Advances in Nursing & Midwifery
Volume:32 Issue: 1, Spring 2023

Lack of satisfying sexual relations weakens marital relationships. The present study aimed to investigate the relationship between controlling negative thoughts and parenting stress with the marital satisfaction of parents of children with learning disabilities as influenced by the mediating role of sexual satisfaction.

The statistical population of this descriptive correlational study covered all parents of children with learning disabilities in Tehran in 2020, 212 of whom were selected as the statistical sample using convenience sampling based on the inclusion and exclusion criteria. The research instruments included the Marital Satisfaction Scale, the Thought Control Questionnaire, the Parenting Stress Questionnaire, and the Sexual Satisfaction Questionnaire. Descriptive statistics including mean and standard deviation as well as Pearson's correlation coefficient were used for data analysis. The proposed model was evaluated using structural equation modeling (SEM) via SPSS-25 and AMOS-25 software.

The results showed that the correlations between marital satisfaction and controlling negative thoughts (r = 0.33), parenting stress (r = -0.40), and sexual satisfaction (r = 0.049) were significant (P < 0.01). In addition, the correlations between sexual satisfaction and controlling negative thoughts (r = 0.60) and parenting stress (r = -0.39) were also significant (P < 0.01). The relationship between the indirect path of controlling negative thoughts with marital satisfaction via the mediating role of sexual satisfaction was significant (β = 0.32, P = 0.010). Moreover, sexual satisfaction had a mediating role in the relationships between parenting stress and marital satisfaction in the parents (β = -0.08, P = 0.044). The results indicated a good fit of the model (IFI = 0.98, CFI = 0.96, RMSEA = 0.071).

The results suggest that the proposed model had a good fit and could be considered an important step toward identifying the factors influencing the marital satisfaction of parents having children with learning disabilities.

Sleep is a physiological need that constitutes one-third of human life and is necessary for enabling individuals’ participation in daily life activities in a compatible and healthy way. Insufficient sleep or excessive sleep has been reported to be associated with many health problems such as depressive symptoms. The present study aims to examine the relationship between sleep and depression and the affecting factors in older individuals.

The design of this study is descriptive. The study was carried out with individuals aged 65 and over who were registered in FHCs providing primary health care services between June and October 2021. The sample size was calculated as 307 individuals using the sampling method with an unknown target population (confidence interval 95%, the margin of error 5%, and response distribution 28%). The Socio-Demographic Characteristics Form, The Geriatric Depression Scale-Short Form, and the Richard-Campbell Sleep Questionnaire were utilized as the data collection tools. The questions were sent to the older people online via telephone. SPSS statistical package program was used to analyze the data. Descriptive statistics, the Mann-Whitney U test, the Kruskal Wallis test, and Spearman Correlation analysis were performed.

Sleep quality was found to be low in those who had pain in a way to affect sleep and who experienced stress, sorrow, or unhappiness (P<0.05). The Geriatric Depression Scale mean scores were significantly higher in those who did not exercise regularly, who were dependent in daily life activities, and who had pain at a level to affect sleep (P<0.01). A negative, statistically significant, and weak relationship was found between depression and sleep quality (P<0.01).

This study found a negative, statistically significant, and weak relationship between depression and sleep quality. Community health nurses are recommended to consider older individuals as privileged groups within the scope of community mental health practices, determine the factors that could cause depression and insomnia, and take active roles in the implementation of the interventions to prevent these. Interventions could include teaching older individuals coping methods and providing them with support to practice these methods, enhancing symptom management in individuals who have a chronic disease, implementing practices to reduce pain, and organizing exercise programs appropriate to older individuals' conditions.

Raising children with specific learning disorders (SLDs) is a stressful experience, and one type of stress experienced by the mothers of these children is parenting stress. The present study aimed to investigate the relationship between mothers' parenting stress and spiritual well-being and the behavioral disorders of children with SLDs through the mediating role of quality of married life.

The statistical population of this descriptive-correlational study consisted of all the mothers of children with specific learning disorders (SLDs) in Shiraz (Iran) in 2022. A sample of 218 boys with SLDs and their mothers was conveniently selected. The Parenting Stress Index, the Spiritual Well-Being Scale, the Revised Dyadic Adjustment Scale, and the Child Behavior Checklist were used for data collection. The proposed model was evaluated using structural equation modeling (SEM) in SPSS and AMOS.

All the direct paths, except for the path of parenting stress to children's behavioral disorders, were significant (P<0.001). The indirect paths from parenting stress to children's behavioral disorders, mediated by the quality of married life, and the path from spiritual well-being to children's behavioral disorders, mediated by the quality of married life, were also significant (P<0.001).

Based on the results, the adjusted final model had an optimal fit and constitutes a major step towards identifying the factors affecting the behavioral disorders of children with SLDs.

Multiple sclerosis (MS) is a chronic disease that affects the central nervous system and causes numerous psychological issues in patients. The present study aimed to investigate the effect of imagery rescripting and reprocessing therapy (IRRT) on emotional processing in women with MS.

This was a quasi-experimental, pretest-posttest study with two groups (intervention and control). The statistical population comprised MS-afflicted women registered with the Tehran MS Association. Thirty women with MS were selected via convenience sampling and were placed into experimental and control groups (n=15). The intervention group received seven 90-minute sessions of imagery rescripting and reprocessing therapy, whereas the control group received no educational intervention during this period. The Emotional Processing Scale was used to collect data, and the Repeated measures ANOVA procedure was used for data analysis.

As regards emotional processing, there was a significant difference between the IRRT group and the control group (P<0.001). The results demonstrated that imagery rescripting and reprocessing improved emotional processing in MS patients, whereas the control group exhibited no significant change over time.

IRRT assists individuals in managing negative emotions. Therefore, imagery rescripting and reprocessing training is recommended to improve emotional processing in MS patients.

Nurses have a crucial position in health care, making up more than 75% of health care providers. The working environment can cause chronic stress in nurses. The present study aimed to investigate the relationship of health anxiety and mental health with psychological vulnerability mediated by perceived social support in nurses working in COVID-19 wards in Shiraz (Iran).

This descriptive-correlational study used multistage random sampling to enroll all 200 nurses of the COVID unit of the hospital in Shiraz in 2022. The research tools included the General Health Questionaire-28, the Health Anxiety Questionnaire, the Multidimensional Scale of Perceived Social Support, and the Psychological Vulnerability Scale. The proposed model was evaluated using structural equation modeling (SEM).

The results showed that the proposed model had a good fit. According to the results the direct paths from perceived social support and mental health to psychological vulnerability were significant (P<0.01). There was a positive and significant relationship between health anxiety with psychological vulnerability and perceived social support with mental health (P<0.01). The direct path from health anxiety to perceived social support was not significant.

Mental health and perceived social support effectively reduced psychological vulnerability and could help mitigate the psychological harms caused by the COVID-19 pandemic.

The demand for home care services has increased not only due to the increase in the elderly population but also due to consumer preference and technological advances that allow for the provision of sophisticated home care. Home healthcare services aim to help people improve their performance and live a more independent life, improve their well-being, and help them stay home, avoiding hospitalization. This study aimed to study the Experiences of patients with COVID-19 from home care in Qazvin City.

A qualitative study with a conventional content analysis method was used. Ten participants were selected using purposeful sampling from 5 October to 25 May 2020. In‐depth structured interviews were used to collect data. Data were analyzed by continuous comparative analysis using MAXQDA 10 software.

Data analysis on patients' experiences with COVID‐19 specified twelve mean units, eight subthemes, and four themes, including Economic, Emotional, Reliability, and Support.

All patients have common experiences in the fields of Economic, Emotional, Reliability, and Support. In future waves of COVID‐19, or a new pandemic, home care holds the potential to serve as a source of overflow care when acute care settings are overburdened and patients are discharged from acute and long‐term care settings.