نشریه پژوهش توانبخشی در پرستاری
سال ششم شماره 3 (پیاپی 23، بهار 1399)

Decreased self-efficacy and self-esteem are common complications after a stroke. Rehabilitation for patients after stroke is inevitable. The training of the use of mobility assistive devices helps to increase the level of activity and independence. This study aimed to determine the effect of movement assistive devices skills training on the self-efficacy and self-esteem of stroke patients.

This study was a controlled clinical trial that was performed on 62 patients with stroke in Kashani Hospital Shahrekord in 2018. Samples were selected by simple sampling, and based on the numbers generated by random allocation software; they were assigned to the control and experimental groups. Before Patients discharge, the intervention group was trained in the use of assistive mobility devices, and the control group received conventional training and treatment. At the next visit to the doctor (at least two weeks later), self-esteem and self-efficacy of patients were measured. Data were analyzed by SPSS software version 18 using descriptive and inferential statistics. The significance level was considered (0.05).

Patients in both intervention and control groups were matched in terms of demographic variables. Self-efficacy and self-esteem before and after training were not significantly different in the control group (self-efficacy P = 0.221, self-esteem P = 0.102). P ≥ 0.05 But in the intervention group, the difference was significant and improved P ≤ 0.05. Self-efficacy and self-esteem in the intervention group compared to the control group in the covariance test (self-efficacy F = 50.704 self-esteem F = 59.69) Therefore, self-efficacy and self-esteem in the intervention group compared with the control group had a significant difference (sig = 0.000).

The teaching of motor aid to stroke patients improves self-esteem and self-efficacy in controlling the complications of the disease. Therefore, it is recommended to use these tools to increase self-esteem and self-efficacy.

Traumatic brain injury is one of the significant causes of death and physical and psychological disability that can effect on verbal memory, stress management and alexithymia. As a result, present research aimed to determine the effectiveness of cognitive rehabilitation group therapy on verbal memory, stress management and alexithymia in patients with traumatic brain injury.

The method of this study was a semi-experimental with a pre-test and post-test design with experimental and control groups. The research population was patients with traumatic brain injury, referring to Birjand hospitals in the 2018 year. After studying the inclusion criteria, the number of 30 people was selected by the available sampling method and randomly replaced into two equal groups. , The experimental group, trained ten sessions (twice weekly) with the technique of cognitive rehabilitation group therapy, and the control group didn’t receive training. Research tools were verbal memory and stress management subscales and alexithymia scale. Data were analyzed using SPSS-22 software and by methods of Fisher, Chi-square, independent t, and multivariate analysis of covariance.

The findings showed that at the pre-test stage there was no significant difference between experimental and control groups in terms of verbal memory, stress management and alexithymia (P > 0.05), but at the post-test stage there was a significant difference in terms of all three variables (P < 0.05). In the other words, cognitive rehabilitation group therapy led to increase verbal memory (F = 137.905, P < 0.001) and stress management (F = 34.883, P < 0.001) and decrease alexithymia (F = 91.430, P < 0.001) in patients with traumatic brain injury.

The results indicated the effectiveness of cognitive rehabilitation group therapy in improving verbal memory, stress management, and alexithymia in patients with traumatic brain injury. Therefore, therapists can use the method of cognitive rehabilitation group therapy to enhance psychological characteristics, especially increase verbal memory and stress management and decrease alexithymia.

Musculoskeletal disorders are one of the most common causes of work-related disability and account for 65% of occupational diseases. On the other hand, to better understand these disorders, consideration of identifying related risk factors, and the use of environmental engineering is very important. Therefore, this study was conducted to determine Ergonomic Posture Evaluation and Risk Factors for Musculoskeletal Disorders among Nurses in Arak City by QES Method.

This descriptive-analytic cross-sectional study was conducted on 101 nurses that randomly selected and working in Vali-Asr Hospital in Arak, Iran, in 2018. The data collection tool was Nordic Disease Scale and Quick Exposure Checklist (QEC). Data were analyzed by SPSS software version 16 and analyzed by Pearson correlation coefficient, frequency, and percentage.

The level of exposure to musculoskeletal disorders in the majority of nurses participating in the study was high (47.5%). The most common problem was the neck (60.4%) and waist (31.7%). There was a direct and significant correlation between the frequency of musculoskeletal problems and the level of exposure to musculoskeletal disorders in nurses (P < 0.05).

The occurrence of musculoskeletal problems in nurses is familiar with the lack of awareness of ergonomic principles. Therefore, the development of a comprehensive and continuous training program to increase nurses' knowledge of the principles of ergonomics in the work environment and provide an appropriate ergonomic situation in the work environment can play a significant role in reducing the musculoskeletal problems among nurses.

This study aimed to investigate the influence of sports shoe aging on the frequency domain of selected lower limb muscles in healthy individuals and those with genu varus during walking.

This study is a clinical trial. Fifteen girls with genu varus and fifteen healthy individuals were volunteered to participate in this study. Data were collected under two specific test conditions, including walking in new and worn shoes. The long time of the shoes was six months. A surface electromyography system recorded muscular electrical activity. Two way ANOVA with Repeated measures test was used for data analysis. A significant level was set at P < 0.05.

Finding demonstrated that shoe has a significant main effect on frequency content for vastus medialis during stance phase (P = 0.04), for tibialis anterior during loading response (P = 0.01) and push off aspects (P = 0.002), and for medial gastrocnemius during push-off phase (P = 0.003). Moreover, the group has a significant main effect on frequency content for tibialis anterior during stance (P = 0.04) and swing phases (P = 0.04).

It sounds that shoe aging changed the frequency content of lower limb muscles in both healthy and genu varus groups. In some cases, this altered frequency content could be associated with the occurrence of injury.

Obese females have a lot of physical and psychological problems, and in this field, strength training with an elastic band can help. Therefore, the present study aimed to determine the effect of strength training with elastic band on Body Mass Index, quality of life, and psychological well-being in obese females.

This study was quasi-experimental with a pre and post-test design with experimental and control groups. The research population was obese females referring to nutritional clinics of Qarchak city in 2018, who, among them, 40 females were selected by the available sampling method and randomly divided into two equal groups. The experimental group received two months (three sessions a week) the strength training with the elastic band by exercise instructor and the control group placed on the waiting list for training. Data were collected by instruments of body mass index and quality of life and psychological well-being questionnaires and were analyzed in the SPSS-18 software with multivariate analysis of covariance method.

The findings showed that there was a significant difference between the experimental and control groups in all three variables of body mass index, quality of life, and psychological well-being. In other words, the strength training with the elastic band led to a decrease in body mass index (F = 388.761) and increase the quality of life (F = 167.168) and psychological well-being (F = 175.576) in obese females (P < 0.05).

It is recommended that nutritionists and coaches of sports clubs use from strength training with the elastic band method along with other ways to improve the body mass index, quality of life, and psychological well-being of obese females.

Type II diabetes is one of the most common chronic diseases that disrupt the regular flow of life, and it has many physical and mental consequences. Compassion focused therapy is one of the effective treatments for improving physical and psychological characteristics. This research aimed to determine the effectiveness of compassion focused therapy on loneliness, self-care behaviors, and blood sugar in diabetes patients.

The present study was a semi-experimental with a pre-test, post-test, and follow-up design with the control group. The research population was type II diabetes patients referred to as the central clinic of Ajudaniye of Tehran city in the 2018 year. Totally 30 people were selected by the available sampling method and randomly replaced in two equal groups. The experimental group trained eight sessions of 90-minute with the purpose of compassion focused therapy, and the control group was placed on the waiting list for training. The research tools were the questionnaires of loneliness and self-care behaviors and blood sugar tests. Data were analyzed using SPSS-19 software and by repeated measures method.

The results showed that in the pre-test stage there was no significant difference between the experimental and control groups in terms of loneliness, self-care behaviors and blood sugar (P > 0.05), but in the post-test stage there was a significant difference in terms of three variables (P < 0.001). In other words, the compassion focused therapy method in the post-test led to decrease loneliness and blood sugar and increase self-care behaviors in type II diabetes patients, and treatment results were maintained in the follow-up (P < 0.001).

According to the results, it is recommended that used from compassion focused therapy along with other therapeutic methods for health-related intervention, mainly to decrease loneliness and blood sugar and increase self-care behaviors.

Marriage is one of the enormous psychological, social, and emotional changes in every person. The marriage in some parts of society, such as; low sight and blind people is along with challenges and concerns. Marriage with all of the changes that bring to disables lives, but it is a psychological, social, and emotional need. Therefore, the aim of this study was examining the phenomenological experiences about marriage and choosing a spouse in low sight and blind females.

The research method was based on the qualitative method and with a descriptive phenomenological type. The participants were selected by sampling by the target by 2018 in Tehran city. For gathering, information used the semi-structured interview. To achieve the research goals, gathering data was continued until Theoretical saturation by 20 low sight and blind females who were registered in the Tehran welfare organization. The interviews were analyzed by seven step Colaizzi’s method.

The findings of this study showed that the experience of low sight and blind females could be classified as four main Contents including; psychological need and the experience of love and freedom, choosing spouse criteria, fear and concerns from the future of marriage, and social stigma. The main content or concept was the marriage in the shadow of hope and despair.

This study results in attention to the phenomenological world’s and experiences and the concept of low sight and blind females about the marriage and choosing a spouse to bring the new image of concerns and challenges of them to mental health and rehabilitation professionals. The interests of the marriage among these girls can be divided into two sides. One side is personal experiences, and the second side was the understating of people as disabled in society. It seems to be the awareness of psychological, social, and emotional needs that can introduce helpful information for therapy and practice to rehabilitation and mental health professionals.

Since old age and disease of this period of life have increased the cost of the health and treatment system, so this study aims to Effectiveness Mindfulness-based cognitive therapy training on Emotion regulation and Anxiety sensitivity in the elderly with precedent heart disease resident in the elderly in Tehran city.

Statistical population consisted of all elderly with precedent heart disease resident in the elderly in the year 2018 Tehran city, among them, selected 50 people which has filed with precedent cardiovascular disease and randomly divided into two groups (25 people experiment group and25 people control group). The first group receives eight sessions 60 minutes a meeting a week Mindfulness-based cognitive therapy on elderly with precedent heart disease but control group they did not receive training. Research tools included Emotion regulation questionnaire (ERQ-10) Gross & John and Anxiety sensitivity scale (ASS) Taylor & coax. Finally, data analysis by multivariate covariance by software SPSS-23.

The results of the findings indicated a significant difference between the groups (control & experiment); also, the effects of the single-variable test showed substantial deference in two variables.

The results showed that Mindfulness-based cognitive therapy training could be Effectiveness on Emotion regulation and Anxiety sensitivity in elderly with precedent heart disease, This means that a cognitive therapy based on Mindfulness is an effective and preventative strategy for reducing the high anxiety sensitivities and enhancing emotion regulation strategies, so it is suggested that health professionals pay special to it attention.