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Predicting Exclusive Breastfeeding Based on Maternal Personality Traits: A Correlational Study 基于母亲人格特征预测纯母乳喂养:一项相关研究
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.7
F. Padashian, P. Yadollahi, Z. Moshfeghy
Background & Aims : World Health Organization (WHO) greatly recommends exclusive breastfeeding as the perfect nutrition for infant feeding. Breastfeeding is associated with short -term and long- term advantages for maternal and child health. Short term advantages in children include reduction of diarrhea and pneumonia. And the long- term advantages of breastfeeding include reduced risk of obesity and chronic diseases such as type I & II diabetes, hypertension, heart diseases, and hyperlipidemia in adulthood and improved cognitive functions. Breastfeeding advantages for mothers include more mother–infant bonding and reduced risk of breast cancer, ovarian cancer, and type II diabetes. Many studies have documented the relationship between healthy behaviors and personality traits, so it seems that breastfeeding is related to such traits. So, this study aimed to investigate predicting exclusive breastfeeding based on maternal personality traits. Material & Methods: A descriptive-predictive study was used to achieve the research purpose. The study followed random cluster sampling method. For this purpose, first Valfajr and Enghelab Centers were selected as clusters, and three comprehensive health care centers were selected randomly from these clusters. Finally, 120 eligible mothers referring to 6 comprehensive health centers of Shiraz participated in this study. In order to determine the sample size, the rule of sixty in the structural equation prediction model was employed. According to this law, 10 samples were selected for each parameter. Data were collected between May to December 2019. The inclusion criteria were willingness to participate in the study, Iranian mothers with an infant aged 6-12 months and the experience of exclusive breastfeeding, singleton pregnancy, lack of any breast disorders, normal vaginal delivery, not using any lactation-inducing medications, not having any medical complications, not having been hospitalized for any reasons, not using any psychiatric medications during the breastfeeding period, and term pregnancy. The exclusion criteria were incomplete questionnaires. Data were gathered using a demographic questionnaire which included items relating to maternal and child age, education indicated the normal distribution of the variables and there were no outliers in data. The variance inflation factor (VIF) index was accounted to be less than 1.5. The P -value was set at 0.5 for all tests. Results: The participants aged 17-45 years ((M = 31.04, SD = 5.12). The infants aged 6-12 months (M = 9.56, SD = 2.41). In this study 88.3% of the participants were housewives. Almost half of them had a Bachelor’s degree and above (48.3%) and their spouses had diplomas (45.8%). The majority of the participants (91.7%) were emotionally supported and encouraged to breastfeed by their spouses and 95% by their families. Also, the majority of subjects (89.2%) received breastfeeding training during pregnancy and 95.8% of them received the traini
背景与目的:世界卫生组织(WHO)强烈推荐纯母乳喂养作为婴儿喂养的完美营养。母乳喂养对母婴健康具有短期和长期的好处。对儿童的短期好处包括减少腹泻和肺炎。母乳喂养的长期优势包括降低肥胖和慢性疾病的风险,如1型和2型糖尿病、高血压、心脏病和成年期高脂血症,并改善认知功能。母乳喂养对母亲的好处包括增进母婴关系,降低患乳腺癌、卵巢癌和II型糖尿病的风险。许多研究都记录了健康行为和人格特质之间的关系,所以母乳喂养似乎与这些特质有关。因此,本研究旨在探讨基于母亲人格特征的纯母乳喂养预测。材料与方法:采用描述性预测研究达到研究目的。本研究采用随机整群抽样方法。为此,首先选择Valfajr和Enghelab中心作为集群,然后从这些集群中随机选择三个综合医疗保健中心。最后选取设拉子6个综合保健中心的120名符合条件的母亲参与本研究。为了确定样本量,采用结构方程预测模型中的60法则。根据这一规律,每个参数选取10个样本。数据收集于2019年5月至12月。纳入标准为:愿意参加研究、有6-12个月婴儿的伊朗母亲有纯母乳喂养的经历、单胎妊娠、没有任何乳房疾病、正常阴道分娩、没有使用任何促乳药物、没有任何医疗并发症、没有因任何原因住院、在母乳喂养期间没有使用任何精神药物以及足月妊娠。排除标准为不完整问卷。使用人口统计问卷收集数据,其中包括与母亲和儿童年龄有关的项目,教育表明变量的正态分布,数据中没有异常值。方差膨胀因子(VIF)指数被认为小于1.5。所有测试的P值均设为0.5。结果:参与者年龄17 ~ 45岁(M = 31.04, SD = 5.12)。6-12月龄婴儿(M = 9.56, SD = 2.41)。在这项研究中,88.3%的参与者是家庭主妇。几乎一半的人拥有学士及以上学位(48.3%),他们的配偶拥有文凭(45.8%)。大多数参与者(91.7%)在情感上得到配偶的支持和鼓励,95%的参与者得到家人的支持和鼓励。绝大多数受试者(89.2%)在怀孕期间接受了母乳喂养培训,95.8%的受试者在产后接受了培训。人格特质平均得分表显示,宜人性个体得分最高(16.13,SD =2.16),神经质个体得分最低(12.13,SD =2.68)。Pearson相关系数结果显示,在人格特质中,外向成分与纯母乳喂养呈显著正相关(r =)。/ 36, p=0.024)。多元线性回归分析结果显示,预测变量为外向性(P=0.0001, β = 0.43)和任务取向(P=0.048, β = 0.18)。这些变量解释了总方差的21%。所有其他变量都没有意义。提供可能的情境让母亲体验到更多的积极兴奋或感到更充分和胜任,母乳喂养的质量将得到提高。为此,有必要教授母乳喂养的纪律,告诉母亲要幸福生活,并告诉他们母婴亲密关系。希望将这项研究的结果提交给卫生保健提供者,从而在纯母乳喂养领域为妇女提供更多的鼓励和支持,并在卫生中心提供安全母乳喂养咨询。本研究的局限性之一是由于研究人员收集数据的时间有限,以及母亲对纯母乳喂养的渴望减少,因此无法获得符合条件的母亲参与研究,这可能在人格特质的其他组成部分与纯母乳喂养之间缺乏显着关系方面是有效的。这项研究的优势在于,它是在伊朗进行的为数不多的研究之一,在分析母亲和婴儿的健康时,调查了两个基本和重要变量,即个性特征和纯母乳喂养之间的关系。
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引用次数: 0
Correlations of Self-esteem and Relationship with Parents with Academic Procrastination in Students: An Analytical, Cross-Sectional Study 自尊、父母关系与学生学业拖延的相关性:一项分析性横断面研究
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.31
M. Roshanzadeh, A. Tajabadi, B. Mazhari Dehkordi, S. Mohammadi
Background & Aims: Procrastination is a very common phenomenon and almost a global problem that exists in all cultures. Studies show that (80-95%) of students are involved in some form of procrastination and (50%) of them are always procrastinating in doing homework and learning subjects. Academic procrastination is one of the factors affecting students' academic achievement and many students cannot use their maximum existential capacity due to this problem. In fact, procrastination causes a high degree of anxiety and depression in the person, which lowers his self-esteem. Self-esteem is one of the most important factors modulating psychosocial stress, which is based on family relationships, academic success, physical image, social interaction, and self-worth. The importance of these issues depends on individual differences and growth. Studies show that the way parents relate to their children and how they raise their children affect procrastination. In addition to common problems of other students, medical students also face special problems in their field, such as the stress of the hospital environment and dealing with the problems of patients, and are more at risk of injury. Therefore, it is necessary to examine different academic problems such as academic procrastination and its related factors including relationship with parents and self-esteem of this group to prevent the academic failure of these students as the future workforce. Training students who, due to academic procrastination, have not been able to acquire sufficient educational competence to provide services to patients will cause several problems in the health system in the future. This study aimed to determine the relationship between self-esteem and relationship with parents with academic procrastination in nursing students. In total, 410 students were selected through quota sampling and included in the study. The inclusion criteria were being a student, nursing students in one of the intended disciplines, non-employment in the health system and other organizations. The exclusion criteria were being married, having a history of mental illness and not having parents. The measurement tool was a four-part questionnaire, with the first part related to demographic information (age, gender, field of study, semester, and degree), the second part was Solomon and RothBlum's academic procrastination questionnaire, the third part was Rosenberg's self-esteem questionnaire, and the fourth part of the questionnaire was the parent-child relationships devised by Fine, Moreland, and Schwebe. Data were analyzed in SPSS version 16 using descriptive (mean and standard deviation) and inferential statistics (t-test, one-way ANOVA, Pearson correlation coefficient, and linear regression) at the significance level of 0.05. The Kolmogorov-Smirnov test was used to evaluate the normal distribution of data, and Levene’s test was set as default in t-test. One-way ANOVA was also used to assess the equality o
背景与目的:拖延症是一种非常普遍的现象,几乎是一个全球性的问题,存在于所有文化中。研究表明,(80-95%)的学生有某种形式的拖延症,其中(50%)的学生在做作业和学习科目时总是拖延。学业拖延是影响学生学业成绩的因素之一,很多学生都因此而无法发挥自己最大的存在能力。事实上,拖延症会导致一个人的高度焦虑和抑郁,从而降低他的自尊。自尊是调节心理社会压力的最重要因素之一,它基于家庭关系、学业成就、身体形象、社会交往和自我价值。这些问题的重要性取决于个体差异和成长。研究表明,父母与孩子相处的方式以及养育孩子的方式会影响拖延症。医学生除了面临其他学生的常见问题外,还面临着自身专业领域的特殊问题,如医院环境的压力、患者问题的处理等,更容易受到伤害。因此,有必要研究不同的学业问题,如学业拖延及其相关因素,包括与父母的关系和这一群体的自尊,以防止这些学生作为未来的劳动力学业失败。培训那些由于学业拖延而无法获得足够的教育能力来为病人提供服务的学生,将在未来给卫生系统带来一些问题。本研究旨在探讨护生学业拖延的自尊与家长关系。通过定额抽样,共抽取410名学生参与研究。纳入标准为学生、目标学科之一的护理专业学生、未在卫生系统和其他组织就业。排除标准是已婚、有精神病史和没有父母。测量工具为四部分问卷,第一部分为人口统计信息(年龄、性别、学习领域、学期、学位),第二部分为Solomon and RothBlum的学业拖延问卷,第三部分为Rosenberg的自尊问卷,第四部分为Fine、Moreland和Schwebe设计的亲子关系问卷。数据在SPSS version 16中使用描述性统计(均值和标准差)和推理统计(t检验、单因素方差分析、Pearson相关系数和线性回归)进行分析,显著性水平为0.05。采用Kolmogorov-Smirnov检验评价数据的正态分布,t检验采用Levene检验作为默认值。还使用单因素方差分析来评估方差的平等性。结果:采用Kolmogorov-Smirnov检验评价定量变量的频率分布,数据符合正态分布(P>0.05)。从年龄范围来看,18-32岁的学生出现频率最高,本研究学生的平均年龄为20.82±1.83。大多数参与者是女性。研究对象学习护理、手术室、急诊医学和助产学,其中护理学的比例最高。本研究的学生分为四个学期,第一学期和第五学期的比例最高,第三学期的比例最低。本研究学业拖延得分的均值和标准差为64.2±4.48,为中等。与父母关系的平均得分为142.61±7.11,处于期望水平;自尊的平均得分为24.12±1.45,处于平均水平。各变量相关性的Pearson相关系数显示,学业拖延与父母关系呈显著负相关(P<0.001);r=-0.54)和自尊(P<0.001;-r=0.32)。回归检验显示,自尊(调整后r2 =0.102)和与父母的关系(调整后r2 =0.291)显著预测学业拖延。未标准化beta值显示,自尊对学业拖延的预测作用为0.21,与父母的关系对学业拖延的预测作用为0.27。自尊、与父母关系、学业拖延的平均得分分别为12.24±1.45分、142.61±7.11分、64.2±4.48分。标准化β值显示,与父母关系的标准差每增加一个单位,学业拖延的标准差就会降低0.40(标准化β=-0.405)。 自尊变量标准差每增加1个单位,学业拖延的标准差降低0.36(标准化β=-0.363)。结论:本研究旨在探讨自尊与父母对学业拖延的关系。结果显示,自尊与家长关系的提升会显著降低学生的学业拖延症。自尊和与父母的关系也预示着学业拖延。根据这些结果,应该说研究学生的自尊和与父母的关系是必要的,这些变量应该在教育系统中通过适当的教育来改善,因此应该采取行动来改善学业拖延的情况。本研究的结果对教育系统的管理者避免医学生学业拖延有一定的启示,医学生的教育能力是至关重要的。使用心理咨询来评估心理健康及其参数,包括自尊,有助于识别有风险的学生。此外,通过咨询来确定学生与父母的关系破裂,可以在改善他们的心理健康,从而减少他们的学习拖延症方面发挥重要作用。
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引用次数: 0
Effects of Virtual Life Skills Training on the Performance of the Families of Patients with Chronic Mental Disorders: A Quasi-experimental Study 虚拟生活技能训练对慢性精神障碍患者家属表现的影响:一项准实验研究
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.44
M. Shamseddin, M. Mardani-Hamooleh, N. Seyedfatemi, M. Ranjbar, S. Haghani
Background & Aims: An efficient family cannot be defined as one that is free of mental stress, conflicts, and problems, but rather, it is defined based on the extent to which the family is capable of fulfilling its duties and functions. Poorly functioning families have difficulty dealing with emotional issues. In these families, communication is neglected or unqualified, the range of emotional reactions is limited, and the quantity and quality of these reactions is abnormal depending on the context and environment. These issues highlight the need to provide psychological training to the families of patients with chronic mental disorders. The variety and intensity of caring roles may lead to mental disorders in family members. If these individuals receive no intervention, their mental health will decline, thereby rendering them as ‘hidden patients’. Family interventions could reduce the recurrence and frequent hospitalization of patients with mental disorders. Therefore, the involvement of the families of patients with chronic mental disorders is paramount. The families who live with these patients are exposed to the challenges associated with their illness and are often responsible for their care and wellbeing. Life skills training is an effective psychological intervention that helps families promote adaptive and positive behaviors to manage the challenges of daily life. Life skills training for the families of patients with chronic mental disorders could also reduce the stigma associated with the disease, improve familial relations, and decrease the burden or stress of the caregivers. The present study aimed to evaluate the effect of life skills training on the performance of the families of patients with chronic mental disorders. Materials & Methods: This single-group quasi-experimental study was conducted with a pretest-posttest design on 37 family members of patients with chronic mental disorders admitted to Iran Psychiatric Center in 2020. The sample size was calculated to be 32 considering the error rate of 0.05 and test power of 0.80, which was almost equal to 37 participants with 10% attrition. researcher. The research samples were taught online in six 60-minute sessions for three weeks using recorded audio, PowerPoint, PDF files, and clips, which could be uploaded to WhatsApp. Initially, the demographic form and McMaster family assessment questionnaire were completed, and the life skills training was provided afterwards. The posttest was performed one month after the intervention. Data analysis was performed in SPSS version 16 using descriptive and analytical statistics. The study protocol was approved by the Ethics Committee of Iran University of Medical Sciences, and written informed consent was obtained from the participants electronically. Participation was voluntary, and the subjects were assured of the confidentiality and anonymity of the data. participants were aged less than 30 years female (75.7%), and married addition, most of
背景与目的:一个有效的家庭不能被定义为一个没有精神压力、冲突和问题的家庭,而是基于家庭能够履行其职责和功能的程度来定义的。运转不良的家庭很难处理情感问题。在这些家庭中,沟通是被忽视或不合格的,情绪反应的范围是有限的,这些反应的数量和质量是异常的,取决于上下文和环境。这些问题突出了向慢性精神障碍患者家属提供心理培训的必要性。照顾角色的多样性和强度可能导致家庭成员的精神障碍。如果这些人不接受干预,他们的心理健康状况就会下降,从而使他们成为“隐藏的病人”。家庭干预可以减少精神障碍患者的复发和频繁住院。因此,慢性精神障碍患者家属的参与是至关重要的。与这些病人生活在一起的家庭面临着与他们的疾病相关的挑战,并且往往要负责照顾他们和他们的健康。生活技能培训是一种有效的心理干预,可以帮助家庭促进适应和积极的行为,以应对日常生活的挑战。对慢性精神障碍患者家属进行生活技能培训也可减少与该疾病有关的耻辱,改善家庭关系,并减轻照顾者的负担或压力。本研究旨在探讨生活技能训练对慢性精神障碍患者家属行为表现的影响。材料与方法:采用前测后测设计,对2020年伊朗精神病学中心收治的37例慢性精神障碍患者家属进行单组准实验研究。考虑错误率为0.05,检验权力值为0.80,计算样本量为32人,几乎等于37人,损耗率为10%。研究员。研究样本在三周的时间里,通过录制音频、PowerPoint、PDF文件和视频片段进行了六次60分钟的在线教学,这些视频可以上传到WhatsApp上。首先完成人口统计表和麦克马斯特家庭评估问卷,然后进行生活技能培训。后测于干预后1个月进行。在SPSS version 16中使用描述性统计和分析性统计进行数据分析。研究方案得到了伊朗医学科学大学伦理委员会的批准,并以电子方式获得了参与者的书面知情同意。参与是自愿的,受试者被保证数据的保密和匿名性。调查对象年龄在30岁以下,女性(75.7%),已婚,学历(73%)和经济状况中等(75.7%)居多,以客户-父母关系最为常见(40.5%)。后测结果显示,家庭整体表现(P<0.001)及其维度,包括问题解决(P<0.001)、沟通(P<0.001)、角色(P<0.001)、情绪反应(P<0.001)、情绪混合(P=0.045)和行为控制(P=0.006)的平均得分与前测相比显著降低,说明培训干预对家庭表现及其维度有积极影响。根据计算的效应量,干预在问题解决维度上的影响最大(0.93),在情绪反应维度上的影响最小(0.34)。这些家庭的表现。此外,我们建议精神科病房护士熟悉生活技能和家庭表现的教育内容,以便在必要时对患者家庭实施这些干预措施。我们的研究结果也可以帮助精神科病房的护理管理者和护士长更好地管理慢性精神障碍患者的护理,并在出院后为这些患者的家属提供支持。提供给参与者的生活技能教育内容也可以提供给临床教授,这样学生就会熟悉这些大纲,并将内容纳入他们的护理计划。由于基于生活技能培训的干预措施的实施改善了慢性精神障碍患者的家庭绩效,因此建议对类似的干预措施进行评估,以改善影响生活技能领域的变量,如沟通技能、问题解决能力和行为控制。
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引用次数: 1
Successful Aging Focused on the Dimensions of Perceived Social Support and Mental Vitality in the Elderly Referred to the Health Centers of Iran University of Medical Sciences (2020) 成功老龄化对老年人感知社会支持和心理活力维度的影响伊朗医科大学健康中心(2020)
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.55
F. Mohammadi, F. Bastani, R. Hosseini
Background & Aims: Successful aging is a positive inner feeling and satisfaction from the past and present life. The subjective meaning of successful aging focuses on the inner dimensions of the aging experience such as happiness, self-fulfillment, emotions, perceived social support, satisfaction, and vitality in life. Perceived or subjective social support refers to individual's cognitive evaluation of their relationships, and studying and evaluating perceived social support is closely related to self-assessment of health, and paying attention to its understanding is of utmost importance in health care. One of the variables that effect successful aging, and improves health and quality of life of the elderly, is mental vitality which is somehow tied to the concept of psychological well-being and this concept refers to being positive, full of energy and cheerful. In other words, there is a very close relationship between mental vitality and happiness and social interactions. All of these states are positive and favorable concepts and are therefore associated with positive emotions and mood, which are very important in old age. Today, with the increase in the number of the elderly and the prolongation of life and life expectancy, efforts are being made to identify the components and factors associated with successful aging that guarantee a better quality of life, to provide an accurate sociological picture for proper health planning for the elderly. Therefore, the aim of this study was to determine successful aging in the dimensions of perceived social support and mental vitality in the elderly referred to the health centers of Iran University of Medical Sciences in 2020. Materials & Methods: This is a descriptive cross-sectional study. The research samples included 245 elderly people referring to the health centers of Iran University of Medical Sciences (in Tehran) in 2020 who were selected by continuous sampling method and entered the study after obtaining informed written consent. Data collection tools included Abbreviated Mental Test form (AMT), elderly demographic characteristics form, Multidimensional Scale of Perceived Social Support developed by Zimmet, and Mental Vitality questionnaire developed by Ryan & Frederick. The questionnaires were completed in person and by interview (conducted by the researcher) during three months. Data were analyzed using descriptive statistics (frequency distribution tables and numerical indices) and inferential statistics (independent t-test, variance, Pearson correlation coefficient, and regression) in SPSS 16 at the significance level of p ≤0.05. Results: The results of the present study showed that the mean age of the elderly was 68.18 ± 6.25 years. In total, (55.5%) of the subjects were women. Most of them were literate with undergraduate and postgraduate education and about (76.5%) were married and over (80%) had social security insurance. More than half of the surveyed elderly (53.4%) considered their c
这一概念包括认识到成功老龄化的各种组成部分,如感知到的社会支持和精神活力、寿命、生活独立以及健康和社会规划方面的其他因素。根据研究结果,超过一半的老年人具有较高的感知社会支持,这可以被认为是影响成功老龄化的积极因素,因为在本研究中,感知社会支持随着参与者年龄的增长而减少。家庭维度的社会支持感知均值最高,显示了家庭关系对老龄成功的影响和重要性。然而,参与本研究的大多数老年人是年龄在60 - 75岁之间的“年轻老年人”,因此,样本中感知到的高社会支持可能与他们的年龄、独立性以及与配偶和家庭的生活有关。此外,本研究中有相当比例的样本具有中高的心理活力,这受到他们的独立性和满意度以及受益于医疗费用保险的影响。更好地理解感知社会支持和精神活力这两个概念可以成为成功的老龄相关干预措施的基础。现代护理中的整体护理方法似乎可以通过健康干预、活力感和感知到社会支持来增强教育程度和收入较低的老年人以及单身、未婚、无能力和独立开展日常生活活动的老年人的能力,并为实现成功老龄化迈出有效的一步。本研究的重要目标之一是利用其结果来提高服务质量并解决存在的问题。研究人员希望本研究的发现可以在以下方面对促进社会健康、成功和积极老龄化的目标有所帮助。由于本研究具有描述性的横断面性质,并且在世界上进行的研究中,感知支持和精神活力这两个成功老龄化的组成部分受到多个因素的影响,建议未来的研究评估这两个指标在老年人中的纵向和趋势,以获得更准确的结果。
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引用次数: 2
Effects of Written Emotional Disclosure on the Stress of Mothers of Children with Autism 书面情绪表露对自闭症儿童母亲压力的影响
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.19
M. Ebadi, M. Mardani-Hamooleh, N. Seyedfatemi, M. Ghaljeh, S. Haghani
Background & Aims: Autism spectrum disorder is a complex neurodevelopmental disorder whose clinical manifestations include impaired social communication, behaviors, interests, and limited and repetitive activities. Poor eye communication, lack of emotion or social interaction, impaired use of non-verbal behaviors, and lack of age-appropriate communication are the main manifestations of this disorder. This disorder is one of the main causes of disability in children under 5 years old. The exact cause of this disorder has not yet been determined, and it can often be diagnosed by comparing autistic children's speech and performance with those of their peers. In comparison to parents of typically functioning children or parents of children with other developmental disabilities (i.e. Down’s syndrome or cerebral palsy), parents or caregivers of children with an autism spectrum disorder experience more parenting stress which makes its management imperative. Parenting stress in this group of women results in depression, anxiety, divorce, reduced family cohesion and physical health, more incidence of behavioral problems in the children, and problems related to parenting. Thus, it is imperative to identify effective methods that target improvement in caregivers' mental health. The problems that mothers face in raising their children from an early age put a lot of pressure on parenting skills, and if the parents' understanding of the demands of their role is greater than the resources and methods available for coping with them, so that they will be unable to restore balance in the usual ways, it will lead to stress in parents. In the case of parents of children with autism, maternal stress is reported more than the paternal stress, and more than mothers of children with other developmental disorders and mothers of normal children. Therefore, given that the caregivers of (75%) of children with autism are their mothers, it is not unbelievable that mothers of this group of children struggle with a lot of stress. Mothers of children with autism are their primary caregivers, leading to depression, anxiety, quitting job, and suicide. Thus, effective interventions to improve the mental health of caregivers of children with autism seem necessary and the need to improve their mental health is felt. However, the results of studies that have been done so far indicate that this emotional revelation intervention through writing has been inconsistent or even ineffective on the mental health of mothers of children with autism. This study aimed to evaluate the efficacy of written emotional disclosure in parenting stress of mothers with autistic children. Material & Methods: In this study, conducted in 2019, a quasi-experimental design including pre-test, post-test, and control group was used. First, a sample size of 70 mothers with autistic children were selected and tested from the autistic schools in Tehran. In pre-test, the Parenting Stress Index-short form (PSI-SF) was
背景与目的:自闭症谱系障碍是一种复杂的神经发育障碍,其临床表现包括社交障碍、行为障碍、兴趣障碍以及有限和重复的活动。眼神交流不良、缺乏情感或社交互动、非语言行为的使用受损以及缺乏与年龄相适应的沟通是这种疾病的主要表现。这种疾病是造成5岁以下儿童残疾的主要原因之一。这种疾病的确切原因尚未确定,通常可以通过比较自闭症儿童与同龄人的语言和表现来诊断。与正常功能儿童的父母或患有其他发育障碍(如唐氏综合症或脑瘫)儿童的父母相比,患有自闭症谱系障碍儿童的父母或照顾者经历了更多的养育压力,这使得管理自闭症谱系障碍势在必行。在这群妇女中,养育子女的压力导致抑郁、焦虑、离婚、家庭凝聚力和身体健康下降、儿童行为问题的发生率增加以及与养育子女有关的问题。因此,必须确定有效的方法,以改善照顾者的心理健康为目标。母亲从小在养育孩子中所面临的问题,给育儿技巧带来了很大的压力,如果父母对自己角色要求的理解大于可用的应对资源和方法,那么他们将无法以通常的方式恢复平衡,这将导致父母压力。在自闭症儿童的父母中,母亲的压力比父亲的压力更大,比患有其他发育障碍儿童的母亲和正常儿童的母亲的压力更大。因此,考虑到(75%)自闭症儿童的照顾者是他们的母亲,这群孩子的母亲承受着巨大的压力也就不足为奇了。自闭症儿童的母亲是他们的主要照顾者,导致抑郁、焦虑、辞职和自杀。因此,改善自闭症儿童照顾者心理健康的有效干预措施似乎是必要的,并且有必要改善他们的心理健康。然而,迄今为止所做的研究结果表明,这种通过写作进行的情感启示干预对自闭症儿童母亲的心理健康并不一致,甚至无效。本研究旨在评估书面情绪表露对自闭症儿童母亲教养压力的影响。材料与方法:本研究于2019年进行,采用准实验设计,包括前测、后测和对照组。首先,从德黑兰的自闭症学校中选择了70名患有自闭症儿童的母亲作为样本进行测试。在前测中,实验组(n=35)和对照组(n=35)分别使用父母压力指数简表(PSI-SF)。然后,实验组在8周的时间内每周进行两次至少15分钟的书面情绪表露,而对照组则不进行干预。实验组中有三位母亲因个人原因退出了研究。伊朗医学大学护理与助产学院护理研究中心精神科护理学系,伊朗德黑兰。伊朗医学大学护理与助产学院护理研究中心精神科护理学系,伊朗德黑兰。伊朗德黑兰伊朗医科大学护理与助产学院护理研究中心精神科护理学系(通讯作者)电话:021-43651722电子邮件:seyedfatemi.n@iums.ac.ir。扎黑丹医学院护理与助产学院护理管理系社区护理研究中心,伊朗扎黑丹生物统计学、护理研究中心、伊朗大学医学科学,德黑兰,伊朗噢问oa de D fr om ij n . iu m S ac .ir t 9: 4 0 IR S t o n S ur da y o ct ob er 1 6 t h 20 21 (D o我:10。5 25 47 / ij n。34。1。1 9]31日ثأتیرزاسراکشآیهیناجیرطزایقاربنتشونمسرتسناکدوکنارادا……یدابع اسهم ناراکمه原因。因此,研究继续对67位母亲进行。干预后,再次测量两组的育儿压力。在干预组中,母亲们首先写下她们照顾自闭症儿童的最深感受和负面经历。 母亲们可以写的话题包括当她们发现自己的孩子被诊断出患有自闭症时的感受;写下他们在与自闭症孩子沟通时遇到的最困难的情况;在他们的日常生活中,让他们感到不安的最重要的问题是孩子;如果他们的孩子不配合他们,他们会怎么做?研究的伦理考虑,包括参与研究的知情同意和获得参与者的同意,在宣布研究结果时遵守保密原则和避免偏见。数据分析采用SPSS 16中的描述性统计(均值和标准差)和推理统计(独立t检验和配对t检验)。结果:独立t检验结果显示,干预前母亲的育儿压力与其各分量表之间差异无统计学意义(P = 0.881),干预后差异有统计学意义(P <0.001),即实验组的育儿困扰得分显著低于对照组,而母亲的育儿压力及其各分量表得分显著高于对照组。配对t检验结果显示,对照组母亲的育儿压力及其分量表在治疗前与治疗后差异无统计学意义(P <0.05),但实验组干预后育儿困扰得分显著降低,育儿压力及其其他分量表得分显著升高(P <0.001)。独立t检验结果显示,干预组母亲育儿压力得分及其分量表的下降幅度小于对照组(P <0.001)。此外,独立和配对t检验分析显示,书面情绪表露有效降低了实验组的父母困扰子量表(29.06 + 6.01)(p< 0/001)。干预也不能改善实验组的父母压力得分(128.78 + 12.29)(p< 0.001)。结论:书面情绪表露作为一种有益的治疗干预手段,对改善父母痛苦亚量表有显著效果,但对改善父母压力无显著作用。这项研究的发现也可以加强对慢性压力表达积极情绪可能导致更多适应功能的假设。这项研究有一些局限性。研究对象是少数自闭症儿童的母亲,性别相同,因此,其普遍性有所降低。本研究结果表明,书面情绪表露的干预对增加自闭症儿童母亲的育儿压力是有效的。因此,建议在顾问的监督下执行此方法,以控制其负面影响。作者还建议未来的研究,除了检查影响干预效果的变量外,规范积极、消极和中性情绪的干预模式,并使用更多的随访会议来进行更多的比较。
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引用次数: 2
Effect of Self-care Education on the Functional Status of Patients with Rheumatoid Arthritis 自我保健教育对类风湿关节炎患者功能状况的影响
Pub Date : 2021-08-01 DOI: 10.52547/ijn.34.131.70
Alireza Baratzadeh, Zahra Kashaninia, Fatemeh Mohaddess, M. Jokar, S. Haghani
Background & Aims: Rheumatoid arthritis is an autoimmune disease with a chronic and progressive nature. It starts with periods of inflammation in the synovium, and causes it to be thicken resulting in edema in the synovial tissue. It affects 1% of people worldwide, but its prevalence varies among different regions, different races, and different groups of people. Like other chronic diseases, this disease not only has no definitive cure, but also leads to a severe decline in the performance of the affected people and a decrease in independence in performing their daily activities. Studies show that structured educational approaches about self-care can improve the performance and health of patients with chronic diseases such as rheumatoid arthritis. Accordingly, individuals must learn the knowledge and skills needed to make decisions, solve their problems, and communicate with others. Self-care education in these patients helps them to reach a level of health where they not only feel satisfaction with their personal life, but also can contribute effectively and significantly to the community as a citizen. Therefore, encouraging patients to adopt appropriate self-care behaviors is an important factor in the management of rheumatoid arthritis. People with high levels of self-care have more access to health care, experience shorter periods of hospitalization, and subsequently less complications caused by hospitalization in these centers. Without education and patients' participation in the self-care process, health care programs will be more expensive and the patient’s quality of life will be reduced. Thus, self-care education along with other treatment and rehabilitation processes seems necessary in patients with rheumatoid arthritis. Despite the importance of self-care, studies suggest that patients with rheumatoid arthritis have little knowledge and information about their disease and self-care methods, and lack of knowledge leads to frequent recurrence of the disease and an increase in the frequency of their hospitalizations. Likewise, there is a gap record the patients' function scores in different areas after the intervention. After the data collection process, data were analyzed using statistical tests in SPSS 16. Frequency and percentage were used for qualitative variables and numerical indices including minimum, maximum, mean, and standard deviation were used for quantitative variables. Paired t-test was used for inferential statistics for comparison before and after the intervention. Results: This study included 40 patients with rheumatoid arthritis hospitalized in rheumatology wards of Imam Reza and Ghaem hospitals. The Findings showed that the mean age of the samples was 45.72 ± 9.77 years, most samples (%70) were female, married (%87.5), housewives (%57.5), had a diploma and lower degrees (90%), and 55% reported an underlying disease. Most of them (%62.5) had rheumatoid arthritis for five years and less. Table these findings. The results
背景与目的:类风湿性关节炎是一种慢性进行性自身免疫性疾病。它始于滑膜的炎症期,导致滑膜变厚,导致滑膜组织水肿。它影响全世界1%的人,但其患病率在不同地区、不同种族和不同人群中有所不同。与其他慢性疾病一样,这种疾病不仅没有明确的治疗方法,而且还导致患者的行为能力严重下降,日常活动的独立性下降。研究表明,关于自我保健的结构化教育方法可以改善慢性疾病(如风湿性关节炎)患者的表现和健康。因此,个人必须学习做出决策、解决问题和与他人沟通所需的知识和技能。对这些病人进行自我照顾教育,有助他们达到健康水平,不但对个人生活感到满意,而且能以公民的身份对社会作出有效和重大的贡献。因此,鼓励患者采取适当的自我护理行为是类风湿关节炎管理的重要因素。自我照顾水平高的人有更多的机会获得医疗保健,住院时间更短,随后在这些中心住院引起的并发症也更少。没有教育和患者参与自我护理过程,医疗保健计划将更加昂贵,患者的生活质量将降低。因此,自我保健教育以及其他治疗和康复过程似乎对类风湿关节炎患者是必要的。尽管自我护理很重要,但研究表明,类风湿关节炎患者对自己的疾病和自我护理方法的了解和信息很少,缺乏知识导致疾病频繁复发,住院次数增加。同样,干预后患者各区域功能评分也存在差距。数据收集完成后,使用SPSS 16进行统计检验。定性变量采用频率和百分比,定量变量采用最小值、最大值、平均值和标准差等数值指标。干预前后采用配对t检验进行推理统计比较。结果:本研究纳入40例在Imam Reza和Ghaem医院风湿病病房住院的类风湿关节炎患者。结果显示,样本的平均年龄为45.72±9.77岁,大多数样本(%70)为女性,已婚(%87.5),家庭主妇(%57.5),大专及以下学历(90%),55%报告有基础疾病。大多数患者(62.5%)患类风湿关节炎的时间不超过5年。列出这些发现。t检验结果显示,干预后日常生活活动(P<0.001)、基本日常生活活动(P<0.0001)、心理功能(P=0.001)、工作功能(P<0.001)、社会活动(P=0.002)得分均显著提高。然而,社会互动质量维度的增加并不显著(P=0.77)。在工具切点方面,所有样本的日常生活活动平均得分在干预前处于预警区,干预后表现良好(15.0%)。在日常生活活动中,干预前所有样本均处于预警区,干预后表现良好的样本占12.5%。在心理功能方面,干预前80%的样本处于预警区,干预后25%的样本表现良好,75%的样本处于预警区。在工作功能维度上,干预前所有患者均处于预警区,干预后有10%的患者表现良好。在社会功能维度上,95%的被试处于预警区。干预后,75%的患者处于预警区,25%的患者功能良好。在社会交往质量维度上,干预前有85.0%的被试处于警告区,干预后有72.5%的被试处于警告区,有27.5%的被试表现良好。结论:本研究结果表明,自我保健教育方法在类风湿关节炎患者的治疗和康复中发挥了有效的积极作用,这些方案可以作为类风湿关节炎患者愈合过程的一部分,并与其他治疗和康复过程一起使用。此外,利用研究数据证实了自我保健教育对类风湿关节炎患者功能状态的积极影响的研究假设。 社会互动的质量在统计上没有显著的提高,这可能需要更多的时间,并且建议未来的研究投入更多的时间来检查变化。在类风湿关节炎患者功能状态这一领域,采用更专业的教育内容进行社会互动的质量,可以改善和增强教育过程的效果。
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引用次数: 1
The Correlation Between Perceived Organizational Support and Quality of Work Life in the Operational Staff of Tehran Medical Emergency Center, 2019 德黑兰医疗急救中心业务人员组织支持感知与工作生活质量的相关性研究,2019
Pub Date : 2021-06-01 DOI: 10.52547/ijn.34.130.48
E. Yarmohammadinejad, M. Seyedoshohadaee, P. Saberian, H. Haghani, F. Khayeri
Background & Aims: Given the importance and role of the organization's human resources, focusing and addressing issues such as the quality of work life that lead to increased employee performance, reduced absenteeism and leave of duty is important. Quality of work life is a set of organizational conditions and is created when the management of the organization is democratic, staff are treated with respect, and a safe work environment is provided. In other words, improving the quality of work life in staff is one of the important factors to ensure the sustainability of the health system. Considering the sensitive and stressful job situation of emergency center staff and the contradictory results of researches conducted on the quality of life of staff, the present study aimed to analyze the relationship between perceived organizational support and quality of work life of the operational staff of Tehran emergency centers. Materials & Methods: This descriptive, cross-sectional, correlational study was conducted on the operational staff of Tehran Emergency Center in the second six months of 2019. The sampling method was multi-stage stratified with the proportional allocation and 200 qualified staff from the six emergency centers of Tehran (north, south, east, west, center, Islamshahr) were included in the study. Inclusion criteria were having a diploma and higher degrees and having at least six months of experience as operational staff. Demographic information form, quality of work life questionnaire developed by Walton, and Eisenberg perceived organizational support questionnaire were used for data collection. The researcher returned 24-48 hours after the distribution of the questionnaires and collected the completed questionnaires. Then, the data were analyzed using independent t-test, ANOVA, Pearson's correlation-coefficient, and Kruskal-Wallis tests in SPSS version 16. Results: The results of the current study revealed that 42.2% and 41.1& of staff considered their income to be insufficient and somewhat sufficient respectively and the dimensions. Besides, the organizational support average was 82.2 ± 0.152 which was at the intermediate level and the average score of organizational support was 28.49 ± 5.06. Finally, there was no significant relationship between the quality of work-life and its dimensions with perceived organizational support. The results of the correlation between these variables and demographic characteristics of staff of emergency center showed a statistically significant relationship between that the quality of work life with education (P=0.013). The average score of staff with diploma was significantly lower than staff with associate degree (P=0.026), bachelor degree (P=0.002), and master degree (P=0.016), and the difference was not significant in other cases. Another variable that had a statistically significant relationship with the quality of work life was employment status (P=0.015). The average score of staff with casual e
背景与目的:考虑到组织人力资源的重要性和作用,关注和解决诸如工作生活质量等问题,从而提高员工绩效,减少缺勤和请假是很重要的。工作生活质量是一套组织条件,当组织的管理是民主的,员工受到尊重,并提供安全的工作环境时,就会产生这种条件。换句话说,提高员工的工作生活质量是确保卫生系统可持续性的重要因素之一。考虑到急救中心工作人员工作环境的敏感性和压力性,以及对工作人员生活质量的研究结果相互矛盾,本研究旨在分析德黑兰急救中心业务人员感知组织支持与工作生活质量之间的关系。材料与方法:这项描述性、横断面、相关性研究是在2019年下半年对德黑兰急救中心的业务人员进行的。采用多阶段分层、比例分配的抽样方法,选取德黑兰北部、南部、东部、西部、中部、伊斯兰沙赫尔6个急救中心的200名合格工作人员进行研究。入选标准是拥有文凭及以上学位,并至少有六个月的业务工作经验。数据收集采用人口统计信息表、Walton工作生活质量问卷和Eisenberg感知组织支持问卷。研究人员在发放问卷24-48小时后返回,并收集完成的问卷。然后在SPSS version 16中使用独立t检验、方差分析、Pearson相关系数和Kruskal-Wallis检验对数据进行分析。结果:本次研究的结果显示,42.2%的员工认为自己的收入不足,41.1%的员工认为自己的收入还算充足。组织支持的平均分为82.2±0.152分,处于中等水平;组织支持的平均分为28.49±5.06分。最后,工作生活质量及其维度与组织支持感之间没有显著的关系。这些变量与急救中心工作人员人口学特征的相关结果显示,工作生活质量与受教育程度之间存在显著的相关关系(P=0.013)。大专学历员工的平均得分显著低于大专学历员工(P=0.026)、本科学历员工(P=0.002)、硕士学历员工(P=0.016),其他情况差异不显著。另一个与工作生活质量有统计学显著关系的变量是就业状况(P=0.015)。临时工的平均得分显著低于公司员工(P=0.041)和正式员工(P=0.006)。此外,感知组织支持与员工的任何个人和工作变量都没有统计学上的显著关系。临时工的平均得分显著低于公司员工(P=0.041)和正式员工(P=0.006)。组织支持感与员工个人变量和工作变量的关系也不显著。结论:根据对平均感知组织支持和工作生活质量的研究结果,管理者和相关官员的组织努力应指向优化这一群体的组织支持和工作生活质量。院前急救操作人员注意这两个概念是很重要的,因为它会影响他们生活的专业、个人、生活和社会方面。考虑到本研究是在德黑兰急救中心进行的,建议在其他城市的其他医疗中心和其他临床专业进行类似的研究,以比较结果。
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引用次数: 0
Factors Related to Childbearing Willingness in the Women Attending the Health Centers in Arak, Iran (2019) 伊朗阿拉克地区就诊妇女生育意愿相关因素分析(2019年)
Pub Date : 2021-06-01 DOI: 10.52547/ijn.34.130.15
R. Ayazi, L. Amini, Ali Montazeri, S. Haghani
Background & Aims: Childbearing is one of the most important components of population science and is more important than other demographic phenomena such as death and migration. Therefore, population policies in most countries are mainly focused on reducing or increasing fertility. Nowadays, we are facing a decrease in the tendency to have children in Iran, so that the total fertility rate (TFR) has decreased to 6.5 since mid-1978 and reached replacement level fertility in 1999 and is expected to decrease to 1.13% during 2020 - 2024. According to the Low Population Growth Scenario released by the United Nations in 2010, if Iran continues replacement level fertility and has no plan to balance it, its population will reach 31 million in the next 80 years, and 47 percent will be the elderly over 60 years. These statistics and reports have caused serious concerns for the authorities, and the Supreme Leader of Iran has mentioned this issue several times and called for serious planning and legislation to get out of this situation. This has made population growth policies one of the priorities of the government. Meanwhile, according to previous researches, Markazi province is ranked as the third city in terms of the low desire of women to have children. This study aimed to determine the factors related to childbearing willingness in 18-45 -year old women referring to Arak health centers in 2019. Materials & Methods: This cross-sectional study was performed on 255 women aged 18-45 years, in 2019. The women were unwilling to have children. Data were collected from these women referring to 10 health centers in Arak who were selected through cluster sampling. Sampling was performed in January 2019. The data were collected through a questionnaire and included demographic information and variables related to childbearing willingness taken from Piltan et al.' questionnaire (2015) which included 78 items on religious beliefs (21 items), economic status (15 items), social participation (14 items), marital satisfaction (6 items), childbearing problems (7 extracurricular activities such as education, employment, and social activities while caring for their children, and on the other hand, the tendency to have children may increase by reducing the problems of childbearing. One of the limitations of the present study was that self-report of marital satisfaction and economic status may have affected the accuracy of the results, which was beyond the control of the researcher.
背景与目的:生育是人口科学最重要的组成部分之一,比死亡和迁移等其他人口现象更为重要。因此,大多数国家的人口政策主要侧重于降低或提高生育率。如今,我们正面临着伊朗生育趋势的下降,因此总生育率(TFR)自1978年中期以来已降至6.5,并在1999年达到更替水平,预计在2020年至2024年期间将降至1.13%。根据联合国2010年发布的“低人口增长情景”,如果伊朗继续保持更替水平的生育率,并且没有计划平衡它,伊朗人口将在未来80年达到3100万,其中47%是60岁以上的老年人。这些统计数字和报告引起了当局的严重关切,伊朗最高领导人多次提到这个问题,并呼吁认真规划和立法以摆脱这种情况。这使得人口增长政策成为政府的首要任务之一。同时,根据之前的研究,马卡齐省在女性生育意愿低的城市中排名第三。本研究旨在确定2019年在阿拉克健康中心就诊的18-45岁女性生育意愿的相关因素。材料与方法:本横断面研究于2019年对255名年龄在18-45岁之间的女性进行。妇女们不愿意生孩子。通过整群抽样从阿拉克10个保健中心的妇女中收集数据。采样于2019年1月进行。数据通过问卷收集,包括人口统计信息和生育意愿相关变量,来自Piltan等人的调查问卷(2015),其中包括宗教信仰(21项)、经济状况(15项)、社会参与(14项)、婚姻满意度(6项)、生育问题(7项课外活动,如教育、就业、照顾孩子的社会活动)。生育问题的减少可能会增加想要孩子的倾向。本研究的局限性之一是婚姻满意度和经济状况的自我报告可能会影响结果的准确性,这超出了研究者的控制范围。
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引用次数: 1
The Effect of Happiness Program on the Hope of Addicts Experiencing Drug Withdrawal at Zahedan Psychiatric Hospital: A Quasi-Experimental Study 快乐计划对扎黑丹精神病院戒毒成瘾者希望的影响:一项准实验研究
Pub Date : 2021-06-01 DOI: 10.52547/ijn.34.130.38
F. Pirkamali, A. Navidian, N. Rezaee
Background & Aims: Drug addiction is one of the serious problems that has caused many concerns in society. In Iran, addiction is highly prevalent among different age groups. Due to diagnostic and reporting conditions, accurate statistics about the number of addicts are not available. However, the population of drug addicts seems to be increasing every year, and this is a serious warning to society. A large number of drug users refer to drug treatment centers every year, but after a while, they tend to use drugs again, which is one of the challenges of society. According to the results of some studies, there is a significant relationship between hope and the cleansing period of drug addicts. Since hope can be a fundamental and motivating factor in drug withdrawal and may play an important role in all stages of drug withdrawal, from action to continuing withdrawal and recovery, it seems that implementing interventions that can raise hope in addicts experiencing withdrawal is necessary for drug withdrawal and its continuation. Therefore, considering that happiness-based programs can increase life expectancy in people, this study aimed to determine the effect of the happiness program on the hope of addicts experiencing withdrawal at the psychiatric center of Zahedan. Materials & Methods: This is a quasi-experimental study. Men aged 18 to 50 years who were admitted to Zahedan Psychiatric Hospital in autumn and winter of 2020 for drug withdrawal comprised the study population. The samples included 92 addicted men. They were selected based on convenience sampling procedure and were randomly divided into intervention (n=46) and control (n=46) groups. Inclusion criteria were no physical symptoms of withdrawal such as pain and restlessness, no psychotic disorder associated with drug abuse, no participation in another counseling program at the same time, and no other addicted family members. More than one session absenteeism and hospital discharge prior to completion of the program were exclusion criteria. In this study, first the control group and then the intervention group entered the study based on non-random sampling procedure. This method was used to prevent the transfer of information in groups. Data collection tools in this study included demographic information form and Miller Hope Scale. This questionnaire was conducted in two stages; pre-test and posttest which was conducted two months later. In the intervention group, eight sessions of the Fordyce Happiness Program were performed every other day. The content of the sessions was prepared based on the Fordyce training program. The Fordyce Happiness Program is a program designed to increase people's happiness and includes eight cognitive components and six behavioral components. The study was conducted based on six Fordyce behavioral components that included components such as increasing activity, increasing social interaction, strengthening close relationships, fostering social personality, creati
背景与目的:吸毒成瘾是引起社会广泛关注的严重问题之一。在伊朗,成瘾在不同年龄组中都非常普遍。由于诊断和报告条件,无法获得有关成瘾者人数的准确统计数据。然而,吸毒成瘾的人口似乎每年都在增加,这对社会是一个严重的警告。每年都有大量的吸毒者去戒毒中心,但过了一段时间后,他们往往又会吸毒,这是社会面临的挑战之一。根据一些研究结果,希望与吸毒成瘾者的净化期之间存在着显著的关系。由于希望是戒断药物的基本和激励因素,并且可能在戒断药物的所有阶段发挥重要作用,从行动到继续戒断和恢复,似乎实施可以提高戒断成瘾者希望的干预措施对于戒断药物及其持续是必要的。因此,考虑到以快乐为基础的计划可以增加人们的预期寿命,本研究旨在确定快乐计划对扎黑丹精神病学中心戒毒成瘾者希望的影响。材料与方法:本研究为准实验研究。研究人群为2020年秋冬在扎黑丹精神病院接受戒毒治疗的18至50岁男性。样本包括92名成瘾男性。采用方便抽样方法,随机分为干预组(n=46)和对照组(n=46)。纳入标准为:无身体上的戒断症状,如疼痛和不安,无与药物滥用相关的精神障碍,无同时参加其他咨询项目,无其他成瘾家庭成员。在完成该项目之前,超过一次的缺勤和出院是排除标准。本研究采用非随机抽样的方法,先由对照组进入,再由干预组进入。这种方法是为了防止信息在群体中传递。本研究的数据收集工具包括人口统计信息表和Miller Hope量表。本问卷分两个阶段进行;两个月后进行的前测和后测。在干预组,每隔一天进行八次福代斯幸福计划。课程内容是根据福代斯培训计划准备的。福代斯幸福计划是一个旨在提高人们幸福感的计划,包括八个认知部分和六个行为部分。这项研究基于福代斯行为的六个组成部分,包括增加活动、增加社会互动、加强亲密关系、培养社会个性、创造力、从事有意义的工作和自我价值。数据采用SPSS 16独立t检验、配对t检验、卡方检验和ANCOVA分析。差异有统计学意义,P<0.05。伊朗扎黑丹医科大学护理与助产学院精神病学护理硕士。伊朗扎黑丹医科大学护理与助产学院社区护理研究中心精神科护理学系,扎黑丹精神病护理、护理和助产学校,社区护理研究中心,扎黑丹大学医学科学,扎黑丹、伊朗(通讯作者)电话:09153411705电子邮件:rezaee_n@zaums.ac.ir噢问oa de D fr om ij n . iu m S ac .ir t 2 2: 51 IR S t o n S在你哒y n ov em是r 27 th 2 02 1ریثأتیارجاهمانربیماکداشربدیماناداتعمردلاحکرتهعجارمهدننک……همطاف ریپ یلامک کمه نارا结果:夏皮罗-威尔克检验结果呈正态分布。因此,本研究采用参数检验。调查结果显示,大多数戒断毒品的成瘾者都是已婚人士,而且大多使用鸦片衍生物的组合。干预组和对照组在实施福代斯幸福计划前的希望平均分分别为139.15±54.06分和179.22±58.30分,干预后分别为187.25±8.99分和172.16±45.50分。独立t检验显示,干预组与对照组在福代斯幸福计划实施前(P=0.001)和实施后(P=0.002)成瘾者的平均希望得分均有显著差异。此外,配对t检验显示,干预组的希望平均分显著升高(P=0.001),对照组的希望平均分显著降低(P=0.005)。 对前测分数和成瘾持续时间的显著性影响进行ANCOVA检验的结果显示,干预后两组戒断成瘾者的希望平均得分差异有统计学意义(P=0.001)。结论:本研究旨在探讨快乐计划对精神病院戒毒成瘾者希望的影响。ANCOVA结果显示,干预后两组成瘾者的平均希望得分差异有统计学意义。事实上,研究结果表明,实施福代斯幸福计划可以提高戒毒成瘾者的希望。因此,考虑到希望在人们中具有激励作用,并且是维持和继续戒毒的重要因素,像福代斯幸福计划这样的幸福计划可以影响成瘾者的希望,这是防止复发的重要因素。因此,建议将福代斯幸福的行为成分在病房、戒毒营等戒毒治疗中心实施,因为它易于护士实施。快乐计划不仅可以纳入戒断成瘾者的日常生活,而且可以在出院后继续进行。本研究的局限性之一是对有精神病史的成瘾者的研究结果的泛化。本研究还对在精神病院因戒断药物而住院的成瘾者进行了研究。因此,将结果推广到参考戒毒营了解成瘾的成瘾者时应谨慎行事。
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引用次数: 0
Effect of Psychoeducation on the Resilience of the Family Caregivers of Patients with Bipolar Disorder 心理教育对双相情感障碍患者家庭照顾者心理弹性的影响
Pub Date : 2021-06-01 DOI: 10.52547/ijn.34.130.25
Raheleh Bahrami, Talieh Khalifi
Background & Aims: Bipolar disorder is one of the most common psychiatric disorders in the 21st century. It is a chronic, recurrent disorder causing mood swings, and patients alternate between episodes of mania and depression. Diagnosis of bipolar disorder is a stressful issue for the individual and his family. The disease not only causes anxiety and stress for the client, but also causes severe disturbances to his family. The family caregivers of clients with a psychiatric disorder and the resulting stress do not react in the same way and choose different ways to deal with the illness. Denial, anger, feelings of shame, as well as indifference and change in the relationships between family members are among the negative feelings in caregivers. Caregivers can only overcome the stress of caring for a client with a psychiatric disorder and maintain their health and that of their family when they are resilient. The concept of resilience in caregivers of clients with psychiatric disorders refers to the flexible and well-developed behavioral pattern of caregivers in response to the difficulties and challenges encountered while caring for the client. Resilience in caregivers of clients with psychiatric disorders is a dual concept. On the one hand, caregivers overcome the difficulties and challenges of caring for the client and take steps to maintain and improve his physical and mental health. On the other hand, by promoting their mental health, they are able to act stronger than before in the face of advanced troubles and problems. Therefore, this study aimed to determine the effect of a psychoeducation program on the resilience of caregivers of patients with bipolar disorder hospitalized in Sanandaj Psychiatric Center. pre-test as one of the ways to promote resilience in clients and their caregivers.
背景与目的:双相情感障碍是21世纪最常见的精神疾病之一。这是一种慢性、反复发作的疾病,引起情绪波动,患者在躁狂和抑郁之间交替发作。双相情感障碍的诊断对个人和他的家庭来说是一个有压力的问题。这种疾病不仅给病人带来焦虑和压力,也给他的家庭带来严重的困扰。精神障碍患者的家庭照顾者和由此产生的压力不会以同样的方式反应,并选择不同的方式来处理疾病。否认,愤怒,羞耻感,以及家庭成员之间关系的冷漠和变化都是照顾者的负面情绪。照顾者只有在照顾精神障碍患者的过程中克服压力,保持患者及其家人的健康,他们才能恢复健康。精神障碍患者照护者弹性的概念是指照护者在照顾患者过程中遇到的困难和挑战时所表现出的灵活而发达的行为模式。精神障碍患者护理人员的复原力是一个双重概念。一方面,照顾者克服照顾病人的困难和挑战,采取措施维持和改善病人的身心健康。另一方面,通过促进他们的心理健康,他们能够在面对高级麻烦和问题时比以前更坚强。因此,本研究旨在确定心理教育计划对Sanandaj精神病学中心双相情感障碍患者护理人员弹性的影响。预先测试是提高客户和他们的照顾者的适应能力的方法之一。
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引用次数: 1
期刊
Iran Journal of Nursing
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