Iranian Journal of Rehabilitation Research in Nursing
Year:2020 | Volume:7 | Issue:1|Papers Count:8

Introduction: Depression, anxiety, and stress can be mentioned as common psychiatric disorders in transsexual people. Depression, followed by stress and anxiety, is associated with decreased self-esteem and increased incidence of other psychiatric comorbidities in this minority group. One of the psychotherapy approaches that has been proven to be effective in treating these disorders is cognitive-behavioral psychotherapy. This study aimed to implement cognitive-behavioral group therapy on transsexual people. Methods: In this pre-experimental after-before study without a control group, 13 transsexual people referred to Tehran Welfare Organization in 2018 were selected using the available sampling method. First, demographic questionnaires, Beck depressionΙ Ι , Cohen’ s perceived stress, and Beck’ s anxiety were completed by these people, and then eight sessions of group therapy were held. The content of the sessions was designed based on Michael Free cognitive therapy protocol and in the framework of the Wilder mott treatment plan. At the end of the sessions, the questionnaires were completed again, and the information was analyzed using descriptive analysis and paired t-test of SPSS19 software. Results: The results showed that the difference between the mean of depression before and after the intervention was significant (P = 0. 008). The results also significant in the anxiety dimension (P = 0. 000) but were not significant in the stress dimension (P = 0. 302). Conclusions: The findings of this study showed that cognitive-behavioral group therapy has significantly reduced depression and anxiety in transsexual people, but in terms of stress, despite a decrease in the mean, the results were not significant; Therefore, it is suggested that this method be used more comprehensively in transsexual people to reduce anxiety and depression and secondarily increase the quality of life.

Introduction: Vocational rehabilitation is one of the vital aspects of rehabilitation that contributes to enhancing individual, social and economic independence in daily life by increasing efficiency and restoring abilities and minimizing disabilities and achieving a capable individual. Being able to satisfy his or her job need can also enhance psychological factors. The purpose of this study was to evaluate the effectiveness of vocational rehabilitation on psychological capital in people with spinal cord injury. Methods: The design of this study was a single case study. For this purpose, using purposeful sampling, three individuals with spinal cord injury were selected and trained in 8 sessions of the vocational rehabilitation program. Data were collected using Luthan’ s psychological capital questionnaire. Results were analyzed using visual analysis, statistical significance or Reliability of Change Index, and clinical significance or percentage of improvement Results: Visual analysis results showed that for all three participants, phase B charts (intervention) during the training sessions were increasing. Also, vocational rehabilitation training programs with a change reliability index greater than 1. 96 and recovery percentage above 50 at intervention and follow-up stages affected psychological capital in people with spinal cord injury. In other words, the vocational rehabilitation program was statistically and clinically significant. Also, the consistency of the change scores was confirmed at the follow-up stage. Conclusions: It can be concluded from this study that using the vocational rehabilitation program can increase the psychological capital of people with spinal cord injury.

Introduction: With aging, the pattern of walking is altered, and the person’ s ability to walk will be decreased. Also, with the beginning of the aging process, the coordination of the postural control system was disturbed and lead to an unstable condition. A small biomechanical change in the lower limb is significant on postural control. The use of textured foot orthoses leads to improved efficiency and increased comfort. The purpose of this study was to investigate the effect of textured foot orthoses on ground reaction force components in older adults during walking. Methods: The present study was of a semi-experimental and laboratory type. Twenty-one older adults with available sampling were volunteered to participate in this study. Ground reaction force data were recorded by the Beretc force plates (Beretc CorporationColumbus, OH) during walking without foot orthoses, walking with small and large textured foot orthoses. ANOVA test with repeated measures was used for statistical analysis. All analyzes were performed at the significance level of 0. 05. Results: The results showed a lower peak posterior force amplitude during the heel contact phase while walking with small textured foot orthoses than that walking without foot orthoses (P = 0. 003). Time to the peak of vertical force during the heel contact phase was decreased while walking with large textured foot orthoses compared with walking without foot orthoses condition (P = 0. 048). Also, time to peak of lateral force during the heel contact phase was increased while walking with small textured foot orthoses compared with walking without foot orthoses condition (P = 0. 021). Conclusions: Using small textured foot orthoses compared to the large textured ones improved most of the ground reaction of elders. However, both small and sizeable textured foot orthoses were not useful on torsion stresses on the body.

Introduction: Nowadays the use of mobile health technology to improve health is a great opportunity for developing countries, to have a more efficient health system by telemedicine education. So the purpose of this study was to investigate the effect of mobile-based self-care application on the balance of people with multiple sclerosis. Methods: The present study is a clinical trial study performed in Chaharmahal and Bakhtiari province in 2019. The study units were selected by convenience sampling and were divided into two groups of experimental and control. At first, balance level of the patients was measured by Tinetti (Tinetti Performance Oriented Mobility Assessment) questionnaire. Then, for the experimental group, the self-care application was installed on their cell phone and for two months was used by patients. The control group received no intervention during this period. The application usage rate was measured by self-report checklists. After two months balance level was again measured in both groups. Data were analyzed by using SPSS-21 software and chi-square and independent and paired t-test. Results: Participants in two groups had no significant difference in terms of demographic characteristics and underlying variables including: Age (P = 0. 736), age groups (P = 0. 955), gender (P = 0. 722), education (P = 0. 880), marital status (P = 0. 358), and occupation (P = 0. 172). Before intervention, the mean of balance score was 10. 61 ± 3. 78 in the control group and 10. 55 ± 2. 96 in the experimental group, that was not statistically significant (P = 0. 945). It was while, two months after intervention the mean balance score in the control group was 10. 52 ± 3. 63 and in the experimental group was 12. 00 ± 2. 47 and the difference was statistically significant (P = 0. 049). Conclusions: The results show that implementation mobile-based self-care applications is effective in improving the balance of the patients with multiple sclerosis. Therefore, mobile applications of this supportive method could be useful to manage their disease and to obtain self-care skills.

Introduction: Hemodialysis patients face difficulties and limitations in physical, social and psychological functioning which from their psychological problems cited to increase perceived stress and meta-sorry and decrease quality of life. Regarded to the effectiveness of rehabilitation program of Dohsa-hou on many psychological characteristics, present research aimed to determine the effect of rehabilitation program of Dohsa-hou on perceived stress, meta-worry and quality of life in hemodialysis patients. Methods: The method of present research was quasi-experimental with pretest and posttest design with control group. The research population was patients referred to hemodialysis ward of Shahid Mofatah Hospital of Varamin city in 2018 year. The research sample was 34 patients with low quality of life which were selected by purposeful sampling method and randomly replaced into two equal groups. The experimental group trained 11 sessions of 45 minutes with rehabilitation program of Dohsa-hou and the control group was replaced on the waiting list for training. Data collected with specifications demographic form, perceived stress questionnaire, subscale of meta-worry in anxious thought scale and revised health related quality of life questionnaire and analyzed with using methods of Chi-square, t-test and multivariate analysis of covariance. Results: The findings showed that between the experimental and control groups there was no significant difference in terms of gender, age, education and marriage (P > 0/05). Also, between groups in the pretest stage there was no significant difference in terms of perceived stress, meta-worry and health related quality of life (P > 0/05), but in the posttest stage there was significant difference in terms of all three variables (P < 0/05). In the other words, rehabilitation program of Dohsa-hou led to decreased perceived stress and meta-worry and significantly increased health related quality of life in hemodialysis patients (P < 0/05). Conclusions: Based on the results, it is recommended that therapists and clinical psychologists along with other approaches and therapies, to use from the rehabilitation program of Dohsa-hou to improve the characteristics related health including decrease stress and meta-worry and increase health related quality of life of hemodialysis patients.

Introduction: Depression and anxiety have a negative effect on cancer, so its evaluation and treatment are important in these patients. The aim of this study was to compare the effectiveness of two music-based therapies and to write down the levels of anxiety and depression in students with cancer. Methods: The present semi-experimental study was a pretest and posttest with a control group. The statistical population consisted of all students aged 14-8 years with cancer in the first six months of 2019 who were hospitalized in Bandar Abbas Children's Hospital; A total of 45 subjects were randomly selected and randomly assigned to two test groups and a control group (15 subjects each). All subjects were tested before and after treatment with the Spence Anxiety Test and the Barlson Depression. The experimental groups underwent music therapy and writing therapy, but the control group did not receive any intervention. The data were analyzed by statistical tests. Results: The results showed that music therapy and writing therapy had an effect on depression and anxiety in students with cancer, and there was no significant difference between the effectiveness of the two treatments (P < 0. 001). Conclusions: Based on the results of the research, music therapy and writing therapy can be used as a complementary, non-pharmacological treatment and effective methods to reduce anxiety and depression in students with cancer.

Introduction: Studies have shown that brain waves are anomalously active in anxiety patients, but so far, no interventional studies have been performed. Therefore, the purpose of the present study was to determine the effectiveness of cognitive rehabilitation on reducing anxiety and brain wave pattern in patients with anxiety. Anxiety disorder was widespread. Methods: This study was quasi-experimental. The statistical population of this study was that all patients with generalized anxiety disorder referred to Tabriz psychiatric centers in 2018. Thirty anxious patients were selected after the psychiatrist's diagnosis and were randomly assigned to two experimental and control groups. Then both groups were assessed for alpha and theta wave PZ area as well as anxiety severity (Beck Anxiety Inventory) (pre-test). Then the experimental group underwent cognitive rehabilitation for 12 sessions of 60 minutes. They received the relevant training, and in the end, in order to assess the differences, the above tests were repeated on both experimental and control groups (post-test). Data were analyzed using Neuroguid and SPSS 23 software. Results: The analysis of the present data showed that cognitive rehabilitation reduced anxiety scores in patients with a generalized anxiety disorder (P < 0/01) and also reduced the alpha wave and theta wave of anxiety in PZ patients (P < 0/01). Conclusions: Based on results, cognitive rehabilitation can be used as an effective treatment for reducing anxiety.

Introduction: Children with functional abdominal pain often suffer from Abdominal pain before falling asleep. This study aimed to determine the effects of resiliency based play therapy and cognitive-behavioral play therapy on sleep disorder in children with functional abdominal pain. Methods: The research method was quasi-experimental, with pre-test, post-test, and follow-up with a control group. The research participants consisted of 24 children with functional abdominal pain aged 5-10 years old with their mothers referred to Amin Hospital Specialized Clinic in Isfahan (2018), who were purposefully selected and randomly assigned to three groups (two therapeutic groups and a control group, each group with 8 children). Bruni et al. (1996) sleep disorder Scale was used to measure the dependent variable in the pre-test, post-test, and one month follow up. Two experimental groups received a treatment course on cognitive-behavioral play therapy and resiliency based play therapy in 8 sessions, and the control group did not receive any treatment. The data were analyzed using repeated-measures analysis of variance. Results: The results revealed that only there was a significant difference between re saliency-based play therapy and cognitive-behavioral play therapy with a control group in sleep (P < 0. 05), there was no significant difference between resiliency based play therapy and cognitive-behavioral play therapy (P > 0. 05). Conclusions: Resiliency based play therapy and cognitive play therapy have been effective in recovering sleep disorder of children with functional abdominal pain. Therefore, this treatment can be used to improve sleep disorders in children with functional abdominal pain in health centers.