نشریه روان پرستاری
سال هشتم شماره 2 (پیاپی 38، خرداد و تیر 1399)

Stress symptoms may result in marital conflict imposing psychological,physical and social difficulties to family.

comparing the effectiveness of reality therapy and schema therapy on stress symptoms  in women with marital conflict.

the present study is quasi-experimental with pre-test ,post-test and one-month follow-up with control group. statistic population includes women with marital conflict reffered problem-solving office and counseling center in 2019 in varamin. 45 testees getting high mark in Sanaee marital conflict qustionaire were selected through purposed sampelling. they wrere accomodated in 2 experimental and control groups (each group included 15) through random sampling. they filled ouSeydkhorasani stress symptoms  questionaire (2000). 2 groups were taught reality therapy and schema therapy for 2 months but control group did not get any treatment. two experimental groups were tested again through post-test. A month.

The mean & standard deviation in stress symptoms for the reality therapy group, the schema therapy group, and the control group on the posttest were (199.07±6.34), (200.27±5.68) and (201.20±7.123), respectively. The results showed that reality therapy (124.27±6.27) and schema therapy (125.13±5.142) compared to the control group (200.53±7.67) Reduced the stress symptoms in women with marital conflict on the posttest (p<0.001). Besides, the effect of reality therapy (123.00±6.68) and schema therapy (123.33±5.34) on the stress symptoms (200.07±7.75) persisted in the follow-up phase (p <0.001). It was also shown that the reality therapy and schema therapy did not show any significant differences in terms of their effects on the stress symptoms at posttest and follow-up phases (p <0.05). 

It was also shown that the reality therapy and schema therapy were effective on stress symptoms therefore,these two approaches can help couple therapists improve marital quality life.

Nurses are one of the main pillars of health organizations that spend a significant part of their lives in close contact with patients and their job performance has a major impact on patient satisfaction and health.

The purpose of this study was to investigate the role of sleep quality, morningness-eveningness personality and sensory processing sensitivity in predicting nurses' job performance.

The study method was cross-sectional as descriptive-correlational study. The statistical population of the study consisted of all nurses working in public hospitals in Kermanshah, in 2019, among whom 120 were selected through available sampling. Data were collected using four questionnaires: Pittsburgh sleep quality questionnaire, Brown and Dunn sensory profile, Paterson job performance and Horne and Ostberg morningness- eveningness questionnaires. Data were analyzed using Pearson correlation and simultaneous multiple regression tests by SPSS software, version 24.

The results showed that nurses' job performance was positively correlated with sensory sensitivity variables and morningness- eveningness personality and negatively associated with low registration and sleep quality (P<0.01). But job performance has no significant relationship with sensory-seeking and sensory avoidance (P>0.05). The results of multiple regression also showed that 61% of the total job performance variance is explained by sensory processing sensitivity, morningness- eveningness personality and sleep quality (P<0.001).

According to the results of the study, the variables of sleep quality, morningness- eveningness personality, sensory sensitivity and low registration could significantly predict job performance. Basing the results of this study, selecting work shifts of nurses based on circadian preference, offering necessary training to improve sleep quality and psychotherapies focused on changing sensory processing aimed to increase sensory sensitivity and registration ware suggested to improve job performance of nurses.

Physical and psychological problems in patients with neurogenic bladder using intermittent catheterization affect all areas of their life in a way that leads to a decline in their quality of life and self-confidence. The purpose of this study was to evaluate the effect of group training of adaptation skills on self-esteem and quality of life in patients with neurogenic bladder.

The method of this study was quasi-experimental with pre-test-post-test design and control group. The Research population was parents with Neurogenic Bladder Disorders referred to Khorshid Hospital in Isfahan in 2019, which from them 60 women with neurogenic bladder who had the criteria to enter the study were selected by continuous sampling method and randomly assigned based on the month of referral. Patients were replaced in two equal groups (30 in each group). The intervention group received 8 2-hour training sessions on adaptation skills by two psychotherapists and a nurse working in the urology department, and the control group received routine training. The research tools were the personal profile questionnaires, Eiseng's self-confidence, and women's quality of life for urinary incontinence women. Data analyzed by descriptive tests (mean and standard deviation) and analytical (pairwise and independent, Chi-square, Man Whitney) in SPSS -18 software.

The findings showed that in the pre-test stage, there wasn’t significant difference between intervention and control groups in terms of self-esteem and quality of life (P> 0.05), but in the post test between them there was significant difference in terms(P <0.001). However, the mean scores of self-esteem and quality of life in the control group were not significantly different in two stages (P> 0.05). In other words, adaptability training increased the self-esteem and quality of life of patients with neurogenic bladder (P <0/001).

The results indicated the effectiveness of training adaptation skills on quality of life and self-esteem of people with neurogenic bladder. Therefore, it is suggested that to use this method along with other treatment methods to improve the psychological problems of these patients.

Diabetes is one of the main causes of death in the world; so that every day the number of patients with it is increasing and one of the risk groups in Corona disease are people with diabetes. From anxiety related factors can be noted to cognitive emotion regulation strategies, health hardiness and death anxiety, therefore present research aimed to predicting Corona anxiety based on cognitive emotion regulation strategies, health hardiness and death anxiety in diabetic patients.

This study was cross-sectional from type of correlation. The research population was diabetic patients of Ahvaz city in 2020 year which from them 400 people selected by purposive sampling method. In this research to collected data used from the tools of Corona anxiety, cognitive emotion regulation strategies, health hardiness and death anxiety. Data were analyzed by Pearson correlation coefficients and multiple regression with enter model in SPSS-19 software.

The findings showed that positive cognitive emotion regulation strategies and health hardiness had a negative and significant relationship with Corona anxiety in diabetic patients and negative cognitive emotion regulation strategies and death anxiety had a positive and significant relationship with their Corona anxiety. Also, cognitive emotion regulation strategies, health hardiness and death anxiety could explain 38/8 percent of Corona anxiety changes in diabetic patients, which the share of death anxiety was higher than other variables (P<0/01).

Regarded to the results, for reduce Corona anxiety of diabetic patients can designed programs to increase their positive cognitive emotion regulation strategies and health hardiness and decrease their negative cognitive emotion regulation strategies and death anxiety and implemented through electronic and virtual workshop.

Burns are one of the most destructive injuries and one of the most common psychological problems in patients affected by burns is pain anxiety. The most common treatment for burn problems is medication and drug therapy, but recently emerging therapies such as 3D virtual reality have been used to reduce the severity and anxiety of pain. the purpose of this study was to compare the effectiveness of drug therapy and virtual reality on pain anxiety and pain severity in burn patients of Imam Musa Center in Isfahan.

This study was a quasi-experimental design with pre-test and post-test with control group. For this purpose, the study population consisted of all eligible patients in burn section of Imam Musa Kazem Medical Center in Isfahan in 1977. Available types selected. Then, according to inclusion criteria, 45 patients were included in the study and were randomly assigned into two groups of experimental 1 (virtual reality therapy), experimental 2 (drug therapy) and one control group (15 patients each). Before and after the intervention, subjects responded to the GRS and BSPAS.

The results showed that both virtual reality therapy and drug therapy had a significant effect on burn pain anxiety of burn patients and compared the two treatments, the effectiveness of virtual reality therapy was more than drug therapy and the difference between drug therapy and treatment groups. Virtual reality was significant (p <0.05). Also, both virtual reality therapy and drug therapy had a significant effect on perceived pain severity in burn patients and there was no significant difference between the effectiveness of virtual reality therapy and drug therapy in reducing pain severity (p <0.05).

although Both drug therapy and virtual reality software are effective in treating pain anxiety and pain severity in burn patients, virtual reality seems to be more effective than drug therapy because of distracting attention from external and painful stimuli and immersing the person into the virtual and pleasant world.

Nurses are one of the most important components of health care system who’s physical and psychological problems directly affect the quality of health servicescares provided to patients. Logic therapy can be a new way to bring meaning and meaning into work life. The purpose of this study was to determine the effect of group logo therapy on burnout in intensive care unit nurses.

This study is a quasi-experimental study with two groups which conducted on 40 nurses working in CCU - ICU-PICU-NICU wards of Amiralmomenin Ali hospital in Zabol city in 2018 which had higher level of burnout. The data collection tool was a two-part questionnaire, the first part related to demographic questionnaire and the second part Maslach burnout questionnaire. Before intervention, both groups completed the questionnaires and then for the experimental group 5 sessions of one hour of Logic Therapy 2 sessions per week were performed. Data were analyzed by SPSS software version 22 using t-test and chi-square tests.

The results showed that the mean scores of burnout severity in the experimental and control groups before the intervention were 69.55 and 77.10, respectively. After the intervention, the mean burnout severity decreased to 52.5 after intervention. There was no significant difference in the mean of the control group after the intervention. There was also a significant difference in the three domains of emotional exhaustion, depersonalization, and occupational involvement in the post-test (p <0.05). Demographic variables have no effect on job burnout (p> 0.05).

The results of this study showed that logo therapy can significantly reduce the severity and burnout of nurses in intensive care units. It seems that this type of psychotherapy can be used to reduce burnout in sensitive and anxious jobs.

Considering the importance of social skills in the early years of life, the aim of the present study was to investigate the effectiveness of DIR on social skills of preschool children.

Present study was a semi-experimental with a pre-test, post-test and follow-up design with control. The statistical population included 200 preschool children in Meybod, including 20 girls and 20 boys who scored the lowest scores on the Matson social skills assessment scale and were randomly assigned to two experimental and control groups. The experimental group underwent training based on Integrated Transformation Model (DIR) in 10 two-hour sessions (2 sessions a week) and the control group received no treatment during this period. Matson's Social Skills Scale was used for data collection, which was completed before the intervention, at the end and one month after the intervention. Data were analyzed using multivariate and univariate covariance tests.

The results of multivariate and univariate covariance test showed that training of emotional adjustment based on integrated human transformation model (DIR) increased social skills of children in experimental group compared to control group and this improvement in two skills subscales. Social fit and aggression and impulsive behaviors were observed.

The results of the study indicate the effectiveness of emotional regulation training on social skills of preschool children; therefore, paying attention to these findings and the mechanism of effect of this educational method can be used to reduce aggressive behaviors and increase appropriate social behaviors.

Students, especially nurses, have many problems in social adjustment. The purpose of this study was to investigate the role of cognitive emotion regulation strategies and perceived social support in predicting nurses' social adjustment.

This research is a descriptive correlation study. 122 nursing students studying in Islamic Azad University of Tehran Medical Sciences during the academic year of 1389-99 were selected by convenience sampling method and responded to social adjustment questionnaires, short form of Cognitive Emotion Regulation Questionnaire and Multidimensional Perceived Social Support Scale. They gave. Data were analyzed using stepwise multiple linear regression and SPSS-24 statistical software.

The results showed that among the predictor variables included in the regression model, family support and adaptive emotion regulation strategies had a significant role in predicting nurses 'social adjustment and these two variables could explain 0.49 of the variance of nurses' social adjustment variable.

Understanding the factors affecting nurses' social adjustment enables them to predict and plan appropriately to help them with their mental health and to prevent the spread of psychosocial disorders. According to the results of this study, knowing the essential role of family support and emotion regulation skills in social adjustment, we can consider these variables in educational programs and adopt appropriate strategies to promote them. Improve nurses' social adjustment in work and family environments and situations.

"Clinical competency" is a complicated concept which is important in nursing profession for safe caring. However; there is no certainty on clinical competence definition as the kind of psychiatric nursing services changes based on context. A clear definition of clinical competency leads to identify the essential components and in research or clinical practice and provides the best possible standards of care. The aim of present study was to analyze the clinical competency concept to identify its attributes, antecedents and consequences.

Six step Rodgers’ concept analysis method was used. First, the key words were selected with reviewing articles. The key words of psychiatric nurse, clinical competency,competence, nursing, students , in databases of SID, PubMed, Archives of psychiatric nursing , IJPN were searched in Persian and English in single or combind. Regarding the evidences time period between 1980 to 2018 and the psychiatric context were selected for data collection. Among 300 original articles and 2 primary books, 195 articles were excluded with regard to inclusion criteria and 105 articles remained. According to Rodgers’ approach, 20% of the sources were included in the research. The Alternative words, attribute, antecedents and consequence were explained and conceptualized.

The terms ability(42.85%), adequacy(4.76%), preparation(14.28%),skill(61.90%) and competency(4.76%) were used as substitution for clinical competency. 2categories of general and specific traits were defined. Antecedents were individual, environmental and organizational factors. Consequences of Clinical competency of psychiatric nurses are enhancement of health services quality, decreased medical mistakes, increased safety, decreased costs and enhanced nursing profession.

Psychiatric nursing clinical competency is careful and continuous incorporation of therapeutic communication with, professional skills, specialized knowledge and clinical reasoning, emotions and values appropriate to context for psychiatric nursing interventions that, individual, environmental, organization are influential factors. Definition of clinical competency leads to have practical indicators for objective evaluating, formation of a framework for training based on index, and the basis for providing the competency license. The re-analysis of the concept by hybrid method is needed.

Given the decline in hope during period, one possible strategy for improving the quality of life in this period is hope therapy. Therefore, this study was designed to investigate the effect of group hope therapy on quality of life.

A clinical trial study was performed on 56 elderly patients. Samples were randomly divided into two groups; control and intervention. The experimental group received group hope therapy for 8 sessions of 90 minutes during 4 weeks. The control group received no intervention. Quality of life scores were measured at the beginning, end and 4 weeks after the end of the study. Data were collected using "LIPAD elderly quality of life" and "Brief Psychological Status Examination". Data were analyzed by SPSS16 software using Fisher's exact test, chi-square, independent t-test, Mann-Whitney test and repeated measures.

At the beginning of the study, there was no significant difference between the mean score of quality of life in the experimental group and control group, but at the end of the intervention, between the experimental group (54.64±10.28) and the control group (38.96±12.72), and four weeks after the end of the intervention, the experimental group (52.75±8.95) and the control group (38.54±12.54) significant difference was observed (P<0.0001). The scores of all dimensions of quality of life (except social and sexual function) were significantly different in the two groups at the end and four weeks after the intervention

Health care providers, nurses and mental health professionals can use hope group therapy to increase the quality of life in the elderly.