present study was conducted with the aim of determining the relationship between insecure attachment styles and emotional self-regulation with death anxiety in nurses working in Corona wards in Tabriz.

This research was a descriptive-correlational study. The research tools were Templer's death anxiety questionnaire, Hazan and Shiver's attachment styles and Granefske's emotional self-regulation questionnaire. The statistical population consisted of all male and female nurses working in the corona departments of Sina, Imam Reza and Valiasr Hospitals in Tabriz city in 1401. The sample size of this study was 184 people using Cochran's formula, who were selected by the available method, and data analysis was done using Pearson correlation by SPSS 16 software. The significance level of the statistical test was 0.05.

The results showed that there is a direct relationship between ambivalent insecure attachment style and death anxiety of nurses (P<0.05), and there is a relationship between emotion self-regulation and death anxiety (P<0.05). There is a direct relationship between negative emotion regulation strategies and death anxiety and an inverse relationship between positive emotion regulation strategies and death anxiety (P<0.05). Based on the results, there is no significant relationship between avoidant insecure attachment style and death anxiety (P<0.05).

According to the results, there is a relationship between ambivalent insecure attachment style and emotion regulation with death anxiety in nurses working in the corona ward. Therefore, by teaching emotion regulation and identifying nurses with insecure attachment styles, it is possible to reduce the level of anxiety of nurses in the corona ward.

Education is the main engine of development and also the support point around which every activity revolves. To truly achieve the goals and objectives of education, there must be effective quality control and supervision. The purpose of this study is to examine the benefits and challenges of supervision and control in educational organizations.

The current research is an integrated review based on articles related to the benefits, challenges, and recommendations of supervision and control in educational organizations, which was conducted to collecting information on studies conducted in this field. In this study, the method proposed by Whittemore & Knafl is used, which consists of five steps: A: identifying and determining the goal, B: searching for sources, C: evaluating data, D: analyzing data, and E: presenting results. . Using this method increases the accuracy of the study.

The result of the initial comprehensive search included 359 articles, and finally 11 articles were included in the study. The findings showed that the benefits and challenges of supervision and control in educational organizations are very large. But the main causes in educational organizations are the influence of supervision and control on the quality of education and the productivity of teachers, the enthusiasm and motivation of teachers towards the quality of the educational program, and improving the academic status of students.

Considering the positive impact of supervision and control on the quality of education, it is suggested that educational organizations have a written plan for supervision and control in their organizations. The studies conducted showed that there are very few researches in the field of monitoring and control in universities, and considering the advantages and challenges mentioned, it is necessary for researchers to pay more attention to the issue of monitoring and control in universities. And this can improve the quality of education in universities.

Using the right parenting method is related to the growth and mental health of mothers and their children. Therefore, this research was conducted to determine the effectiveness of parenting education based on acceptance and commitment on parenting self-efficacy and parent-child relationship in young mothers.

It was quasi-experimental research with a pre-test and post-test design with a control group. The research population consisted of mothers with children in Ahvaz (Iran) in 2023, of which 30 people were selected with the conditions of entering the research by available sampling method, and 15 people were placed in the test and control group by simple random method. The studied mothers were evaluated with demographics, Domka self-efficacy questionnaire (PSAM), and the parent-child relationship scale (CPRS). The test group underwent the intervention of 8 sessions of 75-minute parenting training on acceptance and commitment, and the control group remained on the waiting list. The data were analyzed using single and multivariate covariance analysis in SPSS-23 software.

The results showed that parenting education based on acceptance and commitment has a significant effect on increasing the average score of parenting self-efficacy and the parent-child relationship of the studied mothers (P<0.001). The largest effect size was related to parent-child relationship (0.71) and parenting self-efficacy (0.40).

Parenting education based on acceptance and commitment led to an increase in parenting self-efficacy and improved parent-child relationships in young mothers. Therefore, the use of this simple, useful, and low-cost method is recommended by mental health specialists in young mothers with children.

Educational supervision in nursing is one of the basic aspects of professional development and quality assurance of nursing education. This article aims to conduct a Narrative review and comprehensively evaluate the existing literature on the effectiveness of educational supervision on the performance of nursing students to guide future research and practice.

This study was conducted by a Narrative review method on the research on the effectiveness of educational supervision on the performance of nursing students. Search for Persian articles with the keywords supervision, education, student, nurse, clinical supervision in the Farsi Magiran database and Google Scholar search engine was conducted in the period from 1940 to 2023, and search for English articles with the keywords, Nurse*, Supervision, Education, Clinical Mentoring, Medical Field Study, Clinical Practicum in the reliable English databases of PubMed, Science Direct, Cochrane Library was conducted in the period from 1940 to 2023. In the end, 7 articles (4 Persian and 3 English) were selected and analyzed in line with the objectives of this study.

The findings of this research showed that the design of clinical training courses based on the model of clinical supervision and guidance can lead to the improvement of interpersonal, professional, and communication skills as well as in clinical skills such as the diagnosis and application of the drugs used, teaching the patient and Companions, observing safety points in isolation, observing the correct principles of dressing and sampling, taking veins, team participation, prevention of infection and application of the nursing process, should be taught to the patient and relatives. Of course, the insulting behavior of clinical supervisors is one of the negative experiences of nursing students, and students must receive support from clinical supervisors.

The study showed that educational oversight is effective on the performance of nursing students, but it is suggested that more quasi-trial studies can be conducted in the field of educational monitoring and performance of nursing students.

Marital satisfaction is one of the factors related to the mental health and occupational stress of nurses. Therefore, the present study w was conducted to examine the impact of PERSEDE model-based intervention on the marital satisfaction of female nurses working in Kashani Shahrekord Hospital.

In this semi-experimental study, two groups before and after, 50 people were selected from the female nursing staff working in Kashani Shahrekord Hospital and were divided into two groups based on the criteria for entering the intervention by accessible and simple random sampling method. The instrument used was the short form of the Enrich Marital Satisfaction Questionnaire and the personal profile questionnaire. For the intervention group, 8 weekly 2-hour sessions were held, and before, immediately and,  4 weeks after the end of the intervention, the Enrich Marital Satisfaction Questionnaire was completed by both groups. Data analysis using mean, standard deviation, variance analysis with repeated measurements, Fisher precision test, Bonferroni stalking and, Wilcoxon Test, man Whitney nonparametric tests were performed at the five percent error level using version 26 of the SPSS software.

The average score of marital satisfaction in the nurses of the intervention group before the training was 163.00±23.90, immediately after the training was 179.96±17.89 and 4 weeks after the training was equal to 179.60±18.75 and in the control group before training from 165.56±13.01, immediately after training 163.24±13.85 and 4 weeks after training was 162.32±13.12; Based on the results of the Wilcoxon test, the marital satisfaction score in the intervention group in the areas of personality, marital relationship, conflict resolution, financial management, leisure activities, sexual relations, marriage and children, relatives and friends, and religious orientation immediately And 4 weeks later, the training was significantly more than before training (p>0.001).

  Life skills training based on PERSED model had a positive effect on increasing the marital satisfaction of female nurses; Therefore, it is suggested that life skills training for married nurses based on health policy be held periodically.