مجله پرستار و پزشک در رزم
سال دهم شماره 34 (بهار 1401)

having a sufficient knowledge about blood and its products in is very important for nurse. The purpose of this study was to determine the effect of combined education regarding safe blood transfusion on nurses' knowledge and practice.

This quasi-experimental study (before and after) was carried out with the participation of 50 nurses working in different wards of NZAJA Hospitals in Ahvaz in 2019. Units were selected at random and nurses were selected available. After selecting the samples based on inclusion criteria, the data were collected before and after the combined training using a questionnaire of knowledge and practice of nurses regarding safe blood transfusion and then using paired t-test, Weil Coxson and analysis of variance by repeated measures and SPSS software version 22 to analysis datas.

The results showed that the mean score of knowledge and practice of nurses regarding safe blood transfusion after intervention was significantly increased (p <0.001). The results also showed that the level of knowledge and practice after the intervention improved to moderate to good level before the intervention.

Considering the increasing level of nurses' knowledge and practice after the intervention compared to the pre-intervention, it is suggested to use this educational method to improve the knowledge and practice of nurses in different hospitals

Family is the first context in which people think, feel and behave, learn and grow. Lack of marital satisfaction or increased marital conflict can lead to phenomena such as divorce, which causes the collapse of the most fundamental part of society, the family. The aim of this study was to investigate the effectiveness of couple therapy based on the theory-based reality therapy approach on promoting marital satisfaction of military couples in the selected city of Hamadan.

The present was a quasi-experimental pretest-posttest with a control group. The statistical population included all couples who referred to the primary school counseling center in Hamadan in the second half of 1398; formed. The samples of this study were 30 people from the mentioned community who were selected using the available sampling method and were assigned to the experimental (n = 15) and control (n = 15) groups by simple random sampling method and to the Enrich Marital Satisfaction Questionnaire. (Forous and Elson, 1993) responded. The experimental group was trained in reality therapy for 1 session per week for 1 session of 90 minutes and the control group did not receive any intervention during this period. Data were analyzed using descriptive statistics (mean and standard deviation) and analysis of covariance in SPSS-23 software.

The results showed that couple therapy based on the reality therapy approach based on selection theory has an effect on the marital satisfaction of military couples (P <0.01).

The aim of this study was to investigate the structural relationship between quality of life based on resilience, psychological toughness and social support with the mediating role of assertiveness in working women in Tehran.

The method used in this study was correlational. The general population of the study was working women in Tehran, who worked in various jobs in Tehran from the fall of 99 until the end of the spring of 1400. Sampling method was available using sampling.. Pearson correlation method and path analysis model were used to analyze the data using AMOS specialized software.

The findings of the present study indicated that psychological hardiness was indirect (due to assertiveness). It has a positive and significant effect on the quality of life of working women. On the other hand, social support indirectly (due to courage) has a positive and significant effect on the quality of life of working women. In addition, resilience indirectly (due to assertiveness) has a positive and significant effect on the quality of life of working women. Another finding of the study indicated that there is a significant relationship between assertiveness and quality of life in working women.

According to the findings, programs can be designed and implemented to increase resilience, psychological toughness, social support and assertiveness in working women. Improving these characteristics can increase the quality of life for working women.

elderly is a critical period of life that it is necessary to pay attention to the issues and needs of this stage. which is important to pay attention to their health, emotional and psychological needs, and meeting these needs requires a better understanding of the elderly and different aspects of their lives.

The present study is fundamental-applied research in terms of aim and is considered as quasi-experimental research. The statistical population of the study consisted of all elderly with anxiety symptoms living in nursing homes in Tehran. The research sample was selected to be 30 people purposefully. They were divided into two groups of experimental and control waiting for treatment (15 people in each group). The instruments used in this study were the Beck Anxiety Inventory and the Elderly Psychological Care Program.participants in the experimental groups educational intervention was implemented by the intervener on the experimental group during 7 sessions based on the elderly psychological care program, and the control waiting for treatment did not receive any intervention.

The results of one-way analysis of covariance showed that seven-session training of psychological care program was significantly effective in reducing depression in the elderly.

Psychological care program creates new behaviors, it provides a framework for understanding emotional experiences. Also, it reduces anxiety in the elderly and increases their quality of life by increasing motivation to participate and change.

pressure ulcer is one of the important clinical issues related to service quality and patient safety that occurs in all different health care settings. The aim of this study was to clarify and analyze the concept of pressure ulcer care in the elderly.

This study used the Walker and Avants approach to develop the concept of pressure ulcer care. This approach is one of the methods of conceptualization that helps to develop the theory. Search studies were conducted in Google Scholar databases and search SID, Magiran, Iran Medex, Scopus Sciences, PubMed between 2000 until 2021.

The analysis of related studies shows that the concept of pressure ulcer care is a complex process between the treatment team and health care professionals that is the form of interdisciplinary communication by sharing information, having a common goal, participation, and Correct decision according to the patient's prognosis, degree and type of wound, quality of life and treatment costs together to achieve the best and most effective outcome for the patient. And its features include interdisciplinary and professional communication, continuous care, effective and cost-effective treatment, and team members' efforts for the best decision therapy and is synonymous with terms such as rehabilitation and recovery.

the concept of pressure ulcer care in the elderly can help the care team to better understand this concept and the care features and interventions required for wound healing in the elderly. And educational, research and clinical environments to promote care in the elderly.

Endometriosis is a systemic endocrine, immunological and gastrointestinal disease. In the pathogenesis of endometriosis, various cellular pathways are involved. One of these pathways is autophagy. The aim of this study was to evaluate the expression of BECLINE-1 and LC3 genes in endometriosis mice following regular aerobic exercise and omega-3 intake. 

In this experimental study, 35 adult male Wistar rats were randomly divided into healthy control groups, endometriosis, endometriosis+exercise, endometriosis+omega 3, endometriosis+omega3+exercise after creating an endometriosis model. Were. The duration of training in water was 30 minutes daily until the end of the training period. At the same time, the mice received omega-3 supplementation daily in the form of gavage at a dose of 2 ml/kg. One-way analysis of variance was used to analyze the data.

The results showed that the expression of BECLINE-1 and LC3 genes in the endometriosis group had a statistically significant increase compared to the healthy control group. All three groups of endometriosis+exercise, endometriosis+omega, and endometriosis+exercise+omega had a statistically significant decrease compared to the endometriosis group. The endometriosis+exercise+omega group decreased more than the other groups.

In general, the results of the present study indicate that the increased expression of autophagic genes produced in endometriosis can be inhibited by regular aerobic exercises such as swimming and omega-3 supplementation. Pathological disorders in autophagy with exercise and omega-3 supplementation may help improve endometriosis by regulating the expression of LC3 and Beclin-1 genes.

Today, the elderly population is increasing rapidly and their quality of life is also affected by various factors, including high blood pressure. Raising public awareness about the dangers of high blood pressure is of significant importance in reducing this disease. The aim of this study was to investigate the effect of health care provider's communication skills training on improving the awareness of the elderly with hypertension.

The present study is a descriptive-analytical study. A total of 60 elderly people with hypertension are selected from 6 health centers of East Tehran Health Center that have health records in these centers for more than one year. The researcher completed a demographic information questionnaire for the elderly. For the program health caregivers, a training was held in the form of an interpersonal skills workshop based on the needs of caregivers for three days. Data were analyzed using SPSS-21 software.

51.7% of men and 48.8% of women in the age range of 60 to 90 years participated in the study. There was a significant relationship between communication skills training to health care providers before and after training (P <0.001). Health care provider's communication skills training has been effective in improving the awareness of the elderly with hypertension

The aim of this study was to compare the effectiveness of schema-based couple therapy, Emotional Focused Couple Therapy and Acceptance Commitment Couple Therapy on Intimacy Functions of couples on the Brink of Divorce in Military Families.

The Research method was quasi -experimental with pretest -posttest follow -up. The statistical population of the study was all couples who referred to one of the counseling centers under the contract of the Armed Forces and the sample included 60 couples. They were randomly selected by convenience sampling with replacement. The particiapnt in schema-based couple therapy participated in the study for 11 sessions, Emotional Focused Couple Therapy for Nine sessions, and the Acceptance Commitment Couple Therapy group participanted in the study for eight sessions. There was not any treatment for the control group . The research questionnaire included Marital Intimacy Questionnaire Bagarozzi. The participnts filled the questionnaire in three stages inclduing the pre-test, the post test and the follow up. Finally, Analysis of variance was done by covariance analysis and repeated measures

The analysis showed that all three methods of couple therapy have significant effect on the Intimacy Functions increase. It also showed that, the highest effectiveness  was for, Emotional Focused Couple Therapy with the effect size of 0.969, for the Schema-Based Couple Therapy 0.966 and for the Acceptance Commitment Couple Therapy 0.939. 

current study can be used in clinical and therapeutic interventions to increase the Intimacy Functions, especailly for the couples on the Brink of Divorce

Posttraumatic stress disorder (PTSD) is one of the psychiatric disorders so that high rates of referral of patients to psychiatric centers and high statistics of this disorder (about 8%) in the community indicate the importance of this disease. The unawareness of the community about the symptoms, complications, and manners of behaviors with these patients cause many problems for these individuals in the community and the family. The purpose of this study was to determine the manner of social interaction in PTSD patients with the surrounding environment. This study was a descriptive cross-sectional study for PTSD patients of Tabriz.

The statistical population of this study included 30 men with posttraumatic stress disorder and 30 healthy peoples (without PTSD) in Tabriz. Data were gathered using a social equilibrium questionnaire and analyzed using SPSS software.

 The results showed that there is a significant difference between the social interaction of PTSD people and healthy people; and the average rate of social interaction in patients is very low compared to healthy people.

 Based on the findings of this research, it can be concluded that PTSD can have a significant influence on the manner of social interaction of individuals and can severely reduce its rate.