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Introduction Thalassemia, as the most common chronic hereditary blood disorder in humans, can impose many adverse effects on parents and their affected children. On the other hand, positive thinking is the method or the result of a positive focus on a constructive issue, so by teaching positive thinking, we can improve physical and social function, and promote emotional health and overall quality of life. The aim of this study was to determine the effect of positive thinking training on the quality of life of parents of adolescents with thalassemia. Methods This quasi-experimental study was performed on 52 parents of adolescents with thalassemia who attended Taleghani Hospital in Golestan province, Iran in 2017. Samples were randomly assigned into two groups of intervention and control. The positive thinking training (based on the theory of Martin Seligman) was carried out in the intervention group in 10 (45–60 min) sessions over a 5-week period. Data collection tools in this study were the World Health Organization (WHO) quality of life questionnaire (WHOQOL-BREF) and a demographic information questionnaire. Data were analyzed by SPSS-16 software using independent t-test, the paired t-test and a covariance test. Results The results of paired t-test showed a significant difference in the score of quality of life in intervention group before and after the intervention (p < 0.001). However, this test did not show any significant difference in the control group (p = 0.11). The covariance test, after removing the pre-test score, showed a significant difference between the intervention and control groups in terms of the score of quality of life, so that 13% of the changes after the intervention were due to the intervention (p = 0.009, η = 0.13). Conclusion The positive thinking training increased the quality of life of parents of adolescents with thalassemia. Therefore, using this program can be an effective way of improving the quality of life of parents. Thus, positive thinking training is suggested to be used as an effective strategy for increasing the quality of life of parents with ill children.

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Introduction and Aim: Post-traumatic stress disorder causes distress and dysfunction in the life of the wives of veterans, which causes physical and mental health problems with the continuation of life. This study examined the life experiences of wives of war veterans with post-traumatic stress. Materials & Methods:This qualitative study using qualitative content analysis with the participation of 16 wives of war veterans with post-traumatic stress in Golestan province in Iran was conducted in 2015. Data was collected through semi-structured interviews and by purposive sampling and continued until data saturation. Data analysis was done continuously and simultaneously with data collection by content analysis method. Findings:Four main categories and nine sub-categories including mental health (mental health problems and the memories), physical function (physical injuries and sleep disorders), captivity in life (humiliation, lack of independence in life), isolation (impairment in social interaction), dysfunction life (damage to the sons, the defect in family interactions) were the main findings of this study, which causes health threats. Conclusion:Spouses of veterans have many problems in their daily lives and caregivers by understanding their needs and enhancing information systems, and social support can improve the function of their life.

Background: Hospitalization of children is one of the main causes of anxiety and concern for families. Mothers of sick children need emotional support to provide effective care and adequate support for their children. Objectives: Thus, the present study was conducted to investigate the relationship between parental concerns and nursing support of hospitalized children. Methods: This descriptive cross-sectional study was conducted on 150 mothers of children admitted to the Pediatric Ward of Baqiyatallah Al-Azam Hospital in Ali Abad Katoul, Golestan province, Iran, in 2018. The children were hospitalized for at least 24 h, and were selected by the convenience sampling method. Concerns of mothers were measured by the Parental Concerns Questionnaire and nursing support was assessed by the Nursing Support of Parents Questionnaire through individual interviews. Data were analyzed by SPSS version 21 software at a significance level of 5%. Results: The mean scores of mothers' concerns and nursing support were 16.6 ± 5.6 and 72.01 ± 16.52, respectively. Pearson correlation coefficient showed a significant relationship between nursing support and mothers' concerns (r =-0.22, P = 0.004). Conclusions: Mothers' concerns are decreased by increasing nursing support. By identifying factors effective in decreasing mothers' concerns, the treatment team members, especially nurses, can play an important role in providing nursing care and support for mothers of hospitalized children. Therefore, increasing self-confidence of mothers and providing nursing support for them will increase the quality of care and satisfaction of patients and their caregivers, especially the mothers.

Background: Cancer is one of the common diseases in childhood, the diagnosis of which shocks parents, especially mothers. Meanwhile, parents' adaptation to the disease reduces complications and problems. Objectives: Therefore, this study was aimed at exploring the impact of Roy adaptation model on care burden in mothers of children under chemotherapy. Methods: This quasi-experimental study was performed on 36 mothers of children under chemotherapy who had referred to the oncology ward of Taleghani Hospital, Gorgan, in 2018. Random sampling was carried out for both control and experimental groups. The experimental group received a training program based on Roy adaptation model during seven sessions over a four-week period. Data were collected using the Caregiver's Burden Scale (CBS) devised by Elmstahl. The results were analyzed in SPSS-18 using independent and paired t tests as well as covariance test at the significance level of P < 0.05. Results: The means of care burden before the intervention in the experimental and control groups were respectively 70.44 ± 7.04 and 67.11 ± 6.54. The independent t test did not reveal any significant difference in this regard (P = 0.15). However, after the intervention, the mean of care burden significantly differed between the experimental (50.94 ± 4.58) and control (70.88 ± 5.13) groups, as confirmed by independent t test (P < 0.001). Conclusions: Based on the results, deploying the care program based on Roy adaptation model is an effective, low-cost, and noninvasive nursing intervention for mothers of children with cancer.

Background and objective Playing games for children is an instinct needed for ensuring happiness, it is a language for communication and self-expression, and a way to learn new things. Therefore, the present study aimed at evaluating the effectiveness of child-parent relationship therapy (CPRT) on the social skills of preschool children. Methods An experimental study with a pretest-posttest design was conducted on 60 preschool children in Kordkuy City, Golestan Province, Iran in 2017 by using a simple random sampling method in both the experimental and control groups. Routine preschool education was performed in the control group and in the experimentalgroup it was done based on play therapy protocol in 10 sessions for 45–60 min. The social skills questionnaire authored by Gresham and Elliott was used as a data gathering tool. The data were analyzed by SPSS 16. Findings An analysis of variance (ANOVA) test showed a significant difference between the scores of the experimental and control groups, which suggests that the CPRT model, a short-term plan of parental play therapy, can improve social skills in preschool children (p = 0/001). Conclusion Regarding the effectiveness of the CPRT, it is recommended that this method be used is an interactive-educational way in preschool centers of Iran.

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