جستجوی مقالات مرتبط با کلیدواژه « مهارت های مقابله » در نشریات گروه « پزشکی »

Cancer is known as one of the biggest health problems. One of the most important treatments for this disease is chemotherapy. Because chemotherapy is often time-consuming and challenging, and disabling for the patient, these patients' family caregivers are under much pressure to care for them during this period. This study aimed to investigate the effect of coping skills training on family caregivers' burden on cancer patients undergoing chemotherapy.

In this quasi-experimental study, 62 patients referred to two hospitals affiliated to Iran University of Medical Sciences were selected by convenience sampling method and were randomly divided into control and experimental groups. Data collection tools included demographic characteristics questionnaire and Caring Burden Inventory (CBI). At the beginning of the study, the demographic profile and CBI form were completed by the study participants. The experimental group caregivers were then divided into groups of 5-8 people and were given coping skills training in three sessions of 45-60 minutes. Four weeks after the intervention, the CBI questionnaire was completed again by the study participants during the return to the hospital. Data were analyzed by SPSS software version 18 using descriptive statistics (frequency, frequency percentage, mean and standard deviation) and inferential statistics (chi-square, Fisher's exact test, independent t-test, and paired t-test).

There was no statistically significant difference between the two groups participating in the study in terms of demographic characteristics (P> 0.05); Also, the mean and standard deviation of the Care burden score in the control and test group participants before the intervention were 66.37 ±17.91 and 56.83 ± 14.89, and after the intervention were 75.18 ± 9.15 and 49.30 ±12.93 was reported. According to the results of the paired t-test, these changes were significant in both groups (P <0.001). The highest rate of reduction of burden pressure in the caregivers of the experimental group was related to the developmental dimension (P <0.016).

This study's findings showed the usefulness of using coping skills training method on the burden pressure of family caregivers of cancer patients undergoing chemotherapy. Therefore, it is recommended that this useful and effective method be used to facilitate these caregivers' adaptation to the patient's condition more than before.

Sleep disturbances are one of the most important problems of nurses working in emergency departments. In numerous previous studies, the negative effect of stress on فاث sleep quality has been confirmed. Because reducing the severity of stress in nurses' workplaces, especially in the short term, may not be easily feasible, it is important to consider coping strategies with stress and its relationship to sleep disorders.

In this cross-sectional, descriptive-analytical study, 250 nurses from the emergency departments of BUMS located in South Khorasan province participated. Data were collected through the Demographic Information Questionnaire, the Pittsburgh Sleep Quality Index, and The Coping Inventory for Stressful Situations. Data were entered into SPSS software V 19. Independent t-test, one-way analysis of variance and Pearson correlation were used to analyze the data. P values lower than 0.05 were considered significant.

The mean score of nurses' sleep quality was 11.85 ± 6.44. There was a fair, inverse and significant relationship between problem-oriented strategy score and sleep quality (p = 0.001, r = 0.376) and a weak, direct and significant relationship between sleep quality score and emotion-oriented strategy. (P = 0.003, r = 0.20). Also, the relationship between sleep quality and avoidance strategy was not significant (p = 0.10, r = 0.114). Female nurses reported lower sleep quality than male nurses (P = 0.001). Also, in nurses with a job tenure of more than two years in the emergency departments, sleep quality was significantly lower than nurses with lower job experience in the emergency departments  (P = 0.003).

In programs designed to increase the quality of sleep of nurses working in emergency departments, teaching problem-solving strategies to deal with stress can be considered as an important component.

Nurses are more susceptible to stress due because of their career nature.  However, stress management is one of the components of health education. 

The aim of the present systematic review and meta-analysis was to examine the effect of teaching the stress coping skills on occupational stress in Iranian nurses.

The current study was systematic review and meta-analysis performed until the early of April 2019. By searching phrases of “job stress, stress, nursing and nurse” in Persian databases such as SID, Mag Iran, Iran Medex, Iran Doc, and English equivalents including Scopus, Pub med, Web-of-science, Proquest, and Science direct, all relevant studies were extracted by using Boolean "AND" and "OR". Google Scholar search engine was searched in both Persian and English. The methodological quality of the papers was examined using the Cochrane-risk-of-bias tool.  Data were analyzed by the random effects model and heterogeneity by I2 index using STATA 11.

Of a total of 1069 extracted studies, six studies have investigated the effect of stress coping skill training on occupational stress in nurses. The joint effect size (-1.77) indicated a reduction in the effect of interventions on stress, but the heterogeneity was very high (I2 = 3.85%). The results of meta-regression showed that none of the variables in the study such as publication year, sample size, and male to female ratio were heterogeneous.  To control heterogeneity, it reached zero (I2 = 0/00%) by the elimination of cast-away studies and the results showed that the interventions significantly reduced stress (Effect size: -0.57 (-0.81 -0.34) P< 0.001).

Regarding the effect of training the stress coping skills on mitigating stressin nurses’ job it is recommended to implement interventional educations to reduce the stress of nurses.

Aims: One of the most important problems of people involved with the war is the Post-traumatic Stress Disorder (PTSD), which is associated with unpredictable or destructive consequences for the injured person, his or her family, and the commuinity in which he or she lives. Therefore, the present study was conducted with the aim of comparing the coping and defense styles in veterans with and without PTSD.
Instrument and In this causal-comparative descriptive study, in 2016, a number of 80 men, participated in the Iran-Iraq war, were selected from Najafabad, Iran by available sampling method; 40 of them suffered from PTSD and 40 had no disorder. The research tools were Coping Strategies Questionnaire (CSQ), Defense Styles Questionnaire (DSQ), and General Health Questionnaire (GHQ). The data were analyzed by SPSS 21 software, using multivariate analysis of variance (MANOVA).
Findings: The mean scores in emotion-oriented coping style were significantly different in the two groups (p=0.006). Also, the difference between mean scores in undeveloped defensive styles were significant in both groups (p=0.028).
Veterans with PTSD use emotion-oriented coping style and undeveloped defensive styles more than their peers in the control group.

People use various ways against the stresses. Choosing a suitable confront ways can reduce the influence of stresses on individuals is mental health and lead to more compatibility. Therefore, the purpose of the current survey was to investigate the methods of opposing against job stress in military staff.
The procedure was of descriptive-analytical type, and it was implemented through questionnaires. Two types of questionnaires, job stress and coping with stressor situation, were handed in to number of 959 individuals as the sample of the research. Percentiles, frequencies, averages and standard deviations were obtained through descriptive statistics. Statistical method of T between the two samples and multi-variable regression model were used to analyze the data. All analyses were performed in SPSS package version 18.
Results showed that job stress within sample group had the best condition concerning sub-component of "role" with average of 3.79 and standard deviation of 0.86, whereas the worst condition was related to sub-component of "communication" with average of 2.77 and standard deviation of 0.84. Military staff use problem-base mode to cope with their stressors. Regression coefficients also suggested that only exciting-base mode can predict job stress.
Problem-base mode is the most used method by military in coping with stressful situations.

Nowadays identification of affecting factors on mcreasing of divorce and coping with in societyis important among couples coping with marital problems and conflict resolution. Hence the purpose of the present research is prediction of marital adjustment based on family solidarity, decision making and problem solving skills, and coping skills.
The statistical population include all married teachers of elementary schools in Karaj city in the academic year 2014-2015 that by using random cluster sampling 358 person were selected based on Morgan table. To collect information the researchers used Dyadic Adjustment Scale of Spanier (DAS, 1976), and in order to measure family Solidarity, decision-making and problem-solving skills, and coping skills they used Family Process Scale Samani (2005). The data were analyzed through Pearson correlation and stepwise regression.
The results showed that family Solidarity, decision making and problem-solving skills, and coping skills have a significant relationship with marital adjustment teachers in significant level of PAccording to research findings, it can be concluded that family solidarity, and decision making and problem solving skills have ability to predict marital adjustment. Therefore by strengthening and improvement predictor variables among husband and wife can move forward to create a more adaptive and more stabile life for couples.

Cancer is the most common childhood chronic medical illnesses that can affect quality of life of the children and their families. The aim of this study was to determine the effect of coping skills training on quality of life among parents of children with leukemia. Methods & Materials: This non-randomized clinical trial was conducted from March to June 2013. Ninety eight parents of children with leukemia who were referred to two selected hospitals affiliated to Tehran University of Medical Sciences were enrolled to study using convenience sampling method. The participants were allocated to two experimental (n=48) and control (n=50) groups. Data were collected through two questionnaires including demographic characteristics of the parents and children، and the Persian version of the Caregivers Quality Of Life index Cancer. Coping skills training including social communication skills was performed through small group discussion (5-8 members) in four 2-hours sessions for the experimental group. The questionnaires were completed four weeks after the intervention by the parents. Data were analyzed using the independent t-test، paired t-test، Fisher''s exact test and Chi-squared test in the SPSS-16. The results showed significant increase in the overall quality of life after the intervention (P<0. 001). The quality of life of parents in the experimental group was improved significantly in comparison with the control group (P=0. 045). Mental/emotional burden (P<0. 001) and lifestyle disruption (P<0. 001) decreased significantly after the intervention. The coping skills training affected the quality of life among parents of children with leukemia. Effective educational interventions may help to increase the quality of life of parents who have children with Leukemia.