Iranian Journal of Rehabilitation Research in Nursing
Year:2023 | Volume:9 | Issue:4|Papers Count:11

2Introduction: pressure ulcer (PU) as one of the serious complications of hospitalization in health care centers increases the caregiver burden, morbidity and mortality of patients, the frequency and duration of hospitalization, and reduces the quality of treatment, and imposes huge costs on health systems and increase the pain and suffering of patients. Therefore, the present study was conducted with the aim of investigating the level of knowledge and attitude of pressure ulcer prevention among rehabilitation team members in Rafidah Rehabilitation Hospital. Methods: This research was a cross-sectional study that was conducted in 2022 in Rofeydeh Rehabilitation Hospital, Tehran, Iran. Demographic information of 107 members of the rehabilitation team working in Rafidah Rehabilitation Hospital using the full count method during a period of 8 weeks and using the Piper Pressure Ulcer Prevention Knowledge Test (PPUKT) and the Beckman Pressure Ulcer Prevention Attitude Tool (APUP) were gathered. The collected data were analyzed in Spss software version 28 using chi-score and independent t tests at a significance level of 0. 05. Results: Findings: The majority of the rehabilitation team members were women (78. 5%), were over 30 years old (52. 3%), and had a bachelor's degree (51. 4%) and clinical work experience of more than 5 years (66. 4%). and not having a history of participating in pressure ulcer training courses (70%). The average score of knowledge of team members was weak (56. 71) and the attitude of team members was favorable (76. 04). The findings showed that there was no significant relationship between the knowledge and attitude of rehabilitation team members with gender, age, education level and clinical work experience. While there was a significant relationship between the knowledge and attitude of the rehabilitation team members with the history of participating in pressure ulcer training courses. Conclusion: Based on the results of the present study, the rehabilitation team members had poor knowledge and favorable attitude. Considering the poor knowledge of the rehabilitation team members, it is recommended that the nursing and rehabilitation field administrators plan training and practical workshops on the prevention of pressure ulcers to improve the knowledge level of the team members.

2Introduction: identifying and targeting factors predicting the anxiety of the corona virus can be effective in health management,therefore, the aim of the present study was to determine the mediating role of distress tolerance in the relationship between moral intelligence and covid-19 anxiety in students. Methods: The current descriptive-correlational structural equation study was conducted using the path analysis method, from the statistical population that included all male students of Farhangian University of Shahid Bahonar Campus in Birjand in the academic year 2019-2020 (the last three months of 2019). Based on the Chrissy and Morgan table, 260 students were selected using available sampling method and responded online to the questionnaires of moral intelligence of Lenik and Keel (2007), distress tolerance of Simon and Gaher (2005) and anxiety of Corona Alipour et al. (2020). The research model and relationships between variables were analyzed using mean, standard deviation, Pearson correlation test and using SPSS version 22 and Amos software. Results: The results showed that the components of moral intelligence had a positive and direct effect on distress tolerance, and distress tolerance in turn had a direct and negative effect on corona anxiety, and the components of moral intelligence had a negative effect on corona anxiety indirectly and through the mediation of distress tolerance (P<0. 01). In general, the research model was suitable. Conclusion: According to the results of the research, focusing on the type of components of moral intelligence and distress tolerance can have an important effect on students' covid-19 anxiety. It is suggested that therapeutic interventions based on moral intelligence and distress tolerance should be considered in the treatment of Covid-19 anxiety.

2Introduction: Abnormal pressure during daily activities, including walking, is known as a risk factor in knee joint degeneration in knee amputees. The aim of this research was to analyze ground reaction force (GRF) and sample entropy in below-the-knee amputees. Methods: This study was a descriptive-cross-sectional type, and 20 people with below-knee amputations of the right leg (TT group) and 20 people without amputations (control group) participated. VICON motion analysis system was used to evaluate the ground reaction force during walking. Two linear and non-linear methods were used to analyze GRF data. Sample entropy was chosen as a nonlinear analysis method. ANOVA statistical test was used for inter-group comparison of GFR components and dependent t-test was used to check the difference between legs in TT group. All statistical steps were performed by SPSS software with p<0. 05. Result: The amount of GRF force in the control group was significantly higher in the vertical (first and third peak) and anterior-posterior components and lower in the second peak of the vertical component than in the TT group (p<0. 05). Also, the entropy value in all GRF components and in both legs of the TT group was significantly lower than the control group (p<0. 05). Conclusion: According to the results, the amount of force exerted on the joints of the TT group is not symmetrically distributed between the two legs, so the probability of developing osteoarthritis in the healthy leg joint will be higher. The reduction of the entropy value is a sign of the absence of natural fluctuations in the GRF, which indicates less adaptation and coordination of the lower body joints during walking.

2Introduction: it is necessary to pay attention to the various factors affecting marital satisfaction in a marital bond; therefore, the present study was conducted with the aim of explaining the role of covert communicative aggression and cognitive regulation of emotion in predicting marital satisfaction. Methods: The current research was descriptive-correlational. The research population included all married women who referred to counseling centers in the five cities of Tehran in 1401, and 150 qualified people were selected as the research sample using the purposeful sampling method; And then they responded to Nelson and Carroll's Covert Communication Aggression Questionnaire, Garnevsky's and Kriage's Cognitive Regulation of Emotion, and Foures' and Olson's Marital Satisfaction Scale. Data analysis was done with Pearson correlation test and multiple regression with the help of SPSS version 22 statistical software. Result: The results showed a negative correlation between emotional withdrawal (p < 0.001, r = -0.191), ruining social image (p < 0.001, r = -0.437) and cognitive regulation of negative emotion (0.001). /0>p, r=0.266) exists with marital satisfaction. However, the correlation between cognitive regulation of positive emotion (p<0.01, r=0.168) and marital satisfaction was positive. Conclusion: Based on the results of the research, it can be concluded that by reducing communication hidden aggression and improving the cognitive regulation of emotions, the level of marital satisfaction increases.

2Introduction: One of the best interventions in the field of reducing injury and improving performance is running shoes. Despite this, the research results show that achieving the desired result due to using shoes depends on paying attention to other influencing factors such as foot structure. Therefore, the present study was carried out with the aim of investigating the mutual effect of navicular drop and foot cover on the contact forces of lower limb joints during running. Methods: The present study is semi-experimental and applied. 47 male subjects (12 people with high navicular drop, age: 23.08±3.34, 18 people with low navicular drop, age: 22.88±1.96 and 17 people with normal navicular drop, age: 4.5±1.5 21). The participants ran at a speed of three meters per second with three types of barefoot (BF), minimal shoes (MF) and common shoes (CF) and their kinetic and kinematic data were collected. Compressive and shear forces were calculated respectively through the result of perpendicular and parallel forces acting on the surface of the joint. In order to make a statistical comparison, analysis of variance with two-way repeated measurement (foot cover and navicular drop) and Bonferroni's post hoc test were used in SPSS software with a significance level of 0.05. Results: The results of the present study showed that the amount of navicular drop and foot cover have a mutual effect on the compressive force of the knee (p=0.049). So that the normal drop group had 11.07% (p=0.029) and 15.63% (p=0.002) lower compressive force than MF in BF and CF conditions, respectively. The group with low drop showed 16.28% and 12.27% less compressive force in BF mode than MF (p=0.002) and CF (p=0.009), respectively. Knee compression force in MF was 11.65% higher than BF (p<0.001) and 18.8% higher than CF (p<0.001). Ankle compressive force in CF running was 22.49% more than BF and 15.99% more than MF. Ankle shear force in BF running was 42.86% (p<0.001) and in MF conditions was 38.98% (p<0.001) than CF. Conclusion: Navi drop in interaction with the foot cover can affect the compressive force of the knee. But alone, it had no effect on ankle and knee contact forces. On the other hand, foot covering is an influencing factor on the forces on the lower limb and probably plays an important role in lower limb injuries.

2Introduction: Drug addicts have problems in the field of self-control, emotional regulation and disturbance tolerance. Therefore, the aim of this study was to determine the effect of group dialectical behavior therapy on self-control, emotional regulation and disturbance tolerance of drug addicts. Methods: The present study was a semi-experimental study with a pre-test and post-test design with a control group. The research population was drug addicts of Mashhad city in 2019. Among the members of the community, 30 people were selected as a sample with the purposeful sampling method and were assigned to two equal groups by the simple random method with the help of lottery. The experimental group received 12 sessions of 90 minutes with group dialectic behavior therapy and the control group remained on the waiting list for training. Data were collected with demographic information form, self-control questionnaire, emotional regulation scale and disturbance tolerance scale and were analyzed with chi-square tests and multivariate covariance analysis in SPSS version 23 software. Result: The findings showed that there was no significant difference between the experimental and control groups in terms of education level and age range (P>0.05). Group dialectic behavior therapy increased self-control (F=125.86, P<0.001) and disturbance tolerance (F=151.001, P<48) and decreased emotional regulation difficulty (P<68.001, P<0.001, F=21) drug addicts were exposed. Conclusion: The results of this study showed the effect of group dialectical behavior therapy on increasing self-control and tolerance of disturbance and reducing the difficulty of emotional regulation of drug addicts. Therefore, counselors and therapists can use group dialectical behavior therapy along with other treatment methods to improve psychological characteristics.

2Introduction: Body image is one of the important aspects of people's mental health, and those who suffer from amputation face many problems related to body image concerns. Therefore, the present study was conducted with the aim of developing the structural relationship between mindfulness and body image concern in amputees with the mediating role of perceived social support. Methods: The current research was descriptive-correlation based on structural equation modeling. The statistical population of this research was amputees who referred to the comprehensive rehabilitation center of Red Crescent Society of Tehran in 1401, of which 260 people were selected by purposive sampling. To collect data, Littleton's body image concern questionnaire, Bauer's five-dimensional mindfulness questionnaire, and Zimmet's multidimensional scale of perceived social support were used. Data analysis was also done with the help of SPSS18 and AMOS23 software and structural equation test. Result: The findings showed that the research model has a good fit and the causal model of the relationship between mindfulness, perceived social support and body image concern in people with amputations was confirmed. Also, mindfulness and perceived social support have a direct impact on body image concerns. In addition, mindfulness has an indirect effect on body image concern through perceived social support. Conclusion: The results of the research indicate the importance of the role of mindfulness and perceived social support on body image concerns of people with amputations. According to the obtained results, implementing programs to improve mindfulness and perceived social support in people with amputations can lead to a reduction in their body image concerns.

2Introduction: Recognizing the needs and health status of the elderly is one of the important issues of the society, and in order to empower and improve their conditions, new treatment solutions, rehabilitation and effective interventions should be researched. This study aimed to compare the effectiveness of cognitive rehabilitation and compassion-based therapy on self-care behaviors of the elderly with mild cognitive impairment. Methods: The present study was semi-experimental in terms of its purpose, application, and research method, with a pre-test, post-test design with a control group with a three-month follow-up. The statistical population included all elderly people with mild cognitive impairment in Tehran who had visited the health centers of Tehran University of Medical Sciences in 1400. Among them, 42 elderly people were selected based on the inclusion criteria and were randomly divided into two groups of cognitive rehabilitation and compassion-based therapy and a control group. Cognitive rehabilitation and compassion-based therapy were each implemented during 8 sessions of 90 minutes for the experimental groups, and the control group did not receive any training. The research tool was the self-care behavior questionnaire. Data were analyzed using mixed variance analysis in SPSS version 26 software. Result: The results showed that cognitive rehabilitation and compassion-based therapy were effective on spiritual self-care, social self-care, physical self-care and self-care during illness (P<0.05). The effect of the treatment based on cognitive rehabilitation in physical self-care was more than the group of treatment based on compassion. Conclusion: Based on the results of the research, the educational packages of this research can be used in nursing homes and nursing homes to improve the level of self-care of the elderly.

2Introduction: Sleep disorder and anxiety are among the most important problems of people with carcinoma. The purpose of this study is to determine the effect of mind-body technique and exercise on sleep disorders and anxiety in patients with carcinoma. Methods: 30 volunteer patients with cancer (24 women, 6 men) were randomly divided into two control (15 people) and experimental (15 people) groups. This study was quasi-experimental and was conducted in 2021 in Isfahan. Sleep disorder was assessed with the Pittsburgh questionnaire and anxiety with the Beck questionnaire. Measurements of variables were recorded at before, 3 and 12 weeks after the intervention. The experimental group participated in a combined program of mind-body techniques and exercise during three months. Sleep disorder was assessed using the Pittsburgh questionnaire and anxiety was assessed using the Beck questionnaire. Results: The main effect of the exercise program on the variables of sleep disorders was significant (P<0.001). Also, the main effects related to repetition and the interaction effect of repetition in the group were significant (P<0.001). In addition, the main effect of exercise program on anxiety was significant (P<0.001). Also, the main effects related to repetition and the interaction effect of repetition in the group were significant (P<0.001). Conclusion: The combined program including exercise and mind-body technique improved the symptoms of sleep disorder and anxiety in patients with carcinoma cancer.

2Introduction: Aging is a process in which physiological and psychological changes, especially cognitive changes, are observed. The aim of the present study was to determine the effectiveness of neuro-feedback on the alpha frequency band and beta frequency band at points (F3, F4) in the elderly with mild cognitive impairment. Methods: For this purpose, in this semi-experimental research, 30 people as an available sample from the statistical population of elderly people with mild cognitive impairment in 1400 of Tabriz city were included in the research and were placed in two control and experimental groups, the treatment plan for the experimental group included There were 15 sessions of 20 minutes of neuro-feedback and then the collected data of the experimental group and the control group from F3 and F4 areas and alpha and beta values were analyzed using multivariate covariance analysis (MANCOVA). Results: The research findings showed that neuro-feedback has a positive effect on alpha and beta frequency bands with symptoms of mild cognitive impairment (p<0.005). Considering the square of eta, it can be said that 50% of the changes caused by neuro-feedback in the alpha band were 40% of the changes caused by neuro-feedback in the beta band. Conclusion: The results of the present study showed that neuro-feedback leads to changes in alpha and beta brain waves in the elderly. Neuro-feedback can be used as a new treatment method to help brain wave changes in the elderly with mild cognitive impairment.

2Introduction: it is necessary to pay attention to various factors affecting marital frustration in the counseling and treatment of couples with this disorder; therefore, the present study was conducted with the aim of explaining the role of sexual diversity and thrill seeking in marital frustration. Methods: The present study was a correlational descriptive study. The statistical population of the research included all married men in Tehran in 2020-2021, and 300 eligible people were selected as the research sample using available sampling method. Then they responded electronically to Aref Nazari et al.'s sexual diversity questionnaire, Arendt's excitement seeking and Niehuis and Bartel's marital frustration. Data analysis was done with Pearson correlation test and multiple regression using SPSS version 22. Result: The results showed that there was a direct and significant relationship between sexual diversity (r=0.616) and sensation seeking (r=0.505) with marital frustration (p<0.01) and sexual diversity and sensation seeking, 4.4 Marital frustration explains 39% of the variance. Conclusion: Based on the results of the research, it can be concluded that with the increase in sexual diversity and thrill seeking in married men, the level of marital frustration increases.