مجله پژوهش پرستاری ایران
پیاپی 86 (آذر و دی 1402)

Satisfaction in married life plays a valuable role in mental health and it is considered the main role for the continuation of the life of a relationship, based on this, it seems necessary to examine the role of factors that lead to the improvement of marital satisfaction, so the present study with The objective of mediating the role of coping styles in the relationship between spiritual health and marital satisfaction of nurses was carried out.

The descriptive-correlation research method was path analysis. The research population was all married female nurses working in public and private medical centers in Tehran in the second six months of 2022; 409 people were included in the study using available sampling method and through social networks. The expressions of data collection included Palotzin and Ellison's (1982) spiritual health questionnaires, Kalzbeck et al.'s coping styles (2006) and Hudson's marital satisfaction (1992). SPSS version 22 and Amos software were used for data analysis.

The results showed that spiritual health has a negative effect on the avoidance strategy (β=-0.490, p<0.01) and the emotion-oriented strategy (β=-0.471, p<0.01) and on the problem-oriented strategy (β = 0.537, p < 0.01) have a positive direct effect. Spiritual health affects marital satisfaction both directly (β=0.160, p<0.01) and indirectly (β=0.510, p<0.01) and through the mediation of coping styles. Avoidance strategy (β=0.118, p<0.01) and emotion-oriented strategy (β=0.292, p<0.01) have a direct positive effect on marital satisfaction. Problem-oriented strategy has a direct negative effect on marital satisfaction (β=0.587, p<0.01).

The results showed that coping styles had a mediating role in the relationship between spiritual health and marital satisfaction of nurses, and the results can help nurses to know and improve marital satisfaction. Therefore, empowerment and educational programs with the aim of increasing knowledge in the field of coping styles and increasing spiritual health can have an effective role in improving life satisfaction.

Considering the consequences of depression in academic (academic engagement) and personal (distress tolerance), empowering students is necessary, so the present study was conducted with the aim of determining the effectiveness of self-regulation training on distress tolerance and academic engagement of depressed students.

The current research was a semi-experimental type with a pre-test-post-test design with a control group. The statistical population of this research included all male students of the second secondary school in Zahedan city in the academic year of 2020-2021; Among them, 30 qualified people were selected by purposeful sampling and randomly divided into two groups of 15 people (experimental and control). Both groups responded to the Distress Tolerance Questionnaire of Simmons and Gaher (2005) and Academic Engagement by Ryu and Tseng (2011). The experimental group received Zimmerman and Pons (1990) self-regulation training as a group in 8 sessions of 60 minutes in two months, and the control group did not receive training. Data analysis was done with SPSS version 24 software and multivariate analysis of covariance test.

The results showed that by controlling the pre-test scores, in the experimental and control groups, self-regulation training increased distress tolerance and academic engagement of depressed students (P<0.01).

Based on the findings of the present study, self-regulation training can be used as an effective intervention to improve distress tolerance and academic engagement of depressed students.

The use of telehealth technology, especially in the treatment of arterial diseases, is considered as a new reactive and effective tool in improving doctor-patient communication and improving patients. Aiming to assess the effectiveness and results of in-person consultation with distance learning consultation in the field of arterial diseases, this article provides a detailed look at the advantages and limitations of telehealth in this field.

In order to do a descriptive review article,a search was made in databases including PubMed, Irandoc,Medline, Sid in the time range of 2013 to 2023. Studies that focused on the use of telehealth technology in arterial diseases and compared in-person communication with distance learning consultation were selected, and articles not aligned with the purpose of the study and letter to the editor were excluded from the study. 17 out of 35 articles were finally reviewed.

The presented articles focus on the impact of health technology and telemedicine interventions in the field of cardiovascular diseases. These studies emphasize the benefits of these interventions and the challenges associated with them, and highlight the importance of coordinated communication, collaboration, and ongoing training for health personnel. Articles show that telehealth interventions can be an effective tool, especially in the management of rare diseases such as pulmonary arterial hypertension.

Telehealth interventions in the field of cardiovascular diseases is a safe and effective method, and because it is cheaper than in person consultations and can be used by more people, it is recommended to use this type of interventions for arterial and cardiovascular diseases.

Using new psychological approaches along with biological treatments is an effective measure for the psycho-social adaptation of patients; so the present study was conducted with the aim of comparing the effectiveness of metacognitive therapy and problem-solving skills on the psycho-social adaptation in patients with irritable bowel syndrome.

This study was a semi-experimental type of pre-test-post-test with a follow-up period. The current research population included all patients with irritable bowel syndrome who referred to the specialized and super-specialized center of Milad hospital in the first six months of 2021. From the target population, 45 qualified people who volunteered to participate in the research were selected by purposive sampling and randomly assigned to two experimental groups and one control group. Data collection tool was Drugatis (1986) psycho-social adjustment scale. Data analysis was done with SPSS version 22 software and variance analysis test with repeated measurement at the significance level of α=0.05.

The results showed that there was a significant difference between the experimental and control groups; And the treatment of metacognition and problem solving skills was effective in increasing the psycho-social adaptation of patients with irritable bowel syndrome and these results continued in the follow-up period (P<0.05). Also, the results of Benferroni's post hoc test indicated that there was no significant difference between the psycho-social adjustment scores in the two groups of problem solving skills and metacognition therapy (P<0.05).

Training of metacognitive therapy and problem solving skills can be used as a complementary treatment method along with medical methods for psycho-social adaptation of patients with irritable bowel syndrome.

Considering the impact of curriculum in fulfilling roles and duties, it is necessary to conduct research to identify the strengths and weaknesses of the curriculum. Comparative studies are one of the strategies to improve the quality and validation of educational systems. This study was conducted with the aim of comparative comparison of Nursing PhD in Iran and McMaster Canada.

The present study was conducted based on descriptive-comparative approach and using Bereday's model in 2023. The main components and important indicators of the desired curriculum were analyzed based on the four stages of description, interpretation, juxtaposition, and comparison.

The basis of nursing PhD in Iran and McMaster's nursing school includes education, research and thesis, but there are differences in the philosophy, mission, vision and goals, student admission, and the structure of the programs.

Iran's nursing PhD, the expectations of the graduates of this course are not clear and on the other hand, it has not responded effectively to the health needs of the society, so it is necessary to review the program and specialize this course based on the planned goals.

Nurses are the first group in the front line of facing the covid-19 pandemic, so conducting psychotherapy interventions in this occupational group can be useful. For this purpose, the present study was conducted with the aim of determining the effectiveness of acceptance and commitment therapy in resilience and mental health of nurses working in corona wards of Qazvin social security hospital in 2023.

The present study was a semi-experimental pre-test-post-test type with a control group and a follow-up period. The current research population included all the nurses working in the corona department of Qazvin social security hospital (168 people) in the first six months of 2023. 30 nurses from the target community were selected by available sampling method and were randomly assigned to two control and experimental groups. The data collection tools included Connor and Davidson (2003) resilience questionnaires and Rovan Goldberg (1972) questionnaires. The experimental group participated in 8 group therapy sessions based on the acceptance and commitment program, while the control group did not receive any intervention. In order to analyze the data, SPSS version 22 software and the analysis of variance test with repeated measurements between groups were used, observing the statistical assumptions.

The results showed that therapy training based on acceptance and commitment significantly increased the resilience and mental health of the experimental group compared to the control group. And these results have been continued during the follow-up period (P<0/05).

Improving skills using acceptance and commitment training can be considered as an effective method to increase the resilience and mental health of nurses.

This study examines the mediating role of difficulties in emotion regulation in effect of rumination on post-traumatic stress symptoms and cancer-related distress in breast cancer patients.

This is a cross-sectional study with a positivism paradigm, a quantitative approach and in the framework of a correlational design of the type of Structural equation modeling. A total of 220 women with breast cancer in Tehran completed the PCL-5 Checklist, The Ruminative Response Scale (RRS), The Impact of Event Scale, and Difficulties in Emotion Regulation Scale (DERS-16). The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software.

The model fit indices were goof, SRMR = 0.5 and NFI = 93. The results obtained from structural equation modeling show a direct and significant effect of rumination on PTSD (β=0.219; T=3.31; P<.01), rumination on emotional dysregulation (β=0.257; T=4.05; P<.001) and emotional dysregulation on distress (β=0.406; T=6.56; P<.001) and the non-significance of rumination on PTSD (β=0.098; T=1.48; P=.138) was in the framework of the conceptual model of the present study. It is worth mentioning that in the effect of rumination on emotional dysregulation PTSD, it had a partial mediating role and in the effect of rumination on distress, it had a full mediating role.

Taken together, from the obtained results, it can be concluded that the predictive effect of rumination on the symptoms of post-traumatic stress and distress in breast cancer patients will significantly increase with an increase in the level of emotional dysregulation. emotion regulation in breast cancer patients can be a protective factor in order to manage psychological problems caused by cancer.

Thalassemia is a chronic disease that poses serious clinical and psychological challenges.   It may affect the mental state of parents of children with thalassemia. Regarding that Mothers of children with thalassemia major have a lot of care responsibility, this research was done to study the effectiveness of acceptance & commitment-based method of therapy on the happiness and psychological well-being of Mothers of children with thalassemia major

The present study is a semi-experimental type of with a control and follow-up group. The statistical population of the study was the mothers of children with thalassemia major who referred to the center of special diseases in Kerman province in 1400. Samples were selected voluntarily using available sampling method that consisted of 30 people in each group. After that, treatment based on acceptance and commitment was performed on the experimental group. The control group receive routine care.  After the training, the post-test was taken separately from the two groups one day apart, and a month later, the control and intervention groups were evaluated again. The data collection tools were Ruff Psychological Wellbeing and Oxford Happiness.
 

psychological well-being of mothers of children with thalassemia major in two groups were not significantly different before the intervention. After the intervention, significant difference was seen in the intervention group. (p<0.05The effect of acceptance and commitment therapy on the happiness of mothers of children with thalassemia major", followed (p<0.05) and this effect was maintained for one month after the intervention.
 

The results showed that acceptance and commitment therapy is effective on happiness and psychological well-being of mothers of children with thalassemia major.