---

---

---

---

Background and Aim: The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy on marital self-regulation, marital burnout, and self-criticism of infertile women.
Methods & Materials: This experimental study was conducted with a pretest-posttest design with the control group. The statistical population of this study included all the infertile women of Mazandaran Province, Iran, in 2018-2019. In this study, 30 infertile women were considered the sample size in the experimental group mindfulness-based cognitive therapy (of 15 infertile women) and control (15 infertile women). The experimental group underwent mindfulness-based cognitive therapy (10 sessions 60 minutes), but the control group received no training. To collect data, we used the marital self-regulation scale of Wilson and et al., the marital burnout scale of Pines, and the self-criticism scale of Thompson and Zuroff. Data analysis was performed in SPSS V. 24 with descriptive and inferential statistics (multivariable analysis of covariance).
Ethical Considerations: This study with research ethical code IR.IAU.TON.REC.1397.030 was approved by the Research Ethics Committee at Islamic Azad University Tonekabon Branch.
Results: The results showed that the scores of marital self-regulation of infertile women after mindfulness-based cognitive therapy in the experimental group significantly increased in comparison with the control group, and also marital burnout, and self-criticism scores were decreased (P<0.01).
Conclusion: Therefore, it is suggested that counselors and therapists use mindfulness-based cognitive therapy to improve marital self-regulation, marital burnout, and self-criticism of infertile women. 

---

Background and Aim: Topical supplements and vitamins have often been used to accelerate the healing of burn wounds. This study investigated the effects of topical application of vitamin C solution on burn wounds. 
Methods & Materials: This research was performed on 30 patients with extensive second-degree burns on one or two organs with similar burns. The study subjects were randomly divided into the intervention and control groups. The intervention group received topical application of vitamin C solution in addition to silver sulfadiazine ointment in the burn area; however, only silver sulfadiazine ointment was applied in the burn area in the control group. The wounds were examined and scored on days 1, 3, 7, and 14 using the Bates-Jensen Wound Assessment Tool. The collected data were analyzed in SPSS using repeated-measures Analysis of Variance (ANOVA).
Ethical Considerations: This study was approved by the ethics committee of sabzevar university medical sciences. (Code: IR.MEDSAB.REC.1394.60). 
Results Eighteen of the 30 examined patients were male and 12 were female. Their Mean±SD age and body mass index were 43.03±11.90 years and 27.82±4.08 kg/m2, respectively. 
Conclusion: The repeated-measures ANOVA data indicated that the study groups were significantly different concerning the final mean scores given to the wounds (P=0.047). In other words, the research groups significantly differed in wound healing; thus, topical application of vitamin C significantly improved wound healing in the study participants.

---

---

---

---

---

Extended Abstract
Introduction
Nurses, as the main force and the most important bearers of the health system, have a fundamental role in continuing care. Married female nurses, in addition to taking jobs full of stress and high burnout, should play other roles such as mating and motherhood. Therefore, this pressure, stress and exhaustion is more evident. Therefore, in order to reduce these problems, the increase of resilience in this group is more than before. In recent years, the positive psychology approach, with the slogan of attention to human talents and abilities, has been considered by researchers. The factors that make the human more compatible with the needs and threats of life are referred to as resilience; resilience is the most fundamental constructs under research in this approach which has a special place, especially in the field of developmental psychology, family psychology and mental health.
Method
The present study is based on the fundamental purpose and in terms of the method of collecting descriptive data of correlation type with structural equation model. The statistical population of the study included all married female nurses in public hospitals and medical centers of Alborz province in 1401. A sample of 400 people was selected through multistage cluster sampling. Questionnaire of Resilience of Connor and Davidson (2003),Cognitive emotion regulation questionnaire of Granfsky et al. (2001) and Bagaroozi's Marital Intimacy Questionnaire (2001) were used.In this research, frequency distribution table (to study the characteristics of subjects, descriptive statistics (frequency, mean, standard deviation, minimum, maximum, skewness, elongation) and structural equation modeling (measurement model and structural equation model) have been used using SPSS 26 and Amos24 software.
Results
the results of demographic information based on age (20-25) year, 152 people) 38%; In terms of education (bachelor's degree 265 people, 66.25 percent, based on the number of children, no children with 144 people). 36%, employment history (up to 5 years of experience, 198 people, 49.5% based on the duration of marriage, up to 5 years of marriage, 166 people, 41.5%) as well as the highest number of cohabitation differences (382 people). 95.5% constituted the largest percentage of participants. Cronbach's alpha, cognitive emotion regulation was 0.84, marital intimacy was 0.87, and resilience was 0.81. Also, the variables of standard deviation, skewness and kurtosis, the variable of cognitive regulation of emotion - 0.680, - 0.195 and - 0.905, the variable of marital intimacy 89.597, - 0.887 and - 0.019, and the variables of resilience, respectively - 0.055, 202 -0.0 and 1.131 were obtained. Also, the correlation matrix between the variables of cognitive emotional regulation, marital intimacy and resilience was obtained at 0.01 (, 0.729 and 0.796) and a positive and significant relationship was obtained between the variables, so it was possible to check the research model.
Structural model path coefficients of pathways (cognitive flexibility to marital adjustment, cognitive flexibility to resiliency 0.986, cognitive emotion regulation to marital adjustment, cognitive emotion adjustment to resiliency 0.875, self-differentiation to marital adjustment, self-differentiation to resiliency 0.842 and marital adjustment to resiliency 0.578) all of which were more than 0.5. The standard error of the above paths was 0.091, 0.025, 0.202, 0.253, respectively. 0.035, 0.155, 0.049, 0.035 and 0.049 were obtained. Critical ratios were 5.734, 3.944, 9.810, 3.458, -4.539, 2.450 and 11.795, respectively.  In order to evaluate mediation or mediator relationships in the second model, bootstrap test and for mediation status of mediation analysis was used by bootstrapping method The relationship between cognitive emotion regulation and resilience with mediation of marital adjustment with direct and indirect effects and total effects of which were 0.671, 1.228 and 1.899, respectively. The relationship between self-differentiation and resilience mediated by marital adjustment with direct and indirect effects and total effects of which were 0.479, 0.899 and 0.420, respectively.
Conclusion
The aim of this study was to investigate the modeling of resilience based on cognitive flexibility, cognitive emotion regulation and self-differentiation with the mediating role of marital intimacy. The results showed that direct path coefficient of cognitive flexibility, cognitive emotion regulation, self-differentiation and marital intimacy were directly and mediated by marital intimacy were significant on resiliency (2,5,3). It can be argued that the more couples have control over their emotional leaders, the more they can acquire a positive self-concept and act independently, and in different individual, social and occupational situations, the more able to control their emotions, and they can also establish their own position in these situations and take into account the undependency and in their relationships with others about their emotions and Their emotions are more controllable. (4(Therefore, the more decisions people make based on logic, reasoning, comprehensive view of circumstances, rationality and free from false emotions and emotions, and in their choices different cognitive, emotional, emotional and behavioral factors are more appropriate and free from excesses and considering the interests of the family, rather than individual ones, the more they can tolerate problems. Therefore, in explaining the results of the research, it can be stated that marital intimacy can be the connecting link to increase resilience of flexible couples, differentiated and with more emotional regulation. Limitations of this study can be mentioned to long administrative hierarchy for obtaining permission for sampling and also caution in generalizability of the findings.
Compliance with research ethics
Participants in the study were assured that their information would be preserved. The informed consent form was given to everyone and the participants signed the form. This research has an IR ethics committee code. ZUMS. REC.1401.297 is from Alborz University of Medical Sciences.
Sponsor
According to the authors, there was no financial support for the research. 
Conflicts of interest
According to the authors, this article does not conflict of interest
Thank you and Appreciate
The authors of the article are sincerely grateful to the research deputy of Islamic Azad University of Saveh, the authorities of Alborz University of Medical Sciences, colleagues of health centers in Karaj and all female nurses participating in this research.

 

---

---

Introduction: The current research was conducted with the aim of "investigating the role of medical staff in health policies during the corona virus pandemic".
Methods: This research is practical in terms of purpose and exploratory research in terms of method.
Results: The statistical population of this research is all the medical staff of Arak city Since access to all these people is not possible; Therefore, the sampling method is used. The data collection tool in this research was a questionnaire. This research was done using the factor analysis model.
Conclusions: The data and information extracted from the factor analysis test showed that: establishing proper communication with patients, interacting with citizens and the government, paying attention to the laws and encouraging others to comply with them, learning specialized training to contain the corona virus, explaining the situation to worried people, Adhering to health protocols and informing others, perception of organizational justice, alignment between individual and organizational goals, transfer of sense of responsibility to the work environment, existence of an efficient evaluation system and encouragement to inject vaccines are the most important role of the medical staff in health policies. They were during the corona disease pandemic.
 

---

Introduction: Today, the increasing prevalence of diabetes and its complications in the elderly is one of the most challenging problems in the health sector. One of the most important strategies for managing diabetes in the elderly is teaching self-care behaviors, which requires competent nurses in the field of diabetes education. The present study was conducted with the aim of determining the effect of empowering nurses on self-care and HbA1c control of elderly people with type 2 diabetes living in nursing homes.
Methods: This quasi-experimental study was conducted as a single group on 32 nurses and 30 elderly people with type 2 diabetes residing in nursing homes by convenience sampling. Nurses participated in a one-day empowerment workshop on type 2 diabetes. Data collection tools were a researcher-made questionnaire of workshop content to measure nurses' empowerment, Tobert and Glasgow self-care questionnaire and laboratory index HbA1c for the elderly. Data were analyzed using Spss version 20 at the 0.05 level. The present research has been registered with the ethics code IR.IAU.KHUISF.REC.1398.190 in the Ethics Committee of Islamic Azad University - Isfahan Branch (Khorasgan).
Results: Based on the findings, there was a significant difference between nurses' empowerment after the workshop compared to before (P=0.001). The mean scores of elderly before and three months after nurses' empowerment were significant in terms of self-care behaviors (P=0.000) and HbA1c index (P=0.000).
Conclusions: The results showed that the empowerment of nurses has desirable potential to change the outcomes of self-care in elderly people with type 2 diabetes resident in nursing homes, and by focusing on the approach of empowering nurses, positive steps can be taken in the management of diabetes and HbA1c of this group.
 

---

---

Introduction: Nurses have a prominent position in providing healthcare services. There is an undeniable relationship between nurses' professional self-concept and providing care to patients. This study was conducted to investigate the relationship between professional self-concept and the lifestyle of nurses in selected hospitals of Mazandaran cities.
Methods: This descriptive study was conducted using a stratified sampling method with a proportional allocation of 200 nurses working in hospitals affiliated with Mazandaran University of Medical Sciences in 2015. Data collection tools included a demographic information form, a nurse professional self-concept questionnaire, and a nurses' lifestyle questionnaire. Data analysis was done with a significance level of P ≤ 0.05. Pearson's correlation coefficient was used to determine the relationship between professional self-concept and nurses' lifestyle.
Results: The mean score of nurses' professional self-concept and a lifestyle was 156.55 ± 19.37 and 216.42 ± 5.88, respectively. There was also a significant direct relationship between professional self-concept and nurses' lifestyle.
Conclusions: Considering the confirmation of positive correlation between professional self-concept and the lifestyle of nurses, nursing managers can promote healthy lifestyles in nurses by promoting professional self-concept.

---

Introduction: Quality of life is one of the most influential issues that can encourage a person to continue a happy and healthy life. On the other hand, spiritual health is one of the dimensions of health and a sense of harmonious connection between oneself, others, nature, and beyond, and leads to understanding the ultimate purpose and meaning in life. The purpose is to determine the relationship between spiritual health and quality of life in university students in Arak. The results of this study can be used to formulate strategic plans improve spiritual health and the quality of students' lives.
Methods: First, the population of each university in Arak city was measured, and taking into account their population and establishing a ratio between the sample size of the study and the population of each university, people who had the characteristics of entering the study were included in the study. The sample size was 400 people and was conducted on students who have been studying at the university for at least six months. After obtaining the consent of the participants, the researchers filled out the questionnaire through interviews with the students. The questionnaires included two instruments: a spiritual health questionnaire and a quality of life questionnaire with 36 questions.
Results: No significant relationship was observed between spiritual health and demographic variables. Likewise, spiritual health had no statistically significant relationship with demographic variables. The analysis of the study data showed that there is a positive correlation between the quality of life and spiritual health of students. (P < 0.05).
Conclusions: According to the horoscope results, there is a relationship between the quality of life and the spiritual health of the students of Arak universities. By improving the quality of students' lives, we can increase their spiritual health, and even by increasing their spiritual health, we can witness the improvement of students' quality of life.

---

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.

---

Introduction: The fundamental role of marital satisfaction is vital in family formation and marriage survival. Marital dissatisfaction can make couples fail to solve their conflicts. Marital discontent, combined with job-related stress such as pre-hospital emergencies, can lead to heightened conflict in job responsibilities. It leads to the effect on personnel, patients, and their families. Therefore, this study aimed to investigate the marital satisfaction of pre-hospital emergency personnel at Qom University of Medical Sciences in 2023.
Methods: This cross-sectional study was conducted on 200 pre-hospital personnel of Qom University of Medical Sciences in May 2023. The sampling method was a stratified cluster. The data collection tool included the "Demographic Information" checklist and Enrich's "Marital Satisfaction" questionnaire. Data analysis was done using descriptive tests, Independent T-test, and Regression.
Results: The average age of the participants was 37.3 ± 7.06. More than half of the participants had a bachelor's degree. Most people had rotating shifts. The average score of marital satisfaction was 145.94 ± 22.21. Based on the results of the multivariate regression test, the variables of education, employment status, work experience, type of shift, having a second job, and having a job other than medical staff explain 63% of the variance of marital satisfaction of pre-hospital personnel.
Conclusions: According to the findings of the present study, in general, the marital satisfaction of pre-hospital emergency personnel of Qom University of Medical Sciences is at an average to high level. People with a fixed shift, with a second job, high work experience, without a fixed job status, and bachelor's and associate's degrees had less marital satisfaction than others. Therefore, managers and policymakers in the health field must pay more attention to the quality of family life, especially the married life of pre-hospital emergency workers with the mentioned conditions.

---

Introduction: Diabetic foot ulcer is the most common cause of hospitalization in diabetic people, while one of the prominent sources of anxiety in patients is the time of discharge from the hospital. This study aimed to determine the effect of the SMART discharge protocol on the anxiety of diabetic foot ulcer patients.
Methods: In this semi-experimental study, 50 patients with diabetic foot ulcers Were divided equally into two control (25 patients) and intervention (25 patients) groups, randomly and based on the Inclusion criteria. In the intervention group, the SMART discharge protocol was implemented from their admission to the day of discharge. The Demographic information questionnaire and Spielberger questionnaire were used to determine patients' anxiety. The data were analyzed at two descriptive and inferential levels.
Results: There was no statistically significant difference in the mean score of anxiety for diabetic foot ulcer patients in the two groups before the intervention. In contrast, after the intervention, the mean anxiety score in the two groups showed a statistically significant difference (P = 0.0001).
Conclusions: According to the results of the present study, it seems that the smart discharge protocol was effective in reducing the anxiety of diabetic foot ulcer patients. Therefore, it is recommended that nursing officials and managers implement this protocol.

---

Background and Purpose: Emergency medical technicians (EMTs) are the frontline medical personnel who often face stressful and critical situations. Job hardiness can enhance their capacity to withstand challenging circumstances and both physical and mental pressures. Therefore, this study was conducted to identify the level of job hardiness among EMTs and its associated factors.
Materials and Methods: This study employed a cross-sectional descriptive design involving 216 EMTs from Qom University of Medical Sciences in 2024. A stratified random sampling method was utilized. Data were collected using a demographic and occupational information checklist and a job hardiness scale. Data analysis was conducted employing ANOVA, independent t-tests, and regression analyses. A significance level of less than 0.05 was deemed statistically significant.
Findings: The average age of participants was 32.26 ± 6.34 years, with over two-thirds having bachelor's degrees and working rotating shifts. The average score for job hardiness was 44.67 ± 5.30. Results from multivariable regression indicated that educational status and a sufficient number of personnel accounted for 42% of the variance in job hardiness among EMTs.
Conclusion: Findings reveal that EMTs exhibit moderate to high job hardiness. Furthermore, adequate staffing levels and higher educational attainment positively correlated with increased job hardiness scores.