جستجوی مقالات مرتبط با کلیدواژه « psychosocial needs » در نشریات گروه « پزشکی »

Mental disorders are a common problem in combatants, veterans, and their families. This study aimed to evaluate the effectiveness of cognitive-behavioral therapy and treatment based on acceptance and commitment to veterans’ psychosocial needs.

This quasi-experimental study was conducted with a pretest-posttest design with a control group in all psychiatric veterans in Tehran in 2018. Thirty psychiatric veterans were purposefully selected and were randomly assigned to two experimental groups (10 people each) and a control group (10 people). Data were collected using the Basic Psychological Needs, Post Traumatic Stress, Acceptance, and Operation Questionnaires. Cognitive-behavioral therapy sessions and acceptance and commitment-based therapy were held in 10 sessions, twice a week, for 90 minutes in each session for the experimental groups. Data were analyzed using SPSS 24 software and multivariate analysis of covariance and independent t-test.

Cognitive-behavioral therapy could significantly affect veterans’ basic psychological needs and their components and increase the capacity of basic needs in veterans undergoing cognitive-behavioral therapy compared to the control group. Also, acceptance and commitment therapy could have a significant effect on the basic psychological needs and the component of autonomy and competence of veterans (p<0.05), but this effect was not significant on the component of communication with others (p>0.05).

Cognitive-behavioral therapy and therapy based on acceptance and commitment affect the veterans’ basic psychological needs.

Since families are responsible for supporting their patients in most cases، paying attention to them is considered as a significant element in the treatment process. Families who are not able to adapt to the hospitalization of their beloved patients in the intensive care units may suffer an emotional crisis. That is، they may show some reactions such as shock، anger، frustration، anxiety، and depression، particularly within 72 hours after the hospitalization. Even in some cases، they may experience more stress than the patients. A review of the related studies shows that the most important needs of the families include being assured that the patient is receiving appropriate treatment and sufficient care، and being informed of the patient’s status، proper prognosis about the treatment process، and the possible consequences. Moreover، the least significant need of the families has been reprted to be their physical comfort. It can be concluded that family-centered care increases the satisfaction of the treatment process and decreases the psychological problems in the families. Therefore، each of the treatment team members in intensive care unit (ICU) should support the family members in dealing with the stressful situations. Evaluating the family needs and performing some essential interventions to fulfill their needs will be effective in declining their anxiety level during the crisis.

Understanding and meeting physiological and social needs of the family members of the patients hospitalized in ICU is very important for the nurses. This study has been done with the aim of “investigating and comparing psychosocial needs of the family members of the patients hospitalized in ICU and CCU”. This descriptive - analytical comparison study was done on 100 first-degree family members of the patients hospitalized in ICU or CCU of Khatam-ol- Anbiya hospital in Zahedan in 2011. Data were collected by the questionnaire of surveying psychosocial needs of the patients hospitalized in ICUs and they were analyzed by using SPSS 18 software، parametric t-tests and Fisher’s exact test. there was significant statistical difference between two groups in some items such as; need to meeting and changing in its times، nurses accepted the family members، talking to them about their feelings، understanding about ICU and participating in patient’s treatment (P<0. 05). considering the significance of these items into two groups، it seems that creating more opportunities for meeting and also giving more information to the family members about patients’ treatment process help to improve the psychosocial needs and reduce Psychological reactions caused by the patients’ family members in ICU