Background: Patient with schizophrenia usually has lack of social skills and has an inability to communicate effectively with people, so that social competence program is needed for schizophrenic patients to improve their self-esteem and assertiveness skills .This study aimed to assess the effect of social competence program on selfesteem and assertiveness among schizophrenic patients Quasi experimental research design was utilized in this study .The study sample included 100 patients ,The study included four tools (I) structured Interview questionnaire to assess sociodemographic and clinical characteristics, tool (II) Rosenberg Self -Esteem Scale to assess level of selfesteem tool (III) Rathus Assertiveness Schedule to assess level of assertive behavior and tool (IV) Brief psychiatric rating scale to assess psychiatric symptoms. The result demonstrated that there were an improvement in total mean scores of self-esteem, assertiveness and psychiatric symptoms in post implementation as compared to its pre program implementation and follow up program implementation. Also the study showed that there, was statistically significant negative correlation between self-esteem and assertiveness among Schizophrenic Patients. It was concluded that there was highly statistically significant different in self-esteem, assertiveness and psychiatric symptoms after implementation of the program and in follow up assessment. The study recommended that collaboration between all health team members to develop specific goals for behavior modification, improving assertiveness and increasing patient's socialization.
This paper explores how the personal trauma of Sylvia Plath, as manifested in her poem "Daddy," spiraled into a national one, shedding light on her tumultuous relationship with her father, mother, husband, and the Nazis. It also examines the intersection between trauma and memory against the backdrop of psychological theories expounded in the works of Sigmund Freud, Cathy Caruth, and Pierre Nora. Freud wrote extensively about trauma in Beyond the Pleasure Principle (1961); Caruth discussed the theory of trauma in her book Unclaimed Experience: Trauma, Narrative, and History (1996). Nora elaborated on how memory is associated with the sites of memories in his book Les Lieux de Mémoire (Sites of Memory) (1996). The paper attempts to find answers to the following questions: how do trauma and memory stand at crossroads? What is the outcome of this junction? Where are the sites of memory in her poem? Why are they so significant? How does this intersection prove the national trauma? Furthermore, the paper examines the poetic techniques in "Daddy" and investigates how they are used to emphasize the poet's sense of trauma and to guide readers to the sites of memory.
Background: Hemodialysis (HD) stands as the most commonly treatment approaches within the field of dialysis. Sleep disturbances are more common problem among HD patients and affect patients' clinical outcomes. Progressive muscle relaxation is a nursing intervention that can be administered to hemodialysis patients to reduce these problems. Aim: Evaluate the effect of progressive muscle relaxation technique on sleep quality among hemodialysis patients. Research design:The aim of this study was achieved through utilizing a quasi-experimental research design. Sample: 60 adult patients with chronic renal failure who were receiving hemodialysis at Minia University Hospital for Urology and Nephrology were chosen as a purposeful sample. Tools: The data collection process involved the utilization of two tools; Structured Interview Questionnaire Sheet and Pittsburg Sleeping Quality Index (PSQI). Results:The global PSQI , s mean score reduced immediately and post implementing the training program. Statistical significant differences were detected between the total PSQI mean score and age, residence, marital status, occupation and family income at the pretest. While at the immediate and posttests, statistical significant differences were observed between the total PSQI mean score age, marital status and educational level. Conclusion: It was concluded that progressive muscle relaxation effectively enhances the quality of sleep among patients receiving hemodialysis. Recommendation: Booster sessions could be conducted on intermittent periods after the first intervention to boost the long term effect of the training program.
Background Rheumatoid arthritis (RA) is a significant and serious public illness affecting peoples especially adults all over the world and emotional problems such as depressive symptoms are more common in patients with RA than in general population. Synovial inflammation, joint damage, degeneration of cartilage, bony destruction and limitation of physical functioning are the distinctive feature of RA that consequently leads to functional disability. This study aimed at assesses prevalence of symptoms of depression and disability among RA patients. Research Design: A descriptive correlational research design was utilized in this study. Study subjects: Established diagnosed 80 RA patients were included in the study. Two tools were used; Beck Depression Inventory (BDI) version I to assess symptoms of depression, and Health assessment questionnaire-disability index (HAQ-DI) to assess disease-related disability. Result: Majority of the participants were females with the age of (20-65) y. About two thirds of the studied sample had moderate depressive symptoms, while about three quarters of them have moderate level of disability. There was significant positive correlation between symptoms of depression and disability. Conclusion: More than three quarters of the studied sample had moderate to severe level of depressive symptoms and disability. Recommendation of the study: Frequent assessments of depressive symptoms and disability in RA patients.
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