مطالب

Objective: Cancer is one of the most essential health issues in the world and Iran which is usually associated with significant clinical and psychological discomfort in the optimal use of coping strategies. Therefore، the purpose of the present study was to analyze a structural model of medication adherence based on health anxiety, positive meta-emotion, and pain self-efficacy mediated by health locus of control in men with cancer. Method: The research was descriptive-correlational using structural equation modelling to test the relationships between the variables. The statistical population was men with gastrointestinal cancer in Golestan province referred to Shafi Hyrkan Cancer Patients Support Center. According to, 227 people were selected through targeted sampling. The research instruments included the Salkowski and Warwick Health Anxiety Inventory, Beer and Moneta Positive Metacognitions and Positive Meta-Emotions Questionnaire, Nicholas Pain Self-Efficacy questionnaire, Morisky, Ang, and Wood's Medication Adherence Questionnaire, and Wallston's Health Control Source Inventory. Data analysis was performed in LISREL software version 8.71. Findings: The results showed that health anxiety, internal health locus of control, and positive meta-emotion had a positive effect (P <0.005) and pain self-efficacy had a negative and significant effect on medication adherence (P <0.001). The source of internal health locus of control mediated the effect of pain self-efficacy and positive meta-emotion mediated the medication adherence positively and significantly (P <0.005). Conclusion: Health anxiety, positive meta-emotion, and pain self-efficacy are correlated with medication adherence and affect medication adherence mediated by health locus of control.

The aim of this study was to investigate the effect of a spirituality therapy training program on quality of life and spiritual intelligence among students with visual impairments. The methodology was of an experimental type with a pretest-posttest design and a control group. The statistical population included visually impaired students, studying at Shoorideh Shirazi School for the Blind in the academic year 2019-2020, among them 32 visually impaired students were purposefully selected, randomly divided into two experimental (16 subjects) and control (16 subjects) groups. The instruments used in the study were the Quality of Life Questionnaire (1992) and the King Spiritual Intelligence Scale (2008), both filled out by the students in both groups as a pretest before the program. The spirituality therapy training program, consisting of 12 sessions, was presented to the experimental group for two months in the form of two 65-minute sessions per week. It is worth mentioning that the control group did not receive any training from the researcher and that they only received the same daily school educational program that was offered to the experimental group as well. Upon completion of the training program, the Quality of Life Questionnaire and the King Spiritual Intelligence Scale were completed by the students as a posttest. SPSS software was used to analyze data. And mean and standard deviation were used in the descriptive statistics section. In addition, a univariate analysis of covariance was used in the inferential statistics section. The results obtained from this study showed that spirituality therapy training improved quality of life and spiritual intelligence among students with visual impairments. Therefore, it can be concluded that the spirituality therapy training program can help enhance quality of life and spiritual intelligence among students with visual impairments.