seyed hamzeh seddigh
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هدف
هدف پژوهش حاضر بررسی تعیین میزان اثربخشی تمرینات یوگا بر کاهش استرس ادراک شده و تاب آوری سازمانی در پرستاران مرتبط با کووید-19 بود.
روش هامطالعه به صورت کارآزمایی بالینی انجام شد. جامعه آماری شامل پرستاران مرتبط با بخش کووید-19 بیمارستان شهید محمدی بندرعباس بود. پس از دریافت گواهی و کد اخلاق از کمیته اخلاق دانشگاه علوم پزشکی هرمزگان از پرستاران مربوطه به صورت داوطلبانه تست استرس ادراک شده (PSS-14) گرفته شد. همچنین برای سنجش تاب آوری سازمانی قبل از مداخله از پرسش نامه استاندارد شده تاب آوری سازمانی کانر و دیویدسون استفاده شد. بعد از مداخله هم اطلاعات ثبت شد. داده ها با استفاده از نرم افزار SPSS نسخه 20 و توسط آزمون های پارامتری تی با 2 نمونه مستقل، کای اسکوئر و آنالیز واریانس یک طرفه مورد بررسی قرار گرفتند. سطح معناداری آزمون ها 0/05 بود.
یافته هانتایج مطالعه نشان داد در گروه آزمایش میانگین نمره افسردگی، اضطراب و استرس بعد از تمیرینات یوگا بهبود یافت که نسبت به گروه غیر مداخله نمره آزمون استرس بیشتر کاهش یافت. همچنین در این مطالعه مشخص شد بین تاب آوری و اضطراب با کووید-19 رابطه منفی ضعیف، اما معناداری وجود داشت.
نتیجه گیریدر پایان شرکت کنندگان طیف وسیعی از مزایا را شرح دادند، از جمله سلامت جسمانی، تنظیم استرس، پیدا کردن یک استراتژی شخصی، حس آرامش، تمرکز بر «خود» و «آگاهی از بدن» که این امر نشان می دهد با افزایش تاب آوری در افراد با استفاده از یوگا ، سطح استرس آن ها کاهش می یابد.
کلید واژگان: یوگا, ویروس کرونا, استرس ادراک شده, تاب آوری سازمانیObjectiveThis study aims to determine the effectiveness of yoga exercises in reducing perceived stress and improving the organizational resilience of nurses during the COVID-19 pandemic.
MethodsThis is a controlled randomized controlled trial. The study population consists of all nurses from the corona ward at Shahid Mohammadi Hospital in Bandar Abbas, southern Iran. Participants were 22 eligible nurses with the highest perceived stress scale (PSS) score who were randomly assigned to two groups of intervention (n=11) and control (n=11). The Connor-Davidson resilience scale was used to measure their organizational resilience before and after the intervention. Statistical analyses, including one-way analysis of variance and chi-square test, were conducted in SPSS software, version 20. The significance level was set at 0.05.
ResultsIn the intervention group, the mean PSS score decreased and organizational resilience improved compared to the control group after yoga exercises. The difference between pre-test and post-test scores were significant (P<0.05).
ConclusionA four-week yoga intervention can significantly reduce perceived stress and improve the resilience in nurses. As an accessible and low-cost intervention, yoga can help improve the mental health of nurses and potentially increase the overall quality of health care.
Keywords: Yoga, Coronavirus, Perceived Stress, Organizational Resilience -
Background
The present research was conducted with the aim to predict suicidality in patients attempting suicide based on narrative psychology findings.
MethodsThe present qualitative study is a descriptive phenomenology research done to clarify and analyze the experiences of patients who had attempted suicide in 2020. The statistical population included all male and female patients hospitalized in all medical centers of Tehran, Iran, due to suicide attempt. The objective-oriented method was used for sampling. The semi-structured interview (in an individual and face-to-face manner) was selected as the central approach to data collection.
ResultsAfter interviewing 13 individuals, the different elements related to the research goal were extracted. By analyzing the object-relational data of the research, the 3 elements of traditional gender patterns (patriarchy, dogmatism, and domestic violence), deprivation, and labeling were extracted.
ConclusionIt can be concluded that traditional gender patterns (patriarchy, dogmatism, and domestic violence), deprivation, and labeling were the most prevalent reasons for suicide in these patients. Therefore, suicide can be reduced in society through interventions and provision of appropriate educational programs according to the culture of each district.
Keywords: Suicide, Psychiatry, Narrative Psychology, Qualitative -
Background
Major depressive disorder (MDD) generally occurs together with depression in patients with no history of manic, mixed, or hypomanic episodes. The suicidal ideation in MDD patients is very common and can potentially be considered an emergency circumstance in many cases. Among the developed drugs and medicines, ketamine (KET) is a potential option to treat patients with MDD. This study aims at investigating the effect of KET on the treatment of suicidal ideation and the reduction of the intensity of symptoms in patients suffering from MDD.
Materials and MethodsThis randomized double-blind clinical trial was performed on 30 patients who suffered from MDD and had suicidal ideation at Ibn Sina Hospital, Bandar Abbas, Iran, during 2016-2017. The patients were divided into two groups: the KET group which received 0.5 mg/kg of intravenous (IV) KET diluted in 500 mL of normal saline over 30 minutes and the control group which received 500 mL of normal saline without KET over 30 minutes.
ResultsAccording to the statistical analysis, 24 hours after the intervention, suicidal ideation score reached 2.53 and 20.6 in the KET and control groups, respectively. In fact, KET caused a significant reduction in the score of the suicidal ideation (SSI) (SSI<4) in comparison with the control group (P<0.001).
ConclusionIt was observed that KET can play a key role in the treatment of depression disorders, especially severe and life-threatening forms that require immediate intervention, such as the use of electroconvulsive therapy.
Keywords: Depressive disorder, Ketamine, Suicidal ideation, Injection, Double-blind study -
مقدمه
بیماری سرطان می تواند با ایجاد تغییرات بدنی زمینه ساز شرم بدنی در بیماران شود که نیاز است این وضعیت مورد پژوهش قرار بگیرد. بنابراین پژوهش حاضر باهدف بررسی مدل روابط ساختاری ذهن آگاهی و خودشفقتی با شرم بدنی از طریق قدردانی از بدن در بیماران سرطانی انجام شد.
روش کارروش پژوهش توصیفی و از نوع همبستگی بود. جامعه آماری این پژوهش کلیه بیماران مبتلابه سرطان و مراجعه کننده به کلینیک های درمانی شهر بندرعباس در سال 1401 بودند که 200 نفر به صورت نمونه گیری هدفمند انتخاب شدند. ابزارهای به کار گرفته شده، مقیاس شرم از تصویر بدن (BISS)، پرسشنامه مهارت های ذهن آگاهی کنتاکی (KIMS)، مقیاس شفقت خود (SCS) و مقیاس قدردانی از بدن (BAS) بود. داده ها از طریق مدل سازی معادلات ساختاری و نرم افزارهای SPSS-26 و Amos-23تحلیل شدند.
یافته هانتایج نشان داد که بین قدردانی از بدن با میزان 0/426- با شرم بدنی رابطه وجود دارد. ذهن آگاهی و خودشفقتی به ترتیب با میزان 0/481 و 453/ 0 با قدردانی از بدن رابطه دارند. همچنین نتایج نشان داد که ذهن آگاهی و خودشفقتی به صورت مستقیم با میزان 0/276- و 0/411- و به صورت غیرمستقیم با میزان 0/205- و 0/193- با شرم بدنی رابطه دارند.
نتیجه گیریبا توجه به یافته های این پژوهش، می توان نتیجه گرفت که ذهن آگاهی و خودشفقتی می توانند با افزایش قدردانی از بدن در بیماران مبتلا به سرطان باعث کاهش شرم بدنی در آنان شوند. بنابراین یافته های به دست آمده اهمیت مداخلات مبتنی بر ذهن آگاهی و خودشفقتی را برای بهبود شرم بدنی در بیماران مبتلا به سررطان برجسته می سازد.
کلید واژگان: شرم بدنی, ذهن آگاهی, خودشفقتی, قدردانی از بدن, سرطانIntroductionCancer disease can cause body shame in patients by causing physical changes, which needs to be researched. Therefore, the present study was done aimed to investigate the structural relationship model of mindfulness and self-compassion with body shame through body appreciation in cancer patients.
MethodsThe research method was descriptive and correlational. The statistical population included all cancer patients who referred to the treatment clinics of Bandar Abbas city in 2022 that 200 patients were selected by purposive sampling. Body Image Shame Scale (BISS), Kentucky Inventory of Mindfulness Skills (KIMS), Self-Compassion Scale (SCS) and Body Appreciation Scale (BAS) were used for gathering data. Data were analyzed through structural equations modeling and SPSS-26 and Amos-23 software.
ResultsThe results showed that there is a relationship between body appreciation and body shame with a rate of -0.426. There is a relationship between mindfulness and self-compassion with body appreciation with 0.481 and 0.453, respectively. Also, the results showed that there is a direct relationship between mindfulness and self-compassion with the rate of -0.276 and -0.411 and indirectly with the rate of -0.205 and -0.193 with body shame.
ConclusionAccording to the findings of this research, it can be concluded that mindfulness and self-compassion can reduce body shame in cancer patients by increasing body appreciation. Therefore, the obtained findings highlight the importance of interventions based on mindfulness and self-compassion to improve body shame in cancer patients.
Keywords: body shame, mindfulness, self-compassion, body appreciation, cancer -
Background
Coronary artery disease (CAD) is the most common type of cardiovascular disease (CVD) and has a high mortality and morbidity rate. Smoking is one of its important risk factors. The time perspective is the basic cognitive process by which individuals perceive, interpret, and interact with their environment and describes the impact of attention on the past, present, and future. It was hypothesized that this cognitive process can have an effect on decisions to use or quit smoking. Thus, this study evaluated the relationship between smoking cessation and time perspective.
Materials and MethodsOverall, 170 patients who were hospitalized with the diagnosis of CAD in Bandar Abbas Shahid Mohammadi hospital were selected for inclusion in this cross-sectional descriptive study. They all had a history of smoking. The subjects were divided into two groups of smokers and previous smokers (smoking cessation at least 3 months ago). Finally, Zimbardo Time Perspective Inventory was used to evaluate the time perspective.
ResultsIn general, 170 patients were surveyed, including 151 males and 19 females. Based on the results, 140 people were smokers and 30 had quit smoking. Those quitting smoking received higher scores on past-positive and future time perspectives (P < 0.05). Patients who were smokers had higher scores in the present-hedonistic, present-fatalistic, and future transcendent perspectives, but they were not statistically significant.
ConclusionAlthough previous evidence confirmed a positive relationship between present time perspective and risky behaviors, our findings failed to prove it. However, people with future time perspectives had less tendency to drug addiction and smoking.
Keywords: Time perspective, Coronary artery disease, Smoking -
Background
Social media can be powerful tools to influence high-risk behaviors. This study aimed to evaluate tobacco-related images on Instagram’s Persian-language pages and their audience attraction rates.
Materials and MethodsThis cross-sectional study included 1870 Instagram posts with cigar, cigarette, e-cigarette, tobacco, vape, and shisha/waterpipe/hookah hashtags. The number of likes and comments for these posts were recorded, and the image type, the attitude of the audience, and the type of caption were noted as well.
ResultsIn general, 500 images (26.7%) had #cigar/cigarette, while 30 (1.6%), 470 (25.1%), 650 (34.8%), 70 (3.7%), and 150 (8%) images had #e-cigarette, #shisha/#waterpipe/#hookah, # tobacco, #juice, and #vape hashtags, respectively. The most common type of image was product images (52.4%). The audience’s attitude towards the images was mostly positive (93.2%). In addition, the most common caption type was sales (76.5%). There was a significant correlation between the number of likes and comments with image hashtags, audience attitude, and caption type. The highest number of likes and comments belonged to images with shisha/waterpipe/hookah hashtags and a positive audience attitude. The sales caption type had the highest number of likes, while the encouragement caption type had the highest number of comments. Eventually, text image types had the highest number of comments.
ConclusionGiven the high promotion of tobacco-related posts on Instagram, policymakers should take the necessary measures to reduce the volume of tobacco advertisements.
Keywords: Instagram, Tobacco, Smoking, Cigarette, Hookah -
Background
Human choices and decisions are highly affected by some psychological and personality traits. These psychological characteristics may also be related to the choice of delivery type. Therefore, the present study aimed to investigate the relationship between personality dimensions and choice of delivery type (cesarean section or normal) in pregnant women referred to Abolfazl hospital in Minab county, Iran, in 2018.
Materials and MethodsThis is a cross-sectional descriptive study. The statistical population consisted of all pregnant women referred to Abolfazl medical center in 2008 in Minab, 118 of whom were selected by convenience sampling. The NEO Five-Factor Inventory (NEO-FFI) was used to collect the data.
ResultsThere was a significant difference in the choice of delivery type (normal and cesarean section) in pregnant women with extraversion and conscientiousness personality traits (P value <0.05). The mean extraversion and conscientiousness scores were higher in patients who tended to have a vaginal delivery than in those who had chosen cesarean section.
ConclusionThe results of the present study show that personality traits can determine the type of delivery by creating specific moods; therefore, considering the high level of complications of cesarean section (CS) and high CS rate in Iran, we can change people’s attitudes and play a role in reducing the number of CSs through long-term training.
Keywords: Type of delivery, Personality traits, Cesarean section, Neo FFI, Normal delivery
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