Iranian Journal of Rehabilitation Research in Nursing
Year:2019 | Volume:5 | Issue:2|Papers Count:9

Introduction: One of the challenges faced by Physical-motorized disabilities is marriage. Because with marriage, in addition to being faced with new problems, they can be mentally restored and feel relaxed and happy in life. Therefore, the aim of this study was to investigate the challenges of physical and motor-retardation marriage in Tehran. Methods: The method of research was based on the nature of data of qualitative type, based on the purpose of the applied type and based on the method of data collection; a descriptive type of interview was semi-structured. Participants of this study were physically-handicapped persons of Tehran's well-being centers, of which 20 were targeted for interview. The analysis method was based on a seven-step Colaizzi analysis. Results: The results of the study showed that four main categories were stem from the result. They were including; psychological-emotional problems, Family issue, Stigma and unaccepted by society, the lack of supportive resources and low income jobs. Conclusions: According to the findings of research it seems that counseling and rehabilitation professionals might be more attention to psycho-social challenges that disabled people faced them for marriage. The challenges were divided to sections. First section was psychological-emotional problems like; sense of useless and low self-confidence and the second section return to the view of family and society. In addition, the dependence to family, low income jobs and the negative perspective to marriage of disabled persons were mentioned. Psychological and educational interventions to reducing the psychological problems are necessary. In addition, the family education program and awareness programs for society are useful for overcoming the marriage obstacles in disabled persons.

Introduction: Nurses in surgical wards frequently need to make prompt decisions for critically-ill patients. Therefore, they need to be professionally empowered to make sound decisions and provide quality care. This study aimed to explore barriers to the promotion of nurses’ professional empowerment from the Perspectives of Nurses working in Surgical Ward of Kashan Shahid-Beheshti hospital. Methods: In this exploratory-descriptive qualitative study, 15 nurses working in the surgical ward, Kashan University of Medical Sciences Hospital, Iran were selected by purposeful sampling with maximum variability. Data were collected through fifteen in-depth semi-structured interviews from December to February 2018. The data were analyzed via conventional content analyses. Results: Data analysis led to the identification of the main theme as "imposed and learned powerlessness. " Participants in this study identified imposed and learned powerlessness as an important challenge in achieving professional empowerment. This main theme consists of the three main categories of low professional competence, lack of professional support, and shortage of resources. Conclusions: Surgical nurses in Iran are confronted with numerous challenges in achieving professional empowerment. Therefore, the professional empowerment of nurses in the surgical department should be enhanced by providing opportunities for achieving clinical knowledge and skills. Considering the role of nurses as an effective indicator on the quality of patient care and safety, the need for powerful professional organizations to professional support of nurses, nurses' recognition, and full description of the nursing realms and the clarification of job tasks is necessary.

Introduction: Divorce applicant couples have many problems, especially in the field of family function and marital adjustment and psychological interventions are necessary to improve their characteristics. This research aimed to determine the effectiveness of couple therapy by Gottman method on family function and marital adjustment in divorce applicant couples. Methods: This research was semi-experimental with a pre-test and post-test. The research statistical population was divorce applicant couples referring to counseling centers of Gharchak city in spring season of 2018 year. Research sample was 50 couple that were selected by available sampling method and randomly assigned to two equal groups (each group 25 couple). The experimental group trained couple therapy by Gottman method for 8 sessions of 90 minutes (two sessions a week). The research instruments were family function and marital adjustment questionnaires that completed in pre-test and post-test stages by both groups. Data were analyzed by multivariate analysis of covariance method. Results: The findings showed that couple therapy by Gottman method led to increase family function (F = 47. 50, P < 0. 000) and marital adjustment (F = 44. 82, P < 0. 000) in divorce applicant couples. Conclusions: The results indicate the importance of couple therapy by Gottman method on increase the family function and marital adjustment in divorce applicant couples. As a result, clinical psychologists and therapists can use couple therapy by Gottman method to improve psychological characteristics, especially improving family function and marital adjustment in divorce applicant couples.

Introduction: Premenstrual symptoms are a periodic event that combination of physical, emotional, psychological and behavioral changes and have an important role in marital burnout. Due to the complications of drug treatments and the lack of adequate research about drama therapy, present study aimed to determine the effectiveness of drama therapy on premenstrual symptoms and marital burnout in women. Methods: This research was a semi-experimental with a pre-test and post-test design with an experimental and control groups. Research population was women aged 25-35 years with problem in marital relationship referring to the counseling centers of Mashhad city in spring season of 2017 year. Sample research was 44 women that selected by available sampling method and randomly assigned to two group. The experimental group 10 sessions of 90 minutes trained by drama therapy. Research tools were the questionnaires of premenstrual symptoms (Siahbazi & et al, 2011) and marital burnout (Pines, 1996). Data were analyzed by multivariate analysis of covariance method with using SPSS-21 software. Results: The results showed that in the post-test stage there was a significant difference between the experimental and control groups in terms of premenstrual symptoms and marital burnout in women. In other words, drama therapy significantly reduced premenstrual symptoms (F = 154. 570, P < 0. 001) and marital burnout (F = 109/643, P < 0. 001) in women. Conclusions: The results indicated the importance of drama therapy in improving the premenstrual symptoms and marital burnout in women. As a result, therapists can use the drama therapy to reduce premenstrual symptoms and marital burnout in women.

Introduction: Women with postpartum depression have problems such as anxiety, depression and emotion regulation that cognitive rehabilitation training can be effective in them. As a result, this research aimed to investigate the effect of cognitive rehabilitation training on anxiety, depression and emotion regulation in women with postpartum depression. Methods: Present study was a semi-experimental with a pre-test and post-test design with a test and control groups. Research population was included all women with postpartum depression that referring to health care centers of Bushehr city in 2017 year that 40 person were selected by available sampling method and randomly divided into two equal groups. The test group 10 sessions of 45 minutes trained by cognitive rehabilitation. Groups were evaluated in terms of anxiety, depression and emotion regulation in pre-test and post-test stages. The data were analyzed with using of SPSS-19 software and by multivariate analysis of covariance method. Results: The results showed that cognitive rehabilitation training significantly led to decrease anxiety and depression and increase emotion regulation in women with postpartum depression (P < 0. 001). Conclusions: The results indicate the cognitive rehabilitation training on anxiety, depression and emotion regulation in women with postpartum depression, so it is suggested to counselors and therapists that use from the cognitive rehabilitation training method to improve these characteristics.

Introduction: Following any war, mental disorders are seen among the soldiers and their families. The post-war anxieties in these families are among these disorders. Race and culture have a crucial role in the level of stress. Culture can also affect the discernment of stress and its counter-measures in the assessment of the stressful events. The aim of this study is to determine the relationship between stress and the individualism-collectivism culture among the caregivers of the veterans who are a member of the veteran’ s family. Methods: This study is descriptive and correlational. The target population comprises of the veterans’ caregivers in the city of Tabriz. With regard to Cochran’ s formula, 360 caregivers who visited Fajr Clinic located in Tabriz were randomly selected from approximately 6000 veteran care-givers. To collect the data, the questionnaire of the demographic information record, Cohen and Williamson stress assessment questionnaire and Aukland individualism-collectivism cultural questionnaire have been used and the data were analyzed using descriptive statistics and the regression statistical test. Results: There is a significant relationship between both of the dimensions of the individualism and collectivism culture and stress within the youth age group (P < 0. 05). The young individuals who have an individualistic culture have less stress and the young individuals who have a collectivistic culture have more stress. Within the adult age group, there is a direct and significant relationship between individualism and stress (P < 0. 05) which means that the adult age group that has an individualistic culture experiences more stress while no relationship was found between a collectivistic culture and stress in the adult age group (P > 0. 05). Conclusions: This finding shows that if young caregivers give priority to individual beliefs and independence, they will experience less stress and the young individuals who are in charge of the group will have more stress. If adult caregivers are in charge of the group, they will arguably experience less stress.

Introduction: Cardiovascular diseases is one of the main causes of mortality in the world. Coronary artery disease is one of the cardiovascular diseases that affects the sexual function of this patients. This study was performed to evaluate the sexual function of patients before and after coronary artery bypass graft surgery. Methods: This cross-sectional study was performed on 90 patients undergoing coronary artery bypass graft surgery in the two military Hospitals, Iran. In this research the international index of erectile function before and after two months after cardiac surgery was used for data gathering. Results: The mean of total sexual function before surgery was 13. 43 and 2 months after surgery was 6. 93. Also, sexual function was decreased significantly in the areas of erectile function, orgasmic function, sexual desire, and satisfaction with intercourse and marital satisfaction after surgery. (P < 0. 001). Conclusions: Probably due to the complications of surgery sexual function decreased in the short term. Therefore, in order to study more precisely, longitudinal studies are recommended to evaluation of this concept.

Introduction: Increasing the lives of humans and adding elderly populations is one of the achievements of the 21st century, and aging is a phenomenon that some human societies encounter or will face. Choosing a healthy lifestyle in this age is important because of its ability to prevent diseases and improve the physical and mental health. This study was designed to determine the effect of health promoting behaviors on the life style of the elderly referred to Marvdasht health center. Methods: This quasi-experimental interventional study with 170 intervention and control groups referred to Marvdasht health center. It was performed in 1996-96. Sampling was done randomly from elderly patients referred to Marvdasht health center. The participants were randomly assigned to two groups of intervention (85 people) and control (85 people). The data gathering tool was a standard elderly lifestyle questionnaire. Individuals in the intervention group participated in planned training programs. Three months after the end of the intervention, post-test was performed in both groups. Data were analyzed using SPSS16 software, Chi-square, mean and standard deviation, independent t-test and ANOVA. Results: Based on the findings, the mean age of the elderly in the intervention and control group was 65. 3 and 65. 9, respectively. The results showed that there was a significant difference between the three months after the intervention in the dimensions of exercise, prevention, nutrition, stress management, and interpersonal relationships in the elderly before and after the intervention (P = 0. 001). Conclusions: The results of the research showed that education of health promotion behaviors is effective on improving lifestyle in the elderly. According to the results of this study, further interventions with the aim of increasing the awareness of the elderly regarding the improvement of lifestyle status seems necessary.