2026-08-08T13:18:08+03:30 http://jccs.yums.ac.ir/browse.php?mag_id=3&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 2020 1 3 M. Sadeghi S. Zabolipour A. Afrasiabifar Sh. Najafi Doulatabad shahlaiss@yahoo.com Aims: Rheumatoid arthritis is the most common autoimmune disease of chronic inflammation and pain is one of the most prevalent complaints of these patients. The aim of this study was to compare the effect of sole reflexology massage and stretching exercises on pain severity of patients with rheumatoid arthritis. Materials & Methods: This clinical trial study was conducted among 75 patients with rheumatoid arthritis referred to the Shahid Mofatteh Clinic in Yasuj, Iran in 2017-18. Subjects were selected by purposive sampling method and divided into three groups including sole reflexology massage, stretching exercises and control groups by random block allocation (N=25 in each group). The interventions were carried out for one month including 30-minute sessions three times a week. Pain severity of patients was evaluated before interventions and 10 minutes after the last intervention session using Standardized visual analogue scale (VAS). Data were analyzed by SPSS 21 software using Chi-square test, one-way ANOVA and Tukey post hoc tests. Findings: Before interventions, the mean score of pain of patients among sole reflexology massage, stretching exercises and control groups had no significant difference (p=0.1). After interventions, a significant difference was observed in the pain severity of patients of three groups (p=0.001) that this difference was related to the stretching exercises group compared to the sole reflexology massage and control groups. Conclusion: Stretching exercises reduce the pain severity of patients with rheumatoid arthritis, but sole reflexology massage does not improve or reduce the pain of these patients. Reflexology Massage Stretching Exercises Pain Rheumatoid Arthritis 2020 7 01 103 107 http://jccs.yums.ac.ir/article-1-79-en.pdf 10.52547/jccs.1.3.103

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 M.S. Shaafi N. Hosseini hosseini.nazafarin@yums.ac.ir M. Akbartabar Toori M. Moqimi Aim(s): Inappropriate lifestyle can lead to the development of diseases in elderly. Although education contributes to the improvement of lifestyle, finding a cost-effective education method is important. The aim of this research was to compare the effects of group and family-centered education on the elderly lifestyle. Materials & Methods: This randomized controlled field trial with three-arm parallel-group was carried out on 150 old people aged from 60 to 74 years in Yasuj, Iran in 2015. The subjects were selected using purposive sampling method and randomly allocated into three groups with 50 subjects in each group including the group education, family-centered education, and control groups. The elderly lifestyle questionnaire was used to collect information before, 1, 2 and 3 months after educational interventions including family-centered education by home visits and group education in 8 sessions. The data were analyzed by SPSS 20 software using ANOVA with repeated measures, Chi square and Kruskal–Wallis tests and Tukey post hoc test. Findings: There was a growing trend in the lifestyle score of family-centered and group education groups in consecutive intervention periods (p<0.001). The intergroup comparison between the lifestyle scores also demonstrated a statistically significant difference among lifestyle scores of the three groups (p<0.001). This difference was between group and family-centered education groups with control group. Conclusion: Considering equally effects of the two education interventions, the higher cost and higher number of personnel required for home visits, group education is recommended as a suitable method for improving lifestyle of the elderly. Elderly Lifestyle Educations 2020 7 01 109 114 http://jccs.yums.ac.ir/article-1-66-en.pdf 10.52547/jccs.1.3.109

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 Z. Khoshdeli M. Malekzadeh Kh. Nooryan S. Afroughi M. Zoladl zoladl.mohammad@yums.ac.ir Aims: Anxiety among medical students is a major psychological problem and in the newest meta-analysis, its global prevalence rate is estimated to be 33.8%. Accordingly and since spiritual intelligence training can affect to resolve fundamental issues and enhance individuals' adaptability, therefore the aim of this study was to determine the effect of spiritual intelligence training on the anxiety of medical sciences students. Materials & Methods: In this randomized clinical trial in 2016, 50 students from Yasuj and Larestan Universities of medical sciences-Iran were selected using purposive sampling method and divided into intervention and control groups with the equal members through random block allocation of 4. While the control group did not receive any intervention, the spiritual intelligence training accomplished for the intervention group. At the beginning of the study and one month after intervention, the trait and state anxiety of students were measured using Spielberger state-trait anxiety inventory. Data were analyzed using SPSS 21 software, through Chi-square test, independent t-test, and paired t-test. Findings: At the beginning of the study, there was no significant difference between the intervention and control groups regarding the amount of the trait and state anxiety (p>0.05). One month after the intervention, the amount of the trait and state anxiety in the intervention group was significantly less than these amounts in the control group, as well compared to these amounts at the beginning of the study (p<0.05). Conclusion: The spiritual intelligence training causes a decrease in the trait and state anxiety of medical sciences students. Spiritual Therapies Anxiety Students Health Occupations 2020 7 01 115 120 http://jccs.yums.ac.ir/article-1-75-en.pdf 10.52547/jccs.1.3.115

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 S.N. Hosseinpour Kh. Nooryan R. Abbasi Larki H.R. Ghafarian Shirazi M. Zoladl zoladl.mohammad@yums.ac.ir Aims: Hemodialysis, as the most common dialysis method, is a process for removing toxins and fluids, especially uremic wastes from patients with chronic kidney disease (CKD). Repeated hemodialysis, in addition to numerous social problems, may lead to negative psychological changes, particularly lowering the hope of patients with CKD undergoing hemodialysis. The aim of this study was to determine the effect of spiritual intelligence training on hope of patients with CKD undergoing hemodialysis. Materials & Methods: In this randomized clinical trial, 68 patients referring to the hemodialysis ward of Shahid Beheshti hospital in Yasuj, Iran in 2018 were selected by purposive sampling method and assigned into intervention and control groups via random assignment in blocks of 4. In the intervention group, spiritual intelligence training was performed according to the considered protocol, but the control group received usual care and treatment. Research tools included the demographic information questionnaire, Integrated Spiritual Intelligence Scale (ISIS) by King, and the Snyder's hope scale. Data were analyzed by SPSS 21 software using Chi-square test, independent t-test and paired t-test. Findings: At the baseline, there was no significant difference between the intervention and control groups in terms of spiritual intelligence and hope (p>0.05). After the intervention, the hope level in the intervention group (20.82±3.21) compared with the control group (18.03±3.41) significantly increased (p<0.05). Conclusion: Spiritual intelligence training increases the hope of patients with CKD undergoing hemodialysis. Spiritual Therapies Hope Patients Chronic Kidney Disease Hemodialysis Units Hospital 2020 7 01 121 126 http://jccs.yums.ac.ir/article-1-70-en.pdf 10.52547/jccs.1.3.121

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 R. Abassi F. Abassi A. Mosavizadeh H. Sadeghi A. Keshtkari a_keshtkari@yahoo.com Aims: Gastroesophageal reflux Disease (GERD) results impairment in the quality of life of the infants. Various studies have shown that proton pump inhibitors have a beneficial effect on the treatment of GERD. The aim of this study was to compare the effect of omeprazole, esomeprazole, and lansoprazole in the treatment of GERD in infants. Materials & Method: This study is a randomized double blinded clinical trial that was conducted on 2-24-month-old infants with GERD referred to the Shahid Mofatteh clinic in Yasuj, Iran in 2016. 90 samples were selected by purposive sampling method and randomly assigned to three intervention groups including lansoprazole, omeprazole and esomeprazole (30 subjects per group). Infants in each group daily received 1mg/kg body weight of their prescription drugs. Before and after two and four weeks of treatment, the GERD-Q questionnaire was completed. Data were analyzed by SPSS 21 software using statistical tests. Findings: There was no significant difference in the severity of GERD among the 3 groups before and 2 and 4 weeks after the intervention. Although, esomeprazole had a greater and faster effect on recovery. The symptoms of GERD in esomeprazole group were similar to the other two groups, but this difference was not significant. However, each of the three interventions alone improved GERD. Conclusion: All three drugs, lansoprazole, omeprazole, and esomeprazole, are effective on GERD recovery. In comparison, although there is no significant difference among these 3 drugs, However esomeprazole appears to have a better clinical effect.   Gastroesophageal Reflux Esomeprazole Omeprazole Lansoprazole Infants 2020 7 01 127 132 http://jccs.yums.ac.ir/article-1-49-en.pdf 10.52547/jccs.1.3.127

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 S. Zabolypour M. Alishapour maryam.alishapour@gmail.com M. Behnammoghadam R. Abbasi Larki M. Zoladl Aims: Hypertension is one of the common, chronic, and preventable diseases which lifestyle change is the most important strategy for its prevention and treatment. The aim of this study was to compare the effect of teach back and motivational interview on the blood pressure in hypertensive patients. Materials & Methods: In this clinical trial, 81 hypertensive patients in the health centers of Yasuj city in 2018 were selected by purposive sampling method and divided into two intervention groups and one control group through random block allocation (27 people in each group). For one intervention group, 3 teach back sessions were conducted, and for the other intervention group, 5 group motivational interview sessions were performed, while the control group received only the usual care. Systolic and diastolic blood pressure of samples were checked and recorded at the beginning of the study and two months after the intervention. Findings: In post-test, systolic and diastolic blood pressure in teach back group decreased compared to the control group, but this decrease was not significant (p>0.05), while systolic and diastolic blood pressure in the motivational interview group decreased significantly compared to the control group (p<0.05). The difference in systolic and diastolic blood pressure decreases in the motivational interview group was not significant compared to teach back group (p>0.05). Conclusion: There is no difference between the effect of motivational interview on blood pressure level compared to teach back, but only the effect of motivational interview on the above variable is confirmed. Teach Back Motivational Interviewing Hypertension Blood Pressure 2020 7 01 133 138 http://jccs.yums.ac.ir/article-1-52-en.pdf 10.52547/jccs.1.3.133

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 M. Koohpeyma S.J. Sadat sadatsaiedjavad@gmail.com M. Zoladl A. Afrasiabifar Aims: Among different treatments for obesity, sleeve gastrectomy has been more effective. Despite the positive effect of this surgery on the treatment of obesity, sleeve gastrectomy, like other invasive interventions, results in an imbalance in hemodynamic parameters. The aim of this study was to investigate the effect of gradual mobilization with bed activity on hemodynamic parameters in patients undergoing sleeve gastrectomy. Materials & Methods: In this randomized clinical trial, 88 patients candidate for sleeve gastrectomy in Ghadir Mother and Child Hospital affiliated to the Shiraz University of Medical Sciences, who were eligible, were selected by convenience sampling method and divided into the intervention and control groups (44 subjects in each group) using random block allocation. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation of all patients were recorded at the time of admission to the ward immediately, 6, 12 and 24 h after withdrawal from the bed. Data were analyzed by SPSS 21 software and descriptive and inferential statistics. Findings: The changes of hemodynamic parameters in the intervention group were significantly different at each time point of measurement after the interventions compared to these changes in control group (p<0.05). Conclusion: The effect of gradual mobilization with bed activity is more than the conventional procedure for patients’ mobilization after gastrectomy on balancing of systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation. Gradual Mobilization Motion Hemodynamic Gastrectomy 2020 7 01 139 146 http://jccs.yums.ac.ir/article-1-45-en.pdf 10.52547/jccs.1.3.139

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Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2020 1 3 Z. Mahmoudi F. Jahanpour f_jahanpour@yahoo.com P. Azodi A. Ostovar Aims: Accurate and timely determination of body temperature as one of the vital signs of the body is the key to diagnosis and treatment. Temporal artery thermometer is one of the new tools for measuring body temperature that is still unknown regarding for its accuracy and reliability. Therefore, this study aimed at comparing the specificity and sensitivity of two methods of body temperature measurement by electric subroutine thermometer and digital temporal artery in comparison with nasopharyngeal thermometer in adult patients. Materials & Methods: This descriptive-analytical and cross-sectional study was performed on 200 adult patients over 17 years old admitted to the ICU of Shohadaye Khalije Fars Hospital, Bushehr, Iran in 2015. The samples were selected by convenience sampling method. For all samples, body temperature was measured and recorded using three methods, including nasopharyngeal (gold standard), axillary, and temporal arterial methods. Data were analyzed by SPSS 20 and STATA 11 software using Pearson correlation coefficient, chi-square test and ROC curve. Findings: The sensitivity, specificity, and accuracy of the temporal artery method with fever threshold of 37.7°C were 94.0%, 85.0% and 86.5%, respectively, and showed a good agreement between the axillary and temporal artery methods with a kappa coefficient of 0.67. Conclusion: Body temperature measurement by temporal artery method is precise, fast, comfortable and safe for patients in comparison with nasopharyngeal and axillary methods and the best threshold for fever in this method is 37.7°C. Axillary Thermometer Temporal Artery Temperature Nasopharyngeal 2020 7 01 147 151 http://jccs.yums.ac.ir/article-1-51-en.pdf 10.52547/jccs.1.3.147