نشریه پژوهش توانبخشی در پرستاری
سال هشتم شماره 4 (پیاپی 32، تابستان 1401)

One of the concepts raised in examining the job effectiveness of employees is professional self-efficacy, which refers to his skill level in facing job challenges. Establishing team cooperation is considered as a key component related to the self-efficacy of health and rehabilitation team members, which can improve health outcomes in patients as well as the quality of effective and safe rehabilitation services. This research was conducted with the aim of investigating the effect of implementing teamwork skills on the self-efficacy of the Red Crescent population rehabilitation team members in 1400.

The present study was conducted as a semi-experimental group in order to determine the effect of teamwork skills implementation on the self-efficacy of the rehabilitation team members of the Red Crescent Community Rehabilitation Center of Tehran in the year 2021. The statistical population in the present study included all the members of the rehabilitation team working in the comprehensive rehabilitation center of the Red Crescent Society of Tehran, totaling 42 people, who were selected by the full number method. The data collection tool includes a questionnaire and a scale: the first questionnaire was about the demographic information (made by the researcher) of the studied units. The second tool was the general self-efficacy scale. SPSS version 25 software was used for statistical analysis.

The participants of this study were 42 employees of the comprehensive rehabilitation center of Red Crescent population (29 women and 13 men) who were in the age range of 30 to 60 years. A positive and significant correlation was observed between work experience and self-efficacy level (P=0.0014). The results of the present study showed that the average score of the rehabilitation team specialists working in the Red Crescent Community Rehabilitation Center of Tehran in the area of general self-efficacy before and after the intervention was 30.12 and 34.51, respectively, which was at a high level and in terms of statistics was significant.

Considering that increasing the level of self-efficacy is a manifestation of effective and managed teamwork, it can be concluded that improving self-efficacy through the implementation of teamwork should be considered by rehabilitation team members and nurses.

The stressful experience of infertility is related to a wide range of psychological injuries and marital exhaustion. In this regard, the present study was conducted with the aim of investigating the mediating role of emotional self-control in the relationship between infertility stress and marital burnout among infertile women in Birjand city.

The current research was descriptive of the correlation type. Its statistical population were all women who referred to the infertility center of Birjand city in the second 6 months of 2018 with primary diagnosis (never got pregnant) and secondary diagnosis (infertility after one delivery) (140 people), of which 102 people based on the table of Morgan and Gergesi, women were selected and participated in the research by available sampling method. The data collection tools were emotional self-control questionnaires by Tanjani et al. (2004), infertility stress by Newton (1999) and marital burnout by Paniz (1996). Data analysis was done with the statistical method of structural equations and using PLS-3 and SPSS 22 software packages. A P value of less than 0.05 was considered as significant difference.

The results showed that there is a negative and significant relationship between infertility stress and emotional self-control, and between emotional self-control and marital burnout. Also, infertility stress plays a role in predicting marital burnout of infertile women through the mediation of emotional self-control.

According to the results, it is suggested that training workshops be held on the topic of infertility stress coping strategies and correct methods of increasing emotional self-control for infertile women to reduce their marital burnout.

Hemodialysis affects the health status and individual roles of patients and affects their quality of life. Therefore, it is important to investigate different educational methods to improve the quality of life of hemodialysis patients. This research was conducted with the aim of comparing the effect of individual and peer education on the quality of life of hemodialysis patients.

In this semi-experimental research, 32 hemodialysis patients from “Shahid Rahimi” and “Shohadaye Ashayer” educational centers of Khorramabad city were selected as available and then randomly divided into two individual and peer groups. After training the peers, 4 peer training sessions were conducted for the peer training group over the course of a month. Individual training was conducted by the researcher for 15 to 20 minutes in 4 sessions during one month. The data were collected before the intervention, immediately after the intervention and one month after the intervention using the questionnaire of demographic characteristics and quality of life index of France and Powers. Data analysis was done using chi-square test, Fisher's exact test and independent t test in Spss software version 23.

There was a significant difference between the average quality of life scores of the 2 groups of patients over time (P<0.001). Also, there was a significant difference between the average of all aspects of the quality of life of the patients in the group of individual education and peer education over time (P<0.001). These changes from the time before the intervention to immediately after the intervention were not significant (P=0.45). But one month after the intervention, there was a significant increase in the average quality of life score of peer education patients compared to individual education patients (P=0.001).

There was a significant difference between the average of all aspects of the quality of life of individual education and peer education patients over time. Therefore, using peer education as a cost-effective and accessible method can be effective in teaching hemodialysis patients.

Social-emotional growth and development in the preschool period plays an important role in academic and non-academic skills in the preschool period and other periods. This research was conducted with the aim of determining the effectiveness of educational games based on social-emotional learning on self-regulation, responsibility and emotional knowledge in preschool children.

This was a semi-experimental study with a pre-test and post-test design with a control group. The research population was preschool children of the 4th district of Mashhad in the academic year of 2019-2019. The sample of the research was 48 people who were selected by the available sampling method and replaced randomly in two equal groups. Then the experimental group was trained for 20 sessions of 45 minutes with the method of educational games based on social-emotional learning, and the control group did not receive training during this period. Data were collected with three subscales of self-regulation, responsibility and emotional knowledge from the scale of social-emotional values and resilience for preschool children and were analyzed with chi-square, independent t-tests and multivariate covariance analysis in SPSS-25 software.

The findings showed that in the pre-test stage, there was no significant difference between the experimental and control groups in terms of any of the variables of self-regulation, responsibility, and emotional knowledge (P>0.05), but in the post-test stage, there was a significant difference in terms of all three mentioned variables (P<0.05). ). Other findings showed that the intervention of educational games based on social-emotional learning caused a significant increase in self-regulation, responsibility and emotional knowledge in preschool children (P<0.001).

The results showed the effectiveness of educational games based on social-emotional learning on increasing self-regulation, responsibility and emotional knowledge in preschool children. Therefore, to improve the social-emotional values of preschool children, the method of educational games based on social-emotional learning can be used along with other methods.

Moving on inclined surfaces is a challenging task in daily life that creates challenges for the human movement system. Therefore, the aim of the present study was to compare selected parameters of plantar pressure distribution in healthy teenage girls and those with genu varum deformity while walking on a slope.

The current research was semi-experimental, causal-comparative and applied research model. The subjects included 15 girls with genu varum (with inner thigh epicondyle distance of 4.31±0.71 cm) and 15 healthy girls (with inner thigh epicondyle distance of 0.84±0.17 cm). The amount of plantar pressure in 10 anatomical areas of the sole of the foot on inclined surfaces (±0, 8, ± 15, ± 20) percent in the stance phase of walking was investigated. Two-way analysis of variance with repeated measurements was used for statistical analysis. The level of significance was P≤0.05.

The maximum pressure at -20% slope in the third and fourth metatarsal bones, -15% slope of the fourth plantar bone, -8% slope of the third metatarsal bone and outer heel area, and 20% slope in the middle of the foot had a significant difference between the two groups (P≤0.05), that these differences were higher in the genu varum group than in the healthy group. The changes of the center of pressure in the slopes of ±15, 8 and 20% significantly showed more displacement in the genu varum group than in the healthy group (P≤0.05).

The results showed that walking on a positive slope as a safe and accessible non-invasive method by reducing the pressure in the inner part of the knee and reducing the amount of foot supination can improve the pressure distribution pattern of people with genu varum and prevent early arthritis. However, more studies are required in this field.

Sexual desire/arousal disorder in women is the most common and destructive sexual problem that couples face and has long been one of the common concerns of couple therapy. Considering the multidimensionality and pervasiveness of women's sexual desire/arousal disorder and its impact on all aspects of married life and the complexity of its pathology, it requires inclusive interventions and needs to provide comprehensive treatment guidelines. The present study was conducted with the aim of developing a psychotherapy protocol for women's sexual desire/arousal disorders

The current research was conducted in a qualitative manner, using the theme analysis approach and the three-tier method, in three stages. The first stage of the research was carried out with the aim of investigating the lived experiences of women in order to develop a protocol. In this stage, 30 patients with sexual desire/arousal disorder were selected by targeted sampling method. The research tool at this stage was semi-structured interview. The second stage was an interview with experts, in which 20 experts and psychologists in the field of sexual problems were interviewed in order to discover the influential components in psychopathology and the treatment of women's desire/arousal disorders. In the third stage, which aimed to examine the theoretical and research background in order to identify influential patterns in the etiology and treatment of women's sexual desire/arousal disorder, 40 written sources, including books and research articles, were studied and thematic analyzed until 2022. In all three stages, sampling continued until data saturation. Finally, by integrating the findings of all three parts of the psychotherapy protocol for sexual desire/arousal disorder, it was compiled and validated using the opinions of experts.

Psychotherapy protocol for women's sexual desire/arousal disorder containing 7 core categories including awareness and psychological education (with the main categories of providing information and sexual knowledge, developmental analysis of the disorder and adopting a systemic view of the disorder); motivation (with the main categories of hopelessness) creative and acceptance and commitment); value-oriented activation (with the main categories of relaxation training and mindfulness, value-based action and increasing differentiation); cognitive flexibility (with the main categories of examining the effectiveness of sexual thoughts and stereotypes, adjustment and conscious attention to sexual schemas); improving marital skills (with the main categories of teaching sexual and marital restraints, communication skills and conflict resolution); Secure attachment is acquired (with the main categories of restoring the attachment style, increasing the capacity of intimacy and connection) and sensory focus (with the main categories of teaching emotional expression and verbalization of emotional feelings). As a result of these 7 core categories, 15 main categories and 72 sub categories were obtained. The obtained protocol was validated and reliable using psychometric indices. The results indicated the validity (0.99) and reliability (0.94) of the proposed protocol.

The developed psychotherapy protocol can be used along with other existing interventions for the treatment of women's sexual desire/arousal disorder.

Panic disorder is one of the anxiety disorders caused by frequent and sudden attacks of fear and anxiety, and its sufferers experience a decline in health and well-being. Therefore, the aim of the present study was to predict social well-being based on health-oriented lifestyle and irrational beliefs in women with panic disorder.

This descriptive research was correlation type. The research population was women suffering from panic disorder who referred to counseling centers in Ahvaz city in 1400. The sample of the study was 150 people who were selected by purposive sampling method after checking the inclusion criteria. Data were collected with Keyes social well-being questionnaire, Walker et al.'s health-oriented lifestyle profile, and Jones' irrational beliefs questionnaire and were analyzed with Pearson correlation coefficients and multiple regression methods in SPSS version 24 software.

The findings showed that health-oriented lifestyle and all its six dimensions had a positive and significant relationship with social well-being in women with panic disorder, and irrational beliefs and all ten dimensions had a negative and significant relationship with their social well-being (P<0.05). Also, health-oriented lifestyle and irrational beliefs, dimensions of health-oriented lifestyle and dimensions of irrational beliefs were able to predict 54%, 46% and 59% of social well-being changes in women with panic disorder, respectively (P<0.001).

The results showed the effective role of health-oriented lifestyle and irrational beliefs in predicting the social well-being of women with panic disorder. Therefore, to improve the social well-being of panic disorder sufferers, it is possible to increase their health-oriented lifestyle and reduce their irrational beliefs.

the use of knee orthosis changes the mechanics of running. One of the important biomechanical factors in rehabilitation and injury prevention is co-contraction of knee and ankle joints. Therefore, the aim of the present study was to investigate the effects of knee orthosis on changes in the contraction of knee and ankle muscles during running in people with genu varum.

This semi-experimental study was conducted with the participation of fifteen healthy men and 15 patients with genu varum in Ardabil city (Iran). Subjects were given new knee braces and asked to wear them for 2 months. The test steps were done before and after the intervention. This test included electromyography data of selected muscles of the lower limbs, through which the contraction of the knee and ankle muscles in the right leg while running at a constant running speed was recorded.

The results of the present study showed that the interactive effect of group and time on the general contraction of the knee joint during the pushing phase (P=0.007) and the ankle joint during the support phase (P=0.025) have statistically significant differences.

The findings showed that the knee brace affects the general contraction of the knee and ankle joints in patients with genu varum.