RESUMEN
Objective: Stroke is a major event in one's life, and patients will inevitably require the use of coping strategies in order to try to reestablish acceptable life equilibrium. Due to the extensive role that nurses can be active members in the patient's rehabilitation plan, the Mauk model is a model that focuses on stroke patients. For each stage of this model, Mauk has developed appropriate rehabilitation nursing interventions. This study aimed to analyze the effect of implementation of the Mauk nursing rehabilitation model [Agonizing phase, Fantasy phase, Realizing phase] on the coping strategies of stroke patients
Methods: This study is a quasi-experimental one-group pre-test - post-test study. The interventions are identified and coping strategies for patients based on the Mauk model have been trained. Convenience sampling has been done in Imam Khomeini hospital and Tabassom rehabilitation center in 1392. Data collection instruments included a demographic questionnaire and a coping strategies questionnaire for stroke patients. The educational program was implemented in sessions of 45 minutes. The patients' coping strategies, before and after training, were assessed. Data was statistically analyzed using descriptive and inferential tests in SPSS software 16
Results: The mean score for coping strategies before intervention was 111.42 +/- 11.71, and after intervention was 102.14 +/- 12.45 [P<0.05]. The physical, mental and social dimensions in the coping strategies showed significant differences before and after intervention
Discussion: Using the rehabilitation program interventions for effectively dealing with stress, changing and unpredictable behavior patterns in chronic patients is an important component of the treatment protocol, and helps deliver an increase in coping strategies for stroke patients
RESUMEN
The purpose of this study was to investigate the effects of single and repeated bouts of gymnastic training on salivary IgA and cortisol, in elite boy's gymnasts. Twenty boys with mean age of 10 +/- 0.8 years, height 145 +/- 9 cm, weight 37 +/- 8 kg and body fat percent 14.2 +/- 6[meam +/- SE] in Ghaemshahr Club in 2007, performed the select and controlled gymnastic training in two bouts [single session, and double session], one week apart. The first bout, included one session a day, beginning at 6 to 8 P.M. and the second bout was performed in two sessions per day, beginning at 8.30 to 10.30 A.M and 6 to 8 P.M. Salivary samples [5 ml] to form un-stimulated were collected in pre-exercise, immediately after and 2 hours following gymnastic training. Levels of IgA and cortisol were measured by ELISA method. ANOVA test was performed for analysis of the obtained data. The IgA level indicated no significant change after two bouts of exercise within the same day [P>0.5], however, cortisol concentration increased [P<0.05]. No significant correlation was observed between IgA and cortisol concentrations. These findings suggest that two bouts of gymnastic training [120-minutes], at moderate intensity with a 7.30 hours rest in between, had no effect on IgA concentration, but caused an increased in cortisol concentration.