IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN)
Year:2013 | Volume:1 | Issue:1|Papers Count:8

Introduction: Coronary heart disease is the main cause of death and inability in all communities. Anxiety is the most common psychological response to myocardial infarction. Present study was conducted to indentify efficacy of eye movement desensitization and reprocessing on the anxiety of patients with myocardial infarction.Methods: This study is a clinical trial. Sixty patients with myocardial infarction hospitalized at the cardiac ward of a hospital in Qazvin between 2011-2012 were selected using sampling and were divided by random assignment into experimental and control groups. In order to collect data, demographic and anxiety questionnaires were used. Interventions were subsequently performed in two sessions every other day for 45 to 90 mi and anxiety level of the patients was measured before and after intervention. Data were analyzed using descriptive statistics, paired -t -test, t -test, Willcoxon and Chi square.Results: Mean anxiety levels in experimental group were (48.87±4.28) and (7.37±2.42) before and after intervention, respectively; therefore it statistically showed a significant difference (P<0.001). Mean anxiety level in control group was (49.10±5.13) before intervention and it was (48.40±5.31) after intervention, so it statistically showed a significant difference (P<0.001).Conclusion: The eye movement desensitization and reprocessing is a newly effective, useful, efficient and non-invasive method for treatment and reducing anxiety in patients with myocardial infarction. Nurses, particularly those who are working in Critical Care Units can use this new and effective method for treatment of anxiety in patients.

Introduction: Economical and social developments in recent years as well as increasing working women have caused dramatic changes in the daily life of communities and the incidence of short-term separation of mother and child.Methods: A comparative design was used in this study.128 kindergarten and 112 non-kindergarten children were randomly selected for the study. Their age ranged from 4 to 6 years. Data were collected through demographic and kinship attachment questionnaires. The kinship questionnaires contained 4 sub-items. Data were analyzed using statistical tests such as t-test and Pearson correlation coefficient.Results: Significant difference was observed between total attachment scores of kindergarten and non-kindergarten children. In terms of total attachment score, there was no significant difference between boys and girls. Comparison of children in kindergarten and non-kindergarten groups in “avoidance” sub-item showed significant difference. There was also a high correlation between family economical status and total attachment score in kindergarten children.Conclusion: There was no difference between attachment situation of the two groups of children and genders. Improving economic status of families practically had no positive effect on children’s attachment.

Introduction: Life skills play a significant role in adolescents’ health promotion and have a positive effect on modifying their high-risk behaviors. A great deal of studies has shown that problem solving may affect drug using behavior. The purpose of this study is to determine adolescents’ problem solving skill and its relation with ecstasy usage among adolescents of the west of Tehran.Methods: In a cross-sectional (correlative) study. Eight hundred adolescents ranging from 16-18 years old residing in the western public regions of Tehran participated in the study. Problem-solving skill was determined using “problem solving inventory”. Adolescents’ usage of ecstasy was measured by a self-structured questionnaire. The questionnaires were completed by participants after obtaining an informed consent.Results: Our finding revealed that most of participants (69.4%) enjoyed good problem-solving skills. Also, findings indicated that 7.6% of adolescents have experienced ecstasy usage once at least. There was a significant relationship between problem-solving skill and ecstasy usage in adolescents (P=0.001).Conclusion: Regarding the findings, it is recommended to reinforce life skills in adolescents by emphasizing the role of parents, peers and friends to prevent substance abuse. It is also recommended that some programs are required to be executed regarding prohibited substances including ecstasy and their complications to increase publicgeneral information.

 Introduction: Medical students, especially army university students are considered as being under high risk for mental disorders. This study investigated the relationship between self-esteem and depression in nursing students of a selected medical university in Tehran.Methods: In this descriptive-analytical survey, 130 nursing students of a selected medical university in Tehran were selected. Data collection tools were: A researcher made demographic information questionnaire, the 21-item Beck Depression questionnaire, and 58-question Cooper Smith self Esteem Questionnaire. After entering the data into SPSS version 18 and using the Liker method for scoring options in the questionnaire, data analysis was made according to SPSS software and descriptive-analytical statistics (Chi-square).Results: The results showed that %24.3 of students had moderate to severe depression. Also %56.1 had a low self-esteem. Chi-square tests showed significant differences between depression and self-esteem in the assessed units (P<0.05).Conclusion: Given that a significant difference existed between the level of selfesteem and depression and upon increasing self-esteem, the scores of depression decreases, it, therefore is possible to use methods of enhancing self-esteem to improve students’ mental health.

Introduction: Considering the aged population development and the prevalence of depression in this group, especially in nursing homes, paying attention to psychotherapeutic approaches, especially in terms of ease and lack of side effects is absolutely necessary. This study investigated the effects of group poetry therapy on depression of elderly people.Methods: A quasi-experimental study was conducted among 72 elderly living at a nursing home and also were randomly selected and classified in two groups of intervention (n=39) and control (n=33) groups. Poetry therapy group was designed for the intervention group and 12 sessions of 60 minutes were carried out for 6 weeks. Without any special interruption, the intervention group participated regularly in group meetings. The data collection tools were questionnaire, demographic information and geriatric depression scale. To analyze and collect data, chi-square, t tests and paired t -test were utilized.Results: Our finding showed a significant difference between pre and post intervention, where the elderly depression mean score in intervention group changed from 7.6 to 6.5 (P<0.004) but no significant difference was observed in the control group (P>0.87).Conclusion: Having considered the results, it can be said that group poetry therapy can be effective to reduce depression in older adults. Therefore, it is recommended to use such an easy and low cost skill in nursing homes or own homes to promote mental health and improve depression symptoms.

Introduction: Multiple Sclerosis is a chronic and degenerative disease related to the central nervous system that causes depression in patients. Peer group can better encourage their peers to select the appropriate behavior. This study aimed to determine the impact of peer-led education on depression of multiple sclerosis patients in 2011.Methods: This quasi-experimental study was performed by selecting 110 multiple sclerosis patients and allocation of randomized two groups of tests and control groups (each group included55 patients).The MS Society of Iran was the research environment. After preparing the peer group, six training sessions were held during six weeks by peer group for the test group. Data collection tool was a questionnaire named Beck Depression Inventory (BDI) to assess patients’ depression; this was completed by both groups before and4months after the program. The data were analyzed using SPSS v.16 software and chi-square test, paired T and independent T.Results: There was no significant difference in depression score between two groups before intervention but the difference was shown significant between two groups after intervention using independent t test (P=0.001). Pair t test showed a significant difference in the depression reduction in the test group after peer group performance (P=0.000), whereas the same test showed no significant difference in the control group.Conclusion: Peer-led education caused depression reduction in patients with MS. Hence use of this teaching method in multiple sclerosis and patients with chronic diseases is recommended.