جستجوی مقالات مرتبط با کلیدواژه « Family-centered » در نشریات گروه « پزشکی »

Family therapy is an intervention that focuses on changing interactions between family members and tries to improve the functioning of the family as a unit consisting of individual family members. Therefore, the challenges of family therapy can exist in various cases, including relationships within the family, mental health of people, financial problems, and issues caused by lifestyle and family order. The aim of the current research is to analyze and summarize the studies that we have done in the field of dealing with various challenges of family therapy. The method of the present research was conducted as an integrated background review method, in this way, the library method and systematic review plan were used. The statistical population of this research was all scientific sources and articles in the following domestic and foreign databases with keywords related to the challenges of family therapy, 86 cases were identified as the statistical population, of which 28 documents were based on the sampling method. They were selected based on the purpose of entry and exit criteria. The search was carried out in Normagz, Mag Iran, Ensani, Jihad University Scientific Center, Science Direct, PubMed and Scopus databases in the period of 1378-1400 (2000-2022) and the keywords included family therapy. family-oriented, Iranian family and challenges. A total of 28 studies that met the necessary criteria were included in the analysis. According to the studied samples, the results were classified and analyzed in four categories: 1. Cultural challenges 2. The challenge of family-therapist identity: an identity beyond from the framework of the treatment room, 3. educational challenges and 4. the challenge of forming a therapeutic alliance. The most noteworthy point from the surveys inside and outside of Iran was mostly in the choice of research topic and method. The focus of research in Iran was on the cultural-religious concerns and mainly by analyzing the content of existing texts. While the subject range and methodology in researches outside Iran were wider and directly in the context of family meetings. It is recommended that researchers conduct similar studies relying on the opinions and direct experiences of experts.

The limitations and challenges faced by children with Down syndrome are primarily attributed to their cognitive abilities. A comprehensive review of the available evidence indicates that timely family-centered interventions are the most effective approach to addressing these issues.

The objective of this study is to evaluate the impact of a family-centered sensory motor empowerment program on the intellectual capacity of students diagnosed with Down syndrome.

The research method employed in this study was semi-experimental, utilizing a pretest-posttest design with a control group. The population of interest was all students diagnosed with Down syndrome in Kashan city during the 2021-2022 academic year. A convenience sampling method was used to select 30 participants, aged between 8 and 12 years, who were assigned to either the experimental or control group. The experimental group underwent an intervention consisting of 11 weekly sessions, with each session lasting for 2 hours. The Wechsler Intelligence Scale for Children (2003) was used as the primary assessment tool. The data were analyzed using IBM SPSS Statistics 26.0 and MANCOVA was employed as the statistical analysis technique.

Based on the results, the family-centered sensory motor empowerment program demonstrated a statistically significant increase in the total intellectual capacity score (P<0.01), as well as in subscales of verbal comprehension (P<0.03), working memory (P<0.01), and processing speed (P<0.01). However, the program had no significant impact on the perceptual reasoning subscale (P>0.30).

In conclusion, the findings suggest that the family-centered sensory motor empowerment program can enhance the intellectual capacity of children with Down syndrome by strengthening their sensory and motor abilities, as well as improving their relationships with family members. Therefore, this intervention can be recommended as a viable approach to increasing the intellectual capacity in this population.

Given the progression and high prevalence of diabetes in the world, some factors, such as self-efficacy and self-esteem, are among the important issues in disease management. The present study aimed to compare the effects of family-centered and patient-centered education on the self-efficacy and self-esteem of patients with type II diabetes.

This quasi-experimental study was performed on 84 patients with type 2 diabetes. Diabetes Management Self-Efficacy Scale (DMSES) and Coopersmith self-esteem inventory were used for data collection. Participants were randomly assigned to two groups receiving family-centered or patient-centered education in seven 45-minute training sessions. One month after the end of the intervention, the questionnaires were completed and the data were analyzed using Chi-square, as well as paired and independent t-tests in SPSS software (version 20).

Participants did not differ significantly in mean self-efficacy and self-esteem scores before the intervention (P> 0.05). After the intervention, although the mean score of these two variables had increased in both groups, the increase was significantly higher in the family-centered group, as compared to that in the patient-centered group (P<0.001).

As evidenced by the obtained results, family-centered education is more effective than patient-centered education in the enhancement of self-efficacy and self-esteem of diabetic patients. In this regard, it is suggested that family-centered education be considered in other areas of diabetes

Implanting a permanent pacemaker (inserting an electronic device into the heart) is an important event in a patientschr('39') life that affects their body image and impairs their socio-psychological adaptation and quality of life. Moreover, it can cause concern in their families due to the lack of knowledge about the disease, patientchr('39')s needs, and patient care. Accordingly, the provision of effective patient care would be affected, so that as a vicious cycle, this can lead to poor quality of life in these patients. Considering these concerns, it is necessary to examine the educational needs and provide educational support for the patients and their families. The present study aimed to determine the effect of family-centered educational support on the quality of life in patients with permanent cardiac pacemaker who were referred to Seyed-al-Shohada Hospital in 2019-2020.

In this quasi-experimental study, a total of 80 patients with permanent cardiac pacemaker were randomly assigned into two groups of intervention and control. The intervention group received family-centered educational-supportive interventions in two main steps. The control group received only routine training. Data were collected using a demographic characteristic questionnaire and the MacNew Heart Disease Health-related Quality of Life Questionnaire, and entered into SPSS Statistics for Windows, version 16.0 (SPSS Inc., Chicago, Ill., USA). Data were analyzed using the χ2 test, studentchr('39')s t-test, and repeated measures ANOVA. A p-value of less than 0.05 was anticipated for rejecting the null hypothesis.

The results of repeated measures ANOVA showed a statistically significant difference in the mean score of quality of life and its dimensions (physical, emotional and social performance) between the intervention and the control group during five measurements (P ≤0.0001). Based on the comparison of the mean scores between the two groups, it was found that the mean score of quality of life and its dimensions increased in the intervention group during the measurement intervals which has led to the significance of these differences between the two groups.

Based on the results of the present study, it is concluded that the implementation of family-centered educational support is effective in improving the quality of life in patients with permanent cardiac pacemaker.

Chronic renal failure is an advanced and irreversible impairment of renal function, which affects 2 to 3 percent of the world's population today. The number of patients with kidney transplant failure is estimated to be about 25,000, according to a report from the Center for the Transplantation of Specific Diseases. Annually, about 4,000 new patients are added to this population, with dialysis as the most commonly used treatment. Nearly 50% of these kidney patients are hemodialysis patients in Iran.Hemodialysis patients have many complications due to the chronic nature of the disease, which can decrease their self-efficacy and quality of life. Improving and supporting these patients requires active participation of the family. Therefore, the aim of this study was to improve the family-centered empowerment of hemodialysis patients in Golestan province. This experimental study was carried out on 70 hemodialysis patients in Gonbad-e-Kavoos city who were randomly divided into two groups of control and control after being matched for dialysis, education, age and sex. The family-centered empowerment model in the test group was performed in 6 sessions of 60-90 minutes. Data gathering tool was Sherer general self-efficacy questionnaire. Data analysis was done by SPSS21 software using independent t-test, paired T-test and Analysis of variance. Independent t-test between the intervention and control groups did not show any significant difference. (P = 0.97), but independent t after intervention showed significant difference between the two groups (P < 0.01). Implementation of family-centered empowerment model with the participation of family members will increase self-care and promote lifestyle in hemodialysis patients. It is recommended that the patient receive the health care in the family home. Due to the low cost and safety and the impact of the family-centered empowerment model, it is recommended to use this model on other variables of nursing care or other chronic patients.

Nausea and vomiting is the prevalent complications of early pregnancy; the severity of its symptoms can decrease with different protections. This study was conducted to determine the effect of family-oriented consultation on nausea and vomiting in pregnant women.
In this quasi-experimental study 90 pregnant women referring to Famenin health care centers in 2017 were selected and assigned randomly in study and control croups. The data gathering tool was demographic information, midwifery, nutrition, psychological and standard questionnaire of PUQE, which were completed at the beginning of the study and two weeks after the completion of intervention. The intervention was conducted through two weekly counseling sessions with pregnant women and their family. The content of the consultation sessions was about diet, lifestyle, and family supports. The control group received just the routine prenatal care. Finally, the data was analyzed using descriptive and analytical statistics by SPSS16.
Our results showed that the two groups were statistically similar in demographic and midwifery features. According to the results there was a significant reduction about the mean scores of nausea and vomiting severity in the study group after the intervention (P Family-based counseling can reduce the severity of nausea and vomiting in prenatal women. So, it is recommended as an effective, safe and accessible treatment method.

The treatment of autism, a long-term developmental neurological disorder, is controversial. Because of the increasing trend and the lack of a known cause in this area, the treatment is complicated; obscure development of the disorder is a fundamental issue for the parents of these children. Due to the nature of the disorder and involvement of long durations of treatment, various therapeutic methods are used. In addition to the present treatments, a cost-effective and effective treatment is nature therapy (Eco therapy). Therefore, we decided to study the effectiveness of family-centered nature therapy on children with autism spectrum disorder.
A quasi-experimental (pre-test/post-test) study was conducted involving children with autism spectrum disorder (3-7 years old) who were referred to Tehran’s rehabilitation and therapeutic centers. Fourteen children with autism spectrum disorder were selected by an available sampling method and randomly assigned to experimental and control groups. In each group, 7 children (6 boys and 1 girl) were placed. Ten therapeutic sessions were conducted in 3 months in the summer of 2017; each session was held for 3 hours (9 am to 12 pm) in the Nature School of Savan (located in Chitgar Forest Park) with the obligatory presence of parents (parents or at least one of them). To collect data, the Autism Treatment Evaluation Checklist (ATEC) and the Nature Therapy programs (based on the theoretical framework and relevant research findings) were used. The Autism Treatment Evaluation Checklist (ATEC) consisting of four parts, speech / language / communication, socialization, sensory / cognitive awareness, and health / physical / behavior were scrutinized three times, i.e., before the start of the session, 10 days after the last session of education and three months after the last training session. Each family was followed up by the other families. The variables studied in this study were, family-centered nature therapy (independent variable) and autism spectrum disorder syndrome (dependent variable). Data were analyzed using descriptive statistical methods (mean, standard deviation, minimum and maximum scores) and inferential methods (Leven test to assess the assumption of the equation of error variances, Kolmogorov-Smirnov test to examine the normal distribution of covariance analysis and to investigate the effect of test conditions on the dependent variable of the groups).
The results showed that the average score of the post-test for Autism Treatment increased in the experimental group (172.3±5.11) compared with the post-test for control (1.151±10.24), which was statistically significant. This showed that the nature therapy program brought an improvement in children with autism spectrum disorder. Also, the average follow-up scores (after 3 months) of the experimental group (173.91±12.02) indicated the efficacy of treatment. The results of covariance analysis indicated that the calculated F value (F=21.91) was highly significant (P The findings of this study showed that family-centered nature therapy improved the syndrome in children with autism spectrum disorder. These children have shown remarkable progress, especially in the field of social and communication skills. Therefore, it is suggested that this type of treatment has positive, simple and accessible effects and can be used as a complementary method along with other treatments for these children.

Empowerment of diabetic patients and education of their families in order to participate actively in the care and treatment of these individuals is important. The aim of this research is determine the effects of the family-centered empowerment model on the life style, self-efficacy and HbA1C levels of type 2 diabetic patients.
In this clinical trial, seventy diabetic patients were allocated randomly to the case and control groups. Firstthe “modified life style questionnaire”, “self-efficacy questionnaire” and HbA1C were used for data collection in the two groups. Then the family-center empowerment model was used in the intervention group, and the empowerment model without family participation was used in the controls. Three months after the intervention, the questionnaires were administered again and HbA1C values were measured in two groups. Data analysis was performed using SPSS20, and statistical methods including Chi-square test, exact fisher test, t-test and the paired t-test.
No significant differences were observed in demographic factors, life style scores, self-efficacy scores and HbA1C values between the two groups before the intervention. Three months after the intervention life style-and self-efficacy scores were increased and HbA1C valueswere lower in the two groups, although the changes were higher in the intervention group and were significantly different to those of the control group (P Findings of this study showed that the family-centered empowerment model was more effective than the non-family-based empowerment model.Therefore, considering the family's role in the promotion of patients’ self-efficacy and improvement of their life style, application of this training method is recommended in Comprehensive Health Services Centers in order to better management of diabetes in patients with type 2 diabetes.

Cerebral palsy is the most common chronic physical disability and neurological complication in childhood. Active cooperation of parents in child rehabilitation programs، will facilitate the child''s motor development. The present study was to determine the effectiveness of family centered occupational therapy program on motor skills development in children with spastic cerebral palsy are discussed. In this semi-experimental study 20 children aged 5–7 years، with spastic cerebral palsy، who were independent ambulators، were recruited. Children were randomly assigned into a control group (n=10)، experimental group (n=10). In addition to routine rehabilitation، the experimental group received 30 sessions of family based occupational therapy program. Motor skills was tested by Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). The data collected were analyzed using univariate analysis of covariance. Results show that the experimental group participated in the intervention program، compared with the control group، not only statistically significant difference has been shown (P=0/001)، but the effect size (ηP2=0/62) demonstrate the effectiveness of the intervention on motor skills in children with cerebral palsy. Family centered occupational therapy program beside routine rehabilitation programs can be important role in improving and developing of motor skills cerebral palsy children.