درخت حوزه‌های تخصصی

Introduction: Painful diabetic neuropathy is a major complication of chronic diabetes with a significant negative impact on the quality of sleep and quality of life in diabetic patients. This study was conducted to determine the single and combined effect of primary motor cortex (M1) and left Dorso lateral prefrontal cortex (L- DLPFC/ F3) anodic transcranial direct current stimulation (tDCS) in improving sleep quality and quality of life in type 2 diabetes patients with neuropathic pain. Method: The current study was a four-group double-blind randomized clinical trial. The statistical population consisted of all patients with type 2 diabetes aged 45 to 65 years, who were members of the Bonab Diabetes Association in 2022 and identified as having neuropathic pain by specialists. The research sample was 48 people selected through the purposeful sampling method and randomly assigned into three experimental groups and one sham control group. Patients in four groups received their respective interventions for 12 sessions, three times a week. The data collection was done using the Pittsburgh Sleep Quality Index (PSQI) and the 36-Item Short Form quality of life questionnaire (SF-36). Results: According to the findings, only the stimulation of M1 and F3 areas was effective in improving the sleep quality of diabetic patients. In terms of increasing quality of life, the effect of combined treatment (stimulation of both M1 and F3 areas) was significantly higher than the F3 area stimulation and sham stimulation groups. Also, the observed effect remained stable until the 3-month follow-up stage. Conclusion: According to the results of this research, neuropsychological rehabilitation through electrical stimulation of the M1 and F3 areas of the brain was supported to improve the sleep quality and the quality of life of diabetic neuropathy patients.

Introduction: Given the importance of screening as one of the health behaviors in cervical cancer, the aim of this study is to develop and evaluate the psychometric characteristics of Cervical Cancer Screening Behavior Scale (CCSBS). Methods: In this cross-sectional study, 376 women who referred to Javaheri Health Center during the study period due to health problems, were selected through convenience sampling method. Then, the scale was developed and its content and face validities were examined. To ensure divergent and convergent validity, Depression Anxiety Stress Scale (DASS-21) was used. Internal consistency method (Cronbach's alpha) was used to determine the reliability of the questionnaire. Finally, confirmatory factor analysis was used to assess the construct validity of the CCSBS and SPSS and LISREL software were applied for analyzing data. Results: The findings of this study provided strong supports, which confirmed the content and face validities. Regarding the convergent and divergent validity, perceived vulnerability, perceived severity and deterioration, and perceived barriers have a direct and significant relationship with the three variables of depression, anxiety, and stress. On the other hand, perceived motivation had a significant inverse correlation with all three variables of depression, anxiety, and stress. Additionally, perceived self-efficacy had a significant inverse correlation with depression. The results of the Cronbach's alpha indicated the appropriate internal consistency of the whole questionnaire and its components. Cronbach's alpha for the whole questionnaire was 0.78. According to confirmatory factor analysis, the goodness of fit indicators of proposed model was confirmed and the paths were significant. Conclusion: CCSBS is a reliable and valid tool for measuring the screening behavior of cervical cancer in Iranian women and it appears to be a comprehensive and useful tool for assessing women's beliefs related to cervical cancer and cervical cancer screening.

Applying supportive policies by the organization towards human resources can provide a suitable basis for creating mutual benefits. On one hand, this issue will affect their behavioral and functional approaches, and on the other hand, it will determine the type of their perceptions towards the job. Accordingly, in this research, the impact of social support on the job performance of employees by considering the role of job enrichment and innovative work behaviors has been investigated. The statistical population of this research included physical education managers of Iranian universities which 333 people participated in it according to the rule of at least five times the number of statements and with the convenience sampling method. The data collection tool was a standard questionnaire taken from reliable sources including innovative work behaviors scale by De Jong & Den Hartog, (2010), job performance scale by Chirumbolo & Areni, (2010), perceived social support by scale Mack & Rhineberger-Dunn, (2019) and job enrichment scale by Vijay & Indradevi, (2015) and data analysis and hypothesis testing has been done by using the structural equation modeling technique with the partial least squares approach in the PLS software. The research findings indicate that social support has a significant and positive effect on innovative work behaviors, job enrichment and job performance. There is a positive and significant relationship between innovative work behaviors and job enrichment with job performance. Job enrichment and innovative work behaviors play a mediating role in the relationship between social support and job performance.