نشریه مدیریت ارتقای سلامت
سال یازدهم شماره 3 (پیاپی 55، خرداد و تیر 1401)

One of the risk groups in Covid disease -19 is nurses. Therefore, the present study was conducted to predict Covid disease -19 anxiety based on perceived stress and anxiety sensitivity in nurses with a mediating role of cognitive flexibility in 2020.

 The present study is descriptive-correlation. The statistical population of the study was all nurses working in hospitals of Karaj in 2020. By sampling method convenience from Shahid Rajaei, Imam Ali, Persepolis and Alborz hospitals in Karaj, 450 people were selected. Data with the “Corona Disease Anxiety Scale”, “Anxiety Sensitivity Index”, “Perceived Stress Scale”, and “Cognitive Flexibility Scale “was gathered. The validity of the instruments was assessed through content validity by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Data were analyzed in SPSS. 22 and Amus .26.

There is a significant positive correlation between perceived stress and anxiety sensitivity with Covid disease -19 anxiety (P <0.01). The modified model had a good fit (RMSEA = 0.071, GFI = 0.974, IFI = 0.975 and P-value <0.05). The results also confirmed the mediating role of cognitive flexibility in predicting corona disease anxiety based on perceived stress and anxiety sensitivity.

The cognitive flexibility variable has a mediating role in the relationship between anxiety sensitivity and perceived stress with Covid disease -19 anxiety. Therefore, to reduce Covid-19 anxiety in nurses, gradual relaxation and regular desensitization methods are recommended to manage Covid-19 anxiety.

The movement pattern and coordination of patients with unilateral cerebral palsy when walking is different from that of healthy individuals. The aim of the present study was to compare the symmetry of trunk extensor muscle and hip and knee flexors in women with left unilateral cerebral palsy and healthy women when walking normally.

The research method was descriptive-comparative. The statistical population of the study included women with left unilateral cerebral palsy. By convenience by purposive sampling method, 12 patients aged 17 to 26 years as the left unilateral cerebral palsy group and 12 homogeneous healthy women as the control group. were chosen. Women with left unilateral cerebral palsy were referred by a physician at the Mehr Rehabilitation Center in Tabriz. Data collection instruments included demographic questionnaire, electromyograph and bipolar surface electrodes. The validity and reliability of the instruments have been confirmed in previous studies and in the present study it has been sufficientt. The method was that the intensity of electrical activity of the muscles that straighten the spine at the level of the third lumbar vertebra, right hip and biceps when walking at normal speed was recorded in women with unilateral left cerebral palsy and healthy homogeneous women. The signals were processed using OT Bio lab software. Data were analyzed in SPSS .22.

Women with left unilateral cerebral palsy had more electromyographic activity than healthy women on the affected side (P <0.05). Also, the normalized electromyographic activity of erector spine muscle in the intact side of cerebral palsy was higher than that of healthy individuals at the same side (P=0.001). In women with unilateral left cerebral palsy, asymmetric muscle activity was observed and a significant interaction was observed between the body side factor and the disease factor (P=0.040).

When walking, the intensity of electrical activity of the involved side muscles as well as the rectus muscle of the healthy lumbar spine was higher in women with unilateral left cerebral palsy than in healthy women, and women with unilateral left cerebral palsy showed asymmetric muscle activity. Therefore, in designing training programs for cerebral palsy patients, it is recommended to pay attention to the muscles of both involved and healthy sides.

When family members show compassion for themselves and others, they form a positive body image of themselves, free from blame and criticism. The aim of this study was to determine the structural model of correlation between family adjustment and cohesion with body image concern with the mediating role of perfectionism and compassion in Tehran residents. 

The research method was descriptive-correlation. The statistical population included all residents of Tehran in 2020, from which 654 people were selected by convenience sampling method. To collect data from the demographic questionnaire, the “Family Adaptability and Cohesion Evaluation Scale”, the "Body Image Concern Inventory", the “Multidimensional Perfectionism Scale” and the “Self-Compassion Scale” was used. The validity of the instruments was measured using content validity by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Structural equation model and SPSS. 24 and Amos. 24 software were used to analyze the data. 

The path coefficient between family adjustment and cohesion and body image anxiety was negative due to perfectionism (P <0.01, β = -0.209) and self-compassion (P <0.01, β = -0.158), and was significant at the level of 0.01. 

Perfectionism and self-compassion mediate the correlation between family adjustment and cohesion with body image concerns in a negative and meaningful way. Therefore, it is suggested that educational workshops be held to teach positive and adaptive perfectionism, as well as self-compassion for the residents of Tehran.

Identifying the challenges in clinical guidelines implementation from the perspective of clinical care providers can provide valuable information for implementers and policymakers providing clinical care services at the local and national levels. The present study aimed to identify the challenges of implementing clinical guidelines from the perspective of clinical care providers. 

The present study was conducted with a qualitative approach. The statistical population of the study included a number of key stakeholders and aware of how to provide clinical care in Allameh Behlool Gonabadi Hospital affiliated to Gonabad University of Medical Sciences in 2020, which were purposefully selected by snowball method. Data collection was continued through semi-structured interviews and focus group discussion sessions until the data saturation stage was reached. A total of 30 interviews were conducted. The four criteria of Lincoln & Guba were used for the accuracy and robustness of the study findings. Data were analyzed by content analysis method and Graneheim & Lundman content analysis method.

542 meaning unit and 71 condensed meaning unit were extracted. After aggregating them, 3 categories and 12 subcategories were identified as effective challenges in implementing clinical guidelines.

Challenges of implementing clinical guidelines include procedural, process, and structural challenges. Therefore, it is suggested to pay attention to these challenges in writing, developing and implementing clinical guidelines at all different levels of clinical care providers.

The growing use of cell phone and the lack of a proper cultural context, has an impact on various aspects of adolescents' lives. The aim of the present study was to determine the correlation between well-being and cell phone addiction in high school girls and boy’s students with the mediating role of academic vitality. 

The present study is descriptive-correlational. The statistical population included all male and female high school students in Khorramabad who were studying in the academic year 2020-20121. The sampling method of districts and high schools was cluster random. 346 people were selected by census method. Data collection instruments included demographic questionnaire, "Well-being Assessment Questionnaire", "Cell Phone Addiction Scale" and "Academic Buoyancy Questionnaire". Content validity was measured by qualitative method, face validity and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Data were analyzed with SPSS. 24 and AMOS. 23. 

After corrections, the pattern had a good fit and there was a direct, negative and significant correlation between mobile phone addiction and well-being and academic vitality (P<0.01). Also, there was a direct, positive and significant correlation between academic vitality and well-being (P <0.01). Academic vitality partially mediated the correlation between mobile phone addiction and well-being. Also, the gender of this model did not moderate mediation. 

Academic vitality mediates the correlation between cell phone addiction and well-being. It is suggested that in order to reduce students' addiction on cell phones and create well-being in them, efforts should be made to increase the level of academic vitality.

It is necessary to help students with writing disorders to recognize the factors that affect the creation of problems and improve them using different methods. The aim of this study was to determine the effectiveness of "Executive Function Training" on emotional self-regulation and test anxiety of female students with writing disorders

The research method is quasi-experimental and pre-test, post-test with control group. The statistical population included all female students with writing disorders who referred to the Rehabilitation Training Center for Special Learning Disabilities in Islamabad West Education Department in 2019, who according to the psychological counseling file, had writing disorders. There were about 129 of them. Samples were selected from 30 people by convenience sampling method and were randomly replaced by random assignment method using lottery in 2 intervention and control groups. Data were collected using a demographic questionnaire, “Written Expression Test”, “Emotional Self-Regulation Questionnaire” and “Test Anxiety Inventory”. Content validity was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. The intervention group received "Executive Function Training" for 10 weeks. In the pre-test and post-test stages, questionnaires were completed for both intervention and control groups. During this period, the control group did not receive any intervention and after the intervention, the relevant training course was held for them in the same center. Data were analyzed in SPSS. 24. 

Significant differences were shown between the intervention and control groups in the post-test stage (P<0.01). The level of emotional self-regulation in the intervention group increased significantly compared to the control group in the post-test stage (P<0.01). In addition, the test anxiety of the intervention group was significantly reduced compared to the control group in the post-test stage (P<0.01). 

"Executive Function Training" has a positive and significant effect on the level of emotional self-regulation and test anxiety of female students with writing disorders. It is suggested that teachers use the above method to increase the level of emotional self-regulation and reduce the test anxiety of female students with writing disorders.

Teachers 'general health is of great importance that has a psychological and social impact on couples' relationships. The aim of this study was to determine the structural model of the mediating role of differentiation in the relationship between sexual satisfaction and general health in married female teachers in Kerman. 

The study method is descriptive-correlation. The statistical population of the study was all married female teachers in Kerman who were teaching in schools of Kerman in the academic year 2018-2019. A total of 373 married female teachers were selected by non-random sampling method using the convenience method. Data collection tools included a demographic questionnaire, "Differentiation of Self Inventory", "General Health Questionnaire" and "Index of Sexual Satisfaction". The validity of the instruments was measured using content validity by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Data were analyzed in SPSS. 22 and Amos. 22.

There was a significant correlation between general health and sexual satisfaction with the mediating role of differentiation. The direct correlation of differentiation was significant in estimating general health and sexual satisfaction of teachers (P<0.001). Path analysis findings also showed that differentiation played a mediating role in the relationship between public health and teachers' sexual satisfaction. 

There was a positive and significant correlation between general health and sexual satisfaction with the mediating role of differentiation. It is suggested that in counseling centers and psychological services, the necessary training be provided to married female teachers who refer to marital complaints to increase general health and sexual satisfaction.

In the last two decades, the competitive education system has been an integral part of the concern of all educational administrators, and it is necessary to measure it. Therefore, the purpose of this study is to development and psychometrics "Competitiveness Scale of open and Distance Education System in Iran".
The method of the present study is mixed. In the qualitative section, the Delphi method was used to develop the "Competitiveness Education Scale of Open and Distance Education System in Iran". Qualitative sampling was performed purposefully by snowball method (until saturation) with 10 faculty members of Payame Noor University of Tehran Province were evaluated. In the quantitative part, content and face validity were measured qualitatively with the opinion of 10 people (both methods with 10 people separately, but with the same samples) from the faculty members of Payame Noor University of Tehran Province. The construct validity was measured by exploratory and confirmatory factor analysis (both) with a sample of 230 (randomly stratified sampling) faculty members and PhD students of Payame Noor University of Tehran Province. Reliability was measured by internal consistency method by calculating Cronbach's alpha coefficient with the above sample. Data analysis was performed in the qualitative part by coding method and the quantitative part was performed using SPSS. 19 and LISREL. 8.5.
From the qualitative section, the terms "Competitiveness Scale of Open and Distance Education System in Iran" were obtained. The results showed that the content and face validity of the scale were confirmed. The validity of the results of factor analysis showed that the instrument has 100 items with 14 subscales including: macro-international level, national level, educational system level, educational system goals, university teachers, staff and support agents, resource management, student recruitment and retention, content the teaching-learning process, competitive advantage, value creation in society, value creation for stakeholders, value creation at the level of the educational system. Reliability was obtained by internal correlation method by calculating Cronbach's alpha coefficient between 0.67 to 0.94.
"Competitiveness Scale of Open and Distance Education System in Iran" with 100 terms and 14 subscales has appropriate validity and reliability. It is suggested that this scale be used to measure the level of competitiveness in the open and distance education system.