رابطه تاب آوری و رشد پس از سانحه در بیماران تحت همودیالیزشهر کرج در سال 1397

ﻣﻘﺪﻣﻪ: ﻓﺮآﯾﻨﺪ دﯾﺎﻟﯿﺰ ﻓﺸﺎرﻫﺎی ﺟﺴﻤﺎﻧﯽ و رواﻧﯽ زﯾﺎدی را ﺑﺮ ﺑﯿﻤﺎران وارد ﻣﯽ ﮐﻨﺪ. از اﯾﻦ رو ﺷﻨﺎﺳﺎﯾﯽ ﻋﻮاﻣﻠﯽ ﮐﻪ ﺑﺘﻮاﻧﻨﺪ از ﺑﯿﻤﺎران در ﻣﻘﺎﺑﻞ اﯾﻦ ﻓﺸﺎر ﻫﺎ ﻣﺤﺎﻓﻈﺖ ﮐﻨﻨﺪ ﺿﺮوری ﺑﻪ ﻧﻈﺮ ﻣﯽ رﺳﺪ. ﻫﺪف اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﯽ راﺑﻄﻪ ﺑﯿﻦ ﺗﺎب آوری و رﺷﺪ ﭘﺲ از ﺳﺎﻧﺤﻪ ﺑﻮد. ﻣﻮاد و روش ﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﺗﻮﺻﯿﻔﯽ-ﻫﻤﺒﺴﺘﮕﯽ ﺑﻮد. ﺑﻪ اﯾﻦ ﻣﻨﻈﻮر از ﺑﯿﻦ ﮐﻠﯿﻪ ﺑﯿﻤﺎران ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﻣﺮاﮐﺰ دﯾﺎﻟﯿﺰ ﺷﻬﺮ ﮐﺮج در ﺳﺎل 1397 ﺗﻌﺪاد 219 ﺑﯿﻤﺎر ﺑﻪ ﺷﯿﻮه ﻧﻤﻮﻧﻪ ﮔﯿﺮی در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﭘﺮﺳﺶ ﻧﺎﻣﻪ ﻫﺎی ﺗﺎب آوری ﮐﺎﻧﺮ و دﯾﻮﯾﺪﺳﻮن(2003) و رﺷﺪ ﭘﺲ از ﺳﺎﻧﺤﻪ ﺗﺪﺳﭽﯽ و ﮐﺎﻟﻬﺎن(1996) ﭘﺎﺳﺦ دادﻧﺪ. داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺷﺎﺧﺺ ﻫﺎی ﺗﻮﺻﯿﻔﯽ، ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن و آزﻣﻮن ﻣﻌﻨﺎداری ﺿﺮﯾﺐ ﻫﻤﺒﺴﺘﮕﯽ ﺗﻮﺳﻂ ﻧﺮم اﻓﺰار spss vol.25 ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪ. یافته های پژوهش: 55/7 درصد از شرکت کنندگان مرد و 44/3 درصد آن ها زن بودند و میانگین سن آن ها 43/84 با انحراف معیار 9/12 ﺳﺎ ل ﺑﻮد. ﺑﯿﻦ ﺗﺎب آوری و رﺷﺪ ﭘﺲ از ﺳﺎﻧﺤﻪ راﺑﻄﻪ ﻣﺜﺒﺘﯽ در ﺳﻄﺢ ﻣﻌﻨﺎداری 0/01 وﺟﻮد داﺷﺖ(523.r=0). ﺑﻪ ﻃﻮری ﮐﻪ ﺗﺎب آوری ﺗﻮاﻧﺴﺖ ﺣﺪود 27 درﺻﺪ از ﺗﻐﯿﯿﺮات رﺷﺪ ﭘﺲ از ﺳﺎﻧﺤﻪ را ﺗﺒﯿﯿﻦ ﮐﻨﺪ. ﺑﺤﺚ و ﻧﺘﯿﺠﻪ ﮔﯿﺮی: ﯾﺎﻓﺘﻪ ﻫﺎی ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﻧﺸﺎن داد ﺗﺎب آوری ﻧﻘﺶ ﻣﻬﻢ در رﺳﯿﺪن ﺑﯿﻤﺎران ﺑﻪ رﺷﺪ ﭘﺲ از ﺳﺎﻧﺤﻪ دارد. از اﯾﻦ رو ﭘﯿﺸﻨﻬﺎد ﻣﯽ ﺷﻮد ﻣﺪاﺧﻼت روان ﺷﻨﺎﺧﺘﯽ ﯾﺎ ﻫﺪف ارﺗﻘﺎی ﺗﺎب آوری ﺑﯿﻤﺎران ﻃﺮاﺣﯽ و در ﻣﺮاﮐﺰ دﯾﺎﻟﯿﺰ اﺟﺮا ﺷﻮد.

The Relationship between Resilience and Post Traumatic growth in Patients on Hemodialysis in Karaj in 2018

Introduction: Balance impairment and related injuries are common in elderly and patients with neurologic disorders. Ankle foot orthosies can influence on balance via improvement of movement disorders. Therefore the aim of this study was to investigate the effects of modified anklefoot orthosis on balance performance in healthy elderly. Materials Methods: The research was conducted on ten healthy elderly aged above 60. The conventional anklefoot orthosis and modified anklefoot orthosis were used in this study (the posterior part of the orthosis in the heel region was removed to provide free movements in the subtalar joint). Balance parameters were measured with a force plate during double limb standing in opened eyes and closed eyes under three different conditions: conventional ankle foot orthosies, modified ankle foot orthosies and barefoot. Also functional balance was assessed using Timed Up and Go test. Ethics code: IR.MUI.REC.1396.3.345. Findings: The results of this study indicated that using modified anklefoot orthosis did not significantly change standing balance parameters compared to barefoot condition (P>0.05). However, wearing conventional anklefoot orthosis resulted in a significant reduction of the center of pressure excursion in the mediolateral direction (16%) compared to the barefoot condition (P=0.02). Discussion Conclusions: A simple modification in conventional anklefoot orthosis did not impair standing balance performance of healthy elderly people. Additionally, the modified anklefoot orthosis improved balance abilities compared to conventional anklefoot orthosis. These observations could be attributed to the increased sensory feedback and using subtalar movements. It is recommended to study the effects of this modified orthosies on balance in the patients with neurological impairments who have foot and ankle movement disorders.