Introduction: Conflict in marital relationships is a common problem and extensive therapeutic interventions have been suggested to reduce them and increase marital adjustment. The purpose of this study was to the comparison of the effectiveness of schema mode therapy and emotionally focused couple therapy on marital adjustment in couples with marital conflict. Methods: This experimental study was conducted with a pretest-posttest design with control group. The statistical population of this study included all couples with marital conflict who refer to Ahvaz counseling centers in year 2019, using a purposive sampling method, 45 couple were selected and randomly assigned to two experimental groups and one control group (each group of 15 couples). To collect data marital adjustment of Spanir (1986) questionnaire were used. The experimental groups underwent individual schema mode therapy training (12 sessions 120 minutes) and emotionally focused couple therapy training (14 sessions 90 minutes), but the control group received no training. Data were analyzed by analysis of Covariance Analysis in SPSS-19 software. Results: The changes in the intervention groups compared to the control group in assessment steps was significantly different (P≤0.05) in marital adjustment (F = 6.011, P = 0.001) and about 22% of the observed differences in the marital adjustment variable are due to group membership (interventions). Benfroni subordinate test was used to compare these changes over time. Changes between pretest with posttest, pretest with followup and posttest with follow-up were significant only in the intervention groups (P≤0.05). Also, Benfroni subordinate test for pairwise comparison of groups showed that there is no significant difference between the experimental groups(p>0.05); But there is a significant difference between each of the experimental groups with the control group (P≤0.05). Results: The results showed that both schema mode therapy and emotionally focused couple therapy were effective to increasing marital adjustment in couples with marital conflict (p<0.05) and the results showed that there was significant difference in favor of emotionally focused couple therapy between the effectiveness of schema mode therapy and emotionally focused couple therapy on increasing marital adjustment in couples with marital conflict (p<0.05). Conclusions: The results indicate that both schema mode therapy and emotionally focused couple therapy were effective in increasing marital adjustment in couples with marital conflict. Therefore, it is recommended that therapists and family counselors use these therapies along with other therapeutic interventions to increase marital adjustment and reduce marital conflict.
Introduction: The elderly are exposed to psychological and social harms due to various physical, occupational, social and other limitations. Symptoms of depression are common during this period and can increase the rate of vulnerability. The aim of this study was to investigate the effectiveness of emotion efficacy therapy on the level of depression and self-care ability of non-clinical depressed
Introduction: Satisfaction with relationships between couples enhances marital relations, vitality and vitality of spouses and prevents the disorders associated with them. The purpose of this study was to determine the effectiveness of communication skills training on reducing marital burnout and enhancing marital quality of married female nurses working in Hamadan hospitals. Methods: This study was a quasi-experimental with pre-test and post-test design with control group. The statistical population of the study was all female nurses aged 25-40 years working in hospitals of Hamadan city in 1398, 160 of whom were the sample of the study. Of the nurses who scored high on the Couple Burnout Measure (CBM) and Revised Dyadic Adjustment Scale (RDAS) scores (n = 97), 32 were randomly selected into two groups (intervention group and control group). The intervention group received sex education based on the Communication Skills Training (Miller, Nunnally & Wackman) 1999 Package for 8 sessions of 90 minutes and the control group did not receive any intervention. At the end of training sessions, both groups received post-test. Data were analyzed by analysis of covariance. Results: The results showed that in the pre-test and post-test stages, there was a significant difference between the intervention and control groups in marital dissatisfaction (P = 0.001, F = 13.28) and marital quality (F = 68.33, P <0.001). . There was a significant difference. In other words, communication skills training will reduce marital distress and increase marital quality. Conclusions: The results of this study showed the effect of communication skills training on reducing marital fatigue and enhancing marital quality. It can be concluded that many marital problems with various training including communication skills can be improved and improved. Therefore, counselors and psychologists can use this method to reduce marital burnout and increase the quality marriage.
Introduction: Today, spiritual health is considered as the forth dimension of health, and its public acceptance is a result of the considerable influence that spirituality generally has on other dimensions of health. The purpose of this review is to introduce the variouse types of
Introduction: Caring for people with cancer and chemotherapy is emotionally challenging. Nursing students, as people who are in the future accepting nursing roles, are no exception. Therefore, it is very important to know their experiences in the first exposure to the patient under chemotherapy in order to train efficient staff and provide quality care. Methods: This study is a descriptive phenomenological study. In this study, purposive sampling was performed among students who had experience in caring of patients under chemotherapy for at least 10 days and wished to express their experiences. Sampling was continued until the depths and richness of the data. The data collection tool was a semi-structured interview. Data analysis was carried out based on Colaizzi’s method, and Lincoln and Guba criteria were used to ensure rigor and
Introduction: Health promotion is a new mission of hospitals, and the mission of health promotion hospitals is to change the treatment-oriented approach to the health-oriented approach. Therefore, this study aims to evaluate the components of health promotion hospitals. Methods: The present study is an integrated review that searches using the keywords Health Promotion, Evaluation model, Hospitals (HPHs) and review in IranMedex Iran Medical Sciences Article Information; (SID) Published by Jihad Daneshgahi Scientific Database PubMed, Ovid, Science Direct, (Magiran) Iran Publications Database, (IranDoc) Iranian Scientific Documents CINAHL, and Google Scholar was obtained. The time of the documents used for the year 2004 to the end of 2018 was determined with the priority of the newer documents. Finally, 76 articles were reviewed. Among the 76 Persian and English articles reviewed, 15 articles were selected that were more closely related to the subject. Results: Among the 76 Persian and English articles reviewed, 15 articles were selected that were more closely related to the subject. The purpose of establishing health-promoting hospitals was to improve the quality of health care, increase patient satisfaction and their companions, improve the work environment of medical centers, and increase hospital employee satisfaction. The criteria for evaluating a health promotion hospital in the structural dimension consisted of three components (communication and cooperation, organizational development and hospital infrastructure development); all components were of great importance. In the process, which had the highest evaluation criteria (31), four components (management policy; resource planning; patient evaluation and interventions and healthy human capital) were extracted and proposed. In the validation stage, 30 criteria were approved. In the consequential dimension, 27 criteria were obtained in the form of four components (organization leadership, patient health promotion, staff health promotion and community health promotion). Conclusions: The results of this study can help establish a health promotion hospital with appropriate indicators and standards of hospital centers and can be effective as a valid tool in monitoring, policy, service quality assessment, health promotion, hospital staff and community promotion interventions.
مقدمـه: تعهـد حرفـه ای از مهمتریـن عوامـل تعییـن کننـدهی شایسـتگی افـراد ارائـه کننـده ی خدمـات سـامت اسـت کـه موجـب ایجـاد اعتمـاد بیـن کادر پزشـکی بـا بیمـار و جامعـه مـی شـود. پرسـتاری بـا توجـه بـه ماهیـت کاری آن بـه عنـوان یـک حرفـه ی مبتنـی بـر ارزش هـای اخالقـی مـی باشـد و اگـر ایـن بعـد حرفـه مـورد غفلـت قـرار گیـرد کارآیـی پرسـتاران در مراقبـت از بیمـاران دچـار خـاء مهمـی مــی شـود. در ایـن مطالعــه تـاش بـر ایـن اسـت تـا وضعیــت دانـش و نگـرش بـه تعهـد حرفـه ای در بیــن دانشـجویان پرسـتاری مـورد بررسـی قـرار گیـرد. روش کار: ایـن مطالعـه بـه صـورت توصیفی-تحلیلـی در سـال تحصیلـی 98-1397 در دانشـگاه آزاد اسـامی واحـد تبریـز انجـام شـد. جهـت جمـع آوری داده از پرسشـنامه ی دانـش تعهـد حرفـه ای کـه روایـی و پایایـی آن مـورد تاییـد قـرار گرفتـه اسـت اسـتفاده شـد. جمعیـت هـدف در ایـن مطالعـه دانشـجویان پرسـتاری مشـغول بـه تحصیـل در تـرم هـای اول تـا هفتـم بـود. نمونـه گیـری بـه روش سرشـماری )270=n )انجـام گرفـت. تحلیـل داده هـا بـا اسـتفاده از نـرم افـزار 20 SPSS و کار بـرد آمـار توصیفـی )میانگیـن، انحـراف معیـار، فراوانـی و...( و آمـار اسـتنباطی شـامل آزمـون تـی مسـتقل، ANOVA way one و رگرسـیون خطـی انجـام شـد. یافتــه هــا: در مجمـوع 215 نفـر از دانشـجویان پرسـتاری در ایـن مطالعـه مشـارکت کردنـد )درصـد مشــارکت 6/79 .)%میانگیـن امتیـاز دانـش تعهـد حرفـه ای در دانشـجویان شـرکت کننـده 83.5 از 10 محاسـبه گردیـد. بیشـترین امتیـاز بـرای دانشـجویان تـرم اول و کمتریـن امتیـاز بـرای دانشـجویان تـرم پنجـم بـود. نتایـج تحلیـل رگرسـیون خطـی نشـان داد بـا کنتـرل متغیرهـای جنسـیت و سـن؛ متغیرهـای تـرم تحصیلـی و آشـنایی قبلـی بـا واژه تعهـد حرفـه ای ارتبـاط معنـی دار و معکوسـی بـا میانگیـن امتیـاز دانـش تعهـد حرفـه ای دانشـجویان داشـت. نتیجـه گیـری: نتایـج مطالعـه نشـان داد میانگیـن امتیـاز دانـش تعهـد حرفـه ای در بیـن دانشـجویان پرسـتاری در سـطح قابـل قبولی نمـی باشـد. دانشـجویان پرسـتاری نیازمنـد آمـوزش هـای مـداوم و موثـر در خصـوص دانـش تعهـد حرفـه ای هسـتند کـه در ادامـه بتواننـد بـر اسـاس اصـول تعهـد حرفـه ای بـا بیمـاران رفتـار کننـد.
