نشریه پژوهش توانبخشی در پرستاری
سال پنجم شماره 4 (پیاپی 20، تابستان 1398)

Pain is one of the most common problems in patients undergoing joint replacement. Except for medicinal treatments for pain relief, non-pharmacological methods of pain control, such as Benson's relaxation, cause more compromise with pain and reduce pain, fear and anxiety, and can tolerate it for the patient. The aim of this study was to determine the effect of Benson relaxation method on postoperative pain in knee replacement in elderly patients. This clinical trial study was performed on 56 knee replacement patients referring to Milad and Shahid Beheshti Hospitals of Kashan in 2017 randomly divided into two groups of intervention (Benson relaxation technique (28 cases) and control (28 patients)), intervention group received two sessions of Benson relaxation for 3 days in addition to receiving usual care. For 30 minutes after performing each step, the pain assessment was performed in both groups the severity of pain was measured through a visual analog scale. The data were analyzed using descriptive and analytical statistics (independent t-test, Wilcoxon and Analysis of covariance) was analyzed by SPSS v.16 at a significant level less than 0.05. The results of the study showed that before intervention, the mean score of pain in the intervention group in all sessions (except for the first time) was lower than the control group. Pain score in the control group (P <0.001) was significantly higher than the intervention group It was (P <0.001). The mean of the moderated pain intensity after the removal of the effect of the pretest, the type of hospital, age and sex in the intervention group was significantly lower than the control group (P <0.001). The use of Benson's relaxation reduces pain in patients undergoing complete knee joint replacement. Therefore, the use of this technique as a non-drug method is recommended to reduce pain intensity in patients undergoing complete replacement of the knee joint.

Colorectal cancer is a progressive gastrointestinal disease that leads to the insertion of an ostomy for patients. On the other hand, the manifestations and complications caused by the insertion of the ostomy cause many physical and mental problems for the patient. The aim of this study was to investigate the relationship between body-esteem and perceived social support in patients with ostomy in the Iranian Ostomy Association. This descriptive-correlational study was performed on 350 patients with ostomy referring to the Iranian Ostomy Association in Tehran. The Convenient method was used for sampling. The data collection tool was a Body-esteem Scale and Nortous social support questionnaire. Data were analyzed by SPSS software version 16 and independent t-test, ANOVA, Pearson correlation coefficient and Tukey test. The mean and standard deviation of Body-esteem and perceived social support of patients were 42.57 ± 10.24 and 131.17 ± 15.45. According to the findings of this study, the mean score of Body-esteem and social support in patients with ostomy was moderate. There is a direct and significant relationship between social support and Body-esteem (r = 0.13, P = 0.006). Since the perception of social support has considerable effect on Body-esteem, it is recommended that nurses, by identifying high-risk groups in terms of receiving and understanding social support, continuously examine the patient's support needs and improve their level of Mental health and also by connecting patients with the community, families and groups of friends pay attention to this psychological dimension.

Lower back pain is an orthopedic disease that affects up to 80% of people throughout their lifetime. It seems that the pattern of muscular activity is related to the components of earthquake photography and should be considered when evaluating back pain and its treatment. The aim of this study was to compare the three-dimensional lower limb joints stiffness during loading response, mid stance, push off and entire of stance phase in low back pain patients and healthy control ones while walking. This study was a semi-experimental.15 men with low back pain as an experimental group (age 25.3±2.9years) and 15 healthy men as a control group (age 26±2.9 years), were volunteered to participate in the study. Four cameras with a frequency of 100 Hz were used to quantify gait kinematic and also a force plate was used to record the ground reaction force components. Independent sample t-test with significance level of 0.05 was used for statistical analysis. Hip joint stiffness during loading response in horizontal plane (P=0.029), at mid stance phase in sagittal (P=0.009) and horizontal planes (P=0.004) and also entire stance phase in sagittal (P=0.004) and horizontal (P=0.029) planes in the low back pain group, was lower than the healthy group. In the knee joint, stiffness values during mid-stance (P=0.028) and push of (P=0.011) phases in frontal plane and at entire stance phase in sagittal (P=0.000) and frontal (P=0.000) planes in experimental group were greater than that control group. In the ankle joint, stiffness value during mid-stance phase in sagittal plane (P=0.022) in experimental group was lower than that healthy control group. Due to decreased stiffness of the hip joints and increased knee and ankle joint stiffness in low back pain patients compared to healthy control ones, the design of therapeutic interactions such as athletic exercises to reinforce ankle invertor muscles, shank and thigh external rotators and abdominal muscles to improve these variables in patients with low back pain.

Hospital employees in comparing with employees of many other organizations and female employees in comparing with male employees faced with more stress and tension, which these factors causing their health loss. Therefore, the aim of present research was determine the effect of training based on acceptance and commitment on flexibility, perceived stress and resilience of female employees of hospital. This study was a semi-experimental with a pre-test and post-test design including the intervention and control groups. Research population was female employees of Ganjavian hospital of Dezful city in 2018 year, which 30 people from them selected by available sampling method and randomly with lottery divided into two equal groups (each group 15 people). The intervention group received 8 sessions of 60 minutes training based on acceptance and commitment and the control group didn’t receive any training. Research tools were including the questionnaires of flexibility, perceived stress and resilience. Data were analyzed with using the SPSS-21 software by multivariate analysis of covariance method. The intervention and control groups had a significant difference in terms of flexibility, perceived stress and resilience. In the other words, training based on acceptance and commitment led to significant improve the flexibility (F=185/405, P<0/001), resilience (F=168/688, P<0/001) and perceived stress (F=10/732, P<0/003) in female employees of hospital. The results indicated the effect of training based on acceptance and commitment on improving the flexibility, perceived stress and resilience in female employees of hospital. As a result, to promote the flexibility and resilience and to decrease the perceived stress can be used from training based on acceptance and commitment method.

Psychological well-being and life satisfaction in patients with chronic illnesses, including diabetes, which are often overlooked, clarify the need for more attention to appropriate treatment. The present study aims to assess the efficacy of admission and mental health treatments Cognitive and life satisfaction in patients with type 2 diabetes. The present study was a semi-experimental design with pretest-posttest design with control group. The statistical population included all patients with type 2 diabetes among patients referred to Taleghani Hospital in Kermanshah in year 1395 (N = 483). Based on the criteria for entering the research and diagnostic criteria DSM_IV_TR and the checklist for symptoms of mental disorders, satisfaction with Life, those who had the highest scores in the scale of mental disorders, and the lowest scores in life satisfaction scale, were selected by purposeful sampling method, 30 were selected and in 15 experimental and 15 control groups, 15 subjects were selected. The experimental group received 8 sessions of 120-minute intervention in two sessions per week. Data were analyzed using SPSS software version 20 and descriptive statistics and covariance analysis. The results showed that the difference between the mean scores of mental health indicators in both experimental and control groups in post-test and follow-up was significant (P<0.05). Also, the difference between average life satisfaction scores in post-test and follow-up test and control groups was significant (P<0.05). The results indicated that the efficacy of this approach is emerging cognitive-behavioral therapy that it seems that due to the combination of eastern techniques is suitable for Iranian patients.

Nurses as the largest group among vocations medical system face a lot of stressful situations which can put their quality of work life and general health in danger. Accordingly, the present study was carried out with the purpose of determining the relation between quality of work life and general health of nurses working in Razi Psychiatric Center in Tehran, Iran. In the current cross-sectional study the population was all nurses who were working in Razi Psychiatric Center in 2017. A total number of 339 nurses were chosen based on entrance criteria of the study. Instruments used to gathering information were personal characteristics questionnaire, a 28question of general health questionnaire (GHQ-28), and Walton’s quality of life questionnaire. The data were analyzed through SPSS 18 software package by descriptive and inferential statistics using independent sample t-test, variance analysis, and Pearson coefficient. It has been found that gender, type of employment, age, marital status, working times, exercising, and smoking don’t have a significant effect of general health and its elements and only working in a second job is negatively related to the participants physical health (P = 0.032). Also the results indicated a positive relationship between general health and quality of work life (P = 0.004). The results of current study show that there is a meaningful relationship between nurses’ general health and their quality of work life. A large number of nurses did not have suitable levels of mental health. It is crucial for medical managers and politicians to devise coherent plans to monitor nurses’ levels of general health and work life quality; besides, they need to come up with solutions to improve levels of mentioned factors

Preterm birth causes significant mental stress in women and increases the risk of postpartum depression. Appropriate interventions can prevent or reduce the complications of it. The aim of this study was to compare the effects of kangaroo care and Lullaby on PPD in women with preterm infants. In this quasi-experimental study, 90 women-infants were selected using a convenient restricted randomization, random allocation rule that was randomly divided into two intervention and one control groups. The Maternal and Neonatal Demographic Information Questionnaire and the Edinburgh Postnatal Depression Scale was used for data collection. Inclusion criteria were one month after Childbirth; score higher than 13 and no medication prescription. Kangaroo care and Lullaby were performed 30 minutes a day for one month in the intervention groups. The Edinburgh Postnatal Depression Scale was filled out by the women after one month of the interventions. Data was analyzed via SPSS software v.20 using descriptive and inferential statistics. The mean scores of depression had no statistically significant differences before the intervention in the three groups (F2.86 = 0.265, P = 0.77). The depression scores in the control and intervention groups (after the intervention) had statistically significant differences (F (70.2) = 119.29, P <0.001). Considering the differences in the scores before and after the intervention, kangaroo care was the most effective. The kangaroo care method and Lullaby reduced postpartum depression in the women with preterm infants. Therefore, considering the effects of PPD on women and newborns, their use are recommended to women in healthcare settings.

Having child with autism imposes a lot of psychological pressure on the family, especially mothers and has a negative effect on their psychological properties. As a result, this research aimed to determine the effectiveness of acceptance and commitment therapy on psychological well-being and spiritual attitude in mothers with autistic children. Present research was a semi-experimental with a pre-test and post-test design with a control group. Research population was mothers with autistic children of Gorgan township in 2017 year. From the members of the community selected 30 people by available sampling method and randomly with lottery divided into two equal group including experimental and control groups. The experimental group 8 sessions of 90 minutes trained by acceptance and commitment method. Research tools were questionnaires of psychological well-being (Ryff, 1989) and spiritual attitude (Shahidi & Farajnia, 2012). Data were analyzed by multivariate analysis of covariance method with using SPSS-22 software. The findings showed that the experimental and control groups had a significant difference in the two variables of psychological well-being and spiritual attitude. In the other words, acceptance and commitment therapy significantly increased the psychological well-being (F=57.22, P<0.001) and spiritual attitude (F=76.55, P<0.001) in mothers with autistic children. The results indicated the importance and effect of acceptance and commitment therapy on improving the psychological well-being and spiritual attitude in mothers with autistic children. Therefore, it is suggested that counselors and therapists use the acceptance and commitment therapy method to increase the psychological well-being and spiritual attitude.

Psychological health in mothers of children with autism is reduced due to many problems that they face. Therefore, they should look for methods to improve their psychological characteristics. As a result, the purpose of this research was determined the effect of positivism group training on psychological health in mothers of children with autism. This study was a quasi-experimental with a pre-test and post-test design with a control group. Research population was mothers of children with autism of Ahvaz city in the spring season of 2018 year. Research sample was 40 people that selected by available sampling method and randomly with using lottery replaced into two equal groups. Experimental group trained 8 sessions of 90 minutes by positivism method and control group placed on the waiting list for training. Research instruments were the questionnaires of Toronto alexithymia, life expectancy and psychological hardiness. Data were analyzed by multivariate analysis of covariance method. The findings showed that there was a significant difference between the groups in terms of alexithymia, life expectancy and psychological hardiness. In the other words, positivism group training led to decrease alexithymia and increase life expectancy and psychological hardiness in mothers of children with autism (P<0.001). The results indicated the importance of positivism group training on improving the alexithymia, life expectancy and psychological hardiness in mothers of children with autism. Therefore, positivism group training method can be used for interventions related to psychological health such as decreasing alexithymia and increasing life expectancy and psychological hardiness.

Skill related physical fitness is considered to be an indirect marker of health and wellbeing and reflecting the interplay and integration of systems and body function. The aim of this study was to evaluation the effect of selected exercise training on skill-related physical fitness factors in elementary school girl Students. In this semi-experimental study, 28 girl’s students from the fifth and sixth grade of elementary school in shiraz city selected and divided into training and control groups. The training group performed exercise training for six weeks, three sessions per week and 45 minutes per session. The control group had only their daily activities during this period. Before the beginning of the study, and at the end of the study, skill related physical fitness factors measured. For statistical analysis of data used ANCOVA and dependent t-test (p≤0.05). Six weeks selected exercise training was significant effect on increase of agility (p=0.005) and speed (p=0.01), however, has no significant effect on reaction (p=0.61) and power (p=0.33). It seems to that six weeks selected exercise trainings lead to improvement in some skill related physical fitness in student girls.