نشریه پژوهش توانبخشی در پرستاری
سال نهم شماره 2 (پیاپی 34، زمستان 1401)

Among the members of the rehabilitation team, nurses play a key role in the rehabilitation process and are responsible for the specialized care of patients with disabilities. In order to provide these cares, nurses need to acquire various skills, which are important to know in order to provide quality care. Therefore, this study, through a qualitative approach, has explained the required competencies of rehabilitation nurses in caring for patients with disabilities.

In this qualitative content analysis study, 14 nurses working in Rafideh Rehabilitation Hospital (Tehran/Iran) were participated. Participants were purposively selected based on their willingness to participate in research and experience caring for patients with disabilities. Data were collected through in-depth semi-structured interviews and data analysis was based on the steps suggested by Granheim and Lundman. The correctness and robustness of the collected data were evaluated based on Lincoln and Goba criteria.

After analyzing the findings from 17 interviews, three main classes of "proficiency in providing care" with four subclasses (acquiring rehabilitation knowledge, mastering general nursing knowledge, having general and specialized skills), the main category "constructive communication with the patient" with three subcategories (cultural sensitivity, reliability, active listening) and the main category "personality characteristics" with six subcategories (resilience, honesty, ethics, patronage, participation, compassion) emerged.

The results show that the rehabilitation nurse needs to strengthen various aspects of his existence, including general and specialized knowledge and skills, the ability to communicate constructively with the rehabilitation team, the patient and the family, as well as acquiring positive personality traits in order to be able to best to fulfill their roles and responsibilities. The results of this research can help nurses to achieve the maximum level of individual competence and nursing managers to identify and select the most qualified nurses to provide care for patients with disabilities.

Weightlifting is a sport that is performed in different weights. The purpose of the present study was to investigate the effect of different degrees of weight loss on the values of ground reaction force during the lift movement in elite weightlifters.

The current research was semi-experimental. The statistical sample of the research was selected using the available method and included 10 elite weightlifters (at least 3 years of experience in national competitions, age: 25.50±0.75 years, weight: 99.4±4.9 kg, height: 1. was 178.8±4 cm). The ground reaction force data was measured at 1000 Hz during the isometric lift movement before and after weight loss equal to 2 and 4% of body weight. Two conditions of weight loss were performed with an interval of one week. The selection of weight loss conditions of 2 or 4% of body weight on the first day was randomly selected. For the statistical analysis of the data, two-way analysis of variance with repeated measures was used at a significance level of 0.05.

The results showed that the peak vertical ground reaction force decreased after 2% weight loss and increased after 4% weight loss (P<0.05).

The decrease in body mass percentage leads to an increase in ground reaction forces, which can be a mechanical risk factor for orthopedic injuries.

Breast cancer is one of the most common diseases and it is very important to perform appropriate psychological interventions to improve the psychological health of breast cancer patients. The purpose of this research was to investigate the effectiveness of mindfulness training on resilience and tolerance of ambiguity in cancer patients.

The current research method was semi-experimental with a pre-test and post-test design and a control group. The statistical population of this research was all cancer patients in Tehran in 1400, 30 of them were randomly selected and replaced in two experimental and control groups. Mindfulness-based training was conducted for the experimental group for 8 sessions, but no intervention was conducted for the control group. The research tools in this research were Kabat-Zinn's mindfulness training protocol, Connor and Davidson's resilience questionnaire (2003) and Friston's ambiguity tolerance (1994). The statistical method used was multivariate covariance analysis, which was done using Spss version 23 software.

The results of this research revealed that mindfulness training significantly reduces uncertainty tolerance and increases resilience in people with cancer, the significance level of which was 0.01 with an effect size of 37%.

The results of this research can have therapeutic implications for all hospital workers who work with patients with cancer, in the sense that interventions based on mindfulness training should be made for cancer patients.

The covid-19 pandemic has caused a lot of anxiety and stress among all students, especially medical students. Therefore, the current research was conducted with the aim of determining the effect of communication skills training on the anxiety and stress of Covid-19 in students of medical sciences unit.

This was a semi-experimental study with a pre-test-post-test design with a control group. The research population was the students of Islamic Azad University, Medical Sciences branch, Tehran, in the academic year of 2021-2022. The sample of the research was 170 students who were selected by simple random sampling method and replaced randomly using lottery in two groups of 85 people including experimental and control groups. The experimental group received 4 sessions of 90 minutes for a month under communication skills training, and the control group did not receive training during this period and remained on the waiting list for training. The research tools were demographic information form, anxiety inventory and corona stress scale. The data were analyzed with chi-square, independent t tests and univariate analysis of covariance in SPSS-26 software.

The results of chi-square and independent t tests showed that the experimental and control groups did not differ significantly in terms of gender and average age (P>0.05). Also, the findings of the univariate covariance analysis test showed that communication skills training reduced the anxiety and stress of corona in medical students (P<0.001).

The results indicated the effective role of communication skills training in reducing the anxiety and stress of Corona in medical students. Therefore, health professionals can use the communication skills training method along with other effective training methods to improve the psychological characteristics related to Corona

Chronic back pain is the most common type of musculoskeletal pain and the main cause of disability in the elderly. The self-management training program for chronic back pain control has positive consequences for the elderly and the health system. This research was conducted with the aim of determining the effect of implementing a self-management program on self-efficacy and acceptance of pain in the elderly with chronic back pain who referred to the specialized clinics of Babol University of Medical Sciences in 2021.

The present study was a clinical trial of a pre-test-post-test design, applied type. The research sample of 100 elderly people was allocated to two intervention and control groups by means of available sampling and random sequence using variable blocks method. The self-management program included awareness and cognition, problem solving process, stress control, muscle relaxation, and sports exercises. The patients were trained for four weeks and followed up for one month. Data were collected with pain self-efficacy questionnaire and pain acceptance questionnaire before, after and one month after the intervention. The results were analyzed using SPSS version 22 software at a significance level of <0.05.

There was no significant difference in the average self-efficacy and pain acceptance between the intervention and control groups before the intervention, while there was a significant difference between the two groups after the intervention in the average self-efficacy and pain acceptance (P<0.001). Also, the findings indicated that there was a significant improvement in the average self-efficacy and acceptance of pain before and after the implementation of the intervention in the intervention group (P<0.001).

Self-management program training has a positive effect on improving self-efficacy and acceptance of pain in the elderly, so the use of this non-pharmacological and supportive method can be used by nurses as an effective method to control chronic back pain.

Investigating plantar pressure variables today gives a correct understanding of possible injuries to the soles of the feet. The present study was the effect of six weeks of trampoline exercises on the plantar pressure and quality of life of people with diabetic neuropathy.

The current research is semi-experimental and applied in which pre-test and post-test with control group were used. 30 neuropathic patients were selected in a purposeful and available manner, and then they were randomly divided into two experimental and control groups (n=15). The experimental group performed 3 sessions of 60 minutes trampoline exercises for six weeks. Before and after the exercise period, the variables of maximum plantar pressure of the patients were evaluated by foot scan machine.

The inferential analysis of the data was done using the statistical test of covariance (P=0.05). The research results showed that trampoline exercises had an effect on the maximum pressure of the soles of the feet while walking (P=0.01).

According to the findings of the research, six weeks of trampoline exercises have a positive effect on the maximum plantar pressure of patients with diabetic neuropathy, and these exercises can be used in the physical rehabilitation process of diabetic patients.

Various factors at the personality and psychological levels, such as feelings of inferiority, excitement seeking, and attachment styles separately and in interaction with each other, affect the relationship between couples and lead to an increase in their tendency towards marital infidelity. In this regard, the present study was conducted with the aim of determining the effectiveness of emotion-oriented therapy on feelings of inferiority, sensation-seeking, and attachment styles of married women with experience of extramarital relationships.

The research method was semi-experimental with a pre-test-post-test design with a control group. Its statistical population was made up of all the women of Mashhad who were involved in or had experience of extramarital relationships and who had a counseling case in Pidaish counseling centers of Mashhad; 40 women who met the conditions to enter the research were selected by available sampling method and randomly replaced in two experimental (20 people) and control (20 people) groups. The data collection tool was Hazen and Shaver's attachment style questionnaire (1986), Zuckerman's sensation seeking (1979) and Eysenck's inferiority complex (1988). The training group was given emotional therapy during 9 sessions, and the control group was not subjected to any intervention. Data analysis was done through univariate and multivariate covariance analysis using SPSS-22 software.

The findings showed that emotion-oriented therapy training is effective on sensation seeking, feelings of inferiority and on all three secure, avoidant and ambivalent attachment styles (P=0.001).

The results showed the effectiveness of emotion-oriented therapy on feelings of inferiority, sensation-seeking, and attachment styles of married women with experience of extramarital relationships. Therefore, therapists and psychologists can use this treatment method to improve psychological health, especially to reduce feelings of inferiority, sensation seeking, and to improve secure attachment styles

Sexual stimulation and inhibition play an important role in men's sexual performance, so the present study was conducted with the aim of determining the effectiveness of sexual cognitive behavioral therapy in sexual stimulation and inhibition of men with low sexual performance.

The present study was a semi-experimental pre-test-post-test type with a control group and a follow-up period. The statistical population includes all married men who went to the life expectancy Clinic in Aligoodarz city in the first three months of 2011 to solve their sexual problems. 30 qualified people were selected by purposeful sampling and randomly divided into two experimental and control groups (15 people in each group). Both groups responded to Millhausen et al.'s (2013) sexual arousal/inhibition questionnaire. The control group received routine counseling, but the experimental group received sexual cognitive behavioral therapy in nine two-hour sessions over two months virtually in the Skyroom program. Analysis of variance with repeated measures was used in data analysis using SPSS version 16 software.

The results showed that there was a significant difference between the average score of sexual stimulation and inhibition of men with low sexual performance before and after the training of sexual cognitive behavioral therapy, and this difference was statistically significant in the follow-up phase (P<0.001).

Cognitive-behavioral sexual therapy can be used as a complementary treatment method along with medical methods in order to improve sexual stimulation and inhibition of men with low sexual performance.

Women injured by their husband's breach of contract need help and therapy to overcome their emotional and emotional problems. This research was conducted with the aim of determining the effectiveness of emotion-oriented therapy based on attachment trauma and spirituality-oriented schema therapy on the anxiety and emotional capital of women affected by a spouse's breach of contract.

This study was a semi-experimental study with a pre-test-post-test-follow-up plan with a control group. The statistical population consisted of women injured by their husband's breach of contract, who referred to psychological counseling centers in Bandar Abbas city in the spring of 1400. Among them, 48 people were selected by purposeful sampling and randomly assigned to two experimental groups and one control group (16 people in each group). Data were collected using Beck's anxiety scale (1988) and Golparvar's emotional capital (2015). Spirituality-based therapy schema and emotion-oriented therapy based on attachment damage (each in 10 sessions of 90 minutes) were implemented and the control group did not receive any treatment during the study period. The data was analyzed using variance analysis with repeated measurements and using SPSS version 26 software.

The findings showed that spirituality-oriented therapeutic schema and emotion-oriented therapy based on attachment damage were significantly effective in reducing anxiety (P<0.01). There was no significant difference between the two treatments in reducing anxiety (P<0.05). In the variable of emotional capital, there was no significant difference between the spirituality-based therapeutic schema and the emotion-oriented therapy based on attachment damage with the control group (P<0.05). This means that two treatments were not effective in increasing emotional capital.

The results of the present study showed that spirituality-oriented schema therapy and emotional-oriented therapy based on attachment injury can reduce anxiety in women who are injured by their husband's breach of contract. Therefore, therapists can use these two treatments to control the anxiety of women who have been injured by their spouse's breach of contract.