نشریه روان پرستاری
سال دهم شماره 4 (پیاپی 52، مهر و آبان 1401)

 Dialysis is a stressful process and causes depression in more than half of patients under hemodialysis. The present study was conducted with the aim of determining the effect of metacognitive therapy on depression and post-traumatic growth of patients under hemodialysis.

 The present study was a clinical trial with a pre-test and post-test and a three-month follow-up. This study was conducted on 36 patients (18 in each of the control and intervention groups) referred to Imam Ali (AS) and Shahid Rajaei Hospital in Karaj city in 2020. In this study, patients were included in the study by using the convenience sampling method with random assignment. For the intervention group, eight sessions 60-minute of metacognitive therapy were held individually and face-to-face in the wards of dialysis in the two hospitals. Beck depression questionnaire and post-traumatic growth questionnaire were used to collect data in this study. Then the data were analyzed using the covariance analysis method in SPSS version 23 with a significance level of less than 0.05.

 The results of univariate covariance analysis showed that there are significant differences between the intervention and control groups in the post-test and follow-up stages (p<0.001) in the intervention group in terms of reducing depression symptoms (F=342.17) and in growth after an accident (F=267.44) in the post-test stage, there are significant differences, which were not observed in the control group.

 Based on the findings of this study, metacognitive therapy using techniques such as postponing worry, challenging beliefs related to risk, and stopping the inhibition of avoidance behaviors, has good clinical efficacy in improving depression symptoms and post-traumatic growth in patients under hemodialysis.  In addition, it is suggested to carry out wider metacognitive therapy studies as an effective intervention method to improve depression and post-traumatic growth of patients under hemodialysis.

 The quality of nursing care is an important factor in the field of health services and providing quality care to patients. The purpose of this study was to investigate the relationship between occupational stressors and the quality of care of nurses during the Corona outbreak, with the mediation of cognitive evaluation and occupational involvement.

 The current research method was a descriptive correlation type (path analysis). The statistical population of this research included all the nurses of the public hospitals of Mashhad in 1401, which was selected using Morgan's table, a sample size of 400 people, and the questionnaires were completed by the available sampling method through the distribution of the questionnaire link in the virtual space. The research tools were the Nursing Care Quality Questionnaire (PESNWI), Nurses Occupational Stressors Questionnaire (NOSS), Cognitive Assessment Questionnaire, and Short Form of Occupational Involvement Questionnaire (UWES-9). Data were analyzed using path analysis and Amos24 software.

 The findings from the path analysis showed that for the hypothetical model, all the indicators indicated that the model did not fit. The direct paths from job stress to cognitive evaluation and job engagement were positive and significant. The direct way of cognitive evaluation to the quality of care and the direct path of job engagement to quality of care were positive and significant. But the direct way of occupational stress on the quality of care was negative and significant. The indirect effect of job stressors on the quality of care with the mediation of job conflict and job stressors with the mediation of cognitive evaluation had a positive and significant relationship with the quality of care.

 It can be said that occupational involvement and cognitive evaluation alone had a mediating role in the relationship between occupational stressors and the quality of care of nurses during the outbreak of Covid-19.

 The importance of coping strategies and the role of religion as indicators in the face of problems and adversity have been emphasized in numerous studies. Therefore, the present study was conducted to investigate the relationship between religious coping and the resilience of nurses in the emergency department of Mazandaran University of Medical Sciences.

 This is a descriptive-analytical correlational study. All nurses working in the emergency departments of Mazandaran University of Medical Sciences were enrolled in the study by the census. In this study, three questionnaires including a checklist of personal and job characteristics, a resilience questionnaire (Connor and Davidson), and a questionnaire of coping strategies of Aflak Sear and Coleman were used. All data analysis was performed using SPSS software version 25. The significance level was considered p> ​​0.05.

The nurses participating in the study ranged in age from 21 to 59 years with a mean and standard deviation of 4 ± 34 ± 7.9. Job interest (p = 0.021) and work experience (p = 0.007) had statistically significant differences between different levels of religious confrontation. Job interest (p = 0.000) and native status (p = 0.001) have statistically significant differences between different levels of resilience. Resilience and most of its components have a significant correlation with religious confrontation and its components (p <0.05).

 Spirituality and the use of religious coping methods can increase the potential for adaptability and a sense of support from a higher power and ultimately increase nurses' resilience.

Since health in students provides health in the community, so the present study aimed was done to The Role of emotional dysregulation, academic procrastination and family flexibility in predict academic burnout female students the second period in high school.

The research design was descriptive-correlational. The statistical population of the study included second period female high school students Zabol city in 2019-2020. them were selected 191 member by multi-stage cluster sampling. Research tools included questionnaires of burnout birso (2007), emotional dysregulation Gratz and Roemer (2004),  academic procrastination Solomon & Roth Bloom (1984), family flexibility Elson (1999). Finally, the obtained data were analyzed using SPSS software version 23 and statistical tests of correlation and regression analysis.

The results showed that there was a between emotion maladaptation and academic burnout correlation coefficient of 0.42 and between procrastination and academic burnout correlation coefficient of 0.22, which were significant at the level (P <0.001). But no significant correlation found between flexibility and academic burnout.

It can be concluded that emotion dysregulation and procrastination can both predict changes in academic burnout, so it is recommended that relevant education officials pay attention to this important issue.

Due to the profound impact of mentally retarded children on the lives of family members, especially mothers, and the lack of research in this area, the aim of this study was to compare psychological disturbance, life orientation, difficulty in regulating emotion and emotional schemas in mothers of mentally retarded children and Sabzevar is a normal city.

The method of this causal-comparative study and the statistical population includes all mothers of normal and mentally retarded children who referred to rehabilitation centers and clinics in Sabzevar between January and February 2017. The sample size included 50 mothers of mentally retarded children and 50 mothers of healthy children who were selected by multi-stage cluster random sampling. Research tools include the Loybond (1997) Depression, Anxiety, and Stress Scale, Chang (1997) Extensive Life Orientation Questionnaire, Leak Emotion Difficulty Regulation (2004), and Leahy (2002) Emotional Schemas. The data were analyzed by multivariate analysis of variance using SPSS 24 statistical software.

The results showed that between consistent emotional schemas (p <0.003) and maladaptive (p <0.001), emotion regulation difficulty (p <0.003), life orientation (p <0.003) and Psychological disorder (p <0.003) There is a significant difference between mothers of mentally retarded and normal children.

Based on the findings of the study, it can be said that mothers of mentally retarded children due to psychological, emotional and social vulnerability have compatible emotional schemas and low life orientation and maladaptive emotional schemas, difficulty in regulating emotion and more psychological turmoil that needs to be applied. Appropriate psychological therapies addressed these problems.

Family members of people suffering from gender dysphoria disorder from social isolation, anxiety, depression and decrease in mental well-being, which in turn affects the mental health of people suffering from gender dysphoria.There are several strategies to reduce the social stigma of the family members of people suffering from gender dysphoria, especially their mothers, which can be compared.The aim of the present study was to Comparing the effectiveness of resilience training package and positive therapy on social stigma of mothers of people suffering from gender dysphoria disorder

This was a semi-experimental study with the design of two experimental groups and one control group with pre-test, post-test and follow-up. The statistical population of this research includes mothers who have a child with gender dysphoria and have referred to counseling centers for treatment in Isfahan city in 1400-1401. From this population, a sample of 45 people was selected using available sampling method. The social stigma questionnaire of Ritscher et al. (2003) was used to collect research data. Research data were analyzed using analysis of variance with repeated measurements and post hoc Ben Feroni test using Spss software version 22.

The findings of the research showed that both methods of resilience training package and positive therapy were effective in reducing the social stigm of mothers of people suffering from gender dysphoria disorder (P<0/05, df=2, F=3/40).

According to the obtained results, it is suggested that psychologists and counselors pay special attention to the variable of resilience in the educational and treatment packages of these people and their families.

Nursing in the oncology ward is associated with various stressors that can affect the psychological status of nurses. This study aimed to determine the effect of positive thinking skills training on the happiness and resilience of nurses oncology center in shahid baqaei 2hospital of Ahvaz.                                                       

This quasi-experimental interventional study was performed in 2021. 64 nurses working in 5 oncology wards of Baqaei 2 Hospital in Ahvaz were selected by the available sampling method and entered the study. Research tools: included a demographic questionnaire, Oxford Happiness Questionnaire, Connor Resilience, and Davidson CD-RIS. For the experimental group, the intervention including optimism and positive thinking skills training (Martin Seligman 1988) was performed in 8 sessions of 45 minutes and a retest was performed one week after the intervention.  

There were no statistically significant differences between the two groups in terms of age groups, gender, education level, marital status, employment status, work experience, and shift work in the test and control groups (P<0.05). The paired t-test showed that there was a significant difference in the resilience score of the test group before and after the intervention (P < 0.001), while there was no significant difference in the control group (P = 0.053). The independent t-test showed that the two groups did not have a significant difference in terms of resilience before the intervention (P = 0.094), while after the intervention, this difference was significant (P < 0.001). Also, the paired t-test showed that the happiness score of the test group before and after the intervention had a significant difference (P < 0.001), and there was also a significant difference in the control group (P = 0.028). The independent t-test showed that the two groups had a significant difference in terms of the variable of happiness before (P = 0.016) and after the intervention (P < 0.001).

The results of this study showed that the level of happiness and resilience of nurses is enhanced by teaching positive thinking skills. Positive Thinking Skills Training is an uncomplicated, low-cost, and practicable approach that has been proven effective in this study and can therefore be widely used as an empowerment program for nursing staff, especially in oncology wards.

Having children with autism causes stress to parents, which negatively affects their quality of life. This issue that having a child with autism spectrum affects the father or mother more has been less investigated. Therefore, the present study was conducted with the aim of comparing parenting stress and quality of life and the relationship between these concepts in couples with autistic children.

The current research is a descriptive-analytical cross-sectional. The research population included 96 couples with children with autism who referred to autism centers in Bushehr and Shiraz cities in 2019; who were included in the research using the census method. Data collection tools included demographic form, parenting stress and quality of life questionnaires. Mean, standard deviation and frequency tables were used to describe the data, and paired t-tests and Pearson correlation were used to analyze the data. Data were analyzed using SPSS V.19 software.

The average age of mothers and fathers was 48.48±8.41 and 53.31±7.90 respectively. The average score of parenting stress in fathers and mothers was 133.84±9.85 and 134.73±17.92, respectively, and the average quality of life of fathers and mothers was 54.85±7.45 and 53.56±5.70, respectively. The two groups had no statistically significant difference in average quality of life (p=0.157) and parenting stress (P=0.900). There was an inverse and significant statistical relationship between fathers' parenting stress with their mental (p=0.008) and physical (p=0.004) quality of life and also between mothers' parenting stress with their mental (p<0.001) and physical (p=0.001) quality of life.

The results showed that both parents of children with autism experience the same high parenting stress and similar quality of life. Parents' stress of parenting can affect their quality of life; which is stronger in mothers than in fathers. Therefore, developing parenting stress reduction programs for couples with autistic children should be on the agenda of health policy makers.

 Nurses form an important stratum in any society, and due to the large and tedious workload, in some cases, they cannot solve the problems related to marital and sexual life well. This can lead to a decrease in the quality of their marital relationship, so it is important to determine the level of sexual satisfaction and the factors that affect it. The aim of this study was to investigate the mediating role of marital intimacy in the relationship between self-differentiation and attachment styles with sexual satisfaction in female nurses in Yazd hospitals in 1396 years.

 The present study was an analytical study of structural equation modeling. The statistical population was all female nurses of hospitals in Yazd in 2019; 200 of them were selected using a multistage cluster sampling method. In this research, Skowron and Friedlander’s self-differentiation questionnaire (1998), Collins & Read’s attachment questionnaire (1990), Walker & Thompson’s marital intimacy questionnaire (1983), and Hudson, Harrison & Kruskapp’s sexual satisfaction questionnaire (1981) were adopted for data collection. Pearson’s correlation test, using SPSS-21 software, and structural equation modeling using Amos-24 software, were used to analyze the data.

 The findings showed that secure attachment (P < 0.001), avoidant attachment (P < 0.01), and marital intimacy (P < 0.001) have a significant direct effect on sexual satisfaction. Also, avoidant (P < 0.01) and ambivalent (P < 0.05) attachment has a direct and significant effect on marital intimacy. Avoidant (P < 0.01) and ambivalent (P < 0.05) attachment has an indirect effect on sexual satisfaction through marital intimacy. The indirect effect of self-differentiation and secure attachment through marital intimacy on sexual satisfaction is not statistically significant (P<0.05). Also, the direct effect of self-differentiation and secure attachment on marital intimacy is not significant (P<0.05).

 The use of effective education for the enhancement of nurses’ attachment style and marital intimacy can help to improve and increase the nurses' sexual satisfaction and therapists can also achieve desired results using these strategies.

Breast cancer, as the most common cancer, is the cause of death of millions of people around the world. The aim of this study was to present a model for predicting the status of the immune system through coping strategies with stress and personality type D mediated by defense mechanisms in patients with breast cancer.

The statistical population of the present study included all women with breast cancer in Tehran and Gilan in 2019, from which 250 were selected by purposive sampling. Data were collected using a checklist of warning signs of immunodeficiency, a questionnaire of defense mechanisms, a questionnaire of personality type D and a questionnaire of coping strategies. The data were analyzed using structural equation method and smart-PLS- v3 software was analyzed.

The results showed that coping strategies did not have a significant direct effect on immune status scores. The direct effect of personality type D on immune status scores was significant. Defense mechanisms did not mediate the relationship between coping styles with stress and personality type D with immune status scores.

In general, it can be concluded that in patients with breast cancer, personality type D has a significant effect on the state of the immune system, and therefore therapists and health professionals can design interventions based on the correction of personality type D, Help these people overcome their illness.