BackgroundOsteoarthritis is one of the main reasons causing disablement. Educational intervention for self-care behaviors of patients suffering from knee osteoarthritis is important because its effect on quality of patient life decreases the economic burden of disorder on society and family. This study aimed to investigate the effect of educational intervention based on the theory of planned behavior (TPB) on promoting self-care behaviors in elderly patients suffering from knee osteoarthritis.MethodsThis quasi-experimental study was performed on 200 elderlies suffering from knee osteoarthritis in the rheumatology clinics of Shiraz, Iran, in 2019. The subjects were divided into two groups (100 experimental and 100 control). Before and after 4 months, both experimental and control groups filled a questionnaire. After administering a pre-test to both groups, only the experimental group was trained based on the TPB constructs on self-care behaviors in elderly people suffering from knee osteoarthritis in eight sessions by presenting educational films and images, power points, and group discussions for solving problems.ResultsThe mean age of the experimental group was 67.25 ± 3.64, and the mean age of the control group was 66.12 ± 3.50. The average scores of attitudes, subjective norms, perceived behavioral control, intention, and behavior before the educational intervention did not have significant differences in experimental and control groups, however, 4 months after the educational intervention, the paired t-test indicated significant enhancement in every construct in the experimental group, but no significant changes in the control group.ConclusionAccording to the results, the educational intervention increased the self-care behaviors of patients suffering from knee osteoarthritis based on the theory of planned behavior. Therefore, the results of this study can be used in theory-based intervention strategies for self-care behaviors of patients suffering from knee osteoarthritis.
BackgroundModern societies face infertility as a global challenge. There are certain environmental conditions and disorders that damage testicular tissue and may cause male infertility. Melatonin, as a potential antioxidant, may protect testicular tissue. Therefore, we conducted this systematic review and meta-analysis to evaluate the effects of melatonin in animal models against physical, heat, and ischemic damage to the testicular tissue.MethodsPubMed, Scopus, and Web of Science were systematically searched to identify animal trials evaluating the protective effect of melatonin therapy on rodent testicular tissue when it is exposed to physical, thermal, ischemic, or hypobaric oxygen stress. Random-effect modeling was used to estimate the standardized mean difference and 95% confidence intervals based on the pooled data. Additionally, the Systematic Review Centre for Laboratory Animal Experimentation (SYRCLE) tool was used to assess the risk of bias. The study protocol was prospectively registered in PROSPERO (CRD42022354599).ResultsA total of 41 studies were eligible for review out of 10039 records. Studies employed direct heat, cryptorchidism, varicocele, torsion-detorsion, testicular vascular occlusion, hypobaric hypoxia, ischemia-reperfusion, stress by excessive or restraint activity, spinal cord injury, and trauma to induce stress in the subjects. The histopathological characteristics of testicular tissue were generally improved in rodents by melatonin therapy. Based on the pooled data, sperm count, morphology, forward motility, viability, Johnsen’s biopsy score, testicular tissue glutathione peroxidase, and superoxide dismutase levels were higher in the melatonin treatment rodent arms. In contrast, the malondialdehyde level in testicular tissue was lower in the treatment rodent arms. The included studies suffered from a high risk of bias in most of the SYRCLE domains.ConclusionThis study concludes that melatonin therapy was associated with improved testicular histopathological characteristics, reproductive hormonal panel, and tissue markers of oxidative stress in male rodents with physical, ischemic, and thermal testicular injuries. In this regard, melatonin deserves scientific investigations as a potential protective drug against rodent male infertility.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022354599.
Background: More than a million people worldwide die by suicide every year, the risk of committing suicide in healthcare related occupations, especially nursing, is much higher than other occupations. The current study aimed at investigating the role of the Thwarted Belongingness (TB), Perceived Burdensomeness (PB), Self-Efficacy (SE), and Ego Strength (ES) in predicating Suicidal Ideation (SI) in nurses. Materials and Methods: In the current descriptive-correlational study, convenience sampling method was employed to select 120 nurses of hospitals in Ardabil, Iran. The participants completed the Interpersonal Needs Questionnaire (INQ), General Self-Efficacy Scale (GSES), Psychology Inventory Ego Strengths (PIES), and Beck Scale for Suicide Ideation (BSSI). The collected data were analyzed by descriptive statistics indices, Pearson correlation analysis, and multivariate regression with SPSS V. 23. Results: The obtained result showed a significant and positive relationship between Thwarted Belongingness and Perceived Burdensomeness, and Suicidal Ideation as well as a significant and negative relationship between Self-Efficacy and Ego Strength, and Suicidal Ideation. Also, the result of the multivariate regression showed that Thwarted Belongingness, Perceived Burdensomeness, Self-Efficacy, and Ego Strength predictability can account for 46% of Suicidal Ideation. Also, the result showed that Perceived Burdensomeness could explain and predict Suicidal Ideation better than other variables. Conclusion: Generally, Thwarted Belongingness and Perceived Burdensomeness, as two interpersonal factors, and Self-Efficacy and Ego Strength, as two intrapersonal factors, can predict Suicidal Ideation of nurses. Possession of the sense of Thwarted Belongingness leads to a feeling of loneliness, and perceiving burdensomeness leads to a feeling of self-hatred, and ultimately, the combination of these two structures leads to the formation of Suicidal Ideation. Also, poor Self-Efficacy leads to negative judgment of abilities and the low Ego Strength uses inappropriate defense mechanisms such as denial and suppression, and ultimately, the combination of these two forms Suicidal Ideation. Therefore, providing the training to improve interpersonal relationships in order to reduce the felling of Thwarted Belongingness and Perceived Burdensomeness as well as individual counseling to improve Self-Efficacy and Ego Strength can be effective in reducing Suicidal Ideation and suicide attempt in nurses.
Post-traumatic stress disorder in male chemical ... [7] in-depth look into PTSD-depression comorbidity ... [8] Examining the broader psychosocial effects of mass ... [9] Drinking motives and PTSD-related ... [10] The role of mindfulness as approach-based coping ... [11] PTSD, alcohol dependence, and conduct ... [12] An examination of sleep quality in ... [13] PTSD symptoms and suicide ideation: Testing the ... [14] adolescent ... [15] [16] Single-session emotion regulation skills training ... [17] Beliefs in negative mood regulation and ... [18] Psychiatric mental health ... [19] Suicidal ideation in adolescence an indicator ... [20] A global perspective in the epidemiology ... [21] Co-occurring aggression and suicide ... [22] Suicide risk among 1.3 Million veterans ... [23] [24] Cognitive-behavioral intervention effects ... [25] The current state of cognitive therapy ... [26] Cognitive mechanisms of treatment in ... [27] Just showing up is not enough ... [28] The effects of cognitive behavioral therapy ... [29] Religious vs. conventional cognitive behavioral therapy ... [30] Physiological and behavioral indices of ... [31] Cognitive behavioral and pharmacological ... [32] Changes in the self during cognitive behavioral ... [33] A case study of individually delivered mindfulnessbased ... [34] The development of an integrated treatment ... [35] Effectiveness of brief VR treatment for PTSD ... [36] FMRI activation during executive ... [37] Timing matters: change depends on the stage ... [38] Cognitive behavioral therapy ... [39] Changes in threat-related cognitions ... [40] Assessing the reliability and validity ... [41] The relationship between emotional ... [42] The construction and preliminary ... [43 ] The construction and validation of a new scale ... [44] Aims warriors and veterans to suffer from symptoms of post traumatic stress disorder (PTSD). PTSD is associated at least with signs of another psychiatric disorder. The purpose of this study was to investigate the effect of cognitive-behavioral therapy on emotional control and signs of suicide in veterans with PTSD. Materials & Methods In this semi-experimental study with pre-test and post-test design with a control group in 2017, 40 veterans with posttraumatic stress disorder hospitalized to Ghods Hospital of Sanandaj city were selected using available sampling. They were randomly assigned into two groups: experimental group (20 veterans) and control group (20 veterans). The data collection tools were Beck Scale for Suicidal Ideation (BSSI) and Emotional Control Questionnaire (ECQ). Patients in the experimental group received cognitive-behavioral therapy for 9 sessions. Data were analyzed by SPSS 16 software using univariate and multivariate covariance analysis. Findings experimental and control groups and cognitive-behavioral therapy increased emotional control (F=25.40) and its subscales and reduced suicidal ideation (F=38.19) and subscales in experimental group (p=0.001). Conclusion Cognitive-behavioral therapy is effective in increasing emotional contro...
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