فصلنامه پرستاری، مامایی و پیراپزشکی
سال نهم شماره 3 (زمستان 1402)

Vaginismus disorder is the second most common sexual dysfunction in women. Therefore, a therapeutic strategy that specifically deals with the symptoms and psychological problems caused by it will be the way forward. Therefore, the present study was performed with the aim of the effectiveness of vaginismus-specific schema therapy on the fear of intimacy in women with vaginismus disorder.

This research was a semi-experimental study with a pretest, posttest and follow-up design with a control group. In the winter of the year 2022, a statistical society of women with vaginismus symptoms referred to the midwifery clinic and women's hospital of Piambaran in Tehran. Among them, 45 individuals were purposefully selected and divided into three groups, each consisting of 15 participants. Descutner & Thelen (1991) fear of intimacy questionnaire was used to measure the dependent variable. Two experiment groups were treated in 10 sessions of 90 minutes each, and the control group did not receive any intervention. The data were analysed using variance analysis of repeated measures and Bonferroni's post-hoc test in SPSS software-22.

Both vaginismus-specific schema therapy and common schema therapy affected reducing the perceived fear of intimacy in women with vaginismus disorder compared to the control group (p<0.001). According to the comparison of the difference between the averages of the two intervention groups and the control group, the vaginismus-specific schema therapy had a greater effect on the improvement of the fear of intimacy than the common schema therapy (p<0.001).

The results of the research showed that the new schema therapy package for vaginismus can reduce the fear of intimacy among women with vaginismus by identifying their problems.

Irritable bowel syndrome (IBS) is a functional disorder of the gastrointestinal tract that affects 5-30% of the world's population and is characterized by abdominal pain and changes in bowel habits. It has been shown that mood; anxiety and physical disorders are associated with different degrees of psychological distress in patients with IBS. The purpose of the present study is to compare the frequency of psychiatric symptoms of irritable bowel syndrome patients one year after diagnosis with the control group using self-assessment method.

In this descriptive-cross-sectional study, the number of 48 patients with irritable bowel syndrome (according to the Rome IV criteria) and 48 non-sufferers among those who referred to the gastroenterology clinic of Shahid Sayad Shirazi Hospital in Gorgan, with the available sampling method Selection and study were entered. Informed consent was obtained from the participants. Data were collected using checklist and SCL-90-R questionnaire. Then, using SPSS version 16 software and chi-square and Mann-Whitney tests, they were analyzed statistically.

The two groups of case and control were similar in terms of demographic variables, including age, gender, education, marital status, and place of residence (p<0.05). There was no difference between the two groups in terms of the total score and the score of the subscales of SCL-90-R (p<0.05). None of the demographic variables and psychiatric symptoms were identified as risk factors for IBS (p<0.05).

Based on the results of this study, patients with irritable bowel syndrome are similar to non-affected people in terms of psychiatric symptoms. Also, demographic variables and psychiatric symptoms are risk factors for they did not suffer from irritable bowel syndrome.

Delirium is a multifactorial phenomenon that can be influenced by demographic factors. The present study was conducted with the aim of determining the relationship between demographic and clinical components with the occurrence of delirium in patients hospitalized in the intensive care unit of hospitals affiliated to Kurdistan University of Medical Sciences.

The present study was conducted between June 2021 and August 2022 in Kurdistan province and on the number of 118 patients hospitalized in the intensive care unit who were selected by available sampling method. The evaluation of delirium between the hours of 4 and 8 in the afternoon was checked by the researcher. The patients were divided into two groups and both groups were evaluated for delirium with the CAM (ICU) tool. The data were analyzed with the help of STATA version 12 software. A significance level of P<0.05 was considered statistically significant.

Most of the patients participating in the study did not have delirium (56.78%). A significant relationship was observed between marital status, education level and the reason for hospitalization with delirium (p<0.05). Also, body temperature, blood pressure and heart rate had a statistically significant relationship with the occurrence of delirium (p<0.001).

Because the core of delirium management protocols is based on prevention and diagnosis, evaluation and compilation of the accurate history of patients in the form of demographic components can play a significant role in the prevention and management of delirium.

Caregivers of cancer patients play an important role in the admission and treatment process. Sometimes caregivers suffer from mental and physical problems that can have a negative impact on the treatment and recovery process of cancer patients. The aim of this study is to investigate the rate of major depression in caregivers of breast cancer patients undergoing chemotherapy referred to 5 Azar Hospital in 2021.

In this cross-sectional study, caregivers of breast cancer patients undergoing chemotherapy referred to the clinic and oncology department of 5 Azar Hospital in Gorgan in 2021 were examined. A number of 127 caregivers were selected based on the inclusion criteria. after obtaining a written consent form from the caregivers, the Beck depression questionnaire (BDI-II) and the demographic information checklist were completed. Data were measured with SPSS23 statistical software and frequency tests (number-percentage), chi-score and Fisher's exact test. The significance level was 0.05.

61.4% of caregivers were female and 56.7% of them were over 35 years old (middle age). 69.3% were married, 81.1% were from Fars, and 56.7% had university education. 16.5% mothers, 52.8% children and 30.7% husbands were sick. Out of 46.5% caregivers, 9.4% had mild depression, 25.2% had moderate depression, and 11.8% had severe depression. There was no significant relationship between depression and age, gender, and education level.

The level of depression among the studied subjects was significant, but the level of depression of the patients' caregivers had no significant relationship with their gender, age, education and ethnicity.

The postpartum period is accompanied by rapid physiological changes that expose mothers to sleep pattern disturbances and threaten the health of mothers and their infants. In order to maintain and improve mental health and sleep quality in this era, it is necessary to empower mothers with a suitable model. Therefore, the present study was conducted to investigate and compare the effects of family-centered and individual-centered empowerment programs on the sleep quality and mental health of primiparous women in the postpartum period.

This randomized clinical trial study was conducted on two groups, from late 2019 to June 2020. After sampling using the convenience method, 86 women were randomly assigned to either the family-centered or individual-centered group. The research tools included a demographic information questionnaire, a questionnaire on personal and environmental factors affecting fatigue and sleep, the Pittsburgh Sleep Quality Index, and the General Health Questionnaire. In the family-centered group, the empowerment program was implemented based on the four-stage model of perceived threat, self-efficacy enhancement, self-esteem, and assessment of quality of life components for primiparous mothers in the postpartum period, along with their spouse and infant. However, in the individual-centered group, the mothers were the only ones undergoing the intervention. In the three stages prior to the intervention and one month after the intervention, sleep quality and mental health questionnaires were completed by the research units. Finally, the data were analyzed using descriptive and analytical statistical tests, including the Mann-Whitney, Friedman, Wilcoxon, and Smirnov-Kolmogorov tests, using SPSS-21 software due to the non-normal distribution of the data.

The results of the study showed that the sleep quality score and mental health score of primiparous women after delivery in the two family-centered and individual-centered empowerment groups did not show any significant statistical differences before and immediately after the intervention(P>0.05). However, one month after the intervention, in the family-centered group, both research variables had significantly improved (P<0.05).

Postpartum empowerment of primparous women using family-centered and individual-centered patterns lead to improvements in their sleep quality and mental health. Empowerment with family support plays a more effective role. Therefore, empowerment programs should be implemented with the support of spouses and key family members during pregnancy and continued in postpartum care

Violence against women is related to a chain of health issues and affects women's health behaviors and ability to seek any type of health care. The purpose of this study is to determine the relationship between domestic violence and health-promoting behaviors in women.

This cross-sectional study was conducted on 380 abused women who referred to Karaj health centers in 2020 with cluster sampling method. Data were collected using the standardized and localized questionnaires of the World Health Organization on domestic violence and health-promoting behaviors, and data analysis was performed using SPSS version 24 software.

The results of the Spearman correlation test showed that the total score of health-promoting behaviors has a negative and significant relationship with the total score of domestic violence (r=0.16), mental violence (r=0.16), and sexual violence (r=0.13). The regression results showed that different dimensions of domestic violence together can predict 2% of the total score of health promoting behaviors (R=0.17, R2adj=0.02).

violence can affect women's health behaviors and prevention of violence can be an important step in the development of women's health and of course the health of the whole society.

Adolescence is the period of formation of personality structure and all the main characteristics of personality, career tendencies and work values are formed in this period. Therefore, this research was conducted with the aim of investigating the effect of reality therapy on aggression, psychological flexibility and self-efficacy of career decision-making in adolescent girls.

The research method was semi-experimental with a pre-test-post-test design with a control group. The research population included all adolescent girls in Yazd city who were studying in the second secondary level in the academic year of 1401-1402, and from these, 2 groups of 16 people were selected by cluster sampling and randomly divided into two intervention groups and a control group. and responded to Bass and Perry aggression questionnaire (1978), psychological flexibility questionnaire by Hayes (2000) and Betz and Taylor self-efficacy questionnaire (1983) in two stages of pre-test and post-test. The subjects of the experimental group underwent group face reality therapy for 1 session of 60 minutes per week for 2 months, but no training was given to the control group during this period. The data were statistically analyzed using multivariate and univariate analysis of covariance with a significance level of p<0.05 and using SPSS version 23 software.

The survey results showed; In the variable of aggression, there is a significant difference between the significance of the reality therapy approach and the control group (p < 0.003), but in the variable of psychological flexibility, no significant difference was seen between the mean of the control group and reality therapy intervention, and between the reality therapy approach and the control group in the variable of job self-efficacy. There was a significant difference (p < 0.01).

Therefore, according to the nature of skills training, reality therapy has been effective on aggression and career decision-making self-efficacy of adolescent girls, and the results of this research can be used to improve aggression in adolescents with identity crisis.

One of the most important aspects of nurses' performance is their adherence to the principles of professional ethics, which can affect the spiritual health of nurses. This study was conducted with the aim of determining the relationship between professional ethics and spiritual health of Iranian nurses.

This correlational study was carried out on 250 nurses working in medical and educational centers affiliated to Hamadan University of Medical Sciences, Hamadan, Iran, in 2018 using stratifies random sampling technique. Data collection tools were a demographic form, a performance measurement scale based on nursing professional ethics, and Paloutzian and Ellison’s Spiritual Well-being Scale. The validity and reliability of the questionnaires were confirmed. Descriptive statistics including mean, standard deviation, relative frequency, Pearson correlation coefficient and structural equation modeling (SEM) technique were used to analyze the data.

The results showed that the mean age of the participants was 23.2±7.8 years.The mean scores of spiritual wellbeing and professional ethics were measured as 69.69±10.28 and 180.89±19.47, respectively. The findings of the present study indicated a significant relationship between the mean scores of spiritual wellbeing and professional ethics (r=0.478; P<0.001). Moreover, professional ethics showed a significant correlation with the dimensions of spiritual wellbeing (r=0.398) and existential health (r=0.302; P<0.001).

According to the results of this study, there was a statistically direct relationship between spiritual well-being and professional ethics. On this basis, it is necessary to pay attention to these variables in the community of nurses.