Iranian Rehabilitation Journal最新文献

{"title":"Sandwich Generation Issues and Challenges","authors":"Hakime Pashazade, Masoomeh Maarefvand, Yadollah Abolfathi Momtaz, Kianoush Abdi","doi":"10.32598/irj.21.3.51.6","DOIUrl":"https://doi.org/10.32598/irj.21.3.51.6","url":null,"abstract":"Today, with the increase in the elderly population and life expectancy, the need to use care services for this significant part of the population is increasing [1]. Beliefs, cultures, and social norms among different ethnicities and races are vital in the extent and nature of care. Two types of care exist, informal and formal. According to statistics by the Secretariat of the National Council on Aging, almost 0.2% of the elderly receive formal care. Therefore, a significant percentage of the elderly live with their families.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burdens Among Wives of Disabled People in the Light of Some Social Variables [Edit] [Profile]","authors":"Mohammed Malih Radhi, Gossoon Juma Elywy, Qasim Abbas Khyoosh Al-Eqabi","doi":"10.32598/irj.21.3.1765.3","DOIUrl":"https://doi.org/10.32598/irj.21.3.1765.3","url":null,"abstract":"Objectives: This study aims to identify the burdens among wives of disabled people in the light of some independent variables. Methods: In this descriptive cross-sectional study, 197 domestic wives were surveyed using a standardized questionnaire to measure the burden among wives of disabled people. Data were collected using the independent variables and Zarit caregiver burden scale (ZCBS) for burden. The study was conducted using interview techniques and analyzed via SPSS software, version 20 using descriptive and inferential statistical methods. Results: The study results showed that the average age was 35 years old, 30-39 years old, 52.3% were secondary school graduates, 68.5% were families with 1-4 children, 43.1% had insufficient income, and 61.4% were employed. Significant differences were observed in wives’ burdens in terms of their age, education level, family size, income, occupation, disability types, reasons, and duration (P<0.05). Discussion: Wives of disabled people live under significant burdens influenced by different independent variables depending on individual differences. Decision makers should give employment priority to the wives of the disabled to protect the family and fulfill its needs, as well as the need to focus on societal awareness of disability and what the wife and family of the disabled suffer.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Radial Extra Corporeal Shock Wave and Low-power Laser Therapies on Clinical and Electrophysiological Parameters in Moderate Carpal Tunnel Syndrome: A Blinded Randomized Control Trial","authors":"Amirhossein Ghasemi, Gholam Reza Olyaei, Hossein Bagheri, Mohammad Reza Hadian, Shohreh Jalaei, Khadijeh Otadi, Dorna Ghasemi","doi":"10.32598/irj.21.3.1903.1","DOIUrl":"https://doi.org/10.32598/irj.21.3.1903.1","url":null,"abstract":"Objectives: Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy with squeezing of the median nerve and the patient is unable to function properly. There are different physiotherapy interventions for the management of these patients and recently, shock wave therapy and low-power laser (LPL) have been widely used, but there is no strong evidence comparing the effect of shock wave therapy and LLLT. Therefore, this trial was designed to compare the effect of extracorporeal shock wave therapy (ESWT), LPL, and routine interventions on clinical outcomes and electrophysiological parameters in patients with moderate CTS. Methods: Fifty-four patients were randomly assigned to the control (routine interventions), ESWT, and LPL therapy groups. All participants received transcutaneous electrical nerve stimulation (TENS) therapeutic ultrasound, hot pack, mobilization, and stretching for ten sessions over two weeks. Additionally, the ESWT group received radial ESWT in four sessions, and the LPL therapy group received laser in ten sessions. The primary outcomes were pain (assessed by the visual analog scale), function (assessed using the Boston questionnaire (BQ)), hand grip, and finger pinch strength. Secondary outcomes were electrophysiological parameters (distal motor and sensory latency and nerve conduction velocity (NCV) of the median nerve. Results: Time group interactions were significant for pain, the symptom severity subscale of BQ, finger pinch, and hand grip strength (p<0.001). Significant improvements were seen in clinical and sensory latency and motor NCV of the median nerve (p<0.05). The ESWT group experienced significant improvements with a large effect size in pain, function, and finger pinch strength compared to the control group (p<0.01). Additionally, the LPL therapy group showed significant changes in the function and finger pinch and hand grip strength compared to the control group. There were no significant differences between the LPL therapy and ESWT groups except for pain in favor of the ESWT group. No significant differences were found among the three groups in electrophysiological parameters (p>0.05). Discussion: Although laser therapy increased the efficacy of routine interventions, it seems adding ESWT to the routine treatment may be superior for the management of moderate CTS patients.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Reasons for Dissatisfaction of Nurses Working in Psychiatric Wards: A Qualitative Study","authors":"Firas Al-aboudy","doi":"10.32598/irj.21.3.1944.3","DOIUrl":"https://doi.org/10.32598/irj.21.3.1944.3","url":null,"abstract":"Objectives: This study sought to learn more about psychiatric nurses’ experiences working in Iraq because it has been reported that the field of mental health nursing is challenging and has low job satisfaction. Methods: This research is a qualitative study and draws on lived experience conducted on 24 nurses working at Al-Rashad a special hospital in Baghdad that included psychiatric wards selected via purposeful sampling in, 2021-2022. Data were gathered using smartphone-recorded interviews. The seven steps of Colaizzi’s data analysis were used by Husserlian phenomenology. To aid in the bracketing and reflection process, each nurse’s interview was verbatim recorded, along with their thoughts, feelings, and past experiences in this hospital. Results: Three themes were identified as the root reasons for participants’ dissatisfaction (DSS) with their jobs in mental hospitals; insufficient training for providing psychiatric treatment, a negative reputation for psychiatric nurses in the public, and concerns of nurses. These findings were collected during the interview sessions, and notes and ideas were classified and assorted. Analysis of the qualitative data provided insights into the barriers to psychiatric nurses’ satisfaction. Discussion: The present research contributes to the experiences of clinical nurses concerning clinical intervention and care processes in Iraqi psychiatric hospitals. Confrontation of mental patients by nurses in the work environment remains crucial. The findings emphasize the importance of listening to psychiatric nurses and considering how the name of the hospital and patient type and contexts affect nursing satisfaction. Understanding the challenges in the nursing workplace has increased the quality of care providers and satisfaction in the nursing and psychiatric field.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Validity and Reliability of the Knowledge, and Practice Questionnaire of Iranian Mothers About the Development of Persian-speaking Children Aged 18 to 36 Months","authors":"Zahra Valitabar Kerati, Morteza Farazi, Atieh Ashtari, Fatemeh Jazem, Majid Jannat","doi":"10.32598/irj.21.3.1528.2","DOIUrl":"https://doi.org/10.32598/irj.21.3.1528.2","url":null,"abstract":"Objectives: The mother’s knowledge and attitude about the child’s developmental norms can affect their practice and the quality of parent-child interaction. The quality of a child’s development in the early years significantly impacts their personality and future success. Therefore, this study aims to develop and investigate the psychometric characteristics of the Iranian mother’s knowledge, attitude, and practice (KAP) questionnaire about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months and comparing them. Methods: This study was a descriptive-analytical and cross-sectional study conducted on 280 mothers with typically developed children aged 18 to 36 months from different provinces of Iran. Due to the COVID-19 pandemic with the implementation of the study, the participants were selected as available, and then the snowball completed the questionnaire in both face-to-face and online methods. To check the validity of the questionnaire, face validity was calculated using the opinion of speech therapy experts and ten mothers, and content validity was calculated using the Lawshe method. To check the reliability of the questionnaire, the test re-test method was used in a two-week interval. Results: The results indicated that this questionnaire has high validity (content validity index [CVI] &gt;0.79) and reliability (intraclass correlation coefficient [ICC]=0.90). The multiple linear regression model showed that only the mother’s age has a significant positive relationship with knowledge ([B=0.082] P=0.04) about the development of communication, language, speech, and swallowing of children aged 18 to 36 months. Socioeconomic status and the mother’s education had no significant relationship with the mother’s KAP. Also, this study showed that the mother’s knowledge, attitude, and practice about a child’s development were high (mean=16.5), positive (mean=56.44), and good (mean=60.27). Discussion: This study showed that the designed questionnaire is a valid and reliable tool that can be used to investigate the mother’s KAP about the development of communication, language, speech, and swallowing of Persian-speaking children aged 18 to 36 months. On the other hand, speech and language pathologists can use this questionnaire in related studies and clinical evaluations to have better and more knowledge of the child’s environment and the factors affecting it in Persian-speaking society.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Kendall Exercise vs. Gong’s Mobilization on Pain, Range of Motion, Function, and Strength in Cases With Text Neck Syndrome","authors":"Hamna Afzal, Rabiya Noor, Nazia Mumtaz, Muhammad Salman Bashir, Ghulam Saqulain","doi":"10.32598/irj.21.3.1335.12","DOIUrl":"https://doi.org/10.32598/irj.21.3.1335.12","url":null,"abstract":"Objectives: To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome. Methods: This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant. Results: A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores. Discussion: The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135737717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensory Processing in the Children Aged Under 14 Years","authors":"Marjan Shahbazi, Mehdi Alizadeh Zarei, Fatemeh Shahbazi, Navid Mirzakhani","doi":"10.32598/irj.21.2.1568.1","DOIUrl":"https://doi.org/10.32598/irj.21.2.1568.1","url":null,"abstract":"Objectives: Individuals should have good sensory processing ability to function appropriately and participate in daily activities. This investigation aimed to evaluate the sensory processing characteristics of children aged under 14 years. Methods: This is a descriptive cross-sectional study. The study population comprised all children aged &gt;14 years referred to child’s developmental centers and elementary and middle schools in Tehran City, Iran. After considering the inclusion criteria, 1272 children were selected using multistage cluster sampling. The research tool was sensory profile-2, completed by children’s caregivers and teachers. Their sensory processing characteristics were measured according to the cut-off scores of the separate questionnaires of Sensory profile-2 in the section, school, and quadrant factors. Results: The research samples scored just like the majority of others on most sensory processing areas, with only two quadrants, one sensory section, and one school factor score indicating “less than others” or “more than others.” Discussion: According to the findings, a high sensory sensitivity leads to intolerance of children in schools. Also, the low level of sensory seeking in toddlers is associated with less than other scores in movement items.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Relationship Between Psychological Flexibility, Mindful Ability, and Self-compassion With the Severity of Depression in Patients With Mood Disorders","authors":"Fatemeh Zargar, Rozita Mansouri, Mohammad-Javad Tarrahi","doi":"10.32598/irj.21.2.1861.1","DOIUrl":"https://doi.org/10.32598/irj.21.2.1861.1","url":null,"abstract":"Objectives: Considering the prevalence and importance of depression, it is necessary to study the new psychological variables involved in its formation, persistence, and recurrence. Accordingly, this study aims to investigate the relationship between psychological flexibility (PF), mindful ability (MA), and self-compassion with the severity of depression in patients with mood disorders. Methods: This cross-sectional study was conducted from October to January 2018. A total of 80 patients with various mood disorders were selected via a purposive sampling method based on the inclusion and exclusion criteria from the psychiatric wards of Noor Hospital and clinics affiliated with Isfahan University of Medical Sciences. They completed the self-compassion scale, acceptance and action questionnaire, Freiburg mindfulness inventory–short form, and the Beck depression inventory-II. The data were analyzed using the SPSS software, version 24. Meanwhile, the Pearson correlation coefficient and multiple regression were applied as well. Results: The correlation coefficient between PF and depression was -0.79. This coefficient was -0.91 and -0.87 between self-compassion and depression and MA and depression, respectively. This indicates a strong inverse relationship between depression scores and these variables. Stepwise regression analysis showed that gender and MA were respectively the best predictors of depression (P<0.05). Discussion: Based on the results, there was a significant relationship between low self-compassion, PF, and MA and depression in patients with mood disorders.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Prevalence, Severity, and Nature of Adverse Events in an Inpatient Rehabilitation Hospital","authors":"Shoeleh Rahimi, Hamid Reza Khankeh, Narges Arsalani, Masoud Fallahi-Khoshknab, Abbas Ebadi, Fereydoun Layeghi","doi":"10.32598/irj.21.2.1854.1","DOIUrl":"https://doi.org/10.32598/irj.21.2.1854.1","url":null,"abstract":"Objectives: This study aims to evaluate the prevalence, severity, and nature of adverse events (AEs) and provide suggestions on how to prevent AEs recurrence in an inpatient rehabilitation hospital in Iran. Methods: This retrospective descriptive-analytical study was conducted in 2021 at Rofaydeh Rehabilitation Hospital in Tehran City, Iran. AEs associated with rehabilitation services and nursing care, which were reported in the hospital’s voluntary reporting system from 2018 to 2021 were evaluated. A standard checklist codified by the Ministry of Health of Iran was used to collect the data from the medical error documentation. The data were analyzed by the SPSS software, version 21, using descriptive statistics, the chi-square, and the Fisher exact tests. Results: A total of 5642 patients had been hospitalized in the study setting and 517 AEs had been documented during the 4 years of the study. The most common AEs in descending order were as follows: falls 288(55.7%), pressure ulcers 57(11.02%), medication errors 50(9.67%), clinical process 49(9.47%), clinical administration (issues with admission process 10(1.93%) and wrong patient identification 5(0.96%). Among 58(11.21%) cases of hospital-acquired infections, 45(77.58%) cases were urinary tract infections. There was a significant relationship between age and fall (P=0.026), pressure ulcer (P=0.006), and hospital-acquired infection (P=0.001), and between gender and fall (P=0.01), pressure ulcer (P=003), and hospital-acquired infection (P=0.01). The severity of identified AEs was categorized into mild 431(83.36%), moderate 61(11.79%), and severe 25(4.83%). The most common causes of AEs were limited supervision of patients by healthcare providers. Discussion: This study showed that patient fall, pressure ulcer, and hospital-acquired infection were the most prevalent AEs in the rehabilitation hospital. Future efforts to improve patient safety in these settings should focus on reducing such AEs along with removing barriers to voluntary incident reporting.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Effect of Cognitive Rehabilitation on the Memory Improvement of Patients With Alzheimer","authors":"Ali Abdulhussain Fadhi, Ali H Mohammed, Ibrahim Mourad Mohammed, Mohammed Shnain Al, Khulood H Oudaha, Saif Yaseen Hasan","doi":"10.32598/irj.21.2.2066.1","DOIUrl":"https://doi.org/10.32598/irj.21.2.2066.1","url":null,"abstract":"Objectives: Alzheimer is the most prevalent cognitive disturbance with a high spread rate among the elderly. The current research aims to investigate the impact of cognitive rehabilitation on the memory improvement of Alzheimer disease patients. Methods: This was a semi-experimental design with pre-test and post-test designs. The statistical population in Baghdad City, Iraq, in 2021 included 60 patients with Alzheimer and was divided into an experimental (n=30) and a control group (n=30). The patient’s cognitive abilities were assessed before the intervention (pre-test), promptly after the intervention (post-test), and 2 months later (follow-up). The experimental group had twenty-eight 45-min sessions of training based on the Montessori method (2 sessions per week). The data were analyzed via the SPSS software, version 19, using the independent t-test and repeated measures analysis of variance. The results had a P<0.05. Results: The findings of the independent t-test demonstrated no significant difference between the scores of both groups during the pre-test stage (P>0.05); however, the difference was significant during the post-test and follow-up stages (P<0.001). In addition, the findings of the repeated measure analysis of variance indicated a significant difference between both groups’ mean scores in the post-test and follow-up (P<0.001). Discussion: Cognitive rehabilitation can help patients with memory disorders and positively affect their memory performance.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}