Showing 5 results for Behavioral
Tahereh Sadeghi, Mahmood Shamshiri, Nooredin Mohammadi, Mahnaz Shoghi,
Volume 18, Issue 4 (2-2013)
Abstract
Background & Aim: Pain is an unpleasant experience related to potential or actual tissue damage. Distraction is an effective technique to control pain. This study aimed to examine the effect of pressing a small soft ball during intravenous catheter insertion on pain related behavioral responses of children.
Methods & Materials: A randomized clinical trial study was conducted in surgical ward of the Qods hospital in Qazvin, Iran in 2010. Sixty children aged 4-6 were selected through a simple randomized sampling method. The children were allocated into two equal intervention and control groups. Data were collected using the FLACC scale. In the intervention group, children were asked to press a soft ball during IV catheter insertion. The researcher marked the FLACC during the procedure. In the control group, no distraction was made during the IV catheter placement. The data were analyzed using descriptive statistics, independent-sample t-test, Chi square at P<0.05.
Results: There was no significant difference between the two groups in terms of demographic variables including gender, birth order, race, age and type of disease. In the intervention group, none of the children experienced severe pain during IV catheter insertion and 63.3% of the children had moderate pain. In the control group, 50.0% of children had moderate pain and 23.3% of them experienced severe pain during IV catheter insertion. There was a significant difference in perceived pain between the children of two groups (P<0.001).
Conclusion: Distraction is an effective, non-expensive, and easy-to-access technique to control and reduce pain in children during IV catheter placement. This study showed that distraction through pressing a soft ball was effective in reducing the behavioral responses of pain in children who underwent IV catheter placement.
Fatemeh Sookhak, Mitra Zolfaghari, Ahmad Ali Asadi Noghabi, Hamid Haghani,
Volume 20, Issue 3 (11-2014)
Abstract
Background & Aim: Medication usage is the bases of disease management in patients who undergo hemodialysis. Non-adherence to medication regimen increases the incidence of complications among the patients . The aim of this study was to investigate the effect of a cognitive-behavioral intervention on medication adherence in patients undergoing hemodialysis .
Methods & Materials: In this clinical trial, 70 patients were selected from Imam Reza and Valiasr hospitals. Patients were assigned into two intervention (n=35) and control (n=35) groups. The intervention group received a cognitive-behavioral intervention including six steps: 1) Identifying the problem 2) Creating confidence and commitment 3) Increasing awareness of behavior 4) Developing and implementing the action plan 5) Evaluating the plan and 6) Maintaining the desired behavior. Adherence to medication regimen was assessed using a self-report questionnaire before and immediately after the intervention. Data were analyzed using the independent t-test .
Results: At baseline, there was no significant difference in adherence to medicine regimen between the intervention (20.77 ± 4.56) and control (22.34 ± 3.65) groups (P=0.1). After the intervention, significant difference was observed between the two groups in adherence to medication regimen (P<0.001) .
Conclusion: Cognitive–behavioral intervention could improve medication adherence in patients undergoing hemodialysis. It is recommended for nurses to use this approach to improve medical care among the patients .
Ladan Bagherbeik Tabrizi, Elham Navab, Pouya Farokhnezhad Afshar, Ahmad Ali Asadi Noghabi, Hamid Haghani,
Volume 21, Issue 1 (6-2015)
Abstract
Background & Aim: Family caregivers play major role in caring for the patients with dementia. Meanwhile, they are at risks of various diseases. Caring for a person with Alzheimer’s disease carries a significant physical, socioeconomic and psychological burden. This study described the impact of cognitive-behavioral management on burden and problems borne by family caregivers of patients with Alzheimer's disease .
Methods & Materials: This non-randomized controlled clinical trial was conducted on 70 family caregivers of patients with Alzheimer’s disease. The participants were subjected to experimental and control groups. The Zarit Burden Interview was used to assess the burden experienced by family caregivers of the patients. Data were then analyzed using inferential and descriptive statistical parameters (mean and SD) and paired sample t-test on the difference between the scores of pre-test and post-test .
Results: The mean level of caregivers’ burden as measured by ZBI was 44.56± 6.77 and 42.57±5.98, in experimental and control groups before intervention respectively. Caregivers’ burden score was 39.54±5.88 and 44.86±5.87, in experimental and control groups after intervention respectively. Results showed a significant decrease in the training group’s score (P<0.001) .
Conclusion: Given the obtained results indicating the effectiveness of cognitive- behavioral management in reduction of caregivers’ burden, the present study can be helpful in achieving an effective solution to decrease stress among family caregivers of patients who suffer from Alzheimer's disease .
Anahita Zali, Parvaneh Mousavi, Fatemeh Izadi, Bahman Cheraghian,
Volume 29, Issue 2 (7-2023)
Abstract
Background & Aim: Feelings of loneliness can affect the mental health of the elderly and lead to cognitive problems. As a potentially effective treatment approach, cognitive-behavioral therapy (CBT) has emerged as an intervention to alleviate loneliness among the elderly. This study aims to determine the effect of CBT on alleviating loneliness among elderly women referred to health centers in Khomeini Shahr.
Methods & Materials: This quasi-experimental study was conducted in 2020 on a sample of 60 elderly women who had been referred to health centers in Khomeini Shahr. The participants were conveniently selected and then randomly assigned to either the intervention or control groups. Data were collected using a demographic information form and the Deshiri et al’s loneliness questionnaire, which were administered before, immediately after, and one month after the intervention. The intervention group received eight counseling sessions of CBT that lasted for 60 minutes each, while the control group did not receive any counseling. Data analysis was carried out using the SPSS software version 23, employing descriptive and inferential statistics.
Results: The results obtained from conducting a two-way repeated measures analysis of variance (ANOVA) showed a significant statistical difference in the mean score of loneliness resulting from communication with family, the score of emotional symptoms of loneliness and the total score of loneliness in the intervention group before and after the intervention (P<0.001). However, no statistically significant difference was observed in the control group (P>0.05). Furthermore, when comparing the mean score of loneliness resulting from communication with friends in the intervention group, no statistically significant difference was observed before and after the intervention (P=0.094). Similarly, no statistically significant difference was observed in the control group (P=0.338).
Conclusion: The results of the current study indicate that CBT is an effective approach to alleviate loneliness in elderly women. Therefore, it is suggested that this method be implemented as a means to reduce feelings of loneliness among elderly women.
Farzin Bagheri Sheykhangafshe, Vahid Savabi Niri, Shabnam Baryaji, Fatemeh Eghbali, Ali Fathi-Ashtiani,
Volume 29, Issue 3 (10-2023)
Abstract
Background & Aim: Eating disorders manifest numerous psychological and social consequences for both individuals and society. The present study was conducted to investigate the effectiveness of cognitive-behavioral therapy in alleviating COVID-19-related anxiety, fear of negative evaluation, and depression among women diagnosed with Anorexia Nervosa.
Methods & Materials: This study employed a quasi-experimental pre-test-post-test design with a control group. The research population consisted of women diagnosed with anorexia nervosa in Tehran in 2022. Thirty participants were selected through convenience sampling from psychological clinics in the 6th and 8th districts of Tehran, and were randomly assigned to either the intervention group (n=15) or the control group (n=15). Questionnaires assessing eating attitudes, COVID-19-related anxiety, fear of negative evaluation, and depression were administered to both groups. The intervention group received a total of eight 90-minute sessions of cognitive-behavioral therapy, while the control group did not receive any intervention. The collected data were subsequently analyzed using multivariate analysis of covariance through the SPSS software version 24.
Results: The results of the study showed that cognitive-behavioral therapy led to a significant reduction in mental anxiety related to COVID-19 (P<0.001, F=36.41), physical anxiety related to COVID-19 (P<0.001, F=39.15), fear of negative evaluation (P<0.001, F=41.92), and depression (P<0.001, F=47.48) in women diagnosed with anorexia nervosa (P<0.001).
Conclusion: Cognitive-behavioral therapy demonstrated efficacy in alleviating psychological disorders among women diagnosed with anorexia nervosa. Given the potentially severe impairment of mental health experienced by numerous individuals with anorexia nervosa, it is imperative to implement measures for identifying and providing psychological interventions to vulnerable groups.
