جستجوی مقالات مرتبط با کلیدواژه « Resilience » در نشریات گروه « پزشکی »

Hypertension (HTN) is one of the most common chronic diseases worldwide, considered a significant public health concern leading to millions of deaths from stroke, cardiovascular, and kidney diseases. This study aimed to explore the impact of mindfulness-based stress reduction therapy on systolic blood pressure (SBP), diastolic blood pressure (DBP), and resilience of women with HTN.

In this semi-experimental study, 32 eligible women with HTN were randomly divided into two groups: intervention and control. Data were collected using the Connor-Davidson Resilience Scale and a digital brachial sphygmomanometer for both groups at three stages: before, after, and two months after the intervention. A mindfulness-based stress reduction intervention was conducted for the experimental group in a group setting over ten sessions, while no intervention was performed in the control group. The data were analyzed using repeated measures analysis of variance (ANOVA) and Bonferroni post-hoc test with SPSS software.

The post-test scores of SBP and DBP of the intervention group decreased compared to the pre-test, and the resilience score of the participants increased significantly (P < 0.001). The observed change in the experimental group was stable in the follow-up phase. Moreover, no significant difference was observed between the pre-test, post-test, and follow-up scores of the control group in the variables of SBP and DBP, as well as resilience. This indicated that no change was found in the control group.

The results of this study can be used as a supplement to drug therapy in solving problems related to patients with HTN in private and hospital counseling centers.

The need for healthcare is one of the fundamental needs of humans in critical and emergency situations. Hospitals and healthcare centers are among the first units that can reduce casualties by providing optimal and timely healthcare services. Therefore, the present study aims to evaluate the resilience status of selected hospitals in Yazd city during the crisis in the year 2023.

This research is a descriptive-cross sectional study conducted in 2023 in 5 selected hospitals in Yazd (classified by hospital ownership: university hospitals A, B, C, charity hospital D, and private hospital E). The resilience level of the hospitals during a crisis was assessed using Zhong's standard questionnaire, which evaluated 9 dimensions of resilience. Responses to the questions were based on a 5-point Likert scale (always to never), and data were analyzed using SPSS 26 software. Quantitative data were reported with central (mean) and dispersion (standard deviation) indicators, followed by qualitative (demographic) data as numbers and percentages.

The results showed that the overall resilience status of the hospitals in this study averaged 3.95 ± 0.69, which was evaluated at a good level. The highest score was for the private hospital E with an average of 4.30 ± 0.55, and the lowest score was for the public hospital A with an average of 3.75 ± 0.55. Hospital A's score was at a moderate level, while the remaining hospitals were rated at a good level.

Considering the average resilience of hospitals in a number of areas, it is suggested to develop and present training programs related to preparing for critical situations and holding maneuvers and conducting exercises with emphasis on training key employees.

In health care, the well-being and flexibility of the operating room staff are of great importance due to the hard and stressful nature of their work. Therefore, this study was conducted to determine the effect of Stoic resilience training on the resilience of operating room staff.

The present study was a semi-experimental pre-test-post-test intervention study with a control group. A study was conducted among 67 people operating room staff working in Imam Ali and Imam Hassan hospitals in Bojnord city in September 2023 In this research, the demographic check list and the Connor and Davidson standard resilience questionnaire were used to collect information. The educational intervention was also implemented using the “SeRenE” Stoic education package. This training package includes 4 exercises, which were used only 3 exercises per day and for 6 consecutive days (45 minutes per day) due to the resilience variable. Statistical analysis was done using SPSS version 24 and at a significance level of 0.05.

Based on the results, the total resilience score increased after the Stoic training (72.03±8.31) and showed a statistically significant difference with the control group (65.03±11.16) (P>0.05). The results showed that after Stoic training, mean of subscales of competence, trust in one’s instincts, tolerance of negative affect, positive acceptance of change and secure relationships, control as well as the total score of resilience increased in the training group. Although the mean score of spiritual influences dimension increased after the training, this increase was not statistically significant (P=0.097).

The findings show that Stoic training had a positive effect on various aspects of resilience among operating room staff, whose effects are more obvious in some subscales such as trusting individual instincts, tolerance of negative emotions, and positive acceptance of change. In general, the results showed that people's resilience increased after Stoic training. It is recommended to include Stoic training programs in the training of health personnel and caregivers.

The present study was conducted with the aim of comparing the effectiveness of acceptance-commitment therapy and spiritual intelligence training on the resilience of children with cancer. The research method was semi-experimental with a pre-test-post-test design with two experimental groups and a control group and a one-month follow-up, and its statistical population consisted of children with cancer who were hospitalized in the pediatric department of Tehran medical centers in 1402, who were within the range of They were 9-13 years old. Among these people, 30 people were randomly selected and randomly divided into three groups (20 people in two experimental groups, 10 people in the control group). To collect data, Karner-Davidson (2003) resilience questionnaire was used. The intervention method was that experimental group 1, during one period, for 8 sessions, two sessions a week and each session for 45 minutes, exposed to the independent variable (commitment and acceptance-based therapy group training) and experimental group 2, during They were exposed to the independent variable (spiritual intelligence group training) for one period, for 8 sessions, twice a week and each session lasted 45 minutes. To analyze the data, descriptive statistics (mean, standard deviation) and inferential (within-group analysis of variance with repeated measurement on the factor of measurement steps (pre-test-post-test-follow-up) and block multivariate analysis of variance) were used on spss-23 software. The results of the present study showed that the treatment based on acceptance-commitment and spiritual intelligence training has an effect on the resilience of children with cancer, and there is a difference between

One of the chronic diseases that has developed widely is chronic kidney disease. Hemodialysis is the most common treatment for patients with end-stage renal disease. The experience of hemodialysis and its problems affect people's resilience. Considering the chronic nature of the disease in hemodialysis patients and the need for continuous education and continuous care in these patients and the limited availability of articles, this study was conducted with the aim of determining the effect of the continuous care model on the resilience of hemodialysis patients.

This study was conducted as a clinical trial on 74 patients (37 experimental patients and 37 control patients) undergoing hemodialysis in 2023, at Shahid Chamran Hospital in Tehran. In this study, a simple randomization method with coin toss was used to allocate units in the experimental and control groups. Personal characteristics questionnaire and Connor and Davidson's resilience questionnaire were used to collect information. In the experimental group, in addition to routine care, the continuous care model was implemented in 4 stages (including four stages of orientation, sensitization, control, and evaluation) for one month. The resilience of the patients was measured before, immediately, and one month after the intervention. After collecting the data, it was entered into SPSS version 23 and analyzed.

Before the intervention, there was no significant difference between the two groups in terms of individual characteristics and average resilience (P<0.05). Based on the results, the implementation of the continuous care model had improved the average resilience score (P<0.001). At the time of follow-up, this difference between the two groups was significant (P<0.001) and it was still higher in the endurance test group.

Hemodialysis patients are under high pressure and stress and need higher resilience. This study showed that the continuous care model is useful in promoting resilience and increasing tolerance of hemodialysis patients. Therefore, it is recommended to use continuous care model in hemodialysis patients.

Military personnel are exposed to various stressful factors that can cause irreparable damage to the persons' mental health. Resilience is a trait that can help military personnel resist stressful factors. Today, armies seek new ways to boost resilience in soldiers. One of the proposed and under-study methods is the use of nootropics or smart drugs. This study was conducted to evaluate the effect of smart drugs on cognitive resilience. For this purpose, the literature review was conducted with the search of databases, including Google Scholar, IranMedex, Scopus, PubMed, MEDLIB, Science Direct, and Web of Science. Resilience is a multilateral framework that includes various aspects such as biologic, physiologic, and sociologic. Although some studies emphasize the efficacy of nootropics in enhancing cognitive functions through different pathways, clinical trials are still limited in this area. Despite preliminary evidence, some people suggest cognitive enhancement potential for certain compounds؛ but important questions such as safety, efficacy, and individual variability remain unanswered. More research is needed to fully understand the mechanisms of action and potential interactions of nootropics on resilience and cognitive function. Also, long-term studies are necessary to evaluate the safety and effectiveness of these compounds, especially in the military population.

It is essential to provide family-centered care and pay attention to the families of critically ill patients. Consequently, the present study determined the relationship between the needs and resilience of family members of patients hospitalized in Intensive Care Units (ICUs) of hospitals affiliated to Shahrekord University of Medical Sciences in 2021.

The present cross-sectional, descriptive-correlational study, was conducted in order to investigate the relationship between the needs and resilience of families of critically ill patients. The study population included the family members of all patients hospitalized in the ICUs of hospitals affiliated to Shahrekord University of Medical Sciences in 2021, who were selected by available sampling. For this purpose, 149 family members were selected and answered the demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC) and Critical Care Family Needs Inventory (CCFNI).

Based on the findings, the average score of family needs was 143.14 ± 21.75, which showed a high level of needs. The highest need of family members was related to the dimension of assurance and information and the lowest need was related to the dimension of support. The mean resilience score was 70.04 ± 16.89, which shows that the family members had acceptable resilience. According to the adjusted resilience score of family members, the highest score was related to the dimension of spirituality and the lowest score was related to the dimension of control. There was a direct and significant relationship (P<0.05) between resilience and all the dimensions of family needs.

Improving nurses' knowledge and awareness of the needs, mental health status and resilience of family members in ICUs can lead to improved resilience and reduction of negative psychological consequences of family members during hospitalization and even after discharge by adopting solutions to meet these needs, as well as implementing training programs. Supporting the family is essential to identify and understand the importance and priority of their needs to meet these needs properly and to pay attention to the mental health and resilience of families.

Marital satisfaction is the objective feeling of pleasure, satisfaction, and pleasure experienced by spouses for all aspects of the marital relationship. Therefore, the purpose of the present study is to investigate the relationship of the styles of attachment to God, resilience, and self-compassion with marital satisfaction among couples in Isfahan, Iran.

This research was descriptive-correlational. The research population (n=420) included all the couples who referred to psychological clinics and family culture centers in Isfahan city in 2022-2023. Among this population, 110 couples (44 female and 66 male couples) were selected by purposeful and volunteer sampling methods. The necessary data were collected using questionnaires, namely the Attachment to God, Self-Compassion Scale, Resilience Questionnaire, and Marital Satisfaction Questionnaire. The collected data were analyzed in SPSS-23 software.

The results showed that marital satisfaction had a significant relationship with attachment to God, resilience, and self-compassion among couples in Isfahan (P<0.01, r=0.28, 0.26). Moreover, among the predictor variables of the research, the variables of attachment to God (t-statistic=2.81) and self-compassion (t-statistic=2.49) can predict the changes related to the marital satisfaction of couples in Isfahan city. Among the components of attachment to God, the components of a secure base, objection to separation, seeking closeness, and positive understanding of God had a significant relationship with marital satisfaction. There was also a significant relationship between marital satisfaction and the components of self-compassion, human commonality, and mindfulness (P<0.01).

The results of this research showed that the styles of attachment to God and its dimensions and compassion can play a role in marital satisfaction.

Medical sciences universities grapple with high work pressure and the ongoing challenges posed by the pandemic. Addressing the need to bolster organizational adaptability and resilience in the face of these stressors, this study aimed to identify and forecast models that can enhance organizational resilience through a future research lens.

This research follows a developmental-applicative objective by employing a mixed exploratory approach within a qualitative framework. The study's participants encompassed management science experts and senior managers from medical sciences universities, selected based on specific characteristics and criteria. A total of 26 individuals were chosen to form the expert group and Delphi panel using a non-probability targeted (judgmental) sampling method.

Through the Delphi technique and the assessment of various consensus indicators, the study proposes an organizational resilience model incorporating a future research perspective for medical sciences universities. The model comprises 14 dimensions and 71 components, with eight dimensions and 38 components focusing on assessing organizational resilience, and six dimensions and 33 components dedicated to evaluating future research aspects.

The study advocates for officials and managers to use the model's components to enhance the resilience of medical sciences universities, particularly when adopting a future research-oriented approach.

Disasters are increasing all over the world and have affected people's lives. In many of these situations, gender inequalities limit the influence and control of women and girls in the decisions governing their lives. The purpose of this study is to investigate and analyze the opportunities and challenges related to the resilience of marginalized women against different types of disasters.

In this review, in order to find related sources and studies, relevant articles, guidelines, manuals were extracted from January 2006 to March 2021. Searching in reliable scientific databases such as PubMed, Sid, Google Scholar, Scopus, science direct, Medline, Ovid, Web of knowledge with a combination of keywords women, resilience, social factors, marginalization, disasters and Latin terms, women, Resilience, Social Factors, Marginalization, Disasters, a targeted search was conducted in Persian and English languages.

From the total of 76 collected studies, based on the inclusion and exclusion criteria, 23 articles that were related to the purpose of the study were examined. The results of the reviewed studies showed that a degree of social vulnerability during disasters is presented as a "double vulnerability" for women. Studies have shown that efforts to overcome the consequences of hazards through the mobilization and integration of social networks are necessary to address gender differences due to disasters. The GHROW method or Global Risk Resilience Box through Opportunity for Women is designed to empower marginalized women to act and improve outcomes for themselves, their families, and their communities.

Empowering women to promote disaster risk reduction and disaster resilience is very important for all societies, especially for marginalized societies. The participation of communities solves this problem and is a collective effect, and it is necessary to create resilience against disasters.

The family's emotional climate and resilience are among the protective factors against drug use by teenagers.

The present study aimed to predict addiction susceptibility in male adolescents based on the family's emotional climate with the mediation of resilience.

The research method was of the descriptive correlation type and the study's statistical population included all male students of public schools in Tehran in the first and second semesters of 2017-2018, from which 267 people were selected by multi-stage random sampling. The research tools included the Affective Family Climate Scale, the Connor-Davidson Resilience Scale, and the Addiction Susceptibility Questionnaire-Adolescents Version. The data of the present research were analyzed using the structural equation modeling method and Imus software.

The present study's results showed that the family's emotional climate (β=-0.468, P=0.001) and resilience (β=-0.246, P=0.001) predict addiction susceptibility in male adolescents negatively and meaningfully. The family's emotional climate predicts addiction susceptibility in male adolescents through the mediation of resilience (β=0.083, P=0.001).

The results of the present study emphasize the importance of the role of the family, both in terms of creating a favorable emotional climate and in terms of playing a role, as a suitable model in the emergence of behavior. It is suggested that parents also protect their children from the influence of peers and the use of tobacco and drugs by providing a suitable emotional climate.

One of the main complications of diabetes is psychological problems, such as reduced stamina and psychological well-being. The use of muscle relaxation is a simple, safe, and non-pharmacological method. Therefore, the present study was designed to investigate the effect of Jacobson's muscle relaxation technique on psychological well-being and resilience in patients with type 2 diabetes.

The current study is a two-group randomized clinical trial with a pre-test and post-test design conducted on 40 patients with type 2 diabetes at the Khayyam Diabetes Clinic in 2021. Eligibility criteria included minimum literacy, acceptable hearing, and speaking ability, age between 25 and 65 years, no history of relaxation training, type 2 diabetes for at least 6 months, no smoking and no alcohol, ability to use a computer, poor psychological well-being and resilience (psychological well-being score equal to or less than 63, resilience score equal to or less than 50), and no definite psychiatric disorders. Exclusion criteria included: special medical conditions (such as hospitalization or medical inability to continue treatment), withdrawal from the research, death, unwillingness to cooperate, incomplete completion of questionnaires by members, and failure to perform sedation for more than 4 sessions. The samples were selected using the available methods and then randomly allocated with permutation blocks to two intervention and two control groups. The relaxation technique was then practiced at home by the intervention group once a day for 8 weeks. Rif's psychological well-being questionnaire and Connor's resilience questionnaire were completed by the intervention and control groups at the beginning and end of the intervention. Data were analyzed using the Shapiro-Wilk test for normality, Fisher's exact test, chi-square, and analysis of covariance using SPSS 25 software.

The results of the research showed that the two groups were homogeneous in terms of gender, marriage, age, education, history of chronic diseases, history of neuro medications, insulin history, exercise history, peer history, dietary compliance, income, and occupation and there was a statistically significant difference. There was no difference in these variables between the two groups (P>0.05). The results of the covariance test show that the means of the experimental and control groups are the same in terms of patient resilience (P=0.49, eta=0.02). Therefore, it can be concluded that there is no significant difference between the experimental and control groups in terms of patient endurance, controlling for the effect of pre-test means. Also, the means of the experimental and control groups differ in psychological well-being (P=0.00, eta=0.44). Therefore, It can be concluded that there were statistically significant differences between the groups. More specifically, there was a significant difference between the experimental and control groups in terms of psychological well-being, controlling for the effect of pre-test means.

 Results of the study showed that muscle relaxation training was an effective, practical, and inexpensive method of improving and preventing psychological problems in people with diabetes in the intervention group compared with the control group.

Hospital medical staff are highly susceptible to the SARS-CoV-2 virus, leading to a heightened risk of developing psychological disorders. The primary objective of this study was to explore the impact of cognitive-behavioral therapy (CBT) on the self-efficacy, resilience, mental health, and sleep disorders of medical professionals working in COVID-19 wards.

The research employed a quasi-experimental design with a pre- post-test structure and a control group. The sample comprised 30 medical staff from Shahid Modares Hospital in Tehran, caring for COVID-19 patients, selected through purposeful and accessible sampling. They were randomly assigned to experimental and control groups. CBT sessions were conducted individually over eight sessions lasting 120 minutes each, held weekly. Data were collected using General Self-Efficacy Questionnaire (GSE-10), Resilience Scale, General Health Questionnaire (GHQ-28), and Insomnia Severity Index (ISI). Data analysis was performed using covariance analysis.

The results indicated that CBT had a significant positive effect on self-efficacy, resilience, and mental health, while it had a significant negative effect on sleep disorders (p<0.001). 

Overall, the findings suggest that CBT can be an effective intervention for addressing psychological issues among medical staff in corona wards. Implementing this therapy could be beneficial in managing the mental well-being of healthcare workers in such high-stress environments.