Medical and Health Sciences

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    THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL GROUP THERAPY PROGRAM IN ENHANCING PSYCHOLOGICAL RESILIENCE OF PARENTS OF CHILDREN WITH CANCER IN JERUSALEM
    (An-Najah National University, 2025-05-15) Elyan, Hassan
    Abstract Background: The researcher identified a gap in the availability of psychological support specifically tailored to enhance the resilience of parents of children with cancer in Jerusalem. Observing these parents' struggles and recognizing the potential for cognitive behavioral therapy (CBT) to foster resilience, the researcher felt compelled to address this unmet need. Objectives of the study: this study investigates the effectiveness of a structured CBT program in enhancing the psychological resilience of parents of children with cancer in Jerusalem. Method: The study population consists of parents of Palestinian children with cancer, whose children are receiving treatment at hospitals in Jerusalem such as Al‑Mutlaa Hospital, Al‑Maqasid Hospital, and Hadassah Ein Kerem Hospital, a total of 18 participants were randomly and equally assigned to two groups, the experimental group and the control group, each consisting of nine parents, the experimental group comprises six women (66.7 %) and three men (33.3 %), in terms of age a slight majority of the parents are over 35 years old (five participants, 55.6 %) while four participants (44.4 %) are younger than 36 years old. Findings : The results revealed a moderate level of psychological resilience among the parents of children with cancer, indicating that they generally maintain a reasonable capacity to cope with psychological challenges, the findings also show that the cognitive-behavioral group therapy program was highly effective in enhancing psychological resilience among these parents, this conclusion is supported by the significant improvements observed in various domains of psychological resilience from the pre-test to the post-test, the experimental group, which participated in the program, demonstrated marked progress in self-confidence, adjustment to changes and stress, perseverance and persistence, coping with problems and stress, and seeking supportive resources. Keywords: CBGTP (Cognitive Behavioral Group Therapy Program), Psychological Resilience, Parents, care in Jerusalem.
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    THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL GROUP THERAPY PROGRAM TO INCREASE THE LEVEL OF PSYCHO-SOCIAL ADJUSTMENT AMONG ADOLESCENTS OF INSTITUTIONAL RESIDENTS IN JERUSALEM
    (An-Najah National University, 2025-04-16) Naser, Mahmoud Ali
    Background: This study is based on the development of a cognitive behavioral group therapy (CBGT) program aimed at helping adolescents residing in institutional care facilities enhance their level of psycho-social adjustment. The study focused on designing the program using cognitive behavioral therapy (CBT) techniques to address the psychological stress and challenges faced by these individuals, employing methods and strategies to train them to cope and adapt effectively. Objectives: The aim of this study is to evaluate the effectiveness of a cognitive behavioral group program in improving the level of psycho-social adjustment among adolescents residing in institutional care facilities in Jerusalem. Method: The study involved 20 male adolescents residing in care institutions in Jerusalem. Participants were carefully selected based on specific criteria, including age (15–21 years). A purposive sampling method was used, excluding adolescents who had not resided in institutional care for at least six months or had been transferred between institutions more than once during the past six months, in order to ensure environmental stability. Informed consent was obtained from all participants. Adolescents under 15, recent arrivals, those frequently moved between institutions, or those without consent were excluded. The sample was equally divided into two groups: an experimental group and a control group, with 10 participants in each. Semi-structured interviews were conducted to collect data, using questions specifically designed to meet the objectives of the study. Results: The findings showed that adolescents in institutional care in Jerusalem experience a moderate level of psycho-social adjustment and a decline in psychological well-being, including high levels of depression, low self-esteem, and weak self-image development—highlighting a clear need for targeted support. Following the implementation of the cognitive behavioral group therapy program, significant improvements were observed across all areas of psycho-social adjustment, including psychological well-being and self-identity formation, with a noticeable decrease in depressive symptoms. The results indicated that the type of therapeutic group had a major impact on these positive outcomes, whereas age and length of institutional residency had little to no effect—underscoring the importance of the initial psychological and social conditions in shaping intervention effectiveness. Keywords: Cognitive Behavioral Group Therapy Program, Psycho-Social Adjustment, Adolescents, Institutional Care, Jerusalem.
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    HEMATOLOGICAL AND BIOCHEMICAL PREDICTORS OF COMPLICATIONS AND OUTCOMES AMONG PATIENTS WITH LYMPHOMA TREATED IN THE PALESTINIAN HEALTHCARE SYSTEM
    (An-Najah National University, 2024-11-24) Sbaihat, Baraa
    Background: Lymphomas are heterogeneous malignant neoplasm that form from unprogrammed proliferation of lymphocytes. Tumors arise in B cells, T cells, and N killer cells during their maturation stages. Lymphoma is divided into two main type , Hodgkin and non-Hodgkin lymphoma, and about 90 subtypes. There are multiple risk factors for lymphoma, including infection, immunodeficiency, autoimmune diseases, genetics, obesity, drugs, and environmental factors. Lymphoma is diagnosed beginning with a clinical examination, then using a CT scan and a biopsy to confirm the definitive diagnosis. The treatment plan for lymphoma patients is developed based on the stage of the disease and includes chemotherapy and radiation therapy. During the treatment period, the patient's status is monitored through periodic clinical examinations and laboratory tests. In Palestine, treatment is provided to lymphoma patients and their periodic examinations, disease progress, and treatment plan are followed up. Furthermore, the primary objective of this research is to examine the There is a relationship between biochemical and hematological factors and tests with complications ,outcomes and disease progression among lymphoma patients receiving treatment in Palestinian hospitals. Methods: In our study, we collected data for lymphoma patients includes age, date of diagnosis, gender, type of lymphoma, CBC tests, liver function tests, electrolytes, kidney function tests, and treatment receiving treatment in Palestinian hospitals at different ages and geographical regions for both males and females. The data for the patients was divided into two stages: the first stage, which is the stage of diagnosing the disease, and the second stage, which is the last examinations performed on the patients during their treatment path. Then tabulate the data in the Data Collection Form to be analyzed and obtain the research outputs. Results: This study was conducted on 150 lymphoma patients with median age of the patients 40.0 (29.0, 59.3) years and the mean age was 43.9 ± 18.2 years. of those 79 (52.7%) were male in gender ,118 (78.7%) had Hodgkin lymphoma. Time of diagnosis with median 5.0 (4.0, 7.0) years and the median time was 5.5 ± 2.6 years. The cancer stage was only available for a limited number of patients, 26 patients only, 17 (65.4%, 11.3% of all patients) were in stage II. The majority of patients reported general weakness 107 (71.3%),13 (8.7%) had cough, 27 (18.0%) had neck pain, 23 (15.3%) had dizziness, and 15 (10.0%) had fever. the comorbidities Accompaniment cancer were hypertension 14 (9.3%) , 14 (9.3%) diabetes mellitus, and 2 (1.3%) hypothyroidism. As part of the chemotherapy treatment(92.0%) of the patients were receiving cyclophosphamide, 61 (40.7%) received ondansetron and 90 (60.0%) received dexamethasone. In stage 1 Hodgkin lymphoma patients are of a younger age group and have lower survival rates higher white blood cell count, chloride , neutrophil granules, and platelets than non-Hodgkin lymphoma patients .On the other hand, in stage 2, there were no significant changes except for an increase in ferritin level in non-Hodgkin patients more than in Hodgkin patients. conclusion: In this study on a sample of Palestinian lymphoma patients, we found many relationships between lymphoma disease and its progression and risk factors that can increase the rate of lymphoma infection. These variables can contribute to future treatment plans or faster and better detection of cancer to limit its spread and confront it.
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    MENTAL HEALTH LITERACY AND INFLUENCING FACTORS AMONG UNDERGRADUATE STUDENTS AT AN NAJAH NATIONAL UNIVERSITY: A CROSS-SECTIONAL STUDY
    (An Najah National University, 2025-06-04) Alsayed, Aseel
    Background: Psychological disorders - including depression and anxiety - are prevalent among college students; yet, a limited number seek therapy. Mental health literacy might contribute to the low rates of mental health care utilization. Aim: This study aims to examine students' mental health literacy, assess the level of mental health literacy midst university students, and find the most influential factors that may affect mental health literacy among university students. Finally, the study aims to compare mental health literacy between health and non-health specialty students. Design: The study employed a cross-sectional design. The researcher conducted the study at Najah National University in the Nablus district of the West Bank. A convenience sampling was used to select the participants. The study employed the Mental Health Literacy scale and collected data through an online survey. The university institutional review board approved the study before data collection. The study took place between January and April of 2024 at An-Najah National University. The researcher selected three scientific colleges and three non-scientific colleges using the convenience sample technique. The Mental Health Literacy scale was used in the current study. Results: About 420 students participated in the current study; the majority were female students (76.9%), about 48.1% were students affiliated from the faculty of medicine and health sciences, and about 26.9% were students at the fourth-year level. The mean score for the Mental Health Literacy Scale was 111.45 ± 11.35 out of 160. The highest score indicates better literacy. The analyses showed that female students had statistically significantly higher mental health literacy than male students (p = .006). Conclusion: Many students need psychological support programs, literacy, and conveying the correct idea about the nature of psychological and mental illnesses, and that illness is not a mark of shame.
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    NURSING STAFF JOB ROTATION AND ITS EFFECTS ON NURSES’ SATISFACTION AND ORGANIZATIONAL COMMITMENT: CROSS-SECTIONAL STUDY IN NORTHERN WEST BANK PUBLIC HOSPITALS
    (An-Najah National University, 2025-01-21) Abu-Al-Darak, Ahmad Abdelfattah
    Background and Introduction: This study assesses the effect of job rotation on job satisfaction and organizational commitment among nurses. It, therefore, sets out to identify whether there is a positive relationship between the factors; that is, the effect of job rotation on these two variables and the strength of the relationship between them. Methodology: Cross-sectional study among 308 nurses from the North West Bank, Palestine. Data Collection: A structured questionnaire regarding job rotation, job satisfaction, and organizational commitment was used to collect the data. Methods: Descriptive statistics, correlation, and regression analyses were conducted with SPSS version 24.0. Results: There were high positive linear relationships between job rotation and job satisfaction and organizational commitment. It was also observed that job satisfaction is such a strong predictor of organizational commitment, accounting for about 42% of its variance. Conclusion: In this respect, job rotation enriches job satisfaction and organizational commitment; hence, it is a worthwhile management strategy in healthcare. The results also point to the need for support at work if nursing staff is to be retained.