نشریه پژوهش توانبخشی در پرستاری
سال هشتم شماره 2 (پیاپی 30، زمستان 1400)

 Identifying the main psychological variables involved in the development ‎of uterine cancer and using effective and useful psychotherapy ‎approaches in the treatment of cancer diseases is necessary, so this study aimed to determine the effectiveness of ‎mindfulness-based cognitive therapy on rumination and fatigue in patients with cervical cancer.‎

This quasi-experimental study was conducted with a pretest-posttest design with a control group ‎and a follow-up period. The statistical population consisted of all female patients with cervical ‎cancer‏ ‏who were referred to Al-Zahra Medical Center in Isfahan in the first six months of 2021. Using ‎the convenience-sampling method, 30 patients were selected and allocated to experimental and ‎control groups (n1= n1=15), randomly. The research instruments included the rumination scale ‎‎(Nolen-Hooksma and Murrow, 1991) and cancer-induced fatigue (Okmiyama et al., 2000), which ‎were filled at pre-intervention, post-intervention, and follow-up by both groups. The intervention ‎group received Segal and Tizdel (2018) mindfulness cognitive therapy method during eight 90-‎minute sessions. Simultaneously, no intervention was considered for the control group. Data were ‎analyzed using repeated-measures analysis of variance (ANOVA) via SPSS software version 22 with a ‎significance level of 0.05‎‏.‏

The results showed a significant difference in post-test between the experimental and control groups in the variables of rumination (p < 0.001) and fatigue due to cancer (p < 0.001).

Based on the findings of this study, it can be said that mindfulness-based cognitive therapy was ‎effective in reducing rumination and fatigue in patients with cervical cancer and it can be used as ‎a complementary therapy along with cancer treatments.

The widespread and rapid outbreak of the COVID-19 has caused massive fear, stress, and anxiety, globally.  This study aimed to predict COVID-19 related anxiety based on psychological resilience and spiritual health.

This study was conducted with a descriptive-correlational method. The statistical population was all nurses in Babol hospitals in 2021, of them, 188 were selected randomly. Data were gathered by the study survey consisting of psychological resilience tool, COVID-19 related anxiety questionnaire, and spiritual health tool online. Data were analyzed by descriptive statistics, Pearson correlation coefficient, and multiple regression.

Both spiritual health and psychological resilience were negatively correlated with COVID-10 related anxiety and had the ability of its prediction. With increasing religious health, the  COVID-10 related anxiety decreased in nurses, indicating a strong association between religious health and anxiety. Furthermore, increased psychological resilience of nurses was also associated with decreased COVID-19 related anxiety (P <0.01).

From a practical point of view, considering the role of variables in research, holding virtual workshops to teach psychological flexibility and spiritual health by health psychologists and counselors is recommended.

This study was conducted to investigate the relationship between health literacy and the quality of life of hemodialysis patients.

The present study was conducted by descriptive-correlation and cross-sectional method in 1399 in Ardabil, Iran. The statistical population included 450 hemodialysis patients covered by Ardabil University of Medical Sciences, from which a sample of 140 people was selected based on Cochran's formula. Patients who were treated more than 3 a month, having hemodialysis one to three times a week were included. Failure to respond to all items of the questionnaire and reluctance and lack of motivation to respond to the questionnaires were the criteria for exclusion. Data collection tools included health literacy and quality of life questionnaires. The collected data were analyzed using SPSS software version 20.

39% of patients had low health literacy, 41% had moderate and only 20% of patients had high health literacy, also 35% of patients had low quality of life, 42% had a moderate quality of life, and 23% had a high quality of life. The results of the Pearson and Spearman tests showed that there is a significant relationship between health literacy and the quality of life of hemodialysis patients (P <0.05).

The results of this study showed that the level of health literacy is insufficient and there is a significant relationship between health literacy and the quality of life of hemodialysis patients; Therefore, due to the insufficient level of health literacy among patients, it is necessary to pay more attention to health literacy in quality of life improvement programs.

In the past few decades, exercise has been promoted with increasing interest for the treatment of back pain. Therefore, the present study aimed to investigate the effect of rehabilitation exercises with medicine beta balls on the directional and general contraction of ankle joint muscles in patients with low back pain during walking.

The present study was a clinical trial. The statistical population was patients with low back pain in the age range of 20-30 years in Ardabil in 1399.  Twenty men with low back pain were randomly divided into exercise and control groups. The intervention group performed 12 sessions of strengthening exercises of the central muscles of the body with the beta medicine ball. The activity of selected muscles was recorded during walking pre-and post-test in two groups. A two-way analysis of variance with repeated measures was used for statistical analysis.

The results showed that the interactive effect of time and group on the directional contraction values of the ankle joint during the middle phase was significant (P = 0.020). Post hoc test showed that the values of all directional contraction of the ankle joint increased significantly during the middle phase in the experimental group.  

Increasing the values of directional contraction after the training period during the middle phase of reliance in the experimental group can be associated with more joint stability and less vulnerability

Shoulder and scapular abnormalities are the most common shoulder girdle disorders. The relationship between central stability and upper and lower body muscles strength and endurance has always been emphasized. Therefore, it is important to choose a better training method to prevent and treat shoulder girdle disorders. The purpose of this study was to compare the effect of functional corrective exercises and central stability on the shoulder girdle status of adolescent girls.

In this quasi-experimental study, 52 adolescent girls with forward-form shoulders with an age range of 14 to 16 years were purposefully selected and randomly allocated into 4 equal groups of 13 people, including functional corrective exercises, central stability, combination, and control. The amount of forwarding part of shoulder and scapular index was measured by double squares model (EM 420) and a tape meter, respectively before and after the interventions. Data were statistically analyzed using covariance and Bonferroni test in SPSS25 software.

The results of this study showed that exercise intervention had a significant effect on the forwarded shoulder (p=0/001), and scapular index (p=0/001). The results of the Bonferroni test showed that among the exercises performed, combined group exercises, functional correction group exercises, and central stabilization group exercises had the greatest effect on forwarding shoulder deformity and girls' shoulder index, respectively.

Based on the results, it can be concluded that performing a course of functional corrective exercises combined with central stabilization exercises can improve shoulder anomalies and scapular index in girls.

Ascending and descending stairs are one of the challenging activities for people with patellofemoral pain syndrome. Kinesiotype is one of the rehabilitation methods to improve the symptoms of patellofemoral pain syndrome.  This study aimed to evaluate the effect of kinesiotype on electromyographic activity and co-contraction of knee muscles in patients with patellofemoral pain syndrome at the top and bottom of the stairs.

 In this quasi-experimental study, twelve men aged 20 to 30 years with patellofemoral pain syndrome participated. Electromyographic activity and co-contraction for RF, VMO, VL, BF, Medial GCS, and TA were measured while ascending and descending stairs before and after kinesiotape. Paired t-test was used to evaluate the differences at the significance level of P <0.05.

 After using kinesiotape, VMO with Medial GCS muscles and BF muscles showed more (P=0.014, P=0.023) and less (P=0.034) activity in ascending time, respectively. The internal-external co-contraction ratio of the knee joint increased in descending time (P=0.031), and there was no significant change in flexor-extensor co-contraction (P >0.05).

The results provided that the use of kinesiotape in people with patellofemoral pain syndrome during ascending and descending of the stair was associated with increased the activity of VMO muscle and internal directional Co-contraction.  Kinesiotape increases the stability of the patella and ultimately reduces pain during the ascending time.

Psychological well-being and emotions are among the functions that are affected by body deformity disorder. This study aimed to determine the effectiveness of mindfulness-based cognitive therapy on psychological well-being and positive and negative emotions in adolescent girls with deformity syndrome.

The research method was quasi-experimental through pre-test and post-test design, with a control group. The statistical population of this study included adolescent female students with perceived body deformity disorder who were referred to the clinic under the supervision of Tehran’s District 5 during the first six months of 2020. Among these subjects, 50 individuals were selected by purposeful sampling method and randomly allocated into the experimental and control groups. The research’s instruments included the demographic items,  revised  Ryff  Psychological Well-Being Scale, and Positive Affects and Negative Affects Scales. The content validity of the instruments was measured by qualitative method and their reliability was approved by Cronbach’s alpha coefficient. After performing 6 training sessions for the experimental group, the research data were analyzed using analysis of covariance in SPSS software (ver.24).

The results showed a significant difference between the mean scores of post-test (F(1,48)=22.49; P≤0.001) in the psychological well-being variable. There was a significant difference between the mean scores of post-test in the positive emotion variable (F(1,48)=13.89; P≤0.001) and the negative emotion variable (F(1,48)=30.45; P≤0.001).

The results showed that mindfulness-based cognitive therapy is effective on psychological well-being and positive and negative emotions in adolescent girls with perceived body deformity syndrome. Therefore, it is suggested that in addition to medical treatments, behavioral interventions such as mindfulness-based cognitive therapy be provided for adolescents with deformity syndrome.

Attention-Deficit / Hyperactivity Disorder is one of the most common psychiatric disorders in children. Finding treatments to improve these people is scientifically important. This study aimed to evaluate the effectiveness of motor games based on Montessori theory on external forces on the body in children with attention-deficit /hyperactivity disorder while walking.

This study was a clinical trial. 30 boys with attention-deficit / hyperactivity disorder were randomly divided into two groups of control (15 people, age: 8.1 ± 0.4 years) and experimental (15 people, age: 8.1 0 0.5 years) Were located. Forces on the soles of the feet (Ground reaction forces) were recorded during walking before and after 12 weeks using a force board device. The training program consisted of 12 weeks (three sessions per week) including movement games based on Montessori theory. For statistical analysis, a two-way analysis of variance with repeated measures was used. Analysis was done by SPSS software (version 16) at a significant level of 0.05.

The findings of the present study showed that the peak component of the reaction force in the internal-external direction during the pushing phase (P = 0.001) decreased significantly by 19.72%. The peak components of the reaction force in the anterior-posterior part decreased significantly during the post-test compared to the pre-test in the heel and pushing contact phases by 28.11 (P = 0.003) and 25.39 (P = 0.006), respectively. The negative peak component of free torque showed a significant decrease during the post-test compared to the pre-test in the experimental group (P = 0.001).

In general, due to the reduction of negative peak free torque values, it can be said that Montessori-style movement games can reduce torsional loads on the body during walking.