Journal of Arak University of Medical Sciences

The Effectiveness of Group Counseling Based-on Reality Therapy on the Sexual Function in Women: A Randomized Controlled Trial

Naimeh Akbari Torkestani

Introduction: Sexual problems are prevalent problems among women that affect different aspects of their lives. Counseling in the early stages can solve many of their problems. Therefore, this study aimed to investigate the effect of group counseling based on reality therapy on female sexual function.
Methods: The present clinical trial study with a control group was conducted in Arak City in 2016. A total of 40 women were selected from five healthcare centers according to the inclusion and exclusion criteria and were randomly divided into two groups experimental and control. The experimental group received counseling sessions of reality therapy (8 sessions, each 90 minutes, twice a week), and the control group received no intervention. Data collected included demographics and the Female Sexual Function Index (FSFI) questionnaire, completed before and four weeks after the intervention.
Results: The mean scores for sexual function in intervention and control groups were
28.63 ± 2.21 and 27.14 ± 2.58 before the counseling, showing no significant differences between the two groups (P = 0.5). But after reality therapy, the values significantly changed in the intervention group (30.29 ± 2.92 vs. 27.64 ± 2.58) (P < 0.05).
Conclusions: Counseling based on reality therapy was found effective in improving sexual function in women. Therefore, it is recommended that this method be used in healthcare centers.

The Effect of National Academy of Sports Medicine (NASM) Corrective Movements on Gait Kinetics in Middle Aged Men with Piriformis Syndrome

Mohammadrahim Amiri

Introduction: The present study findings aimed to investigate the effect of exercises based on the American National Academy of Sports Medicine principles (NASM) on walking kinetics in piriformis syndrome in middle-aged men.
Methods: The current research was semi-experimental and laboratory-type. The statistical sample of the present study was 30 men with piriformis syndrome. Subjects were equally and randomly placed in two intervention and control groups. The intervention group performed NASM exercises for eight weeks. Before and after the exercises, the ground reaction force variables were measured using a Bartek force plate device with a sampling rate of 1000 Hz. Kinetic data were smoothed using a fourth-order Butterworth filter with a frequency cutoff of 20 Hz. For statistical analysis, analysis of variance and paired T-test were utilized at the significance level of P < 0.05.
Results: The findings of the present study showed that the effect of time on the FxHC and FyHC components at the peak of the forces and the FyHC component at the time of reaching the peak of the ground reaction force increased in the post-test compared to the pre-test. P > 0.025;
d = 0.64 - 0.96. The effect of the time factor in the FyPO component at the peak of the ground reaction force in the post-test was less than the pre-test (P < 0.025; d = 1.64-0.96). The interaction effect of the time × group in the FxPO component at the peak of the force and the FzHC component at the time of reaching the peak of the ground reaction force had a significant difference (P < 0.048; d = 0.87-0.83).
Conclusions: The NASM exercises used in this research can have a clinical and therapeutic effect that can reduce damage to the lower limbs and improve the quality of walking in people with piriformis syndrome.

Prediction of Postpartum Depression Based on Marital Satisfaction, Physical Satisfaction, and Dysfunctional Beliefs in Pregnant Women of Bukan City in the First Half of 2022

Morteza Azizi

Introduction: Postpartum depression is a type of mood disorder that can affect pregnant women who have given birth and is affected by various factors, so the present study aims to predict postpartum depression based on marital satisfaction, satisfied body, and dysfunctional beliefs in women of Bukan City.
Methods: The present study is descriptive-correlational. The population consisted of all women with pregnancy in the last month in the first half of 2022 in the city of Bukan in the number of 2980 according to Morgan's table and with informed written consent, 340 pregnant women referring to Shahid Qolipur Hospital in Bukan were selected by available sampling method and filled in the questionnaire. Beck-2 depression, Edinburgh postpartum depression, Enrich's marital satisfaction, Body image satisfaction, and Weisman and Beck's dysfunctional beliefs responded. The analysis was done using a stepwise regression method.
Results: Marital satisfaction, physical satisfaction, and dysfunctional beliefs have a significant ability to predict postpartum depression at P < 0.01 level. This effect is inverse in marital and physical satisfaction and positive in dysfunctional beliefs. Also, marital satisfaction, with an effect size of 0.324, physical satisfaction, with an effect size of 0.497, and ineffective beliefs, with an effect size of 0.652, explain the postpartum depression variable. Also, the prevalence of postpartum depression among women in Bukan City is 30.6%, which is higher than the average of the articles recorded in this field.
Conclusions: According to the results of the research, Marital satisfaction, physical satisfaction inversely, and dysfunctional beliefs directly and positively predict postpartum depression in pregnant women.

Postpartum Fallow Up on the Postpartum Depression after Normal Vaginal Delivery

Soraya Soheili

Introduction: The postpartum period is a dangerous potential time for postpartum depression. Postpartum depression is the reducer instrument for postpartum support. The purpose of the current study is to determine the effectiveness of postpartum supports on the postnatal women depression after childbirth.
Methods: This study a semi experimental study was conducted in Marand hospital. Two hundred sixty mothers agreed to take part and were randomly allocated to an intervention group
(n = 130) or control group (n = 130). The intervention group received telephone counseling for 20- minute at the first week twice, second week till 6^th weeks once at week plus routine care. The control group received only the routine care. Also for evaluation of the unanticipated mother’s needs, 24-hour telephone access to researcher was provided. The main outcome measure was recording demographics data sheet, postpartum problem’s checklist and the Edinburgh Postnatal Depression Scale (EPDS) administered by presence interview questionnaire at six weeks after delivery. Control group received general postpartum education. The data were analyzed by χ², Fisher test and T test.
Results: At 6 week postpartum, mean of depression was obtained in the intervention group (15/80 ± 5/12) and in the control group (18/43 ± 5/90). On the EPDS scale, in the intervention group was significantly decrease to control group (P < 0.0001).
Conclusions: The result of this research showed that Postpartum Fallow Up by midwife could effective to decrease women’s postpartum depression in the pureperium.

Development of Structural Equations Model of Resilience Based on Cognitive Flexibility with the Mediation of Marital Intimacy in Married Female Nurses

Kianoush Zahrakar

Introduction: Resilience is a component that plays a meaningful role in enduring the hardships of the work and marriage environment. Therefore, it is identified as the main structure of personality, so it is influential to identify variables that can predict resilience.
Methods: The current research is based on the fundamental goal and the descriptive data collection method of the structural equation model correlation. The statistical population of the research consists of all married female nurses of hospitals and government treatment centers in Alborz province in 1401, who were selected by a multi-stage cluster sampling method of 400 people from different treatment units and departments. In this research, the Conner and Davidson resilience questionnaire (2003), Dennis and Vanderwaal cognitive flexibility scale (2001), and Bagaroozi marital intimacy scale (2001) were used to analyze data from Amos version 24 software.
Results: For cognitive flexibility leading to marital intimacy, the value was 2.023. The value for the path of mental flexibility to resilience was 0.986, and for marital intimacy to resilience, it was 0.909. The critical ratio between cognitive flexibility (r= 0.767) and marital intimacy
(r = 0.796) had a positive and significant relationship with resilience at a significance level
of 0.01.
Conclusions: The results showed that the data fit the conceptual model of the research. Also, the mediating role of marital intimacy between cognitive flexibility and resilience was confirmed. According to the results obtained, to increase the resilience of married female nurses, it is suggested to health officials to Different cognitive, emotional and emotional variables of this group should be given special attention.

Investigating the Dimensions of Inter-Sectoral Cooperation in Preventing Traffic Accidents in Iran: A Qualitative Study

Soad Mahfoozpour

Introduction: Traffic accidents are a principal challenge in the injury and death of people in Iran and many other countries, which has made the formulation of necessary strategies and planning for inter-sectoral cooperation to prevent and reduce traffic accidents undeniable. Therefore, this research was conducted to investigate the dimensions of inter-sectoral collaboration in preventing traffic accidents in Iran.
Methods: This research is a qualitative study that was conducted in 2023. In this study, sampling was done in a targeted manner, and 15 people from the statistical population were interviewed. The statistical population of the research at this stage included executive managers, traffic police, field activists, and public institutions active in the field of traffic accidents in Central Province and Tehran, who, due to the relevance of their job field, were informed or participated in intersectoral cooperation in line with the management of accidents and traffic accidents were included in the study. Data were collected and analyzed through structured interviews, and their coding was done with the help of MAXQDA 11 software.
Results: The study identified and extracted eight main dimensions of intersectoral cooperation in preventing traffic accidents. These dimensions include laws and law enforcement, research and development, information and data management, internal and external coordination, crisis management, education and awareness, roads, and vehicles.
Conclusions: Providing platforms for promoting the development and expansion of inter-sectoral cooperation in accident prevention and traffic accidents can have various benefits, including long-term social, political, economic and, well-being. Therefore, based on the findings of the research, it is suggested to design an intersectoral cooperation model for the prevention of accidents and traffic accidents so that traffic accidents can be reduced to the minimum possible with proper planning and design so that we can witness the highest level of effectiveness and efficiency in this area.

Effectiveness of Spiritual Group Therapy on Endurance and Pain Control in Primiparous Pregnant Women

Abbas Tavan

Introduction: The process of the first pregnancy causes a decrease in resilience and fear of pain, which requires interventions to solve these problems. This study aimed to determine the effectiveness of group therapy spirituality on endurance and pain control in primiparous pregnant women.
Methods: The research method was semi-experimental, pre-test, and post-test with a control group. The statistical population of this study included all pregnant women who gave birth in 2022 in the city of Kerman, 30 people (15 people in the experimental group and 15 people in the control group) were selected by the available sampling method. The data collection tools were the pain disability questionnaires of Mold and the resilience questionnaires of Connor and Davidson. A group spiritual therapy intervention was performed on the experimental group, and the control group did not receive any intervention. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis. A P value less than 0.05 was considered significant.
Results: In the resilience variable, the mean and standard deviation of the experimental group in the pre-test was 41.27 ± 7.22 and the post-test 63.18 ± 8.69. In the pain control variable, the mean and standard deviation of the group in the pre-test was 35.73 ± 6.28, and the post-test was 21.40 ± 5.44. The results showed that group therapy spirituality had an effect on endurance and pain control in primiparous pregnant women (P < 0.01).
Conclusions: Based on the findings of the research, group therapy spirituality can be used to increase endurance and control pain in primiparous pregnant women.

Effect of 12 Weeks of Combined Training on the Serum Levels of Nesfatin-1 and Some Liver Enzymes in Men with Non-Alcoholic Fatty Liver Disease

Ali Heidarianpour

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common liver disorder in industrialized societies. As an appetite inhibitory and energy balance regulator, nesfatin-1 plays a substantial role in the pathogenesis of obesity-related abnormalities. This study was conducted to determine the effects of 12 weeks of combined training (resistance training and high-intensity interval training (HIIT)) on the serum levels of nesfatin-1 and some liver enzymes in men with NAFLD.
Methods: In this semi-experimental study, 20 middle-aged men with NAFLD were randomly divided into two exercise and control groups. The exercise program included 12 weeks of combined training, featuring two sessions per week of resistance training and one session of HIIT. Body weight, body mass index (BMI), nesfatin-1 peptide, liver enzymes (ALT, AST, and ALP), lipid profile, maximal oxygen consumption (VO₂max), and body fat percentage at the beginning and after 12-weeks were evaluated. Independent and dependent t-tests were analyzed to assess intra-group and inter-group differences, and the significance level was
P < 0.05.
Results: 12 weeks of combined resistance training and HIIT increased nesfatin-1 and decreased liver enzymes ALT, AST, and ALP in the exercise group compared to the control group and the pre-training stage (P < 0.05). We also observed an increase in VO₂max and a decrease in body weight, BMI, body fat percentage, and LDL in the exercise group compared to before starting the training protocol (P < 0.05).
Conclusions: Based on the results of the present study, it can be concluded that performing combined exercise training for twelve weeks led to an increase in nesfatin-1 peptide levels and a decrease in liver enzymes. It was suggested that this could be a cost-effective therapeutic approach recommended for patients with NAFLD.