نشریه روان پرستاری
سال هفتم شماره 3 (پیاپی 33، امرداد و شهرویور 1398)

Sexual instinct is one of the basic needs of man and the concept of marital satisfaction is also the most important factor for the stability of marital relationship. The trend of changes in sexual activity during pregnancy can affect sexual function and sexual satisfaction of pregnant women; therefore, providing appropriate strategies can increase marital satisfaction. This study was performed with the aim to determine the effect of the educational program of sexual health with pelvic floor muscle exercises on sexual satisfaction and performance of pregnant women.

This clinical trial study was conducted on 60 eligible pregnant women referred to two health centers in Zahedan in 2018. Subjects were randomly divided into two groups of 30 intervention and control groups. Group training for sexual health was done for two weeks and exercise for 6 weeks in the intervention group. In both groups, pretest and posttest were taken. Data were analyzed by descriptive and inferential tests of Chi-square, t-test, and independent t-test in SPSS 16 software.

There was no significant difference between two groups in terms of individual variables such as mother's age, education, employment status, gestational age, number of pregnancies. Findings showed that there was a significant difference between the mean of satisfaction score and sexual function at the post-intervention stage between the two groups (P < 0.001). This difference was not significant between the two groups before the intervention.

Regarding the effect of sexual training and kegel exercise on sexual satisfaction and sexual function during pregnancy, it is recommended that these simple educational interventions should be considered in order to improve the psychological and sexual status of pregnant women.

Depression is one of the most common psychiatric disorders in patients with multiple sclerosis, which according to it is very important in nursing. This study aimed to determine of Spiritual-religion Care on Depression in Women with Multiple Sclerosis referred to the MS Society of Iran is in 2016.

This study is semi-experimental study that in that Pretest-posttest plan with control group was used. All of the women with MS, who referred to MS Society of Iran in first 6 months of 1395, were 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. Experimental groups were performed intervention include Spiritual-religion Care during seven weeks, seven sessions of 45-60 minutes (weekly one session). Patient filled Beck Depression inventory before and after intervention. Data were analyzed using SPSS 19 software and Statistical tests.

Results showed that no different between two groups of intervention and control about demographic characteristics. The mean depression Score was 27.13±13.89 in intervention group, and 28.03±14.79 in the control group before intervention, which respectively reached to 18.13±9.39 and 26.16±14.51 after implementation of the intervention and this difference was Significant in intervention group (P≤0.001).

According to the results we can say that Spiritual-religion Care is effective in reducing depression in women with Ms. so it can be applied method of this study as a simple, non-invasive, low-cost and effective in reducing depression in MS patient to nurses suggests.

Elderly is a sensitive period in human life which elderly people is exposed to many problems including chronic diseases and reduced individual autonomy. Present research aimed to investigate relationship of spiritual intelligence, perceived stress and flexibility of action with psychological well-being in the elderly living in the center of aging.

Present research was a cross-sectional from correlation type. Research population was elderly living in the centers of aging of Ahvaz city in 2018 year that from them 320 people was selected by available sampling method. Data were collected by questionnaires of King's Spiritual Intelligence (2008), perceived stress Cohen et al. (1983), and flexibility of action of Connor and Davidson (2003) and Reif's psychological well-being (2002). Data were analyzed by Pearson correlation coefficients and multiple regression methods.

The findings showed that there was a significant positive correlation between spiritual intelligence (r = 0.62) and flexibility of action (r = 0.76) and significant negative correlation between perceived stress (r=-0.38) with psychological well-being in the elderly. Also, multiple correlation coefficients showed that flexibility of action (r2 = 0.44) and spiritual intelligence (r2=0.53) predicted psychological well-being in the elderly (P < 0.01).

The results indicate the importance relationships spiritual intelligence, perceived stress and flexibility of action with psychological well-being in the elderly. Therefore, in order to improve psychological well-being in elderly, can be increased their spiritual intelligence and flexibility of action and decrease their perceived stress.

The earthquake is a natural disaster that has many psychological effects on the survivors and nurses that are associated with them. The purpose of this study was to predict secondary traumatic stress and post-traumatic growth based on cognitive emotion regulation in nurses providing services to earthquake victims in Kermanshah.

The present study is a descriptive-correlational study. The population includes all nurses providing health care services to earthquake victims in Kermanshah city in 2017. Among them, 181 nurses were selected by available sampling method. To collect the data, the secondary traumatic stress scale (Bried et al. 2004), post traumatic growth (Tedsi and Calhoun 1996) and cognitive emotion regulation (Gennowski et al. 2001) were used. Data were analyzed by Pearson correlation coefficient and simultaneous regression and using SPSS software version 25.

The results showed that catastrophizing (β = 0.27, t = 3.11), and other-blame (β = 0.21, t = 2.87) could predict secondary traumatic stress. Also, self-blame (β = 0.16, t = 2.85), positive focus (β = 0.17, t = 2.31), focus on planning (β = 0.23, t = 2.63) the evaluation (β = 0.35, t3 = 3.89) and putting into perspective (β = 0.33, t = 2.13) could predict vicarious post traumatic growth.

Regarding to these results and the importance of nurses in community health, training adaptive strategies for cognitive emotion regulation is necessary for improving the performance and enhancing nursing mental health.

Emotion regulation involves all conscious and unconscious strategies that are used to increase, maintain and reduce the emotional, behavioral, and cognitive components of an emotional response. The purpose of the present study was to investigate the effectiveness of teaching discipline-based emotional discipline based on dialectical behavioral therapy on psychological distress and cognitive flexibility in cardiovascular patients.

The present study is a semi-experimental design with pre-test and post-test with control group. The statistical population of the study consisted of all cardiovascular patients in Kermanshah in 2018. Among them, 30 subjects were selected through available sampling method and randomly assigned to two groups of experimental and control (each group was 15). Intervention of teaching skill Emotion Regulation Based on dialectical behavioral therapy for the experimental group was performed in 8 sessions of 90 minutes, while the control group did not receive any interventions during this period. Depression, Anxiety and Stress Questionnaire (DASS-21) and Cognitive Flexibility Questionnaire (CFI) were used to collect information. To analyze the data, multivariate analysis of covariance was performed using SPSS software version 20. 

Data analysis showed that there is a significant difference between the mean scores of the pre-test and post-test of the experimental and control groups (P<0/05); that is, the discipline-based excitement education based on dialectical behavioral therapy reduces depression, anxiety and stress and increases the cognitive flexibility of the experimental group Compared to the control group.

According to the results, it is possible to use the emotional ordering based on dialectical behavior therapy to improve the psychological distress and cognitive flexibility of heart patients.

Stress effects on students’ health depend on their coping abilities. Here, the role of psychological sources to cope stress is crucial. This study sought to investigate the relationship of coping strategies to academic stress in nursing students of Qazvin university od medical sciences.

This descriptive study had a correlational design. The statistical population included all bachelor nursing students of Qazvin University of medical sciences (300 subjects) from whom 164 ones were selected through availability sampling method to answer Endler and Parker's Coping Inventory for Stressful Situations (1990) and Gadzella's Student-Life Stress Inventory (1991). Data were analyzed by SPSS software V. 22 using regression and Pearson’s correlation.

Most of nursing students had average academic stress (92.7%). Also, there was significant positive correlation between coping strategies and academic stress of nursing students (P<0.01). Furthermore, students used emotional and avoidance coping strategies more than problem-oriented coping strategies.

Since applying problem-oriented coping strategies to cope with academic stress is shown to be limited among nursing students, instruction of effective coping strategies to nursing students is suggested.

Suicide is one of the major causes of mortality which have being in the scope of attention for many years. In this realm, psychiatric patients are the major groups which noticed. It’s almost said that, in any suicidal action, we can find a psychiatric problem. So, the purpose of this study is to investigate the rate of suicidal thoughts and its relationship with psychological factors psychiatric patients such as self-esteem and stigma of mental illness.

As an analytic-descriptive study, among all patients who meet the inclusion criteria, those who admit informed consent (152 participant), complete questionnaires and other needed information. Other necessary data were gives from the psychiatric documentations of patients. Measures include: Beck scale for suicidal ideation, Rosenberg’s self-esteem Scale, and Stigma scale. Statistical analyses such as Pearson’s Correlation Coefficient, independent T test, and Simple Linear Regression were used for analyzing the data through the 20th version of SPSS software.

The sample size was 152 patients (111 males, 73% & 41 female 27%) with mean ages of 32 years and its SD was 10. The prevalence of suicidal thoughts was 29/6% which was so much more than normal population. There was a significant correlation between suicidal ideation with stigma and self-esteem.

Suicide is a psychiatric urgency and its predictability is very important matter. Psychological phenomenon are counted as determinant factors. Results of this study showed the importance of stigma and self-esteem among in-danger subjects. So it proposed to paid specific attention to psychological such parameters.

The purpose of this study was to investigate the relationship between stressful life events-type personality, catastrophizing and psychological distress with symptoms severity in patients with Irritable Bowel Syndrome.

This research was a correlational study and the population were consisted of patients with Irritable Bowel Syndrome in Isfahan who were diagnosed with Irritable Bowel Syndrome based on the Rome III scale. This study utilized a convenience sample of 150 patients with Irritable Bowel Syndrome referring to Isfahan clinics in autumn 2017. Patients responded to gastrointestinal symptoms severity scale, important life events questionnaire, D-type personality scale, catastrophizing scale, and psychological distress inventory. The collected data was analyzed by Amos software using the covariance based structural equation modeling.

The effect of stressful life events, catastrophizing and psychological distress on the severity of symptoms of Irritable Bowel Syndrome were significant but personality type D did not show significant effect on the severity of symptoms of Irritable Bowel Syndrome.

According to the results of this study, the teaching of coping with stressful events catastrophizing and psychological distress can reduce the severity of symptoms in patients with IBS.

Emotional intelligence, paying attention to your feelings and emotions and others, differentiating between them and using them to guide your thoughts and actions. Emotional intelligence is one of the components that can affect clinical and professional competence. The aim of this study was to investigate the effect of emotional intelligence on clinical competence of operating room and anesthesia students of Hamadan Paramedical School.

This cross-sectional study was a descriptive - correlational study conducted on 54 students of the Operative and Anesthesia Room of Hamadan Paramedical School in 1397. Sampling was done as a census and from all the students of the operating and anesthetic room with an apprenticeship. The data gathering tool in this study was Emotional Inventory of Imani et.al (2018) and the Competency Assessment Questionnaire liu et.al (2007) and colleagues. Data were analyzed using SPSS23 software. Correlation tests, Kruskal-Wallis, Chi-square and regression tests were used to analyze the data.

Data analysis showed that there was a direct, positive, and significant linear relationship between emotional intelligence and clinical competence of anesthetic students. On the other hand, there was a direct, positive, and significant linear relationship between the emotional intelligence and the clinical competence of the operating room students. According to self-report score of emotional intelligence among students ranging from 300-60, the mean score of emotional intelligence in good anesthetic students (87%) and in the students of the operating room was also good (89%). On the other hand, according to the self-report score, the clinical competence of the students was between 255 and 275, the average clinical competency scores in the students of anesthesia were good (84%) and in the operating room students at a good level (86%). Meanwhile, according to another report, the average score of emotional intelligence in good anesthesia students (84%) and in the operating room students was also good (86%), and another average score of clinical competence in anesthetized students was good (82%) And in the operating room students at a good rate (83%).

Based on the findings of this study, it is recommended that faculty members and faculty members in the operating and anesthetic groups, in addition to teaching emotional intelligence skills, take students to increase their clinical competence, so that students have more professional and clinical competence in caring for Patients.