Iranian Journal of Rehabilitation Research in Nursing
Year:2016 | Volume:2 | Issue:3 |Papers Count:8

Introduction: Low back pain is one of the most frequent medical problems in the world and Iran. Back pain has an impact on Individual, professional, and socioeconomic levels, as it entails a serious economic burden. Different interventions can reduce the burden of the chronic low back pain. Back School Program is one of the interventions. The purpose of this study was to determine the effect of Lumbar care (based on Back School program) on nursing Staffs’ low back pain.Method: It was a quasi-experimental study that 64 nursing staff of Shohada Tajrish hospital participated in this study. They were selected purposefully and then randomly assigned to intervention and control group equally (32 nurses in each group). Data about severity of pain was collected by Visual Analogue Scale (VAS). Intervention group was received Lumbar care based on Back school program for four 45-minutes sessions during an educational workshop and training were followed by pamphlets, but control group only received routine care. Mean score of low back pain were measured based on VAS before and after the intervention. Analysis of data was carried out by SPSS software.Results: Findings of this study indicated there is no significant difference between mean Low back pain scores between intervention and control groups before intervention (p=0.575). While after the intervention, significant difference was observed between mean Low back pain scores (p<0.001) and low back pain in the intervention group significantly was reduced.Conclusion: The results showed that applying lumbar care based on Back school program, significantly decreased Low back pain in the intervention group. It suggested that hospital administrators could use this program as a safe method in the nurses’ education with low back pain.

Introduction: Local cooling as an effective, simple and immediate method is often frequently used to treat minor acute musculoskeletal injuries and pain relief. Although existing some controversy, numerous studies suggest that cooling methods cause a decrease in joint position sense, which may lead to a higher risk of injury. The aim of present study was to compare the immediate and long-time effect of two different types of local cooling on knee joint position sense.Method: This study was quasi experimental and interventional research.15 able-bodied males ranged between 23-26 years old were selected by accessible sampling method. The knee joint position sense was measured by an electrogoniometer immediately and after 20 minutes of cooling by crushed ice bag and cold spray through 30 degrees' flexion reconstruction. Data was analyzed employing ANOVA with repeated measures using SPSS v23 software.Results: The absolute error of 30o knee flexion angle reconstruction, immediately after types of cooling was significantly higher than before cooling protocol (P=0.001). The absolute error of reconstruction in both spray and longtime ice-bag application were significantly higher than before cooling protocol (P<0.05).Conclusion: Results of this study demonstrate the negative effects of two different local cooling methods on knee joint position sense. It seems that the loss of Knee proprioception can lead to mechanical instability and ultimately increase risk of joint damage.

Introduction: Depression is a chronic and prevalent disorder among elders. Restless Legs Syndrome (RLS) is one of the possible risk factors for depression. This study aimed to investigate association between RLS and depression in elderly.Method: From April to May in 2014, a total of 350 home residential elderly were included to this case-control study using cluster sampling method. All cases were divided into two groups (depressed and non- depressed) using Geriatric Depression Scale (GDS) and they were matched in age, gender, education and body mass index (BMI). Screening questionnaire to identify intensity of RLS was used. Data were analyzed using SPSS 18 software, descriptive statistics, Mann-Whitney u, Chi-square test and Fisher's exact test when appropriate. P value<0.05 was considered as statically significant.Results: 37 cases (21.1%) of depressed people and 13 (7.4%) of not-depressed people had RLS. There was a significant association between RLS and depression in elderly (p=0.001). The odds ratio for RLS in depressed people was 3.34 times compared to not-depressed people (p-value=0.001, OR=3.34, CI 95%=1.71-6.53). Also RLS was significantly more prevalent in women than men (p=0.004).Conclusion: There are association between RLS and depression in elderly patients. Given the high prevalence of RLS in elders and its association with depression, implementation of screening methods in order to identify RLS in elders and conducting depression prevention measures seems to be necessary.

Introduction: Diabetes is a metabolic disease that its prevalence is increasing day by day. Diabetes patients are encounter with endothelial dysfunction. The purpose of this study was to investigate the effects of aerobic interval training on flow- mediated dilation endothelial brachial, nitrite/ nitrate (NOx) and secondary outcome in type 2 diabetes patients.Method: In this quasi-experimental study, thirty diabetic patients referred to diabetes and metabolic centers of Tehran recruited in the summer of 1393.All the subjects had type 2 diabetes and well controlled hypertension. They divided into two equal intervention and control groups. Training program underwent 3 session in week for 3 month. The biochemical parameter of glucose, total cholesterol, triglyceride and HDL, HbA1c, insulin and NOx was measured. The effect of training intervention was analyzed with two way- ANOVA by SPSS 18 version.Results: Exercise training caused a significant increase in VO2 peak (P<0.005), NOx (P<0.004), while significantly reduced glucose level (P<0.023). However, ten weeks of interval training had not any significant effects on Flow Mediated Dilation (P<0.189).Conclusion: Arobic interval training is an appropriate intervention for development of physical fitness factors in type 2 diabetes patients. However, this exercise training can’t improve FMD index. It seemed that duration of exercise training was more than the initial adjustment phase is functional, and which entry to structural adaptation.

Introduction: In recent years the drug abuse has been changed to a risky and complicated situation among young people with a high prevalence and popularity. Resiliency skills training is one of prevention strategies related to drug addiction which recently is taken into consideration. This study examines The effect of resiliency skills training on attitude toward substance abuse in secondary school students of Khorramabad-Iran.Method: This study had a quasi-experimental design with pre-test and post-test and a control group conducted in the year 2012-2013 in two secondary schools of the city of Khorramabad, 120 students (60 girls and 60 boys) included in our study who randomly assigned to each groups. Data collected by the attitude toward substance abuse questionnaire in the two groups. Data analyzed using descriptive statistics, paired t-test, MANCOVA by SPSS software ver.16.Results: The results showed that before intervention, no significant difference was existed between the cognitive, emotional, behavioral subscales and global scores in attitude toward substance abuse questionnaire in two groups (p>0.05). After resiliency skills training scores related to subscales of cognitive, emotional, behavioral, general attitude and overall score of the questionnaire in the intervention and control groups showed significant differences (p<0.001). MANCOVA analysis also showed that 78.6 percent of resulted changes in attitude toward substance abuse was due to resiliency skills training program.Conclusion: The results of this study showed that resiliency skills program had positive effects on students' attitude toward substance. With consideration of high vulnerability of adolescents related to addiction in the country, planning and conducting resiliency skills training programs to reduce the tendency for drug usage in young adults can be used as an effective strategy by health and social policy-makers.

Introduction: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in Women of childbearing age. The etiology of this syndrome is unknown and symptoms of this disease can cause the loss of quality of life in women. The aim of this study was to investigate the effects of Pilates training on the quality of life in polycystic ovary syndrome women.Method: Our investigation was a pretest- post-test pre-experimental study with no control group.11 female non-athlete students at Ayatollah Boroujerdi University included in the study in the second semeter of 2014-2015 who had confirmed diagnosis of polycystic ovary syndrome. The subjects’ trainings were performed about 4 weeks and every week there were 3 sessions of training. Data were collected using polycystic ovary syndrome Questionnaire and Anthropometric indices. Kolmogorov-Smirnov and dependent t- test was conducted using SPSS version 18.Results: The data showed a statistically significant difference in the quality of life global score (P<0.0001) and menstrual disorders (P=0.002), Weight (P<0.001), infertility (P=0.016) and Emotional (P<0.001) sub scales after intervention. We found not statistically significant changes in scores of hirsutism (P=0.162). Body weight (P=0.025), body mass index (P<0.005) and percent body fat (P=0.026) showed a significant change after our experiment.Conclusion: our findings indicate that Pilates training is an effective intervention in improving quality of lives in women suffering from polycystic ovary syndrome.

Introduction: Foot and toe nail problem is one of the most common health problems in older adults. The importance of these problems and foot care is often overlooked. This study aimed to determine The effect of foot and toenail care protocol on the rate of foot and toenail problems prevalence at elderly people.Method: This pre-test/post-test quasi-experimental study was carried out on 108 non- diabetic elderly referring to the elderly community centre, district four of Tehran municipality in 2105. The elders were selected based on the inclusion criteria and using purposive sampling and matching assigned to control (n=54) and intervention (n=54) groups. The protocol consisted of 4 components: 1- comprehensive assessment of foot and toenails 2- foot and toenail primary cares3- foot and toenail advanced care and 4- teaching elders about foot problems. To collect the data, a demographic information questionnaire, foot and toenail problems) were used. Prior to and following the administration of protocol (6 weeks), the questionnaires were completed by the participants and the obtained data were analysed by SPSS-19 software.Results: The results showed that before intervention in the domains of foot and toenail problems, there were no statistically significant differences between two groups concerning shoes and socks condition and self-care ability (p>0.05). But after administration of protocol the elders in intervention group showed a significant reduction in most subscales of foot and toenail problems (except for thick nails, Ingrown toenail, hallux valgus and claw foot) and an improvement in all subscales with shoes, socks and self-care ability compared to elders in control group (p<0.05).Conclusion: Foot and toenail problems are very common in elderly. If nurses, caregivers and the elders themselves follow the foot and toenail care protocol, the conditions of the foot and nails will be improved, the pain will be alleviated and the self-management of the elderly will be improved.

Introduction: Based on the Baker’s balanced reading model, dyslexia is a result of any abnormalities in brain hemispheres’ structures and functions. The objective of this study was to evaluate the effectiveness of neuropsychological rehabilitation on reading speed, accuracy of reading and reading comprehension in students with Dyslexia.Method: In this quasi experimental study, a total of 30 students who had received a diagnosis of dyslexia, in the city of Julfa in the 2014-15 school year, randomly assigned to experimental and control groups. Instruments for data collection included Wechsler Intelligence Scale for Children, reading and dyslexia tests. Neuropsychological rehabilitation program consisting of 24 sessions developed and implemented for two months. Collected data were analyzed with SPSS software version 19.Results: The results indicate that neuropsychological rehabilitation causes a significant difference in the reading speed, accuracy of reading and reading comprehension between intervention and control groups, and the mean scores of reading speed, accuracy of reading and reading comprehension in intervention group were higher than control group (P<0.05).Conclusion: Neuropsychological intervention Can increase reading and writing efficiency of linguistic dyslexic students. It is recommended that learning disability professionals and psychologists administer Baker's neuropsychological treatment methods for the improvement of reading and writing efficiency in students suffering from developmental dyslexia.