2026-08-08T14:19:43+03:30 http://jccs.yums.ac.ir/browse.php?mag_id=24&slc_lang=en&sid=1

24-309 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 A. Marzban This article has no abstract. This article has no keywords. 2025 1 01 1 2 http://jccs.yums.ac.ir/article-1-309-en.pdf 10.58209/jccs.6.1.1

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 A.S. Sadat Hosseini S. Alviri P. Pakzad F. Rostamian M.M. Rajabi Aims: Pediatric nurses face unique challenges in balancing professional and personal responsibilities, with burnout potentially influencing their attitudes toward childbearing. This study aimed to explore the relationship between burnout and childbearing attitudes among female pediatric nurses working in selected children’s hospitals affiliated with the Tehran University of Medical Sciences in 2024. Instrument & Methods: In this correlational study, 194 married female nurses were selected through convenience sampling and data were collected using a demographic information form, the Copenhagen Burnout Inventory (CBI), and the Attitudes Toward Fertility and Childbearing Scale. Data analysis was performed using SPSS version 25, employing both descriptive and inferential statistics. Findings: There were significant positive correlations between personal burnout (r=0.69, p<0.001) and work-related burnout (r=0.57, p<0.001) with the perception of childbearing as an obstacle. However, no significant relationships were found between the dimensions of burnout and other childbearing attitudes, such as the importance of fertility for the future or childbearing as a social identity. Client-related burnout also showed no significant association with childbearing attitudes. Conclusion: Burnout, particularly personal and work-related burnout, is significantly associated with nurses’ attitudes toward childbearing and the perception of childbearing as an obstacle. Burnout Fertility Attitudes Pediatrics Nurses 2025 1 01 3 9 http://jccs.yums.ac.ir/article-1-300-en.pdf 10.58209/jccs.6.1.3

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 M. Amani S.S. Kazemi F. Nazari Aims: Nurses experience high job stress, which can make them vulnerable to psychological distress. Psychological mechanisms such as emotion regulation and maladaptive daydreaming can modulate psychological distress. Therefore, this study investigated the interactive effect of difficulty in emotion regulation and maladaptive daydreaming on nurses’ psychological distress. Instrument & Methods: This cross-sectional study was conducted on 186 nurses in Mashhad, Iran. Participants completed the Maladaptive Daydreaming Scale, the Kessler Psychological Distress Scale, the Difficulty in Emotion Regulation Scale, and a demographic questionnaire. Data were analyzed using correlation and moderator regression analyses with SPSS 27 software. Findings: After controlling for the effect of age, the main effect of maladaptive daydreaming on psychological distress was not significant, while the main effect of difficulty in emotion regulation was significant in predicting psychological distress (p<0.01). The interactive effect of maladaptive daydreaming and difficulty in emotion regulation on psychological distress was significant (R² change=0.019 and p<0.027). In other words, difficulty in emotion regulation had a moderating role in the relationship between maladaptive daydreaming and psychological distress. Conclusion: Difficulty in emotion regulation has a moderating role in the relationship between maladaptive daydreaming and psychological distress. Emotion Regulation Fantasy Psychological Distress Nurses 2025 1 01 11 16 http://jccs.yums.ac.ir/article-1-307-en.pdf 10.58209/jccs.6.1.11

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 Z. Zarei A.R. Maredpour Sh. Kharamin Aims: Deficiency in the human immune system is one of the most common physiological-neurological disorders affected by harsh living conditions and cognitive pressures. Therefore, the present study aimed to investigate the effect of dialectical behavior therapy on death anxiety in patients with human immunodeficiency virus. Materials & Methods: The present quasi-experimental including two intervention groups (20 individuals each) and a control group (20 individuals) was conducted over three pre-test, post-test, and follow-up stages. The statistical population consisted of all patients with HIV who were referred to counseling centers (behavioral diseases) and healthcare centers, using purposive sampling in 2024. The intervention group received dialectical behavior therapy during eight training sessions, while the control group did not receive any intervention. The Templer Death Anxiety Questionnaire was used to collect data. The data were analyzed using SPSS 26 software with descriptive statistics (mean and standard deviation) and inferential statistics (ANOVA, MANCOA, and Bonferroni post hoc test. Findings: The mean score of death anxiety and all its subscales—including fear of death, fear of pain and illness, thoughts about death, time passing and short life, and fear of the future—decreased in the intervention group after dialectical behavior therapy. The differences among times and between the two groups were significant (p<0.001). The mean score in the intervention group decreased from 11.85±1.38 before the intervention to 5.40±2.43 after the intervention. However, there was no significant change at the follow-up time compared to after the intervention. Conclusion: Dialectical behavior therapy effectively reduces death anxiety in patients with HIV. Human Immunodeficiency Virus Acquired Immunodeficiency Syndrome Dialectical Behavior Therapy Anxiety 2025 1 01 17 23 http://jccs.yums.ac.ir/article-1-306-en.pdf 10.58209/jccs.6.1.17

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 N. Zahmatkeshan F. Rastgouyan M. Azmooni Z. Zarei Aims: Suicide is a violent and social phenomenon that affects societies worldwide. The present study aimed to investigate the frequency of suicide attempts and related factors from 2019 to 2023 among patients referred to hospitals affiliated with Yasuj University of Medical Sciences in Yasuj, Iran. Instrument & Methods: This descriptive cross-sectional study analyzed 4,481 suicide attempts referred to hospitals affiliated with Yasuj University of Medical Sciences during the years 2019 to 2023. Demographic and epidemiological information on suicide attempts was extracted from systematically registered data at the Yasuj Health Center’s Mental Health Unit and gathered using a standardized form. The data were analyzed using SPSS version 26 software. Findings: The frequency of suicide attempts in Yasuj City, Iran, during the five-year study period varied between 226.23 and 384.29 cases per 100,000 people. Also, 51.9% of the patients were men. Most cases of suicide attempts occurred in the age group of 16-20 years, with 67% being single, unemployed, and having lower educational attainment. Additionally, 60.76% of the patients lived in the city, 3.01% had a previous history of at least one suicide attempt, and 25.7% had a history of substance abuse. Among the methods of suicide attempts, the majority (73.1%) involved drug ingestion. Conclusion: The frequency of suicide attempts in Yasuj between 2019 and 2023 is high and shows an increasing trend, with taking drugs being the most common method of suicide attempts.   Suicide Suicide Attempt Young Adult Substance Abuse Oral 2025 1 01 25 32 http://jccs.yums.ac.ir/article-1-301-en.pdf 10.58209/jccs.6.1.25

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 A.M. Mirbagheri A. Hamoun Z. Hazareh M. Hazareh R. Bidaki Aims: The current study aimed to investigate the relationship between metacognitive beliefs and perfectionism concerning rumination among individuals with multiple sclerosis. This research sought to understand how these psychological factors contribute to the exacerbation of symptoms in multiple sclerosis patients. Instrument & Methods: This correlational study involved a sample of 160 patients with multiple sclerosis from the Multiple Sclerosis Association of Yazd in 2024. Participants completed psychological assessments using the Frost Multidimensional Perfectionism Scale, the Metacognitions Questionnaire, and the Ruminative Response Scale. Statistical analysis was conducted using descriptive statistics and inferential statistics (regression analysis) with SPSS 29 software. Findings: There was a significant positive correlation between metacognitive beliefs, perfectionism, and rumination in patients with multiple sclerosis (p<0.001). Hierarchical regression analysis and correlation tests showed that rumination could be predicted by both metacognitive beliefs and perfectionism in this population. Conclusion: There was a significant association between metacognitive beliefs and perfectionism with rumination in MS patients.   Metacognition Perfectionism Rumination Cognitive Multiple Sclerosis 2025 1 01 33 38 http://jccs.yums.ac.ir/article-1-380-en.pdf 10.58209/jccs.6.1.33

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 E. Nadi S. Bakhtiarpour B. Makvandi P. Asgari Aims: Married students often navigate complex interactions between family dynamics, parental stress, and marital relationships, all of which can significantly influence their overall subjective well-being. This study aimed to investigate the mediating role of marital satisfaction in the relationships between paternal family health, parental stress, and subjective well-being among married students. Instrument & Methods: This descriptive-correlational study using structural equation modeling examined the mediating role of marital satisfaction in the relationships between differentiation of self and subjective well-being. A convenience sample of 473 female university students was assessed using the Subjective Well-being Scale, Family Health Scale, Parental Stress Scale, and Marital Satisfaction Scale. Statistical analyses were conducted using SPSS 26 and Amos 26, and bootstrapping was applied to evaluate the significance of the mediation effect. Findings: Paternal family health demonstrated a statistically significant positive relationship with subjective well-being (β=0.14, p=0.037) and exerted a significant indirect effect on subjective well-being through marital satisfaction (β=0.37, p=0.003). Parental stress did not exhibit a significant direct relationship with subjective well-being (β=0.02, p=0.774); however, it showed a significant negative indirect effect on subjective well-being mediated by marital satisfaction (β=-0.07, p=0.009). Marital satisfaction, in turn, displayed a significant positive direct relationship with subjective well-being (β=0.32, p=0.001). Conclusion: Paternal family health positively affects subjective well-being, mediated by marital satisfaction, while parental stress negatively impacts well-being through reduced marital satisfaction.   Mental Health Family Students Family Health 2025 1 01 39 46 http://jccs.yums.ac.ir/article-1-384-en.pdf 10.58209/jccs.6.1.39

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2025 6 1 D. Gholami R. Abbasi Larki L. Manzuri T. Taheri A. Asfaram H. Sadeghi Mansourkhani A. Dehghan Aims: This study aimed to evaluate the possible beneficial effects of omega-3 and L-carnitine, as well as their combination, on individuals undergoing hemodialysis. Materials & Methods: This randomized clinical trial was conducted on 75 hemodialysis patients, divided into three groups (each 25 participants) using a randomized block method. The intervention groups received L-carnitine 250 mg tablets twice a day, one omega-3 capsule, 1000 mg per day, and L-carnitine 250 mg tablets twice a day along with one omega-3 capsule, 1000 mg per day, for three months. Lipid profiles and C-reactive protein levels were measured through laboratory tests before and after the intervention. The quality of life for kidney disease and quality of sleep were assessed using the Kidney Disease Quality of Life Questionnaire and the Pittsburgh Sleep Quality Index, respectively. Data were analyzed using SPSS 20 software. Findings: The administration of L-carnitine (500 mg per day) did not demonstrate a beneficial effect on high-density lipoprotein, low-density lipoprotein, triglyceride, and C-reactive protein serum levels (p>0.05), but it improved the quality of sleep. Omega-3 supplementation (1000 mg per day) decreased triglyceride and low-density lipoprotein levels, although these reductions were not significant. Additionally, omega-3 treatment significantly improved the quality of life in kidney disease and the quality of sleep in patients undergoing hemodialysis (p<0.05). The coadministration of L-carnitine with omega-3 did not show superior effects compared to omega-3 alone in the evaluated parameters. Conclusion: Omega-3 supplementation, both alone and in combination with L-carnitine, improves the quality of sleep and life in hemodialysis patients.   L-Carnitine Omega-3 Fatty Acids Quality of Life Hemodialysis 2025 1 01 47 55 http://jccs.yums.ac.ir/article-1-308-en.pdf 10.58209/jccs.6.1.47