جستجوی مقالات مرتبط با کلیدواژه « انسجام » در نشریات گروه « پزشکی »

Since traumatic spinal cord injury involves both the body and mind, in addition to pharmacological and physiological interventions, psychological interventions should also be considered in the management of the problems of this group of patients. The present study was conducted with the aim of determining the effectiveness of group narrative therapy on the mental coherence of patients with traumatic spinal cord injuries.

This clinical trial study was conducted on 32 patients with traumatic spinal cord injury referred to Tabriz welfare counseling center. For the first time, the samples were selected by convenience sampling method and were randomly divided into experimental and control groups. The patients in the experimental group received the group narrative therapy in 8 sessions of 90 minutes. The Flensburg sense of coherence questionnaire was completed before and immediately after the intervention sessions in both groups. Data were analyzed by ANOVA with repeated measures.

The mean age of the patients in the experimental group was 45.69±12.53 and in the control group, it was 44.63±12.98 years. In the pre-test, there was no significant difference between the mean mental coherence score of patients in the experimental group (73.06±14.62) and the control group (78.56±10.10) (p>0.05). After the group narrative therapy, the mean mental coherence score of the patients was significantly different between the experimental (88.69±4.60) and control (82.25±9.98) groups.

Group narrative therapy can increase the mental coherence of patients with traumatic spinal cord injuries. Therefore, it seems that psychiatric nurses can use this method as a suitable intervention in improving the mental coherence in this group of patients.

Infertility as a stressful event is associated with several psychological problems which require psychological interventions. The present study aimed to determine the effectiveness of acceptance and commitment-based treatment on distress tolerance and psychological cohesion in infertile women in Mashhad.

This quasi-experimental study was conducted based on a pretest-posttest control group design with a follow-up period. The statistical population included all infertile women referring to Montesseri infertility clinic in Mashhad during winter 2018. A total of 30 subjects were selected via convenience sampling and randomly assigned to two groups of experimental and control. The Acceptance and Commitment Therapy was administered to the experimental group during eight 60-min sessions over eight weeks, while the control group received no training. Antonovski Psychological Cohesion Scale and Distress Tolerance Scale by Simons & Gaher were used before and after the intervention to collect information. Data were analyzed in SPSS software (version 22) using repeated measures analysis of variance test at the significance level of α=0.05.

The results demonstrated that the acceptance and commitment-based therapy was effective in the improvement of distress tolerance and sense of coherence in infertile women (P<0.05), and the results persisted in the follow-up period (P<0.05).

As evidenced by the obtained results, acceptance and commitment therapy can be used to reduce psychological problems and promote psychological cohesion and distress tolerance among infertile women.

Triangulation is a term referring to the coalition of a child or a third party with one parent against the other parent.

The aim of the present study was to anticipate triangulation based on the dimensions of family adaptability, coherence, personality characteristics of oneself and the spouse, as well as the emotional experiences of the spouse among married women of Isfahan. 

The research was conducted in a descriptive-correlational method, and the population of the study included married women from Isfahan in 2019. The sample of the study were 220 Isfahanian married women who were selected by availability sampling. The research instruments were FACES-IV coherence and family adoption questionnaire (Olson et al., 2006), triangulation (Bahrami & Yousefy, 2017), Five-Factor Model (FFM) on the recognition of the spouse (Shah Mohammadi & Yousefy, 2017), and emotional experience with spouse (Ghafrolahi and Yousefy, 2018). The data collected were analyzed through SPSS-22 software.

The results of the regression analysis revealed a meaningful correlation between triangulation and negative emotions (35.016), unrestrained cohesion (0.138), spouse conscience (0.327), strict adaptability (-0.587), female neurosis (0.607), positive emotions (-0.528), irregular adaptation (-0.248).

The results of the present study could be applied to identify triangulation in couples counseling and accordingly employ either prevention or intervention methods.

Physical and mental fatigue leads to weakening of the performance of tasks of staff, high annual economic costs, and chronic medical conditions. The aim of this study was to determine the relationship between breakdown of family cohesion and incidence of physical and mental fatigue of family members.
This study conducted with a descriptive and survey design. Data were collected from 100 families (100 male and 100 female) of Yazd province police, Iran in 2014. Families were selected by using multi-phase cluster random sampling. Instruments of data gathering were Fatigue Scale (FS) and Family Cohesion Evaluation Scale (FCES). Data were analyzed by using multivariate analysis of variance (MANOVA).
Prevalence rate of breakdown of family cohesion was 32% and prevalence rate of general fatigue (physical and mental) among families was 42%. There was a significant relationship between families with four levels of cohesion; disengaged, separate, connected and enmeshed regarding general fatigue (p Deficiency of family cohesion is one of the main risk factors concerning incidence of fatigue among family members. Individuals with different levels of family cohesion have different levels of physical and mental fatigue. Therefore, social and behavioral interventions to strengthen the cohesion of the family of police seem necessary.

Children with specific language impairment have shown specific defects in story coherence. The present study investigated story coherence in Persian speaking children with specific language impairment and normal development.
This study is cross-sectional. Samples are 50 children with normal development and 10 children with specific language impairment. Children with language impairment had normal hearing, nonverbal IQ, and emotional status. Their language impairment detected by test of language development. Single-episode story (A1) and three-episode story (A3) were elicited and transcripted by using of Persian Narrative Norms Instrument. The story scored based on coherence elements. In both transcription and scoring stages, the percent agreement between inter-rater were calculated. To compare scores of the stories and episodes between two groups of children, Independent t-test and Mann-whitney test were applied.
In children with normal development, percent agreement in transcription obtained 100%.Percent agreement of scoring in "A1" and "A3" respectively were 96% and 94.51%. The mean of scores of both "A1" and "A3" story were significantly different (p=0.00) between two groups. Two groups were also significantly different (p=0.00) in different episodes of "A3" story.
Children with specific language impairment has score lower than children with normal development in Coherence.

Aim. The present study aims to determine the relationship between family performance indices (cohesion, expressiveness, and conflict) and the risk of myocardial infraction.
Background. Cardiovascular diseases, especially myocardial infraction, is the first factor of fatality in the world and also in Iran. The etiology of myocardial infraction is a very complicated. One of the risk factors overlooked in the studies associated with the etiology of cardiovascular disorders is family and performance indices of the family.
Method. The present research was conducted by a case-control cross-sectional design. The data were collected from two groups, a group of 50 patients with myocardial infraction symptoms (case group) referring to Heshmat Specialized Hospital for Cardiology in Rasht and Tehran Specialized Heart Center, and a group of 50 healthy persons (control group) with no symptoms of myocardial infraction. The data gathering tool included Family Relationships Index. The data were analyzed by SPSS version 16 using MANOVA method.
Findings. There was a statistically significant difference between case and control groups in terms of control variables: history of myocardial infarction, education, history of smoking, history of cholesterol and hypertension (pConclusion. Deficiency in family performance indices, including cohesion, and conflict in family relationships, are among the main risk factors of myocardial infarction. Therefore, it is necessary to prepare and implement social, behavioral and educational interventions in order to prevent negative effects of inadequacies in family performance indices.

Nurses are expected to empower their clients, but they cannot do it if they feel powerlessness. World Health Assembly has recommended its member to design some programs for strengthening and promoting their nurses. The empowerment process has usually been described from an organizational starting point. In the present study, empowerment is approached from the individual nurse’s point of view. This study was achieved in nurses working in Shaheed Beheshti, Tehran and Iran Medical Science universities in 1381-82. We chose the grounded theory approach for analysis the participants’ experience and their viewpoints regarding the concept of professional power in nursing. Purposeful sampling and semi-structured interviews and observation methods used for data gathering. Constant comparative analysis method used to analyze the data. Data gathering did continue till the data saturation occurred. The study population included 27 females and 11 males with the mean age of 40.8±8.3 years and mean period of employment of 19.3 ± 8.1 years. Five categories emerged including application of knowledge and skills, having authority, self-confidence, being supported, and unification. Empowerment is a multi dimensional process that is affected by personal and environmental factors. It seems that the emerged categories could use for developing an empowerment model for nurses. An experimental study is suggested for testing the results of this research.