شهلا کربلایی صالح

Hemodialysis patients face difficulties and limitations in physical, social and psychological functioning which from their psychological problems cited to increase perceived stress and meta-sorry and decrease quality of life. Regarded to the effectiveness of rehabilitation program of Dohsa-hou on many psychological characteristics, present research aimed to determine the effect of rehabilitation program of Dohsa-hou on perceived stress, meta-worry and quality of life in hemodialysis patients.

The method of present research was quasi-experimental with pretest and posttest design with control group. The research population was patients referred to hemodialysis ward of Shahid Mofatah Hospital of Varamin city in 2018 year. The research sample was 34 patients with low quality of life which were selected by purposeful sampling method and randomly replaced into two equal groups. The experimental group trained 11 sessions of 45 minutes with rehabilitation program of Dohsa-hou and the control group was replaced on the waiting list for training. Data collected with specifications demographic form, perceived stress questionnaire, subscale of meta-worry in anxious thought scale and revised health related quality of life questionnaire and analyzed with using methods of Chi-square, t-test and multivariate analysis of covariance.

The findings showed that between the experimental and control groups there was no significant difference in terms of gender, age, education and marriage (P > 0/05). Also, between groups in the pretest stage there was no significant difference in terms of perceived stress, meta-worry and health related quality of life (P > 0/05), but in the posttest stage there was significant difference in terms of all three variables (P < 0/05). In the other words, rehabilitation program of Dohsa-hou led to decreased perceived stress and meta-worry and significantly increased health related quality of life in hemodialysis patients (P < 0/05).

Based on the results, it is recommended that therapists and clinical psychologists along with other approaches and therapies, to use from the rehabilitation program of Dohsa-hou to improve the characteristics related health including decrease stress and meta-worry and increase health related quality of life of hemodialysis patients.

Parents of children with special needs due to their children problems face with many problems including decrease marital happiness, resilience and life satisfaction and group positive training is one of the effective therapeutic methods. Therefore, present research aimed to determine the effectiveness of positive couple therapy on marital happiness, resilience and life satisfaction in parents of children with special needs.

The method of this study was semi-experimental with a pretest-posttest design and control group. The research population was parents of children with special needs of Ahvaz city in 2018-19 academic years, which from them the parent of 30 students were selected by available sampling method and randomly assigned into two equal groups (each group 15 couple). The experimental group received group positive training for 14 sessions of 90-minutes based on package of Seligman & et al (2006) and the control group receive no training. Research tools were the questionnaires of marital happiness (Azreen & et al, 1973), resilience (Connor & Davidson, 2003) and life satisfaction (Diner & et al, 1985). Data analyzed by Chi-square, independent t and multivariate analysis of covariance tests in SPSS-24 software.

The findings showed that in the pretest stage there wasn’t significant difference between the experimental and control groups in terms of marital happiness, resilience and life satisfaction (P>0/05), but in the posttest between them there was significant difference in terms of all three variables of marital happiness, resilience and life satisfaction (P<0/001). In the other words, group positive training led to increased marital happiness (F=1069/574), resilience (F=281/722) and life satisfaction (F=414/315) in parents of children with special needs (P<0/001).

The results indicated the effectiveness of group positive training on marital happiness, resilience and life satisfaction in parents of children with special needs. Therefore, it is suggested that to use this method along with other therapeutic methods to improve psychological characteristics.