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Sandwich Generation Issues and Challenges 三明治一代的问题和挑战
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.51.6
Hakime Pashazade, Masoomeh Maarefvand, Yadollah Abolfathi Momtaz, Kianoush Abdi
Today, with the increase in the elderly population and life expectancy, the need to use care services for this significant part of the population is increasing [1]. Beliefs, cultures, and social norms among different ethnicities and races are vital in the extent and nature of care. Two types of care exist, informal and formal. According to statistics by the Secretariat of the National Council on Aging, almost 0.2% of the elderly receive formal care. Therefore, a significant percentage of the elderly live with their families.
今天,随着老年人口和预期寿命的增加,对这一重要部分人口使用护理服务的需求正在增加[1]。不同民族和种族之间的信仰、文化和社会规范对护理的程度和性质至关重要。有两种类型的关怀,非正式的和正式的。根据全国老龄理事会秘书处的统计,几乎0.2%的老年人接受正规护理。因此,很大比例的老年人与家人住在一起。
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引用次数: 0
Burdens Among Wives of Disabled People in the Light of Some Social Variables [Edit] [Profile] 从社会变量看残疾人妻子的负担[编辑][侧面]
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.1765.3
Mohammed Malih Radhi, Gossoon Juma Elywy, Qasim Abbas Khyoosh Al-Eqabi
Objectives: This study aims to identify the burdens among wives of disabled people in the light of some independent variables. Methods: In this descriptive cross-sectional study, 197 domestic wives were surveyed using a standardized questionnaire to measure the burden among wives of disabled people. Data were collected using the independent variables and Zarit caregiver burden scale (ZCBS) for burden. The study was conducted using interview techniques and analyzed via SPSS software, version 20 using descriptive and inferential statistical methods. Results: The study results showed that the average age was 35 years old, 30-39 years old, 52.3% were secondary school graduates, 68.5% were families with 1-4 children, 43.1% had insufficient income, and 61.4% were employed. Significant differences were observed in wives’ burdens in terms of their age, education level, family size, income, occupation, disability types, reasons, and duration (P<0.05). Discussion: Wives of disabled people live under significant burdens influenced by different independent variables depending on individual differences. Decision makers should give employment priority to the wives of the disabled to protect the family and fulfill its needs, as well as the need to focus on societal awareness of disability and what the wife and family of the disabled suffer.
目的:本研究的目的是根据一些自变量来确定残疾人妻子的负担。方法:采用标准化问卷调查方法,对197名家庭主妇进行描述性横断面研究。使用自变量和Zarit照顾者负担量表(ZCBS)收集数据。本研究采用访谈法进行,并通过SPSS软件第20版采用描述性和推理性统计方法进行分析。结果:研究结果显示,平均年龄为35岁,30-39岁,52.3%为中学毕业生,68.5%为家庭有1-4个孩子,43.1%收入不足,61.4%有工作。妻子负担在年龄、受教育程度、家庭规模、收入、职业、残疾类型、原因、持续时间等方面存在显著差异(P<0.05)。讨论:残疾人妻子的生活负担很大,受个体差异不同的自变量影响。决策者应优先考虑残疾人的妻子的就业,以保护家庭和满足家庭的需要,还应注重社会对残疾的认识以及残疾人的妻子和家庭所遭受的苦难。
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引用次数: 0
The Effects of Radial Extra Corporeal Shock Wave and Low-power Laser Therapies on Clinical and Electrophysiological Parameters in Moderate Carpal Tunnel Syndrome: A Blinded Randomized Control Trial 桡骨外冲击波和低功率激光治疗对中度腕管综合征临床和电生理参数的影响:一项盲法随机对照试验
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.1903.1
Amirhossein Ghasemi, Gholam Reza Olyaei, Hossein Bagheri, Mohammad Reza Hadian, Shohreh Jalaei, Khadijeh Otadi, Dorna Ghasemi
Objectives: Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy with squeezing of the median nerve and the patient is unable to function properly. There are different physiotherapy interventions for the management of these patients and recently, shock wave therapy and low-power laser (LPL) have been widely used, but there is no strong evidence comparing the effect of shock wave therapy and LLLT. Therefore, this trial was designed to compare the effect of extracorporeal shock wave therapy (ESWT), LPL, and routine interventions on clinical outcomes and electrophysiological parameters in patients with moderate CTS. Methods: Fifty-four patients were randomly assigned to the control (routine interventions), ESWT, and LPL therapy groups. All participants received transcutaneous electrical nerve stimulation (TENS) therapeutic ultrasound, hot pack, mobilization, and stretching for ten sessions over two weeks. Additionally, the ESWT group received radial ESWT in four sessions, and the LPL therapy group received laser in ten sessions. The primary outcomes were pain (assessed by the visual analog scale), function (assessed using the Boston questionnaire (BQ)), hand grip, and finger pinch strength. Secondary outcomes were electrophysiological parameters (distal motor and sensory latency and nerve conduction velocity (NCV) of the median nerve. Results: Time group interactions were significant for pain, the symptom severity subscale of BQ, finger pinch, and hand grip strength (p<0.001). Significant improvements were seen in clinical and sensory latency and motor NCV of the median nerve (p<0.05). The ESWT group experienced significant improvements with a large effect size in pain, function, and finger pinch strength compared to the control group (p<0.01). Additionally, the LPL therapy group showed significant changes in the function and finger pinch and hand grip strength compared to the control group. There were no significant differences between the LPL therapy and ESWT groups except for pain in favor of the ESWT group. No significant differences were found among the three groups in electrophysiological parameters (p>0.05). Discussion: Although laser therapy increased the efficacy of routine interventions, it seems adding ESWT to the routine treatment may be superior for the management of moderate CTS patients.
目的:腕管综合征(Carpal tunnel syndrome, CTS)是一种常见的外周神经卡压病,伴有正中神经挤压,患者不能正常活动。对于这些患者有不同的物理治疗干预措施,最近,冲击波治疗和低功率激光(LPL)已被广泛使用,但没有强有力的证据比较冲击波治疗和LLLT的效果。因此,本试验旨在比较体外冲击波治疗(ESWT)、LPL和常规干预对中度CTS患者临床结局和电生理参数的影响。方法:54例患者随机分为对照组(常规干预)、ESWT和LPL治疗组。所有参与者在两周内接受经皮神经电刺激(TENS)治疗性超声、热敷、活动和拉伸10次。此外,ESWT组接受4次径向ESWT治疗,LPL治疗组接受10次激光治疗。主要结果是疼痛(通过视觉模拟量表评估)、功能(使用波士顿问卷(BQ)评估)、握力和手指握力。次要结果是电生理参数(远端运动和感觉潜伏期以及正中神经的神经传导速度(NCV))。结果:时间组交互作用在疼痛、BQ症状严重程度亚量表、手指捏捏和手握力方面具有显著性(p<0.001)。临床、感觉潜伏期和正中神经运动NCV均有显著改善(p < 0.05)。与对照组相比,ESWT组在疼痛、功能和手指捏捏强度方面有显著改善,且效应量大(p<0.01)。此外,与对照组相比,LPL治疗组在功能,手指捏握和手握力方面表现出显着变化。LPL治疗组与ESWT组之间无显著差异,但ESWT组在疼痛方面有优势。各组间电生理参数差异无统计学意义(p>0.05)。讨论:虽然激光治疗增加了常规干预的疗效,但在常规治疗中加入ESWT似乎对中度CTS患者的治疗更有利。
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引用次数: 0
Exploring the Reasons for Dissatisfaction of Nurses Working in Psychiatric Wards: A Qualitative Study 探讨精神科病房护士工作不满意的原因:一项质性研究
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.1944.3
Firas Al-aboudy
Objectives: This study sought to learn more about psychiatric nurses’ experiences working in Iraq because it has been reported that the field of mental health nursing is challenging and has low job satisfaction. Methods: This research is a qualitative study and draws on lived experience conducted on 24 nurses working at Al-Rashad a special hospital in Baghdad that included psychiatric wards selected via purposeful sampling in, 2021-2022. Data were gathered using smartphone-recorded interviews. The seven steps of Colaizzi’s data analysis were used by Husserlian phenomenology. To aid in the bracketing and reflection process, each nurse’s interview was verbatim recorded, along with their thoughts, feelings, and past experiences in this hospital. Results: Three themes were identified as the root reasons for participants’ dissatisfaction (DSS) with their jobs in mental hospitals; insufficient training for providing psychiatric treatment, a negative reputation for psychiatric nurses in the public, and concerns of nurses. These findings were collected during the interview sessions, and notes and ideas were classified and assorted. Analysis of the qualitative data provided insights into the barriers to psychiatric nurses’ satisfaction. Discussion: The present research contributes to the experiences of clinical nurses concerning clinical intervention and care processes in Iraqi psychiatric hospitals. Confrontation of mental patients by nurses in the work environment remains crucial. The findings emphasize the importance of listening to psychiatric nurses and considering how the name of the hospital and patient type and contexts affect nursing satisfaction. Understanding the challenges in the nursing workplace has increased the quality of care providers and satisfaction in the nursing and psychiatric field.
目的:本研究旨在了解更多关于精神科护士在伊拉克工作的经验,因为据报道,精神科护理领域具有挑战性,工作满意度较低。方法:本研究是一项定性研究,并借鉴了在巴格达Al-Rashad一家特殊医院工作的24名护士的生活经验,该医院包括2021-2022年通过有目的抽样选择的精神科病房。数据是通过智能手机录制的访谈收集的。Colaizzi数据分析的七个步骤被胡塞尔现象学所采用。为了帮助概括和反思过程,每个护士的采访都被逐字记录下来,连同他们的想法、感受和过去在这家医院的经历。结果:三个主题是导致被试对精神病院工作不满意的根本原因;提供精神科治疗的培训不足,精神科护士在公众中的负面声誉,以及护士的担忧。这些发现是在采访过程中收集的,笔记和想法被分类和分类。通过对定性数据的分析,深入了解精神科护士满意度的障碍。讨论:本研究对临床护士在伊拉克精神病院的临床干预和护理过程的经验有所贡献。护士在工作环境中与精神病人的对抗仍然至关重要。研究结果强调了倾听精神科护士的重要性,并考虑到医院名称、患者类型和环境如何影响护理满意度。了解护理工作场所的挑战提高了护理提供者的质量和护理和精神病学领域的满意度。
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引用次数: 0
Evaluating the Validity and Reliability of the Knowledge, and Practice Questionnaire of Iranian Mothers About the Development of Persian-speaking Children Aged 18 to 36 Months 伊朗母亲对18 ~ 36月龄波斯语儿童发育的认知与实践问卷的信度评价
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.1528.2
Zahra Valitabar Kerati, Morteza Farazi, Atieh Ashtari, Fatemeh Jazem, Majid Jannat
Objectives: The mother’s knowledge and attitude about the child’s developmental norms can affect their practice and the quality of parent-child interaction. The quality of a child’s development in the early years significantly impacts their personality and future success. Therefore, this study aims to develop and investigate the psychometric characteristics of the Iranian mother’s knowledge, attitude, and practice (KAP) questionnaire about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months and comparing them. Methods: This study was a descriptive-analytical and cross-sectional study conducted on 280 mothers with typically developed children aged 18 to 36 months from different provinces of Iran. Due to the COVID-19 pandemic with the implementation of the study, the participants were selected as available, and then the snowball completed the questionnaire in both face-to-face and online methods. To check the validity of the questionnaire, face validity was calculated using the opinion of speech therapy experts and ten mothers, and content validity was calculated using the Lawshe method. To check the reliability of the questionnaire, the test re-test method was used in a two-week interval. Results: The results indicated that this questionnaire has high validity (content validity index [CVI] >0.79) and reliability (intraclass correlation coefficient [ICC]=0.90). The multiple linear regression model showed that only the mother’s age has a significant positive relationship with knowledge ([B=0.082] P=0.04) about the development of communication, language, speech, and swallowing of children aged 18 to 36 months. Socioeconomic status and the mother’s education had no significant relationship with the mother’s KAP. Also, this study showed that the mother’s knowledge, attitude, and practice about a child’s development were high (mean=16.5), positive (mean=56.44), and good (mean=60.27). Discussion: This study showed that the designed questionnaire is a valid and reliable tool that can be used to investigate the mother’s KAP about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months. On the other hand, speech and language pathologists can use this questionnaire in related studies and clinical evaluations to have better and more knowledge of the child’s environment and the factors affecting it in Persian-speaking society.
目的:母亲对儿童发展规范的认识和态度会影响其实践和亲子互动的质量。儿童早期的发展质量对他们的个性和未来的成功有很大的影响。因此,本研究拟编制伊朗母亲知识、态度与实践问卷,调查18 ~ 36月龄波斯语儿童沟通、语言、言语和吞咽发展的心理测量特征,并进行比较。方法:本研究是一项描述性分析和横断面研究,对来自伊朗不同省份的280名典型发育儿童(18至36个月)的母亲进行了研究。由于COVID-19大流行与研究的实施,参与者被选择为可用的,然后雪球以面对面和在线两种方式完成问卷。为检验问卷的效度,采用言语治疗专家和10位母亲的意见计算问卷的面孔效度,采用Lawshe法计算问卷的内容效度。为检验问卷的信度,每隔两周采用测试重测法。结果:本问卷具有较高的效度(内容效度指数[CVI] >0.79)和信度(类内相关系数[ICC]=0.90)。多元线性回归模型显示,只有母亲的年龄与18 ~ 36月龄儿童的沟通、语言、言语、吞咽发育知识呈正相关([B=0.082] P=0.04)。社会经济地位和母亲受教育程度与母亲的KAP无显著关系。此外,本研究显示母亲对儿童发展的认知、态度和行为为高(平均=16.5)、积极(平均=56.44)和良好(平均=60.27)。讨论:本研究显示所设计的问卷是一种有效且可靠的工具,可用于调查18 - 36月龄波斯语儿童的母亲对沟通、语言、言语和吞咽发展的认知能力。另一方面,言语和语言病理学家可以在相关研究和临床评估中使用该问卷,更好和更多地了解儿童在波斯语社会中的环境及其影响因素。
{"title":"Evaluating the Validity and Reliability of the Knowledge, and Practice Questionnaire of Iranian Mothers About the Development of Persian-speaking Children Aged 18 to 36 Months","authors":"Zahra Valitabar Kerati, Morteza Farazi, Atieh Ashtari, Fatemeh Jazem, Majid Jannat","doi":"10.32598/irj.21.3.1528.2","DOIUrl":"https://doi.org/10.32598/irj.21.3.1528.2","url":null,"abstract":"Objectives: The mother’s knowledge and attitude about the child’s developmental norms can affect their practice and the quality of parent-child interaction. The quality of a child’s development in the early years significantly impacts their personality and future success. Therefore, this study aims to develop and investigate the psychometric characteristics of the Iranian mother’s knowledge, attitude, and practice (KAP) questionnaire about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months and comparing them. Methods: This study was a descriptive-analytical and cross-sectional study conducted on 280 mothers with typically developed children aged 18 to 36 months from different provinces of Iran. Due to the COVID-19 pandemic with the implementation of the study, the participants were selected as available, and then the snowball completed the questionnaire in both face-to-face and online methods. To check the validity of the questionnaire, face validity was calculated using the opinion of speech therapy experts and ten mothers, and content validity was calculated using the Lawshe method. To check the reliability of the questionnaire, the test re-test method was used in a two-week interval. Results: The results indicated that this questionnaire has high validity (content validity index [CVI] &gt;0.79) and reliability (intraclass correlation coefficient [ICC]=0.90). The multiple linear regression model showed that only the mother’s age has a significant positive relationship with knowledge ([B=0.082] P=0.04) about the development of communication, language, speech, and swallowing of children aged 18 to 36 months. Socioeconomic status and the mother’s education had no significant relationship with the mother’s KAP. Also, this study showed that the mother’s knowledge, attitude, and practice about a child’s development were high (mean=16.5), positive (mean=56.44), and good (mean=60.27). Discussion: This study showed that the designed questionnaire is a valid and reliable tool that can be used to investigate the mother’s KAP about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months. On the other hand, speech and language pathologists can use this questionnaire in related studies and clinical evaluations to have better and more knowledge of the child’s environment and the factors affecting it in Persian-speaking society.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Kendall Exercise vs. Gong’s Mobilization on Pain, Range of Motion, Function, and Strength in Cases With Text Neck Syndrome 肯德尔运动与龚氏运动对短信颈综合征患者疼痛、活动范围、功能和力量的影响
Q4 Medicine Pub Date : 2023-09-01 DOI: 10.32598/irj.21.3.1335.12
Hamna Afzal, Rabiya Noor, Nazia Mumtaz, Muhammad Salman Bashir, Ghulam Saqulain
Objectives: To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome. Methods: This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant. Results: A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores. Discussion: The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.
目的:根据文本颈综合征患者的疼痛感觉、活动范围、功能、力量和姿势,确定Kendall与Gong干预的影响。方法:该随机临床试验于2021年1月至4月从巴基斯坦萨戈达法蒂玛医院招募了24例短信颈综合征患者。采用包络法将样本随机分为2组。A组采用Kendall干预,B组采用Gong动员。干预在6周内对每位患者进行18次治疗,即每周3次。采用颈部失能指数、数值疼痛评定量表、颈椎活动度(ROM)、颅椎角(CVA)、圆肩角(RSA)和改良血压计测试收集数据。在基线和干预后6周测量所有结果,并使用SPSS软件,版本23进行分析。采用t检验分析组内和组间差异,P<0.05被认为是显著的。结果:组内及组间统计学差异有统计学意义(p < 0.05)。Gong的动员在所有产出指标上都显示出更高的有效性(P<0.001),这取决于平均得分之间的差异。讨论:该研究得出结论,Kendall的运动和Gong的运动都有助于减轻疼痛和功能障碍;提高颈椎活动范围和颈部肌肉力量。然而,在改善颈短综合征的结果测量方面,Gong的运动优于Kendall的运动,包括颈部疼痛、残疾、颅椎角、圆肩角、颈椎活动度(ROM)和颈椎肌肉力量。
{"title":"Effects of Kendall Exercise vs. Gong’s Mobilization on Pain, Range of Motion, Function, and Strength in Cases With Text Neck Syndrome","authors":"Hamna Afzal, Rabiya Noor, Nazia Mumtaz, Muhammad Salman Bashir, Ghulam Saqulain","doi":"10.32598/irj.21.3.1335.12","DOIUrl":"https://doi.org/10.32598/irj.21.3.1335.12","url":null,"abstract":"Objectives: To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome. Methods: This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant. Results: A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores. Discussion: The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensory Processing in the Children Aged Under 14 Years 14岁以下儿童的感觉加工
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1568.1
Marjan Shahbazi, Mehdi Alizadeh Zarei, Fatemeh Shahbazi, Navid Mirzakhani
Objectives: Individuals should have good sensory processing ability to function appropriately and participate in daily activities. This investigation aimed to evaluate the sensory processing characteristics of children aged under 14 years. Methods: This is a descriptive cross-sectional study. The study population comprised all children aged >14 years referred to child’s developmental centers and elementary and middle schools in Tehran City, Iran. After considering the inclusion criteria, 1272 children were selected using multistage cluster sampling. The research tool was sensory profile-2, completed by children’s caregivers and teachers. Their sensory processing characteristics were measured according to the cut-off scores of the separate questionnaires of Sensory profile-2 in the section, school, and quadrant factors. Results: The research samples scored just like the majority of others on most sensory processing areas, with only two quadrants, one sensory section, and one school factor score indicating “less than others” or “more than others.” Discussion: According to the findings, a high sensory sensitivity leads to intolerance of children in schools. Also, the low level of sensory seeking in toddlers is associated with less than other scores in movement items.
目的:个体应具有良好的感觉处理能力,以正常运作并参与日常活动。本研究旨在探讨14岁以下儿童的感觉加工特征。方法:这是一项描述性横断面研究。研究人群包括伊朗德黑兰市儿童发展中心和中小学的所有14岁儿童。在考虑纳入标准后,采用多阶段整群抽样的方法选取1272名儿童。研究工具是感官档案-2,由儿童看护人和教师完成。根据感官档案-2问卷在剖面、学校和象限因素上的分界点得分来测量他们的感觉加工特征。结果:研究样本在大多数感官处理领域的得分与大多数其他人一样,只有两个象限,一个感官部分和一个学校因素得分表示“比别人少”或“比别人多”。讨论:根据研究结果,高感官敏感性导致儿童在学校的不耐受。此外,幼儿低水平的感官寻求与运动项目的其他得分相关。
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引用次数: 0
Investigating the Relationship Between Psychological Flexibility, Mindful Ability, and Self-compassion With the Severity of Depression in Patients With Mood Disorders 情绪障碍患者心理灵活性、正念能力、自我同情与抑郁严重程度的关系研究
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1861.1
Fatemeh Zargar, Rozita Mansouri, Mohammad-Javad Tarrahi
Objectives: Considering the prevalence and importance of depression, it is necessary to study the new psychological variables involved in its formation, persistence, and recurrence. Accordingly, this study aims to investigate the relationship between psychological flexibility (PF), mindful ability (MA), and self-compassion with the severity of depression in patients with mood disorders. Methods: This cross-sectional study was conducted from October to January 2018. A total of 80 patients with various mood disorders were selected via a purposive sampling method based on the inclusion and exclusion criteria from the psychiatric wards of Noor Hospital and clinics affiliated with Isfahan University of Medical Sciences. They completed the self-compassion scale, acceptance and action questionnaire, Freiburg mindfulness inventory–short form, and the Beck depression inventory-II. The data were analyzed using the SPSS software, version 24. Meanwhile, the Pearson correlation coefficient and multiple regression were applied as well. Results: The correlation coefficient between PF and depression was -0.79. This coefficient was -0.91 and -0.87 between self-compassion and depression and MA and depression, respectively. This indicates a strong inverse relationship between depression scores and these variables. Stepwise regression analysis showed that gender and MA were respectively the best predictors of depression (P<0.05). Discussion: Based on the results, there was a significant relationship between low self-compassion, PF, and MA and depression in patients with mood disorders.
目的:考虑到抑郁症的患病率和重要性,有必要对其形成、持续和复发的新心理变量进行研究。因此,本研究旨在探讨情绪障碍患者心理灵活性(PF)、正念能力(MA)和自我同情与抑郁严重程度的关系。方法:本横断面研究于2018年10月至1月进行。根据纳入和排除标准,采用有目的抽样方法,从努尔医院精神病病房和伊斯法罕医科大学附属诊所共选择了80名患有各种情绪障碍的患者。他们完成了自我同情量表、接受与行动问卷、弗莱堡正念量表(短表)和贝克抑郁量表(ii)。数据分析采用SPSS软件,版本24。同时,运用Pearson相关系数和多元回归分析。结果:PF与抑郁的相关系数为-0.79。自我同情与抑郁、MA与抑郁的相关系数分别为-0.91和-0.87。这表明抑郁得分与这些变量之间存在强烈的反比关系。逐步回归分析显示,性别和MA分别是抑郁症的最佳预测因子(P<0.05)。讨论:基于研究结果,情绪障碍患者低自我同情、PF和MA与抑郁之间存在显著关系。
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引用次数: 0
Investigating the Prevalence, Severity, and Nature of Adverse Events in an Inpatient Rehabilitation Hospital 某康复医院住院患者不良事件的发生率、严重程度和性质调查
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1854.1
Shoeleh Rahimi, Hamid Reza Khankeh, Narges Arsalani, Masoud Fallahi-Khoshknab, Abbas Ebadi, Fereydoun Layeghi
Objectives: This study aims to evaluate the prevalence, severity, and nature of adverse events (AEs) and provide suggestions on how to prevent AEs recurrence in an inpatient rehabilitation hospital in Iran. Methods: This retrospective descriptive-analytical study was conducted in 2021 at Rofaydeh Rehabilitation Hospital in Tehran City, Iran. AEs associated with rehabilitation services and nursing care, which were reported in the hospital’s voluntary reporting system from 2018 to 2021 were evaluated. A standard checklist codified by the Ministry of Health of Iran was used to collect the data from the medical error documentation. The data were analyzed by the SPSS software, version 21, using descriptive statistics, the chi-square, and the Fisher exact tests. Results: A total of 5642 patients had been hospitalized in the study setting and 517 AEs had been documented during the 4 years of the study. The most common AEs in descending order were as follows: falls 288(55.7%), pressure ulcers 57(11.02%), medication errors 50(9.67%), clinical process 49(9.47%), clinical administration (issues with admission process 10(1.93%) and wrong patient identification 5(0.96%). Among 58(11.21%) cases of hospital-acquired infections, 45(77.58%) cases were urinary tract infections. There was a significant relationship between age and fall (P=0.026), pressure ulcer (P=0.006), and hospital-acquired infection (P=0.001), and between gender and fall (P=0.01), pressure ulcer (P=003), and hospital-acquired infection (P=0.01). The severity of identified AEs was categorized into mild 431(83.36%), moderate 61(11.79%), and severe 25(4.83%). The most common causes of AEs were limited supervision of patients by healthcare providers. Discussion: This study showed that patient fall, pressure ulcer, and hospital-acquired infection were the most prevalent AEs in the rehabilitation hospital. Future efforts to improve patient safety in these settings should focus on reducing such AEs along with removing barriers to voluntary incident reporting.
目的:本研究旨在评估伊朗一家住院康复医院不良事件(ae)的发生率、严重程度和性质,并为如何预防ae复发提供建议。方法:这项回顾性描述性分析研究于2021年在伊朗德黑兰市Rofaydeh康复医院进行。评估2018年至2021年在医院自愿报告系统中报告的与康复服务和护理相关的ae。使用伊朗卫生部编纂的标准核对表收集医疗差错文件中的数据。采用SPSS软件第21版对数据进行分析,采用描述性统计、卡方检验和Fisher精确检验。结果:在4年的研究期间,共有5642名患者住院,517例ae被记录在案。最常见的ae由高到低依次为:跌倒288例(55.7%),压疮57例(11.02%),用药错误50例(9.67%),临床流程问题49例(9.47%),临床给药(入院流程问题10例(1.93%),患者识别错误5例(0.96%)。医院获得性感染58例(11.21%),其中尿路感染45例(77.58%)。年龄与跌倒(P=0.026)、压疮(P=0.006)、医院获得性感染(P=0.001)相关,性别与跌倒(P=0.01)、压疮(P=003)、医院获得性感染(P=0.01)相关。鉴定出的ae严重程度分为轻度431例(83.36%)、中度61例(11.79%)和重度25例(4.83%)。ae的最常见原因是医疗保健提供者对患者的监督有限。讨论:本研究表明,患者跌倒、压疮和医院获得性感染是康复医院最常见的ae。未来在这些环境中提高患者安全的努力应侧重于减少此类事件,同时消除自愿报告事件的障碍。
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引用次数: 0
Investigating the Effect of Cognitive Rehabilitation on the Memory Improvement of Patients With Alzheimer 认知康复对阿尔茨海默病患者记忆改善的影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.2066.1
Ali Abdulhussain Fadhi, Ali H Mohammed, Ibrahim Mourad Mohammed, Mohammed Shnain Al, Khulood H Oudaha, Saif Yaseen Hasan
Objectives: Alzheimer is the most prevalent cognitive disturbance with a high spread rate among the elderly. The current research aims to investigate the impact of cognitive rehabilitation on the memory improvement of Alzheimer disease patients. Methods: This was a semi-experimental design with pre-test and post-test designs. The statistical population in Baghdad City, Iraq, in 2021 included 60 patients with Alzheimer and was divided into an experimental (n=30) and a control group (n=30). The patient’s cognitive abilities were assessed before the intervention (pre-test), promptly after the intervention (post-test), and 2 months later (follow-up). The experimental group had twenty-eight 45-min sessions of training based on the Montessori method (2 sessions per week). The data were analyzed via the SPSS software, version 19, using the independent t-test and repeated measures analysis of variance. The results had a P<0.05. Results: The findings of the independent t-test demonstrated no significant difference between the scores of both groups during the pre-test stage (P>0.05); however, the difference was significant during the post-test and follow-up stages (P<0.001). In addition, the findings of the repeated measure analysis of variance indicated a significant difference between both groups’ mean scores in the post-test and follow-up (P<0.001). Discussion: Cognitive rehabilitation can help patients with memory disorders and positively affect their memory performance.
目的:阿尔茨海默病是老年人中最常见的认知障碍,具有较高的传播率。本研究旨在探讨认知康复对阿尔茨海默病患者记忆改善的影响。方法:采用前测和后测相结合的半实验设计。2021年伊拉克巴格达市统计人群中有60例阿尔茨海默病患者,分为实验组(n=30)和对照组(n=30)。分别在干预前(前测)、干预后(后测)和2个月后(随访)评估患者的认知能力。实验组按照蒙台梭利教学法进行28次45分钟的训练(每周2次)。数据分析采用SPSS 19版软件,采用独立t检验和重复测量方差分析。结果为P<0.05。结果:独立t检验结果显示,两组在前测阶段的得分差异无统计学意义(P>0.05);然而,在测试后和随访阶段,差异是显著的(P<0.001)。此外,重复测量方差分析的结果表明,两组在测试后和随访中的平均得分存在显著差异(P<0.001)。讨论:认知康复可以帮助记忆障碍患者,并对其记忆表现产生积极影响。
{"title":"Investigating the Effect of Cognitive Rehabilitation on the Memory Improvement of Patients With Alzheimer","authors":"Ali Abdulhussain Fadhi, Ali H Mohammed, Ibrahim Mourad Mohammed, Mohammed Shnain Al, Khulood H Oudaha, Saif Yaseen Hasan","doi":"10.32598/irj.21.2.2066.1","DOIUrl":"https://doi.org/10.32598/irj.21.2.2066.1","url":null,"abstract":"Objectives: Alzheimer is the most prevalent cognitive disturbance with a high spread rate among the elderly. The current research aims to investigate the impact of cognitive rehabilitation on the memory improvement of Alzheimer disease patients. Methods: This was a semi-experimental design with pre-test and post-test designs. The statistical population in Baghdad City, Iraq, in 2021 included 60 patients with Alzheimer and was divided into an experimental (n=30) and a control group (n=30). The patient’s cognitive abilities were assessed before the intervention (pre-test), promptly after the intervention (post-test), and 2 months later (follow-up). The experimental group had twenty-eight 45-min sessions of training based on the Montessori method (2 sessions per week). The data were analyzed via the SPSS software, version 19, using the independent t-test and repeated measures analysis of variance. The results had a P<0.05. Results: The findings of the independent t-test demonstrated no significant difference between the scores of both groups during the pre-test stage (P>0.05); however, the difference was significant during the post-test and follow-up stages (P<0.001). In addition, the findings of the repeated measure analysis of variance indicated a significant difference between both groups’ mean scores in the post-test and follow-up (P<0.001). Discussion: Cognitive rehabilitation can help patients with memory disorders and positively affect their memory performance.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Iranian Rehabilitation Journal
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