2026-08-08T13:19:05+03:30 http://jccs.yums.ac.ir/browse.php?mag_id=21&slc_lang=en&sid=1

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 M. Tavakol N. Tavakol Aims: The Quran is regarded as both the spiritual and behavioral guidance for all Muslims. The purpose of this research was to examine and introduce Quranic verses that the nurse can use and remind the patient to provide spiritual support and mental health to the patient in different stages of disease. Participants & Methods: This is a qualitative study carried out using summative content analysis method. The main source of the study was the Holy Quran and Quranic keywords such as illness, death, repentance, patience, forgiveness related to the spiritual support of the patient was searched and then related verses labelled and categorized according to Elo and Kyngas method. Findings: The verses examined in the 12 concepts of having children, patience, Satan's temptation, asking for help to endure suffering and hardship, remembrance and prayer, repentance and return, asking for a good end, remembrance of the resurrection, getting rid of the evil of the envious and tempters, ceasing hope of God's mercy, rewards and thanks for the blessings of God were classified. Conclusion: Many verses in the Holy Quran can be used for spiritual support by nurses and care providers in different stages of the disease and provide mental health to the patient. Spirituality Nurses Mental Health 2024 6 01 55 61 http://jccs.yums.ac.ir/article-1-241-en.pdf 10.58209/jccs.5.2.55

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 A. Ghorbani E. Kareem Abed Sh. Ghiyasvandian M. Salami Aims: Health literacy is a critical factor in achieving good health, as it plays a central role in health and healthcare. Another important factor affecting health outcomes is medication adherence, especially in patients with chronic liver disease and cirrhosis. Therefore, this study aimed to investigate the association between health literacy and medication adherence in patients with cirrhosis. Instruments & Methods: This was a descriptive study on 141 cirrhosis patients from two teaching hospitals in Iraq between December 2022 and April 2023, recruited using a convenience sampling method. Data collection was carried out using three self-report questionnaires, including demographic characteristics, the All Aspects of Health Literacy Scale, and the Adherence to Refills and Medications Scale. Data analysis was performed using SPSS software version 16. Findings: Most patients (92.90%) exhibited non-adherence to medication, with a medication adherence score of more than 16. Additionally, 75.88% of patients demonstrated a low level of health literacy. A positive and significant correlation was observed between medication adherence and total health literacy score (r=0.358, p<0.001). Conclusion: The majority of patients exhibit low health literacy and non-adherence to medications. Health Literacy Medication Adherence Liver Cirrhosis 2024 6 01 63 68 http://jccs.yums.ac.ir/article-1-244-en.pdf 10.58209/jccs.5.2.63

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 S. Mohammadi Z.S. Pajohideh Z. Rabiei Aims: Adolescent pregnancy is associated with adverse pregnancy outcomes, including preterm delivery, low birth weight, and perinatal death. Therefore, the purpose of this systematic review was to assess the effectiveness of prenatal clinics for adolescents in improving birth outcomes. Information & Methods: In this systematic review, electronic databases, including Scopus, the Cochrane Library, PubMed, Web of Science, and grey literature databases were searched with keywords related to mesh for published studies from January 1, 1990, to December 31, 2022, in English language. Inclusion criteria included clinical trials and cohort studies focused on prenatal care in adolescent pregnant women with at least one perinatal outcome. Evaluation of the quality of the studies was done using the GATE tool. Findings: Out of 3261 studies found in the database, 8 studies were included in this systematic review. All included studies were cohorts (retrospective, prospective, and mixed). These studies investigated the effectiveness of clinics for adolescents on outcomes such as premature birth, low birth weight, intrauterine growth restriction, instrumental delivery, cesarean delivery, and perinatal mortality. Most studies were conducted in high-income countries. 7 of the 8 studies (87.5%) report preterm birth as an outcome. Overall, 57.14% of studies showed an association between adolescent-specific prenatal clinic use and decreased preterm birth. Conclusion: The effectiveness of adolescent-specific prenatal clinics in improving birth outcomes is uncertain.   Prenatal Care Special Clinic Adolescents Birth Outcomes Systematic Review 2024 6 01 69 75 http://jccs.yums.ac.ir/article-1-255-en.pdf 10.58209/jccs.5.2.69

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 S.M.R. Rabani Aims: The urinary tract is a site for common anomalies. Ureteropelvic junction obstruction and double collecting system are among the most common anomalies in the body, but gathering all of these anomalies reported in our patient and being unilateral may be a rare entity. Hereby, we report a case with such a rare condition. Patient & Methods: The patient is a 19-year-old army male who presented with left lower quadrant abdominal pain after blunt abdominal trauma, accompanied by gross hematuria. Findings: Ultrasonography suggested an ectopic pelvic left kidney with hydronephrosis and ureteropelvic junction obstruction with distal ureteral dilatation. Exploration was done through a Gibson’s retroperitoneal incision, and pyeloplasty accompanied by ureteroneocystostomy was carried out. Conclusion: The collection of unilateral renal ectopia, double collecting system, lower moiety ureteropelvic junction obstruction, and finally ending to a common ureter with ureterovesical junction obstruction, seems to be a rare condition, but we found all of these in a young male. Congenital Anomalies Kidney Urinary Tract System 2024 6 01 77 80 http://jccs.yums.ac.ir/article-1-211-en.pdf 10.58209/jccs.5.2.77

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 N. Ashayeri E. Zarei M. Shamspour M. Tagrian Isfahani Aims: This study sought to present a case report of a rare form of primary liver tumor known as fetal type Childhood hepatoblastoma, which belongs to the category of embryonal liver tumors. Patient & Methods: This case report describes an eleven-year-old boy who experienced pain in the upper right quadrant of his abdomen after being hit by a bicycle handle during a fall while riding a bicycle. Subsequent imaging of the abdomen revealed the incidental diagnosis of a hepatoblastoma tumor. Prior to this incident, the patient was clinically asymptomatic. Findings: Imaging examinations revealed the presence of a solid mass measuring 91 × 86 × 84 mm that originated in the right lobe of the liver. This mass exerted pressure on the renal cortex. Pathology analysis indicated that the mass was of the pure fetal epithelial subtype. Conclusion: It is possible for older children to develop hepatoblastoma of the pure fetal epithelial type. Case Report Fetal Hepatoblastoma Childhood 2024 6 01 81 84 http://jccs.yums.ac.ir/article-1-195-en.pdf 10.58209/jccs.5.2.81

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 A. Sasani K. Rahzani D. Hekmatpou F. Haghverdi Aims: Hemodialysis is the most common treatment method for patients, and access to blood vessels is the way to save hemodialysis patients. Therefore, the purpose of this study was to compare the effect of Hugo point cold therapy with the needle insertion site on pain caused by venipuncture in hemodialysis. Material & Methods: This randomized clinical trial was carried out on hemodialysis patients of Hami Arak Dialysis Center in Arak, Iran. The samples were selected by purposive sampling (n=56) and assigned into two groups (28 samples each). For group A, an ice pack was used at the needle entry sites, and for group B, an ice pack was used at the Hugo point of the opposite hand for 10 minutes before cannulation by a nurse. The pain intensity of the patients was measured within 1 minute after cannulation and recorded based on the visual comparison scale of pain measurement (VAS). Data was analyzed using SPSS 23 software. Findings: The average pain in groups A and B were 3.10±86.81 and 4.2±65.05, respectively. There was no significant difference in the average pain intensity between the two cold therapy groups at the needle insertion site and Hugo point (p>0.05). Conclusion: Cryotherapy intervention at the needle insertion site and Hugo's point have the same effect on reducing arteriovenous fistula cannulation pain. Pain Cold Therapy Hemodialysis 2024 6 01 85 91 http://jccs.yums.ac.ir/article-1-242-en.pdf 10.58209/jccs.5.2.85

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 F. Ganji S.M. Ghasemi E. Tavassoli M. Lotfizadeh Aims: The COVID-19 pandemic has heightened the necessity for empathy among medical staff; however, personnel have encountered certain challenges. Therefore, this study was undertaken to assess the positive and negative emotions and the perception of empathy among medical staff at hospitals affiliated with Shahrekord University of Medical Sciences, focusing on companions of patients who succumbed to COVID-19. Instrument & Methods: This descriptive-analytical cross-sectional study involved 402 companions or companions of patients who passed away due to COVID-19 between 2020 and 2022 in Shahrekord city. The study utilized the Jefferson Scale of Empathy and scales for positive and negative emotions. Data analysis was performed using an independent t-test, analysis of variance, and Scheffe’s test at a significance level of 0.05, employing SPSS 26 software. Findings: A total of 402 companions or companions of deceased patients, comprising 64.9% men and 35.1% women, participated in the study, of whom 81.3% had a first-degree family relationship with the deceased. The average age of the participants was 45.01±10.11 years. The perception level of the doctors’ empathy averaged 12.77±7.27, which was low compared to the total score of 35. The levels of positive and negative emotions were 30.61±8.86 and 29.52±9.53, respectively, which were lower than the total score of 50 in each case. Conclusion: The perception of empathy from medical staff is below the average level. However, the positive and negative affect levels among companions are at an average level.   Empathy Positive affect Death Medical Staff Iran COVID-19 Coronavirus 2024 6 01 93 101 http://jccs.yums.ac.ir/article-1-245-en.pdf 10.58209/jccs.5.2.93

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2024 5 2 S. Mashayekhi Z. Abbaspoor B. Cheraghian M. Javadnoori Aims: The significance of men’s health before embarking on pregnancy has been acknowledged in the past decade. Identifying and mitigating risk factors to ensure successful fertility and favorable pregnancy outcomes is crucial. In Iran, preconception care primarily targets women. There is limited knowledge about men’s preconception health. This study was undertaken to assess the health status of men before pregnancy in couples in Ahvaz health centers. Instrument and Methods: In this descriptive study, 384 married men were chosen from couples registered at health centers in Ahvaz, Iran, between 2019 and 2020. Inclusion criteria included the intention for pregnancy within the next three months or having a pregnant woman in her first trimester. Data were collected using a demographic information form and the General Health Questionnaire, and the obtained data were analyzed using SPSS 22 software. Findings: Based on the results, 72.9% of men exhibited at least one pre-pregnancy male risk factor: abnormal body mass index (33.9%), hypertension (10%), borderline or abnormal blood glucose levels (20.8%), a condition impacting reproductive health (17.18%), significant mental health issues (37.2%), drug use (14.3%), substance abuse (38%), and exposure to environmental and occupational hazards (51.3%). Conclusion: The majority of men have at least one risk factor associated with unfavorable pregnancy or fertility outcomes. Preconception Care Men’s Health Risk Factors Pregnancy Outcome 2024 6 01 103 110 http://jccs.yums.ac.ir/article-1-240-en.pdf 10.58209/jccs.5.2.103