scholarly journals Evaluation of the of Positive Psychology Training Effectiveness on Rumination and Depression in Women with Type 2 Diabetes

Author(s):  
Shabnam Homayoun Rad ◽  
Fatemeh Hasani Adeliyan ◽  
Fatemeh Raesi ◽  
Seyedeh Afsaneh Sehat ◽  
Javad Seyed Jafari ◽  
...  

Objective: Preventing chronic diseases is important for public health. The aim of this study was evaluation the effectiveness of positive psychology (PP) training on rumination and depression in women with type 2 diabetes mellitus (T2DM). Materials and Methods: This research was a quasi-experimental design and a pre-test-post-test with a control group. The statistical population of the present study consisted of women with T2DM. By referring to the medical centers of regions 7, 4, 11, and 16 in Tehran, 30 people were selected by purposive sampling method. Data collection tools in this study were two standard questionnaires of Nolen-Hoeksema and Beck Depression (1978) and positive educational training and guidance protocol. Data were analyzed using SPSS ver. 21. Results: The results showed that PP training has a positive and significant effect on decrease rumination in women with T2DM (Pvalue= 0.001). Also, PP training has a positive and significant effect on reducing depression in women with T2DM (P-value= 0.002). The PP training had a greater effect on rumination in women with T2DM than depression. Conclusion: Positive training in psychology has an impact on rumination and depression in women with T2DM, according to the findings. The findings of the study show that therapeutic intervention for rumination and stress is subordinated to the health network's planned working processes.

Author(s):  
Mojgan Moghareh Abed ◽  
Maryam Azadi ◽  
Maryam Dehghan ◽  
Javad Ardeshirpey

Objective: Diabetes is a common chronic disorder in which there is a high risk of physical complications and psychological problems such as hypoglycemia and inability to express emotions. Psychological interventions can be effective in this regard. The aim of this study was to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on emotional expressiveness and fear of hypoglycemia (FOH) in patients with type 2 diabetes visiting Yazd Diabetes Center. Materials and Methods: This study was a quasi-experimental study with a pretest and posttest design. The statistical population was all patients with type 2 diabetes visiting Yazd Diabetes Center in 2020. Forty men and women were selected using purposeful sampling and were randomly allocated to case and control groups. The case group received 8 sessions of MBSR training, 2 hours each and the control group received no interventions. Emotional Expressiveness Questionnaire (EEQ) and the Hypoglycemia Fear Survey (HFS) were used to collect data. Results: Results of ANCOVA showed that MBSR training significantly increases emotional expressiveness and its components (P-value< 0.0001) and decreases the fear of hypoglycemia (P-value< 0.0001) in patients with type 2 diabetes (P-value< 0.035). Conclusion: Based on the results of the study, MBSR training could improve emotional expressiveness, prevent hypoglycemia and reduce the fear of it.


Author(s):  
Maryam Zahedi

Background: The occurrence of marital conflicts decreases the quality of communication between couples and marital intimacy. Therefore, the present study was conducted to determine the effect of compassion-based counseling on marital intimacy of conflicted couples in Isfahan. Methods: The research method was quasi-experimental with a pretest-posttest design and control group. The statistical population included all couples referring to Isfahan counseling centers in 1396. The sample size was 30 couples who were selected by purposive non-random sampling method and were randomly assigned to experimental and control groups. The intervention group received compassion-based counseling intervention for 8 sessions which lasted an hour and a half for 2 months. Then, subjects in both groups were examined. The instruments used were the marital conflict questionnaire and marital intimacy questionnaire. After collecting the questionnaires and extracting the raw data, data were analyzed by SPSS (version 23) using descriptive statistics and covariance analysis. Results: The results showed that compassion-based counseling had a significant effect on the marital intimacy of couples in the post-test phase (P < 0.0001). This treatment could increase the marital intimacy of conflicted couples. Conclusion: Based on the findings of the present study, it can be concluded that compassion-based therapy using techniques such as mindfulness training, empathy, and sympathy for oneself and managing difficult emotions can enhance the marital intimacy of the conflicted couples. In this regard, compassion-based therapy can be used as an effective treatment to increase the marital intimacy of conflicted couples.


2021 ◽  
pp. 20-22
Author(s):  
Shajahan Shajahan ◽  
Koneru Sri Lahari ◽  
P. Kiranmai

BACKGROUND:Type 2 Diabetes Mellitus is a major non-communicable disease resulting from insulin resistance and is associated with cardiovascular,neurological and renal complications.Recent studies show association of hyperuricemia and Diabetes Mellitus.Uric acid increases oxidative stress that leads to vascular dysfunction and high intra glomerular pressure leading to renal complications.High serum creatinine is an indicator of renal compromise. OBJECTIVES: To evaluate serum uric acid and serum creatinine levels in type 2 diabetes mellitus patients and to find association between them. METHODOLOGY: The study was conducted in Osmania general hospital. Fifty cases of established Type 2 Diabetes Mellitus formed the study group and 50 normal healthy individuals formed the control group. Serum uric acid, Fasting Blood Glucose (FBS) and serum creatinine were estimated by colorimetric enzymatic methods on Beckman coulter AU5800.Mean values were compared in cases and controls using student t- test.Study group was further studied under 2 subgroups with serum Uric acid < 7 mg/dl and ≥7 mg/dl.In these 2 subgroups the association of Serum uric acid with FBS and creatinine was analysed statistically. RESULTS: Serum uric acid were found high in cases(7.63+/- 3.36)as compared to controls(4.48+/- 1.09) p value < 0.001.Serum creatinine were also high in cases(1.59+/- 1.39 )as compared to controls ( 0.87+/- 0.29) p value <0.005.Study subgroup with serum uric acid ≥7 mg/dl was associated with high creatinine and high fasting blood sugar levels when compared to subgroup with serum uric acid <7 mg/dl. CONCLUSION: Our study showed increased serum uric acid and serum creatinine levels in cases when compared to controls.There was significant association between high serum uric acid and high creatinine levels in cases.Therefore,it is important to measure serum uric acid and serum creatinine levels in diabetics for early detection of renal pathology.


2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Elnaz Hajati ◽  
Banafsheh Gharraee ◽  
Fahimeh Fathali Lavasani ◽  
Hojjatollah Farahani ◽  
Asadollah Rajab

Background: The prevalence of diabetes is on the rise, and the lack of regular self-care activities can exacerbate this disease. Therefore, finding effective and short-term treatments is needed for these patients. Objectives: The purpose of this study was to investigate the effectiveness of acceptance-based emotion regulation group therapy in controlling diabetes in patients with type 2 diabetes. Methods: This experimental study included the three stages of pre-test, post-test, and six-month after follow-up, as well as a control group. The statistical sample consisted of 33 patients with type 2 diabetes referred to the Iranian Diabetes Association, of whom 16 patients were allocated to the intervention group and 17 to the control group. The study was conducted in Tehran in 2019 - 2020. Acceptance-based emotion regulation group therapy lasted 14 weeks, during which some aspects of acceptance and commitment therapy, dialectical therapy, and emotion-focused treatment were combined and provided to the patients. The questionnaires used were the Summary of Diabetes Self-care activities (SDSCA) and Diabetes Dependent Quality of Life scale. Also, a structured DSM-V clinical interview was performed, and glycosylated hemoglobin (HbA1c) was measured. To analyze the data, mixed design ANOVA was run in SPSS version 21. Results: The findings revealed that the mean difference between pre-test and post-test in the experimental group was significant for the variables of HbA1c, quality of life, and self-care while the mean difference between the post-test and follow-up was not significant for HbA1c (P = 0.17) and quality of life (P = 0.27), indicating the stability of the therapeutic effect after six months of the intervention. Based on the present findings, acceptance-based emotion regulation group therapy led to a decrease in HbA1c and an increase in self-care and quality of life in patients with type 2 diabetes. Conclusions: Our results showed that acceptance-based emotion regulation group therapy improved self-care, quality of life, and HbA1c in type 2 diabetic patients, so it can be used as a complementary intervention along with medical treatments.


2021 ◽  
Vol 5 (1) ◽  
pp. 10-15
Author(s):  
Rendi Editya Darmawan ◽  
Untung Sujianto ◽  
Nana Rochana

Background: a higher rate of recommended chest compression is needed for neo automatic code (NAC)-guided cardiopulmonary resuscitations (CPR) to obtain high-quality chest compressions. High-quality chest compressions could improve ROSC. Purpose: the study aim to analyze the effects of CPR using NAC on the ROSC in-hospital cardiac arrest in Indonesia. Methods: this study used a quantitative, post-test quasi-experimental design with a control group. The samples were 74 cardiac arrest patients in two hospitals in Surakarta and Klaten, Indonesia, who were selected using a purposive sampling technique. The data were analyzed by the Mann-Whitney test. Results: the incidence of ROSC in the control group was 30%, and in the treatment group was 35%. The result of statistical analysis showed that there were differences in the ROSC in the intervention and control group with a p-value of 0.003. Conclusion: NAC assisted cardiopulmonary resuscitations increased ROSC. It is recommended that Code Blue Teams should use NAC to improve the quality of chest compressions for the better result of ROSC.


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Christiana Arin Proborini ◽  
Anggorowati Anggorowati ◽  
Muhammad Rofii

Tujuan penelitian untuk mengetahui penerapan discharge planning dengan pendekatan SNARS terhadap kepuasan pasien Penyakit Paru Obstruktif Kronis (PPOK) di RSUD Karanganyar. Rancangan penelitian yang digunakan quasi experimental dengan desain penelitian pre-post test with control group. Jumlah sampel 29 responden kelompok kontrol dan 29 responden kelompok intervensi dengan teknik random sampling. Hasil analisis menunjukkan adanya perbedaan kepuasan pasien PPOK antara sebelum dan setelah dilakukan pelatihan discharge planning dengan pendekatan SNARS (p value = 0,031). Peneliti menyimpulkan adanya pengaruh penerapan discharge planning dengan pendekatan SNARS terhadap kepuasan pasien PPOK.


2020 ◽  
pp. 158-164

Introduction and Objectives: One of the problems of diabetes in the elderly is the likelihood of another condition that makes it more difficult to control blood sugar. This study aimed to investigate the effectiveness of solution-based therapy on self-compassion and blood glucose reduction in elderly patients with type 2 diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with a control group and follow-up. The statistical population of the study consisted of 60-75-year-old patients with type 2 diabetes referring to Iranian Diabetes Association treatment centers in Tehran, Iran. A total of 36 patients were selected and randomly assigned into two groups of experimental and control. The data were collected using a self-compassion questionnaire and glycated hemoglobin test (HbA1c). The HbA1c test was also administered two months after the end of the training to follow-up and evaluate the sustainability of the treatment effects. The data were analyzed in SPSS software (version 26) through repeated measure ANOVA. Results: The results showed that the solution-based therapy increased self-compassion in the posttest phase (P<0.01), and the effect of treatment was maintained after two months (P<0.01). Moreover, solution-based therapy reduced blood glucose levels in the posttest phase (P<0.01) and retained the effect of treatment after two months (P<0.01). Conclusion: It can be concluded that solution-based therapy has effects on self-compassion and hyperglycemia in elderly patients with type 2 diabetes; moreover, it can be used in treatment centers to improve the status of patients with diabetes.


2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Aisyah Dzil Kamalah ◽  
Ahsan Ahsan ◽  
Heri Kristianto

Ulkus diabetes mellitus merupakan komplikasi dari penyakit diabetes mellitus yang digolongkan dalam penyakit luka kronik sehingga biaya yang digunakan dalam penyembuhan relatif banyak. Kondisi pasien ulkus yang tidak stabil menyebabkan masalah psikososial pada keluarga, seperti beban pada keluarga. Beban keluarga dapat mempengaruhi keluarga dalam merawat pasien ulkus DM. Penelitian ini bertujuan untuk mengetahui efektifitas psikoedukasi keluarga dalam menurunkan beban keluarga dalam merawat pasien ulkus DM. Desain penelitian ini adalah quasi experimental pre-post test with control group. Cara pengambilan sampel pada penelitian ini adalah dengan purposive smpling. Jumlah sampel sebanyak 30 caregiver yang terbagi dalam kelompok perlakuan dan kelompok kontrol. instrumen yang digunakan adalah The Burden Scale untuk mengukur beban keliarga. Hasil uji validitas dan reliabilitas menunjukkan r tabel (0,361) r hitung (0,765) dan r alpha / koefisien reliabilitas (0,907). Psikoedukasi keluarga dilakukan dalam 5 sesi. Hasil penelitian menunjukkan p value (0,000) < α (0,05) baik. Psikoedukasi efektif dalam menurunkan beban keluarga. Kata kunci: beban keluarga, pasien ulkus diabetes mellitus, psikoedukasi keluarga THE EFFECTVENESS OF FAMILY PSYCHOEDUCATION IN REDUCES FAMILY BURDEN IN THE FAMILY WITH ULCERS DIABETIC PATIENTS  ABSTRACTUlcers Diabetes Mellitus is a complication of Diabetes Mellitus which is classified in wound chronic, it needs a lot of cost to recovery a. Unstable physical and emotional condition of a patient can make psychosocial problems such as burden family. Burden can affect the family in taking care of patients with diabetic ulcers. This study aimed to determine the effectiveness of family psychoeducation in reducing  family  burden when taking care of patients with diabetic ulcers in Malang. This design of study was quasi – experimental pre – post test with control group. The sampling method used was purposive sampling with 30 caregiver as total sample and divided into treatment group and control group. The instruments of this research were The Burden Scale to measure the family burden . The results of the validity and reliability test show r table (0.361) r count (0.765) and r alpha / reliability coefficient (0.907). Family psychoeducation was conducted in five sessions. The results showed the p value (0.000) < α (0.05) in burden family. Psychoeducation is effective in reducing family burden.  Keywords: burden family, patients with ulcer diabetes mellitus, family psychoeducation.


Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension


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