نشریه روان پرستاری
سال هفتم شماره 1 (پیاپی 31، فروردین و اردیبهشت 1398)

The aim of this study was to investigate effectiveness of increasing awareness of puberty changes on the resilience and distress tolerance in female Teens of first high school.

This study was a quasi-experimental with pre-posttest and control group. The statistical population included female Teens of firs period of high school in number 15 Educational zone of Tehran city by 2017. Sixty female Teens were chosen as available sampling method and randomly were assigned in two groups as control and experimental. The experimental group received 10 sessions of the intervention program of awareness of puberty changes. Then, post-test was performed for two groups. For data collecting used the Conner -Davidson resilience scale (2003) and Simons and Gaher distress tolerance scale (1980). Data analyzed by multivariate analysis of covariance (MANCOVA) and utilized with SPSS software version 21.

The analysis illustrated that awareness of puberty changes amounts of resilience and distress tolerance in female Teens were significantly increased in experimental than control group (P < 0.001).

According to the findings, awareness of puberty changes could be a good approach to improve the resilience and distress tolerance in female Teens. The thinners and health professionals of maturity hygiene could be held the classes in schools and take place workshops to increasing the resiliency and Torrance toward the puberty issues among female adolescents.

Generalized anxiety disorder is one of the most common anxiety disorders that cognitive and emotional components have an important role in its developing and persistence. So, the aim of this study was to comparing intolerance of uncertainty, emotion regulation (cognitive reappraisal, suppression), and cognitive avoidance in patients with generalized anxiety disorder and healthy individual. Present study was an applied research in terms of its purpose and post-event (causal-comparative) in terms of its implementation. A total of 30 patients with GAD were selected by convenience sampling method and were matched with 30 normal subjects by the variables of age and gender. The Intolerance of Uncertainty Scale (IUS), Emotional Regulation Questionnaire (ERQ), and Cognitive Avoidance Questionnaires (CAQ) were used to data collection. Data were analyzed by Multivariate Analysis of Variance. Findings showed there is significant difference between the group of patients with general anxiety disorder and normal people in intolerance of uncertainty (F=91.82, P˂0.0001), cognitive reappraisal (F=51.22, P˂0.0001), suppression (F=80.54, P˂0.0001), and cognitive avoidance (F=58.27, P˂0.0001). Considering that these components have a significant role in general anxiety disorder, could be more focused on this component on the treatment of this disorder. This finding have potential implications for mental health practitioners who are involved in mental health area that have been addressed.

The purpose of the present study is the influence happiness training on students’ mental health and level of happiness. A pre-test post-test method with control group is applied in the present work. At first, the GHQ-28 questioner is given to 500 students. Afterwards, 70 students have been chosen randomly among those that have had low mental health. They have been divided into two groups of the experimental and control groups (each group has had 30 participants due to sample attrition). Then, the Oxford Happiness questionnaire is given to both groups and they were pre-tested. An 8 session course of happiness training based on Fordyce cognitive-behavioral technique (the duration of each session was about 120 minutes) is presented to the experimental group and the participants of the control group have continued their normal lives. After presenting the training sessions, both groups have taken the post-test. Moreover, for checking the sustainability effect of the training program, both groups have been followed up after three months. The obtained results have been analyzed using analysis of variance with repeated measure. The results have shown that happiness training based on Fordyce cognitive-behavioral technique has increased the students’ mental health and level of happiness (p≤0.05). The same results have been obtained in the follow up stage. However, happiness training does not have any significant difference in the increase of mental health and level of happiness between male and female students. Therefore, the influence of happiness training as an independent variable on the dependent variables has not been significant considering gender factor. Happiness training has been effective on the students’ mental health and level of happiness.

With emotional intelligence, man regulates his life and takes less risky behaviors. A nurse does not only need knowledge and skills; it is also important to deal with different people. Emotional intelligence helps people to think harder under better conditions and have more effective communication with others. Therefore, this study examines the effect of emotional intelligence training on improving communication skills among nursing students of Zahedan University of Medical Sciences. The present study was a semi-experimental design with pre and post design. The statistical population of the study consisted of 96 nursing students of Zahedan University of Medical Sciences selected by random sampling method in 2016. The communication skills were measured before and after education using the Quinn Livestock Communication Skills Questionnaire over the course of 8 consecutive weeks in 90-minute sessions. To analyze the data, these tests were used: mean and standard deviation, paired t-test and independent t-test. The SPSS software was used to analyze the data. The mean of self-reported score of Communication Skills of students before education was 111.44 and after education was 123.30. The highest score related to the skill component was to receive and send the message and the lowest score related to the skill of communication with decisiveness. There was a positive and significant relationship between emotional intelligence and communication skills and its components (P <0.01). Findings showed that emotional intelligence training had a significant effect on
Improving communication skills and its components (P <0.01). Considering that increased emotional intelligence is an effective way to improve the communication skills of nursing students, it is suggested that emotional intelligence education be considered in the field of medical sciences.

Staff burn out at Psychiatric Residential Treatment Centers threatens the treatment process of patients. The objective of the current assessment is to evaluate the effectiveness of existential group therapy on decreasing the burn-out and its respective scales among staff. The current study, uses a semi-experimental assessment through pre-test and post-test tools and a control group. The statistical population of this research are the male staff working at psychiatric residential treatment sections and centers in Mashhad. The statistical sample is selected through targeted non-random sampling. The burn out test was distributed among the staff and 20 of them with higher scores who volunteered to attend group therapies were selected and were randomly assigned to the experimental group and the control group. The experimental group attended 10 sessions of 90 minutes group therapy; meanwhile the control group received no intervention. The members of both groups filled out Maslach Burnout Inventory (MBI) questioner both before and after the group therapy sessions. Data retrieved from the tests is analyzed at two levels of descriptive statistics and inferential statistics with SPSS. Results of multivariable co-variance analysis shows that Existential group therapy decreases burn out and its respective scales (emotional exhaustion, depersonalization and lack of personal accomplishment). Bearing in mind the effectiveness of existential group therapy on the burn-out scales, it can be used for prevention and health improvement among staff.

Adjustment and sexual satisfaction during the life-long role play an important role in improving the quality of marital life and reducing its instability.The purpose of the present study was to determine the efficacy of sexual intimacy and commitment based intervention on the women’s marital adjustment and sexual satisfaction Ardakan city in 2016. This study was a semi experimental research with two-group and post-pretest and follow up.among all married women who referred to Ziaee Anrichment center of Ardakan city at 2016 that include about 400 people, 28 of married women were selected by available sampling method and were randomly assigned to experimental and control groups. In study group, participants received 9 sessions 2 hour sexual intimacy and commitment based on commitment and sexual intimacy and control group received no intervention. Data collection was performed by the dyadic adjustment scale and Larson sexual satisfaction questionnaire. Data was analyzed by repeated measure ANOVA with repeated measures. The findings show that all dimensions of marital adjustment of married women in experimental group dimensions include satisfaction (F=8.850, P=0.002), correlation (F=6.195, P=0.004), agreement (F=13.043, P =0.0001), kindness (F=6.279, P=0.004) and sexual satisfaction (F=9.094, P=0.001) of married women in study group were improved than control group. This incensement is persistent until follow-up. Based on yield results it can be said that sexual intimacy and commitment based intervention have a positive effect the marital adjustment and sexual satisfaction.

Inappropriate emotional reactions such as anxiety and depression have a profound impact on workplace accidents and mistakes. Patient health is correlated with work situations and health of medical staff. Therefore, the current study was performed to determine and compare the anxiety and depression and related factors in radiation technologists and operating room technicians. Present descriptive analytical (cross–section) study was carried out in selected educational centers of Kermanshah during the period from February 2016 till February 2017. 106 radiation technologists and operating room technicians were selected using convenience sampling. Data was collected using a questionnaire consisting of "Beck" anxiety and depression scale and demographic section. Data were analyzed by SPSS software version 18 and descriptive and inferential statistics such as covariance analysis, Chi-square, and Kolmogorov-Smirnov at a significant level of 0.05. 12.4% of subjects had moderate anxiety, 3.4% high anxiety and 46.2% of them had different degrees of depression.  There was no statistically significant correlation between the work record and anxiety (p = 0.37), but this correlation was significant between the work record and depression (p = 0.001). Medical staff, diagnostic-therapeutic wards, exposed to stressors and may indicate emotional reactions. Development in servicing and adequate supports lead to supply healthy human resources and community health promotion. Therefore, necessary training is raised as a health priority to eliminate stressors and improve the working environment.

Breast cancer is the most common cancer and the fifth leading cause of death due to cancer among Iranian women. It seems that a strong sense of purpose in the lives of patients with breast cancer Azmna decreasing the disappointment in their lives. The aim of this study was to evaluate the efficacy of of integratibve approach logotherapy and hope therapy on the level of Cortisol and Death Anxiety in the Women with Breast Cancer was Khorramabad. The research method was quasi-experimental with pretest-posttest with control group. The statistical population of this study included all women with breast cancer referring to health centers in Khorramabad city in 1397.
ترجمه بیشتر
The method of sampling in this study would be that among all women with breast cancer who have cases in the health centers of Khorramabad city and according to the entry and exit criteria, 30 persons were selected randomly. They will then be randomly assigned to both the experimental and control groups (each group of 15). Then, according to identical and simultaneous conditions, a pre-test was conducted in the form of a questionnaire of BodyImage fear and Social Adjustment of both groups. Certified. Then, the intervention was combined with a combination of therapies and meditation for 8 years A 90-minute session was conducted on the experimental group but the witness group did not receive any intervention. Upon completion of group therapy sessions The integratibve approach logotherapy and hope therapy of rehabilitation was taken from both the post-test group. The results showed that integratibve approach logotherapy and hope therapy treatment interventions in reducing BodyImage fear and promotion of Social Adjustment have had significant effect (p< 0/001).    Regarding this study, it can be concluded that the training of the integratibve approach logotherapy and hope therapy has had a significant effect on reducing BodyImage fear and promotion of Social Adjustment.  So recommended treatments such as these should be used to promote mental health.

Marital maladjustment is one of the serious problem that serve as the cause of divorce and domestic violence in many families.
The aim of this research was to study the effectiveness of emotion regulation instruction on marital adjustment of couple with marital conflicts. The design of this research was experimental with pre-post tests and randomly assignment of subjects. As for severity of clients problems who referring to advocacy offices and to study the effectiveness of emotion regulation of this critical population, the sample included all couples with marital conflicts who searched Khorram Abad advocacy offices during June to October 2017. The subjects instructed by 8 session’s emotion regulation on the basis of Gross model of emotion regulation instruction (1976). Instrument included Spanier Marital adjustment Questionnaire (1976) which completed by subjects before and after intervention. For analyzing the data multiple analysis of covariance statistical method has used. The results showed that marital satisfaction scores increased in comparison to baseline. It was exactly unfold that the subscales of affective presentation, couple adhesion, couple agreement and couple satisfaction meaningfully increased after the intervention. emotion regulation instruction can improve marital satisfaction of couple with marital conflicts and it is emphasized on use of this instruction because of its effectiveness on increasing couple marital adjustment and decreasing of marital problem and it is proposed for application of this model by specialists and cooperative work of advocacy offices with counseling centers to preventing divorce that has irreparable outcomes.

Marriage is one of the most important issues of interest to the human community. Therefore, the present study was conducted to determine the effect of group therapy based on the acceptance and commitment on life expectancy, marital intimacy and marital conflicts. The research design was pre-test, post-test and the statistical population of this study was women referring to counseling centers of Kermanshah City in 2017; 30 of them were selected by available sampling method and randomly assigned to the experiment group (15 ones) and control group (15 ones). Snyder Life Expectancy Questionnaire, Marital Intimacy Questionnaire and Marital Conflicts Questionnaire were used to collect the data. Intervention of group therapy based on the acceptance and commitment for participants in the experiment group was performed 12 sessions per week 90 minutes, but participants in the control group did not intervene. Then, the results of the pre-test and post-test of the experiment and control groups were compared by descriptive statistics (mean and standard deviation) and inferential statistics for analysis of covariance using SPSS-23 software. The results of analysis show Group Therapy Based On Acceptance and Commitment effect that in marital intimacy and marital conflicts, but for life expectancy, there was no significant difference after intervention for the experiment group compared to the control group (P < 0.01). The results of this study indicate the effectiveness of group therapy based on acceptance and commitment on increasing the marital intimacy and reducing marital conflicts in women referring to counseling centers.

The diagnosis and hospitalization of a family member disrupts the whole family structure. During this time, family members experience a change in role and feel fear, anxiety and insecurity. This study aimed to determine of the effect of Nursing Consultation on Anxiety of Tracheostomy Patient's Family admitted to shahid rajaei hospital of Shiraz city in 2017. This study is Quasi-experimental study that in that Pretest-posttest plan with control group was used. All of the Tracheostomy Patient's Family, who referred to shahid rajaei hospital of Shiraz in first 6 months of 1396, was our statistical research community. 60 patients were selected Based on inclusion criteria and purposive sampling method and randomly divided into two groups of experimental and control by using a table of random numbers For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. Patient filled Spielberger's Anxiety Inventory before and after intervention. SPSS statistical software SPSS19 data using chi-square, Fisher's exact test, and independent t-test and paired T was performed.. Results showed that no different between two groups of intervention and control about demographic characteristics. The mean Anxiety Score was 98/76±6/16 in intervention group, and 96.36±5.76 in the control group before intervention, which respectively reached to 71.00±7.88 and 96.16±5.20 after implementation of the intervention and this difference was Significant in intervention group (P≤0.001). According to the results we can say that Nursing Consultation is effective in reducing Anxiety in Tracheostomy Patient's Family. Therefore, it is possible to reduce the Anxiety of Tracheostomy Patient's Family with a simple, low-cost, and effective intervention.

The family is meeting the needs of its members and divorce applicant couples have many problems especially in communication patterns and emotional divorce. The aimed this research was determine the effectiveness of couple therapy by Hendrix imago therapy method on improving communication patterns and reducing emotional divorce. Present research was a semi-experimental with a pre-test and post-test design with a control group. The research population was included divorce applicant couples referring to court counseling center of Bushehr city in the autumn season of 2017 year. The research sample was 40 couple that were selected by available sampling method and randomly assigned to two equal groups (each group 20 couple). The experimental group trained couple therapy by Hendrix imago therapy method for 10 sessions of 90 minutes (two sessions a week). The groups responded to communication patterns and emotional divorce questionnaires in pre-test and post-test phases. To analyze the data was used from multivariate analysis of covariance method. The findings showed there was a significant difference between the experimental and control groups in communication patterns and emotional divorce. In other words, couple therapy by Hendrix imago therapy method led to increase constructive communication pattern and decrease avoidance and demand/retiring communication patterns and emotional divorce in divorce applicant couples (p<0/05). The results indicate the effectiveness of couple therapy by Hendrix imago therapy method on communication patterns and emotional divorce in divorce applicant couples. Therefore, counselors and therapists can be used from couple therapy by Hendrix imago therapy method to improve communication patterns and reduce emotional divorce of divorce applicant couples.