نشریه پژوهش توانبخشی در پرستاری
سال دوم شماره 1 (پیاپی 5، پاییز 1394)

Moral Distress is a serious problem in nursing which contributes to nurses feelings of loss of integrity and dissatisfaction with their work environment.it affects relationships with patients and others and can affect the quality¡ quantity and cost of nursing care.
In this quasi experimental study¡ 70 nurses who worked in two Uromia hospitals selected using convenience sampling method. Data were collected with Corley and Hamric Moral Distress scale before and one month after intervention after pretest nurses in the intervention group participated in moral distress workshop and then after each stressful incident¡ debriefing sessions with seven phases Mitchell''s technique were convened several times. One month later two groups completed the questionnaire once again and statistical analysis of data was carried out with SPSS ver.18.
Results showed that frequency of moral distress experiences after stressful incident debriefing sessions in the intervention and control groups showed no significant differences.(p=0/448) While intensity of moral distress experiences after stressful incident debriefing sessions in the intervention group showed statistically significant reduction (p The results of this study showed that stressful incident debriefing sessions on moral distress effectively alleviates intensity of nursing staff moral distresses.

Health and wellbeing of mothers of children with special needs as a vulnerable group in society is very important. The aim of this study was to determine the health level of mothers with special needs children in Zanjan province.
This study was a descriptive-correlational research. The sample of study consisted of 300 mothers of children with special needs in the 2014-2015 academic years in Zanjan province. The instrument of this study was¡ “36 item Short Form Health Survey«. Validity and reliability of Iranian version of this instrument has been assessed and confirmed in previous studies. The data analysis was conducted by SPSS/16.
physical functioning (65. 81±24/12) ¡ social functioning (62. 61±27/01) ¡ pain functioning (62. 12±27/01) ¡ mental health functioning (61. 94±20/14) dimensions of health status of mothers were in more desirable condition than other dimensions such as role limitation due to emotional problems (44. 44±38/49).
The health status of mothers of children with special needs was low. Therefore paying more attention to health status of these group of vulnerable mothers and development of appropriate programs is very essential.

There are various treatment methods include land-based training¡ hydrotherapy¡ locomotor training with bodyweight support and functional electrical stimulation after spinal cord injury. So¡ the aim of this study was the comparison of effect of conventional exercise and locomotor exercise with body weight support (LTBWS) on motor function¡ body composition in incomplete paraplegic persons.
This is a quasi-experimental study. 17 voluntary paraplegic spinal cord injured persons¡ selected availability and voluntarily. The subjects were randomly assigned to locomotor group (N=10) and conventional exercises group (N=7). The subjects trained for 12 weeks¡ four sessions per week and 60 min per session. To assess motor function in spinal cord injured patients incomplete spinal cord injured patients walking speed were used. Weight of the subjects was measured using scales installed on the device.
The data showed that there were significant differences in changes of body mass (P=0.003)¡ body mass index (P=0.001)¡ body fat percent (P=0.001) and walking speed (P=0.001) between locomotor and conventional exercise groups.
LTBWS in comparison with conventional exercise can improve body composition and motor function better than conventional exercises in paraplegic spinal cord injured persons.

hospitalization of patients at the Cardiac surgery intensive care unit creates high levels of stress in their families. In recent years promotion of family satisfaction through nursing interventions such as development and implementation of consultation programs is more emphasized. The current study was conducted to determine the effect of nursing consultation on satisfaction of patients'' families at the Cardiac Surgery Intensive Care Units.
This is a quasi-experimental study¡ fifty four family members of patients admitted at the Cardiac Surgery intensive care unit of Kurdkoy hospital Golestan-Iran¡ were selected by convenience sampling method and were sequentially allocated into intervention and control groups. Nursing Consultation program was carried out for the intervention group during multiple sessions based on the assessed informational needs of the family from the time of admission until discharge of their patients from the hospital. The control group received only routine information during hospital stay. The data collection tools were demographic and Satisfaction of received information questionnaires .Data was analyzed with chi-square and t- tests using SPSS (v. 16) software.
The results showed that the two groups had similar demographic characteristics. The mean satisfaction from information in intervention and control groups were 73.54±9.72 and 53.78±4.34 respectively and this difference was statistically significant¡ So the intervention group was more satisfied from received information (P Nursing consultation was an effective intervention to improved satisfaction of patients'' families at the Cardiac Surgery Intensive Care Unit in our study.

Activity restrictions due to fear of falling results in muscle atrophy and abnormal posture and consequently results in declining health condition and physical activity in elders. This study aims to determine the relationship between fear of falling and activity restrictions among community dwelling elders in city of Ghaem shahr northern Iran.
This was a cross sectional descriptive-analytical study and community dwelling older people without cognitive problems made up the population of this research. Sample units consisted of 378 elders randomly selected from elderly residents in Ghaem Shahr. The data was collected with demographic and The Survey of Activities and Fear of Falling in the Eldery(SAFFE) questionnaires via interviews. Data was analyzed using SPSS and Mann- Whitney U spearman correlation and Chi-square tests.
The mean activity score of participants was (8.58) and the mean activity restriction of the sample was (2.42). The mean score of fear of falling was (4.7). There was a strong positive correlation between fear of falling and activity restriction (r=0.933) and this relationship was statistically significant (p Fear of falling causes activity restrictions in the elders¡ therefore¡ appropriate measures should be taken by health-care providers to boost self-confidence and alleviate their fears of falling.

Aggression is one of the known precipitating factors for drug abuse and people with impulse control disorder in disturbing situations are more prone to abuse drugs. So¡ the aim of this study was to evaluate the effectiveness of emotion regulation strategies for aggression control based on Gross model in substance abusers.
This study was a quasi-experimental study with pretest-posttest design¡ the population consisted of all clients referred to outpatient drug rehabilitation clinics in city of Marivan in the fall of 1393. Sampling was done in two stages¡ the first stage by purposive sampling and in the second stage 30 participants randomly assigned into control and experimental groups (Each group consisted of 15 clients). Data collection tools consisted of socio demographic questionnaire and Buss-Perry Aggression Scale. The experimental group received 8 sessions of emotion regulation strategies based on Gross model and the control group received only routine interventions. Data analysis was conducted using SPSS 18 software with multivariate analysis of covariance.
After intervention¡ the mean of total aggression score and subscales in the intervention group had a significant decrease than the control group (p The effect of emotion regulation strategies on aggression control in drug dependent clients confirmed in our study.

Women who enter menopause are at risk for heart disease¡ blood pressure changes and overweight. Regular exercise can decrease the prevalence of these disorders in this age group. Combination of strength and endurance exercises (combined training) has been recommended as an effective treatment to improve physical functioning and cardiovascular fitness in elderly. The purpose of this study was to investigate the effect of two alternating order combination exercises (strength and endurance) on catecholamine¡ Blood pressure and Body composition in overweight postmenopausal Women.
In this quasi-experimental study¡ 28 healthy overweight postmenopausal women in Shahrekord city in 1392 were purposefully selected and randomly allocated into three groups¡ strength – endurance¡ endurance - strength and control. Training program was conducted eight weeks¡ three times per week for two intervention groups. In this study¡ weight¡ height and BMI were measured with the meter and standard medical scale (SECA)¡ and body fat percentage was assessed by Harpenden Caliper¡ and Sphygmomanometer was used for measuring systolic and diastolic blood pressure¡ also DiaPlus Kit was used to measure the concentration of epinephrine and norepinephrine. Within-group differences were analyzed by paired samples t-test and the between-group differences were analyzed by one-way ANOVA using SPSS version 16. The results showed reductions in weight¡ BMI and body fat percentage following trainings in two exercise groups (p>0.05).although Systolic and diastolic blood pressure¡ waist to hip ratio and blood levels of epinephrine and norepinephrine did not showed any significant changes after intervention (p≤0.05).
Independent of sequence of the exercises the current training program caused positive changes in body composition and physical fitness and it seems to has beneficial effects on health of overweight postmenopausal women.

Mindfulness In psychotherapy has been conceptualized as an enhanced state of self-awareness thought to alleviate worry and anxiety. In this research the effectiveness of group cognitive therapy based on mindfulness in reducing pathological worry and anxiety symptoms in students with generalized anxiety disorder.
This study was an experimental study which was used pretest-post with control group design. The subjects included 40 male high schoolers in kermanshah city. At first¡ the test of pathological worry was administrated on 850 students. Students who had abnormally high scores in this test were selected and a structured clinical interview administered to them based on the result of these interviews and confirmation of GAD the sample consisted of 40 students randomly assigned to equal experimental and control groups. The experimental group received 8 sessions of group mindfulness cognitive therapy (one 90 minutes session per week). post-test to both groups was administrated upon the completion of the training and 2 months later as follow- up. The instruments were state anxiety scale and Penn State Patological Worry Questionnaire. Data were analyzed using SPSS version 19.
There were significant differences in post test and follow up scores between experimental and control groups. The experimental group had a significantly lower pathologic worry score in comparison to control group (p cognitive therapy based on mindfulness decreases worry and anxiety. So It can be used as an therapeutic intervention in students with anxiety problems.