نشریه پژوهش توانبخشی در پرستاری
سال نهم شماره 3 (پیاپی 35، بهار 1402)

The high prevalence of covid-19 and the occurrence of stress and anxiety reduce the quality of life in patients with covid-19, so remote nursing is considered important to improve the quality of life in these patients. The present study was conducted to investigate the effect of remote nursing on the level of anxiety and quality of life of patients with covid-19 discharged from Imam Khomeini Amol Hospital in 2021.

This is a semi-experimental before-after study with a control group. The research population includes patients with covid-19 discharged from Imam Khomeini (RA) Amol Hospital. 64 patients with covid-19 were selected by the available method and randomly divided into two groups by quadruple block method. The data collection tools include demographic information, the Corona Disease Anxiety Scale questionnaire and the quality of life questionnaire. The intervention of the research was carried out in the form of providing a package of remote nursing services for one month during eight sessions, twice a week and each time for half an hour in the intervention group after discharge. After one month of training, the quality of life questionnaire and the Corona disease anxiety tool were completed again in the intervention group. After collecting the data, they were analysed by SPSS-25 statistical software and descriptive and analytical statistical tests.

The results of the paired t-test showed that the average anxiety score in the mental (p<0.001) and physical (p<0.001) areas in the intervention group decreased significantly after the intervention. Also, the average score of quality of life in physical health (p<0.001), mental health (p<0.001), social relations (p<0.001), environmental health (p<0.001) significantly increased in the intervention group after the intervention.

The results of this study showed that telenursing education can reduce the anxiety of corona patients and also increase the quality of life of these patients.

Obesity is one of the major problems of developing societies that harms the psychological and emotional processes of people, so the present study was conducted with the aim of determining the effectiveness of schema therapy in regulating emotions and body mass index of obese women.

The present study was a semi-experimental study with a pre-test and post-test design with a control group with a three-month follow-up period. The statistical population included all women suffering from obesity who referred to the obesity treatment center of Rasoul Akram Hospital (PBUH) in Tehran in 2019; Among the qualified people who volunteered to cooperate, 30 people were selected by purposeful sampling accident and randomly replaced in two control and intervention groups (15 people in each group). The research instrument was Gross and John's emotional regulation scale. The intervention group participated in eight sessions of Yang et al. schema therapy, but the control group did not receive any intervention and were placed on the waiting list for treatment. The data were analyzed by analysis of variance test with repeated measures and SPSS-24 software.

The results showed that the intervention and control groups had significant differences in emotion regulation and body mass index. In other words, schema therapy improved emotion regulation and body mass index in obese women (p<0.001). And these results continued in the follow-up period.

Based on the results, schema therapy can be used as a complementary treatment method along with other treatment methods in order to improve emotional regulation and body mass index.

The aim of this study was to compare the effectiveness of cognitive-behavioral couple therapy and analyze behavioral behavior on communication documents and differentiation of incompatible couples.

The research design was quasi-experimental pre-test and post-test with a control group. The statistical population was incompatible couples who referred to counseling centers in Jiroft in 2021. From this population, based on entry and exit criteria and purposeful sampling, 60 couples were selected in two experimental groups and one control group. In each group, 20 couples (first experiment: cognitive-behavioral couple therapy), (second experiment: interaction behavior analysis) and the control group were randomly replaced. Scorne and Friedlander self-differentiation questionnaire, Bradbury and Fincham communication documents questionnaire and Spanier marital adjustment questionnaire were used to collect data. Data analysis was performed using multivariate analysis of covariance and LSD post hoc test.

The results showed that cognitive-behavioral couple therapy and reciprocal behavior analysis have an effect on their differentiation and communication documents. Also, the results of post hoc test showed that cognitive-behavioral couple therapy has a greater effect on communication documents than the analysis of reciprocal behavior and reduces communication documents. The results also showed that the analysis of reciprocal behavior had a greater effect on differentiation than cognitive-behavioral couple therapy and increased differentiation in couples.

Therefore, attention to cognitive-behavioral couple therapy and analysis of reciprocal behavior has an important role in differentiation and communication documents and intervention for incompatible couples is recommended

One of the important nursing interventions in intensive care unit is tracheal suctioning to drain airway secretions. Although this procedure is necessary and useful for managing patients' airways, it is sometimes painful and causes mucosal injury, so it is necessary to try to find tools or methods with the least injury. The purpose of this study was to determin and compare pain and mucosal injury in tracheal suctioning with foley and nelaton catheters in patients admitted to the intensive care unit of selected hospitals affiliated with Alborz University of medical sciences in 2022. 

The current study was a two-group experimental study, and its statistical population was all patients hospitalized in the intensive care unit of Alborz Karaj Hospital in the first half of 2022. Based on the inclusion criteria, 60 patients were selected through the available sampling method and randomly assigned to two groups: suction with Foley catheters and suction with Nelaton catheters. Patients were suctioned for three days or 12 times as needed and were compared in terms of pain intensity and the amount of mucosal damage caused by suction. In order to collect data, the demographic information form of the patients, Behavioral Pain Scale (BPS) and the observational checklist of mucosal injury were used to evaluate the mucosal damage. The data were analyzed with SPSS21 statistical software and using Independent t-tests, Fisher's exact and chi-square tests. 

There was no statistically significant difference between the two groups in terms of demographic variables. Before suctioning, there was no statistically significant difference between the pain intensity of the two groups of patients at any of the 12 times (P>0.05). But after suction, this difference in the first (P=0.005), second (P=0.003), third (P=0.011), fifth (P=0.017), sixth (P = 0.016), the seventh (P = 0.006), the eighth (P = 0.003), the ninth (P = 0.017) and the tenth (P = 0.017) were significant and suction with Foley catheter compared to Nelaton catheter had less pain (P<0.05). In the case of mucosal injury, there was a significant difference between the two groups at the ninth (P=0.029), tenth (P=0.047) and twelfth (P=0.020) times, and the number of people who suffered after suction There were mucosal damage in the Foley catheter suction group compared to the Nelaton suction group.

Since the use of Foley catheters for suctioning the tracheal tube of patients hospitalized in the intensive care unit causes less pain and mucous membrane than the Nelaton catheters, it is suggested that an arrangement be made to use this method for suctioning the tracheal tube. Patients should be given more attention..

Multiple sclerosis (MS) is a chronic and progressive disease of the central nervous system that can have a devastating effect on the patient's quality of life. Self-care behaviors is one of the effective factors in preventing MS symptoms and recurrence. The purpose of this study was to determine the impact of patient education and telephone follow-up (telenursing) on self-care and quality of life of patients with MS. 

This clinical trial study was conducted on 70 patients with MS in the MS Association of Arak city in 2021. The subjects were selected by convenience sampling method and assigned randomly into intervention and control groups (N=35 per group). Data were collected through Miller's self-care questionnaire and quality of life questionnaire for patients with MS by both groups before and after the intervention. For patients in the intervention group, educational sessions were held one day a week for two weeks, then telephone follow-up was conducted for 12 weeks. Data were analyzed by using SPSS-20 software and chi-square and independent and paired t-test.

The study findings showed before the intervention, there was no statistically significant difference between the average score of self-care and quality of life of the two groups (p<0.05), but there was a significant difference between the mean self-care scores of the patients in the control and experimental groups after the intervention (p=0.031). Also, there was a significant difference between the mean scores of the patients' quality of life in the control and experimental groups after the intervention (p=0.028).

The findings of the present study showed that education and telephone follow-up on self-care and quality of life of patients MS is effective.

Incompatible couples have many emotional, cognitive and social problems, including in the field of distress tolerance. Therefore, the present study was conducted with the aim of comparison the effectiveness of emotion-focused therapy and acceptance and commitment therapy on distress tolerance of incompatible couples.

This study was a semi-experimental with a pretest-posttest design with a control group. The research population was incompatible couples who referred to the Family Counseling Center of Torbat-e-Jam in 2019 year. The research sample was 24 couples who after reviewing the inclusion criteria were selected by purposeful sampling method and were replaced randomly with the lottery in three equal groups (8 couples in each group) including two experimental groups and one control group. The first experimental group with couple therapy method 8 sessions of 90 minutes underwent the emotion-focused therapy and the second experimental group with couple therapy method 10 sessions of 90 minutes underwent the acceptance and commitment therapy and the control group remained on the waiting list for training. Research tools included demographic information form, marital adjustment scale and distress tolerance scale. Data were analyzed with chi-square, univariate analysis of covariance and Bonferroni post hoc test in SPSS version 20 software.

The findings showed that the experimental and control groups did not have significantly different in terms of education level and age range (P>0.05). Also, both emotion-focused therapy and acceptance and commitment therapy in compared to the control group increased the distress tolerance of incompatible couples (P<0.001), but there was no significant difference between the two mentioned methods in increasing the distress tolerance of incompatible couples (P>0.05).

The results showed that both methods of emotion-focused therapy and acceptance and commitment therapy increased the distress tolerance of incompatible couples and there was no significant difference between them. Therefore, health professionals and therapists can use both mentioned methods to improve distress tolerance in vulnerable groups, including incompatible couples.

Considering the increase of marital conflicts and the statistics of divorce and its negative consequences, the present study was conducted with the aim of determining the effectiveness of Gutman's cognitive-systemic couple therapy in the marital conflicts of divorce applicants.

The research method was a semi-experimental pre-test-post-test type with a control group with a follow-up period of two months. The statistical population of the research included all the couples applying for divorce in Mashhad who were referred to the Psychodynamic Counseling Center by the family court in the fall of 2020 due to marital disputes. From the target population, 30 eligible people who volunteered to participate in the research were selected by available sampling method and divided into two test groups (15 people) and control (15 people) by simple randomization using a coin toss. The research tool was Sanai Marital Conflicts Questionnaire. The intervention group participated in eight Gutman cognitive-systemic couple therapy sessions, but the control group did not receive any intervention and were placed on the waiting list for treatment. The data were analyzed with the analysis of variance test with repeated measurements and SPSS-16 software.

The results showed that the intervention and control groups had significant differences in the components of marital conflicts. In other words, Gutman's cognitive-systemic couple therapy was effective in reducing the components of marital conflicts (p<0.001); and these results continued in the follow-up period.

Based on the results, she used Gutman's cognitive-systemic couple therapy to reduce marital conflicts and improve the relationship of couples seeking divorce.

The performance reduction of proprioceptive and plantar pressure and lower limb muscles lead to balance loss. Using interventions such as braces and orthoses can assist postural control and improve sensation in these receptors. Therefore, the purpose of this study was to investigate the simultaneous use of knee braces and foot orthoses on postural control in male and female older adults during walking.

The present study was of a semi-experimental. The statistical population includes the older adults of Ardabil city and the statistical sample consist of 30 older adults (including 15 women and 15 Men). The interventions used in this study include a support knee brace with restriction of knee movements, a type of foot orthosis along with simultaneous use of both of them. Center of pressure was recorded using a Bertec force plate. The statistical analysis was done using two-way analysis of variance with repeated measures at the significance level of 0.05.

The value of the maximum displacement of the center of pressure in the medio-lateral direction during walking with a brace and orthosis increased significantly by 20.68% compared to walking without a brace (P=0.011). The main effect of group for maximum displacement of the center of pressure was significant (P=0.003). Paired wise comparison demonstrated statistically greater maximum displacement of the center of pressure in the male group than that female group.

Considering the disruption of balance in the older adults, braces and orthoses can prevent these people from reducing posture control, balance disturbance, and falling after that by creating a positive potential for these people.

Myostatin and Follistatin are serum biomarkers associated with sarcopenia in old age. But their role in exercise-induced neuromuscular coordination in old age is not well understood. This study aimed to evaluate the effect of strength training TRX on serum levels of myostatin and Follistatin and neuromuscular function in overweight elderly men.

In this quasi-experimental study, 30 overweight elderly men with a mean age of (64.33±1.39) years were selected as a sample and randomly divided into two groups TRX and control. The experimental group trained in a TRX training program for 12 weeks and 3 sessions per week for 60 minutes. The intensity of the exercises was controlled by the Borg Pressure Perception Scale (RPE). Before and after the last training session, myostatin And Follistatin, and neuromuscular function (Time Up & Go and 5-Chair stand) were measured and the data were analyzed using a dependent t-test and analysis of covariance at the significant level of P <0.05.

12 weeks of TRX training caused a significant difference in the serum levels of myostatin (P=0.010) and variable Follistatin in the experimental and control groups. Also, the test time of 5-CS (P=0.014) and TUG (P=0.003) indices improved significantly in the experimental group. In the intragroup statistical analysis in the experimental group, the serum level of myostatin, the test time of 5-CS (P=0.001) and TUG (P=0.001) indicators in the pre-test and post-test, a significant decrease; But there was a significant increase in the Follistatin (P=0.001) variable.

It seems that TRX training effectively improved and developed neuromuscular coordination in overweight elderly with a positive change in sarcopenia-related markers. TRX exercises can be used as a complementary and low-cost treatment in rehabilitation and nursing care for the elderly.

Low sexual satisfaction and sexual intimacy are among the functional consequences of erectile dysfunction that necessitate psychological interventions. The aim of this study was to determine the effectiveness of cognitive-behavioral therapy combined and moderating negative cognitive bias on sexual satisfaction and sexual intimacy in men with erectile dysfunction. The method of this research was quasi-experimental (pre-test-post-test with control group).

The statistical population of this study included all men with erectile dysfunction in Isfahan in 2020 that among them, 30 people received a diagnosis of erectile dysfunction based on the entry criteria were selected as a statistical sample using available sampling and thay were randomly assigned to one experimental groups and one control group (15 people in each group) all two groups completed the International Index of Erectile Function (1997), Larson Sexual Satisfaction (1988), Botlani & et al Sexual Intimacy (2010) as a pre-test and post-test. The intervention includes eight sessions of 60 to 90 minutes (two sessions per week for four weeks) cognitive-behavioral therapy and four sessions of 60 to 90 minutes (1 session per week for four weeks) moderating negative cognitive bias in the experimental group, the control group did not receive any intervention. Data were analyzed using univariate analysis of covariance in SPSS.23.  

Based on the findings, it was found that cognitive-behavioral therapy combined and moderating negative cognitive bias was effective on the increase sexual satisfaction and sexual intimacy in men with erectile dysfunction (p = 0.001).

Considering that combined cognitive-behavioral treatment and cognitive bias adjustment is effective in improving sexual satisfaction and sexual intimacy of men with erectile dysfunction; it seems that this method can be used as an effective intervention method in improving sexual satisfaction and sexual intimacy of men with erectile dysfunction.

Dynamic knee valgus, static and dynamic balance are contributing to knee injuries in military cadets. This study aimed to investigate the effect of the Stop-X injury prevention program on dynamic knee valgus, static and dynamic balance in military cadets with dynamic knee valgus deficiency.

The present study was quasi-experimental. At first 116 students were assessed and finally, 40 participants with dynamic valgus were recruited and they were randomly assigned to the intervention group (n=20) or control group (n=20). Drop-jump test, Bass Stick test and Y Balance test were used to measure dynamic knee valgus angle, static and dynamic balance at the baseline and the end of the study. After evaluating the variables in the pre-test, the intervention group used the Stop-X program as a warm-up for 8 weeks while the control group performed its routine warm-up during this time and finally they were re-evaluated. ANCOVA and paired-samples t-test were used to evaluate changes.

The results showed that there was a significant reduction in knee valgus angle (P=0.001) and there were significant enhancements in static (P=0.001) and dynamic balance (P=0.001) in the intervention group in comparison with the control group in the post-test. Moreover, the results obtained in the intervention group in post-test in comparison with pre-test showed that there was a significant reduction in knee valgus angle (P=0.001) and there were significant enhancements in static (P=0.001) and dynamic balance (P=0.001) but there were no significant differences in the control group (P>0.05).

This study demonstrated that the Stop-X injury prevention program was effective in reducing dynamic knee valgus angle and improving static balance time and dynamic balance in military cadets. Thus, this program can reduce the risk of knee injuries in military cadets.