نشریه پژوهش توانبخشی در پرستاری
سال ششم شماره 1 (پیاپی 21، پاییز 1398)

Cerebral palsy is a chronic condition that can have a negative impact on the family unit. Families of children with cerebral palsy have numerous difficulties with the family's Apgar Criteria, including "adaptation, participation, growth, affection, and ability to solve problems in life" that necessitate proper interventions. The aim of this study was to determine the effect of self-management training program on Apgar scores of families of children with cerebral palsy.
In this quasi-experimental study, conducted in 2015-2016, 47 parents of children with cerebral palsy ranging from 4 to 12 years of age were selected through Census. In the post intervention phase, due to the decline of the study samples, 23 families were included in the intervention group and 16 families in the control group. After assessment of reliability and validity, data were analyzed using the parent and child cognitive demographic questionnaire and the "smilkstein family Apgar" questionnaire by both parents in a two-step pre-test and post-test self-management program. Data were analyzed using the SPSS version 22 software.
The mean Apgar score in the intervention group increase from 6.46 to 7.82 and in the control group from 6.83 to 6.31. The results showed that there was no significant difference in family Apgar scores in the intervention and control groups before the intervention (p = 0.381); nonetheless, in the post-intervention phase there was a significant difference between the two groups in terms of family Apgar scores. “Self-management program based on the 5 A's model” affected families' Apgar score and improved it from the average inefficient to the efficient level (P=0.022).
Apgar scores of families of children with cerebral palsy are moderate and education through “self-management program based on the 5 A's model” improved it. In this regard, it is vital that the supporting authorities, in addition to addressing the condition of children, pay more attention to their families.

Pregnancy especially the first pregnancy is a new and anxious situation that led to stress, depression and decrease quality of life. Therefore, present research aimed to determine the effect of cognitive rehabilitation group training on perceived stress, depression and quality of life among primigravid women with pregnancy anxiety.

This study was a quasi-experimental with pre-test and post-test design and with control group. Research population was primigravid women with pregnancy anxiety referring to health and care centers of Ahvaz city in the summer season of 2018 year. Totally 40 people were selected by available sampling method and randomly divided into two groups. The experimental group trained 10 sessions of 45 minutes by cognitive rehabilitation method and control group didn’t receive any training. Data collected by the questionnaires of perceived stress, depression and quality of life and analyzed by multivariate analysis of covariance method.

The results showed that groups have a significant difference in terms of perceived stress, depression and quality of life. Means, cognitive rehabilitation group training led to decrease perceived stress and depression and increase quality of life among primigravid women with pregnancy anxiety (P<0/001).

The results indicated the effect and importance of cognitive rehabilitation group training on perceived stress, depression and quality of life among primigravid women with pregnancy anxiety. Therefore, psychologists and counselors can use from cognitive rehabilitation group training method for decrease perceived stress and depression and increase quality of life.

In recently years the elderly population has great grown and aging is one of the sensitive periods in life which the health of individuals in that is reduced. Also, sport exercises have an important role in the prevention and management of diseases of this period. For this purpose, the aim of this study was determine the effect of Tai Chi Chuan exercises on happiness, sleep quality and blood pressure in elderly women.

This research was a quasi-experimental from type of pre-test and post-test with control group. The research population was elderly women who members of the Education retirees association of Varamin county in 2018 year. The research sample was 60 people that selected by purposive sampling and assigned randomly to two experimental and control groups (each group 30 people). The experimental group trained Tai Chi Chuan exercises 24 sessions of 45 minutes (weekly three sessions) and the control group placed in the waiting list. The data collected by the questionnaires of happiness and sleep quality and blood pressure measured by scorpion barometer and analyzed by multivariate analysis of covariance method with the SPSS software version twenty one.

There was a significant difference between the experimental and control groups in terms of the happiness, sleep quality and blood pressure. In the other words, the Tai Chi Chuan exercises led to increase happiness (F=212/94) and decrease undesirable sleep quality (F=93/17) and systolic blood pressure (F=41/25) of elderly women (P<0/001).

The results showed that the Tai Chi Chuan exercises led to increase happiness and decrease undesirable sleep quality and blood pressure of elderly women. Therefore, it is recommended that from the mentioned method as a one of the safe and affordable methods of complementary medicine used to improve the health of the elderly.

the aim of this study was to assess The Effectiveness of Cognitive Rehabilitation, neurofeedback and combination of these two methods on Working Memory in children with Attention deficit hyperactivity disorder (ADHD).

This pre-test and post-test quasi-experimental study was performed on 100 children with ADHD (6 to 12 years) referring to Tehran Psychiatric center in 2017 who were selected by convenience method and randomly assigned to four group of experimental and control (25 subjects in the experimental group based on Cognitive Rehabilitation, 25 in the experimental group based on neurofeedback, 25 in the experimental group based on combination of these two methods and 25 in the control group). Data were collected by using Kirchner working memory questionnaire (N-Back test).The neurofeedback sessions were conducted during 5 weeks, weekly two 40-minute sessions based on training paradigm sensory-motor rhythm by using the pro-camp device, cognitive rehabilitation in 14 sessions during two days a week and combined sessions were performed in 24 sessions of 40 minutes for neurofeedback and 30 minutes for cognitive rehabilitation in a weekly three sessions.The data was analyzed by Repeated Measures Analysis of Multiple Covariance (MANCOVA).

The results showed that the implementation of neurofeedback sessions, cognitive rehabilitation and combination of two methods have a significant effect on improving the work memory of students with attention deficit hyperactivity disorder, so in the experimental groups, the students had higher levels of working memory respectively in cognitive rehabilitation, combination of two methods and neurofeedback than control group.

Therefore, it can be said that neurofeedback and cognitive rehabilitation can be considered as effective interventions to improve the working memory of children with (ADHD).

On the one hand marital conflicts between couples are a common phenomenon which led to weakness the relationship and increase marital problems, and on the other hand couple therapy is one of the effective ways to reduce the marital problems. Therefore, present research aimed to comparison the effectiveness of couple therapy of emotional-focused and imago therapy on marital burnout and expectations in couples with marital conflicts.

Present study was a quasi-experimental with a pre-test and post-test design with control and experimental groups. Research population was the couples with marital conflicts that referring to counseling centers of first region of three district of Karaj city in 2017 year. Totally 45 couple (90 people) were selected by available sampling method and randomly assigned to three equal groups (each group 15 couple). The intervention groups separately trained 10 sessions of 90 minutes (weekly two sessions) by the methods of couple therapy of emotional-focused and imago therapy and the control group was placed on the waiting list for training. Data were collected with the Peinas' marital burnout and Omidvar & et al' marital expectations and analyzed by the methods of multivariate analysis of covariance and bonferroni post hoc test.

The findings showed that both methods of couple therapy of emotional-focused and imago therapy led to significant reduced the marital burnout and inappropriate expectations in couples with marital conflicts. Also, the couple therapy of emotional-focused method in compared with the couple therapy of imago therapy method led to significant reduced the marital burnout and inappropriate expectations in couples with marital conflicts (P<0/05).

Regarded to results, it is suggested that to reduce the marital burnout and inappropriate expectations in couples with marital conflicts used from both methods especially the couple therapy of emotional-focused method.

Few researchs conducted about the effect of exercise training on body composition of mental retardation male, So the aim of this study was to evaluate the effect of eight weeks’ selected football trainings on body composition of male with intellectual disability.

In this semi-experimental study, 16 volunteer male of talash intellectual disability institute of shiraz city were randomly selected and divided in two groups of eight people including experimental (age 25.3±7.44; height 164.3±5.11 and weight 68.09±5.17) and control groups (age 29.4±3.12; height 164.2±7.06 and weight 67.5±4.75). The experimental group performed football trainings for eight weeks, three sessions per week and 90 minutes per session and control group performed only their daily activities. Body composition of the subjects was measured in pre-test and at the end of eight weeks. For analysis of research findings used Kolmogorov-Smirnov, independent and dependent t-tests (p≤0.05).

The results showed that eight weeks’ football trainings had no significant effect on total body fluid (p=0.69), protein mass (p=0.57), mineral mass (p=0.46), lean body mass (p=0.43) and fat mass (p=0.65) of male with intellectual disability.

According to the results of present study it seems that eight weeks selected football trainings have no significant effect on improvement of body composition of male with intellectual disability.

Anxiety and depression are among the variables that children with cancer need psychological treatment for them. The aim of this study was to determine the comparing the effectiveness of group story therapy and the art-play therapy on anxiety and depression in children with cancer based on the framework, principles and rules of cognitive-behavioral approach.

The research method was semi-experimental, and research design was three groups with three stages (pre-test, post-test and follow up design). In order to carry out the research, from 8-12 years old children with cancer in Amir Hospital, in Shiraz city in the Summer of 2018, 36 children were purposefully selected and randomly assigned to three groups (two experimental and one control group, each group was 12 children). Children Anxiety Scale (SCAS- Spence, 1998) and Children Depression Scale (CDS- Tisher & Lang, 1978) was used to measure the dependent variable in the pretest, post-test and follow up. The group of cognitive-behavioral story therapy and cognitive-behavioral art-play therapy received 12 sessions of treatment. The data were analyzed with the use of repeated measures analysis of variance.

The results showed that there is a significant difference between cognitive-behavioral story therapy and cognitive-behavioral art-play therapy and with control group in anxiety (F=29.98, P<0.001) and depression (F=28.62, P<0.001). Also, cognitive-behavioral art-play therapy had stronger effects than cognitive-behavioral story therapy in reducing anxiety and depression (P<0.001).

Based on the results of this study, it can be said that cognitive-behavioral story therapy and cognitive-behavioral art-play therapy can be used as a treatment to reduce the anxiety and depression of children with cancer in educational and therapeutic settings.

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder which is highly influenced by psychological factors. The present research was carried out with the aim of determining the role of cognitive emotion regulation strategies and perceived social support in predicting quality of life and severity of symptoms of patients with IBS.

This research is a descriptive one in correlation studies frame. Out of the patients with IBS who referred to a gastroenterology clinic in Tehran in the second half of 1396, 110 ones (74 women and 36 men) were selected through convenience sampling method. Research tools included Cognitive Emotion Regulation Questionnaire (CERQ), IBS specific QOL questionnaire (IBS-QOL-34), Multidimensional Scale of Perceived Social Support (MSPSS), and IBS Severity Index (IBSSI). The analysis of data was carried out through Pearson correlation method and stepwise regression analysis test using SPSS.

Findings revealed that there is a significant relationship between cognitive emotion regulation strategies and perceived social support with quality of life and severity of symptoms of patients with IBS (p<0/01). With the increase in positive strategies of cognitive emotion regulation and perceived social support in patients, the severity of symptoms of IBS decreased and their quality of life increased. Also, among the variables studied in the regression, the best predictor for the severity of symptoms of IBS had been cognitive emotion regulation strategies and for quality of life had been perceived social support (p<0/01).

Cognitive emotion regulation and perceived social support have a significant role in symptom severity and quality of life of patients with Irritable Bowel Syndrome (IBS). Thus, consideration of psychological factors in treatment and improvement of quality of life of these patients can be beneficial.

Breast cancer is the most common type of cancer and mastectomy is one of the initial treatments in the breast cancer which causes physical impairment and psychological disorders. Therefore, the aim of present research was determine the effectiveness of positive thinking training on stress, rumination and body image concern in mastectomized women.

This study was a semi experimental with a pre-test and post-test design with an experimental and control groups. The research population was mastectomized women in Shafa hospital of Ahvaz city in 2017 year. The research sample was 40 people which selected by available sampling method and randomly replaced into two equal groups. The experimental group received eight 90-minute sessions undergoing positive thinking training and the control group didn’t receive any training. The groups responded in the pre-test and post-test stages to the questionnaires of stress, rumination and body image concern. Data were analyzed with using SPSS-22 software and by multivariate analysis of covariance method.

The experimental and control groups had a significant difference in terms of stress, rumination and body image concern. In the other words, the positive thinking training led to significant decrease the stress (F=115/27, P<0/001), rumination (F=133/49, P<0/001) and body image concern (F=154/78, P<0/001) in mastectomized women.

The results showed the effectiveness of positive thinking training on reducing stress, rumination and body image concern in mastectomized women. Therefore, therapists can use from positive thinking training method for psychological interventions, especially for reducing stress, rumination and body image concern.