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About Journal of Clinical Care and Skills
Journal of Clinical Care and Skills (JCCS) is a quarterly peer-reviewed online journal that has been published by the Afarand Scholarly Publishing Institute in Iran since Winter 2020. It was established in 2018, at the Hazrat-e Zeynab Faculty of Nursing, affiliated with Yasuj University of Medical Sciences, Iran. The JCCS's main objective is to publish researches on the health of Iranian people. The mission of JCCS is to help promote studies in health sciences and educate experts and specialists in health centers across Iran as well as other countries.
Announcements
- Publication fees: all articles that submitted from September 22, 2024, will be charged for publication fees.
Announcements
- Publication fees: all articles that submitted from September 22, 2024, will be charged for publication fees.
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Editor-in-Chief
Nazafarin Hosseini; PhD
Professor of Nursing; Yasuj University of Medical Sciences, Yasuj, Iran
Scientific Supporters
Yasuj University of Medical Sciences
Articles
The effect of Thai massage therapy on the quality of sleep in patient with hemodialysis : A randomized controlled trial
N. Mirbagher Ajorpaz, M. Mohammadi, Z. Rahemi, S.M.S. Mousavi, Z. Sadat
Background: One of the frequent problems associated with this syndrome in hemodialysis patients is sleep disorders. Studies have reported conflicting results about the effects of massage on sleep quality in patient with chronic diseases
Aim:This study was conducted to assess the effect of Thai massage therapy on the sleep quality in hemodialysis patients.
Materials and Methods: For this randomized single-blinded clinical trial study, 80 hemodialysis patients in Kashan Hemodialysis Center, Iran, were selected in 2020. Using the block randomization method, these patients were randomly assigned to intervention (n= 40) and control (n= 40) groups. In the intervention group, in addition to routine care for hemodialysis patients, 60-minute Thai massage were performed three times a week for a month based on the participants’ convenience for morning or afternoon massage. For the control group, only routine care was done. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the quality of sleep. Data was analyzed using the independent t-test, Chi-square, and two-way analysis of variance with repeated measures.
Results: The results showed that the total sleep quality score one month after the intervention was 8.15±2.52 in the intervention group and 10.09±3.01 in the control group. The independent t-test showed a statistically significant difference between the two groups (P=0.004).
Conclusion: The findings indicated that Thai massage therapy effectively improved the participants’ quality of sleep. If confirmed in other studies, we recommend this intervention for patients with hemodialysis as a safe and effective method for improving their sleep quality.
View Abstract
Aim:This study was conducted to assess the effect of Thai massage therapy on the sleep quality in hemodialysis patients.
Materials and Methods: For this randomized single-blinded clinical trial study, 80 hemodialysis patients in Kashan Hemodialysis Center, Iran, were selected in 2020. Using the block randomization method, these patients were randomly assigned to intervention (n= 40) and control (n= 40) groups. In the intervention group, in addition to routine care for hemodialysis patients, 60-minute Thai massage were performed three times a week for a month based on the participants’ convenience for morning or afternoon massage. For the control group, only routine care was done. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the quality of sleep. Data was analyzed using the independent t-test, Chi-square, and two-way analysis of variance with repeated measures.
Results: The results showed that the total sleep quality score one month after the intervention was 8.15±2.52 in the intervention group and 10.09±3.01 in the control group. The independent t-test showed a statistically significant difference between the two groups (P=0.004).
Conclusion: The findings indicated that Thai massage therapy effectively improved the participants’ quality of sleep. If confirmed in other studies, we recommend this intervention for patients with hemodialysis as a safe and effective method for improving their sleep quality.
Relationship of some factors with the chemical pregnancy and clinical pregnancy rate after IUI treatment: A cross- sectional Study
Fatemeh Froozanfard, hamidreza gilasi, maryamsadat maboodi, Seyed Abdolvahab Taghavi
Introduction:
Among infertility treatments, IUI with or without ovulation stimulation is the first line of infertility treatments. We decided to measure the relationship of some factors on the laboratory and clinical pregnancy rate after IUI treatment in a 5-year period.
Material and method:
In this cross-sectional study, the files of patients referred to the infertility center of Kashan, iran, with a definite diagnosis of infertility who were treated with IUI were reviewed. The rate of biochemical pregnancy and clinical pregnancy and some related factors were the main outcomes. The data analyzed by X2 and independent t test, a p-value of 0.05 or lower was set as the threshold for statistical significance.
Results:
334 patients with infertility were examined. The mean age of people who had a positive biochemical (P<0.006) and clinical pregnancy (P<0.008) is significantly lower than who had not pregnant. A significant relationship between endometrial thickness and biochemical (P<0.002) and clinical pregnancy rate (P<0.007) was seen; however, no significant relationship was observed among other study variables with biochemical and clinical pregnancy rates.
Conclusion:
With increasing age of a woman, the rate of biochemical and clinical pregnancy decreases. So that the increase in the thickness of the endometrium increases the biochemical and clinical pregnancy rate. It is suggested that midwives and reproductive health counselors explain the prognosis of IUI treatment to patients according to the age and thickness of the endometrium.
View Abstract
Among infertility treatments, IUI with or without ovulation stimulation is the first line of infertility treatments. We decided to measure the relationship of some factors on the laboratory and clinical pregnancy rate after IUI treatment in a 5-year period.
Material and method:
In this cross-sectional study, the files of patients referred to the infertility center of Kashan, iran, with a definite diagnosis of infertility who were treated with IUI were reviewed. The rate of biochemical pregnancy and clinical pregnancy and some related factors were the main outcomes. The data analyzed by X2 and independent t test, a p-value of 0.05 or lower was set as the threshold for statistical significance.
Results:
334 patients with infertility were examined. The mean age of people who had a positive biochemical (P<0.006) and clinical pregnancy (P<0.008) is significantly lower than who had not pregnant. A significant relationship between endometrial thickness and biochemical (P<0.002) and clinical pregnancy rate (P<0.007) was seen; however, no significant relationship was observed among other study variables with biochemical and clinical pregnancy rates.
Conclusion:
With increasing age of a woman, the rate of biochemical and clinical pregnancy decreases. So that the increase in the thickness of the endometrium increases the biochemical and clinical pregnancy rate. It is suggested that midwives and reproductive health counselors explain the prognosis of IUI treatment to patients according to the age and thickness of the endometrium.
Herbal products in cesarean wound healing: a systematic review
S.F. Hekmatzadeh
Herbal medicines with anti-inflammatory and antibacterial effects have been suitable for wound management and care in traditional medicine. This study was conducted with the aim of a systematic review of the efficacy of herbal products investigated in clinical trial studies for cesarean wound healing.
Metods: n this systematic review, a systematic search used keywords including cesarean section, weal healing, herbal medicine, complementary medicine, and alternative care in PubMed, Scopus, Web of Sciences, Cochrane Central, and ProQuest databases. The Persian equivalent of these words was searched in SID and Magiran databases. This search was conducted without a time limit until April 2024. Studies published in Persian and English that investigated herbal products in the healing of cesarean section wounds were included in this study. The quality assessment of the articles was done using the CONSORT 2018 checklist. Data analysis was done qualitatively and reported.
Results: Among 471 articles, 8 articles including 7 plants were investigated. Most of the studied plants improved the cesarean wound. The results of two studies on the effect of turmeric on cesarean wound healing were consistent.conclusion: The medicinal products prepared in all the studies conducted in this field of cesarean wound treatment were reported to be effective. Due to the insufficient number of articles on the investigated plants, it is necessary to conduct more studies with different forms and doses to reach a reliable result and determine the effective dose and form of these plants.
View Abstract
Metods: n this systematic review, a systematic search used keywords including cesarean section, weal healing, herbal medicine, complementary medicine, and alternative care in PubMed, Scopus, Web of Sciences, Cochrane Central, and ProQuest databases. The Persian equivalent of these words was searched in SID and Magiran databases. This search was conducted without a time limit until April 2024. Studies published in Persian and English that investigated herbal products in the healing of cesarean section wounds were included in this study. The quality assessment of the articles was done using the CONSORT 2018 checklist. Data analysis was done qualitatively and reported.
Results: Among 471 articles, 8 articles including 7 plants were investigated. Most of the studied plants improved the cesarean wound. The results of two studies on the effect of turmeric on cesarean wound healing were consistent.conclusion: The medicinal products prepared in all the studies conducted in this field of cesarean wound treatment were reported to be effective. Due to the insufficient number of articles on the investigated plants, it is necessary to conduct more studies with different forms and doses to reach a reliable result and determine the effective dose and form of these plants.
The effect of bisphosphonate with and without testosterone on bone mineral density in male patients with Beta-Thalassemia major
Sh. Ansari Damavandi, D. Amirkashani, M. Tagrian
Aims: We aimed to evaluate the effect of treatment with testosterone with and without bisphosphonates on bone density in patients with thalassemia major.
Methods: This Quasi-experimental study was performed on patients with thalassemia major. Four groups were included in the study 1: patients with hypogonadism who were treated with testosterone and alendronate (HTA group, n=11), 2: patients with hypogonadism who were treated with testosterone (HT group, n=12), 3: patients with hypogonadism who did not receive any treatment (H group, n=5), and 4: patients without hypogonadism who were treated with alendronate (NHA group, n=10). The status of bone density was assessed before and after interventions and compared across the study groups.
Findings: A total of 38 subjects with mean age of 22.46 ± 4.64 years were investigated.The mean difference of Z score of the lumbar region before and after the intervention in the four groups was -1.65±0.65, -26±0.48, 0.00±0.00 and -0.32±0.21 respectively, that there was a significant difference between the four groups (P < 0.001). The mean difference of Z score of the hip region before and after the intervention in the four groups were -1.35±0.58, -57±0.37, 0.00±0.00 and -0.32±0.21 respectively, that there was a significant difference between the four groups (P < 0.001).
Conclusion: Adding bisphosphonates to testosterone in thalassemia patients with hypogonadism will improve bone density as well as reduce pain intensity in these patients. Also, administration of bisphosphonates in thalassemia patients without hypogonadism can be very effective in improving bone density and bone pain in these patients.
View Abstract
Methods: This Quasi-experimental study was performed on patients with thalassemia major. Four groups were included in the study 1: patients with hypogonadism who were treated with testosterone and alendronate (HTA group, n=11), 2: patients with hypogonadism who were treated with testosterone (HT group, n=12), 3: patients with hypogonadism who did not receive any treatment (H group, n=5), and 4: patients without hypogonadism who were treated with alendronate (NHA group, n=10). The status of bone density was assessed before and after interventions and compared across the study groups.
Findings: A total of 38 subjects with mean age of 22.46 ± 4.64 years were investigated.The mean difference of Z score of the lumbar region before and after the intervention in the four groups was -1.65±0.65, -26±0.48, 0.00±0.00 and -0.32±0.21 respectively, that there was a significant difference between the four groups (P < 0.001). The mean difference of Z score of the hip region before and after the intervention in the four groups were -1.35±0.58, -57±0.37, 0.00±0.00 and -0.32±0.21 respectively, that there was a significant difference between the four groups (P < 0.001).
Conclusion: Adding bisphosphonates to testosterone in thalassemia patients with hypogonadism will improve bone density as well as reduce pain intensity in these patients. Also, administration of bisphosphonates in thalassemia patients without hypogonadism can be very effective in improving bone density and bone pain in these patients.
The effect of Mindfulness-Based Stress Reduction Intervention on Pain and fatigue among women effected of Breast Cancer
B. Enjezab, M. Zare, F. Shokri Rafsenjani
Background: pain and fatigue are common in women with breast cancer. Mindfulness-Based Stress Reduction Education shown different results on the score of pain and fatigue. Therefore, this study was conducted with the aim of determining the effect of Mindfulness-Based Stress Reduction Education intervention on pain and fatigue in women with breast cancer in Yazd, Iran.
Methods: This research is a quazi-experimental study that was conducted on 56 women with breast cancer that using a simple randomization method assigned two intervention and control groups (each 28 patients) in Yazd city, Iran. Mindfulness-based stress reduction based on WhatsApp was conducted in 8 sessions for the intervention group in virtual classes. The data using electronic demographic form, and questionnaires (Fatigue Severity Scale Questionnaire (FSS)., Brief Pain Inventory (BPI) were collected before, immediately after (week 8), and 4 weeks after the intervention (week 12). Using descriptive statistics and parametric tests, and nonparametric analysis was done with spss software (version 16).
Findings: There was no significant difference between demography and clinical characteristics. The fatigue mean score of intervention group in week 8 improved compaire to control group (p<0.001). However, there was no significant difference between the two groups in the average pain score after the intervention, although there was a decreasing trend (P>0.05
Conclusion: Considering the positive effect of the intervention, especially on reducing the fatigue of women with cancer, it is recommended to use the Mindfulness-based stress reduction as a complementary method in the treatment of patients. About the effect of this technique on the pain of these patients, other studies are needed.
View Abstract
Methods: This research is a quazi-experimental study that was conducted on 56 women with breast cancer that using a simple randomization method assigned two intervention and control groups (each 28 patients) in Yazd city, Iran. Mindfulness-based stress reduction based on WhatsApp was conducted in 8 sessions for the intervention group in virtual classes. The data using electronic demographic form, and questionnaires (Fatigue Severity Scale Questionnaire (FSS)., Brief Pain Inventory (BPI) were collected before, immediately after (week 8), and 4 weeks after the intervention (week 12). Using descriptive statistics and parametric tests, and nonparametric analysis was done with spss software (version 16).
Findings: There was no significant difference between demography and clinical characteristics. The fatigue mean score of intervention group in week 8 improved compaire to control group (p<0.001). However, there was no significant difference between the two groups in the average pain score after the intervention, although there was a decreasing trend (P>0.05
Conclusion: Considering the positive effect of the intervention, especially on reducing the fatigue of women with cancer, it is recommended to use the Mindfulness-based stress reduction as a complementary method in the treatment of patients. About the effect of this technique on the pain of these patients, other studies are needed.
Frequency of plasmid mediated quinolones Resistant (qnr) genes amongst clinical isolates of Klebsiella pneumoniae from urin samples of patients of Imam Sajjad Yasuj and Kosar hospitals of Shiraz in 2020-2021.
F. Rrashidpour, F. Mazlumirad, S.S. Khoramrooz, A. Sharifisharifi, M.A. Ghatee, S.R. Khosravani, A. Mansourian, S.A. Khosravani
Aims:The key object of the current study was the analysis of antibiotic resistance pattern and the frequency of quinolone-dependent genes of plasmid-dependent (qnr) isolates of K.pneumoniae secluded from infections of the urinary tract of patients in Yasuj and Shiraz hospitals.
Method: This descriptive - cross-sectional study, was carried out on 142 isolates of K. pneumoniae from urinary tract infections of patients from Yasuj and Shiraz hospitals in 2020. Resistance of the isolates to quinolone drugs was experimented by agar disk diffusion method. Quinolone-insensitive isolates were then examined for the manifestation of qnrB, qnrA and qnrS genes using multiplex PCR.
Findings: The results of the study indicated that resistance to ciprofloxacin antibiotics was the most (60.6%) and the highest sensitivity to antibiotics was sulfamethoxazole trimethoprim (39.4%) and nalidixic acid (39.7%). The pervasiveness of plasmid-dependent quinolone resistance genes was determined using Multiplex PCR among the 142 isolates of K. pneumoniae. Moreover, the pervasiveness of qnrA, qnrB and qnrS genes was 31.4%, 55.8% and 10.5%, respectively. Additionaly, the simultaneous existence of genes was investigated, with qnrA and qnrB in 11 isolates, qnrB and qnrS in 5 isolates, and qnrA, qnrB and qnrS genes simultaneously in 1 isolate.
Conclusion: The findings of the present study specify that the resistance level to quinolones due to plasmid (qnr) genes in the studied hospitals has a high and significant prevalence. Therefore, the use of appropriate treatment strategies and the correct and rational prescription of antibiotics by physicians in controlling them is also important.
View Abstract
Method: This descriptive - cross-sectional study, was carried out on 142 isolates of K. pneumoniae from urinary tract infections of patients from Yasuj and Shiraz hospitals in 2020. Resistance of the isolates to quinolone drugs was experimented by agar disk diffusion method. Quinolone-insensitive isolates were then examined for the manifestation of qnrB, qnrA and qnrS genes using multiplex PCR.
Findings: The results of the study indicated that resistance to ciprofloxacin antibiotics was the most (60.6%) and the highest sensitivity to antibiotics was sulfamethoxazole trimethoprim (39.4%) and nalidixic acid (39.7%). The pervasiveness of plasmid-dependent quinolone resistance genes was determined using Multiplex PCR among the 142 isolates of K. pneumoniae. Moreover, the pervasiveness of qnrA, qnrB and qnrS genes was 31.4%, 55.8% and 10.5%, respectively. Additionaly, the simultaneous existence of genes was investigated, with qnrA and qnrB in 11 isolates, qnrB and qnrS in 5 isolates, and qnrA, qnrB and qnrS genes simultaneously in 1 isolate.
Conclusion: The findings of the present study specify that the resistance level to quinolones due to plasmid (qnr) genes in the studied hospitals has a high and significant prevalence. Therefore, the use of appropriate treatment strategies and the correct and rational prescription of antibiotics by physicians in controlling them is also important.
The Effect of Helicobacter Pylori Infection Eradication on Glomerular Filtration Rate in Patients with Chronic Kidney Disease
R. Abbasi larki, S. Jahanbani, R. Jannesar, L. Manzoori, Amin Azad
Background: Concomitant Helicobacter pylori (H. pylori) infection in patients with chronic kidney disease (CKD) may increase the risk of progression to end stage renal disease.
Objective: We aimed to demonstrate whether eradication of this infection improves Glomerular Filtration Rate (GFR) in CKD patients.
Methods: This is across-sectional cohort study on 270 CKD patients with GFR between 30 to 60mL/min who were evaluated for H. pylori infection. A total of 79 patients were eligible for inclusion in the study. The patients underwent an early eradication treatment for H. pylori infection. The trend of changes in GFR was evaluated and compared in CKD patients in whome H. pylori infection was successfully eradicated (Group A) to those whose infection had not resolved (Group B) in a six month follow-up period.
Results: In total, 68 patients with CKD and a positive stool antigen test for H. pylori completed the study. When the mean GFR in CKD patients before and after treatment of H. pylori infection in the group A was compared, an upward trend was observed, increasing GFR from 44.6 ± 10.7 mL/min at baseline to 47.3 ± 13.6 mL/min at month 6 (P-value=0.3). Although the observed difference was not statistically significant (P-value=0.3), that of the group B has a downward trend during the study, decreasing from 46.6 ± 15.7 mL/min at baseline to 44.8 ± 14.3 mL/min at month 6.
Conclusion: H. pylori infection eradication in CKD patients increases the GFR and concurrent H. pylori infection and CKD may complicate
View Abstract
Objective: We aimed to demonstrate whether eradication of this infection improves Glomerular Filtration Rate (GFR) in CKD patients.
Methods: This is across-sectional cohort study on 270 CKD patients with GFR between 30 to 60mL/min who were evaluated for H. pylori infection. A total of 79 patients were eligible for inclusion in the study. The patients underwent an early eradication treatment for H. pylori infection. The trend of changes in GFR was evaluated and compared in CKD patients in whome H. pylori infection was successfully eradicated (Group A) to those whose infection had not resolved (Group B) in a six month follow-up period.
Results: In total, 68 patients with CKD and a positive stool antigen test for H. pylori completed the study. When the mean GFR in CKD patients before and after treatment of H. pylori infection in the group A was compared, an upward trend was observed, increasing GFR from 44.6 ± 10.7 mL/min at baseline to 47.3 ± 13.6 mL/min at month 6 (P-value=0.3). Although the observed difference was not statistically significant (P-value=0.3), that of the group B has a downward trend during the study, decreasing from 46.6 ± 15.7 mL/min at baseline to 44.8 ± 14.3 mL/min at month 6.
Conclusion: H. pylori infection eradication in CKD patients increases the GFR and concurrent H. pylori infection and CKD may complicate
Antibacterial activities of hydroalcoholic extract of Rosa canina L against Hospital Acquired Infections
E. Masnavi, S. Hassanzadeh
Aim: Using the antimicrobial property of the extract of some medicinal plants as a substitute for antibiotics or alongside them can greatly help in the treatment of patients with hospital infections. This study aimed to determine and compare the antibacterial effect of hydroalcoholic extract of Rosa canina plant (Rosa canina L) on Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae and Staphylococcus aureus bacteria isolated from surgical wounds in Yasouj hospitals.
Methods: In this cross-sectional study, the effect of Rosa canina L hydroalcoholic extract on 20 samples of Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus was investigated. the Minimum Inhibitory Concentration(MIC), Minimum Bactericidal Concentration(MBC) and zone of inhibition(ZOI) of each clinical sample were investigated and compared with the standard sample. the results were statistically analyzed by 21 SPSS software.
Findings: Rosa canina L hydroalcoholic extract has no antibacterial effect on Pseudomonas aeruginosa. the lowest inhibitory concentration was related to Staphylococcus aureus 125 µg/ml, Escherichia coli 325 µg/ml and Klebsiella pneumoniae 350 µg/ml, respectively. The difference in minimum MIC, MBC and ZOI between clinical and standard samples was not statistically significant. The ZOI diameter of Klebsiella pneumoniae and Escherichia coli clinical samples were equal (9/8 mm).
Conclusion: The hydroalcoholic extract of Rosa canina L has a better antimicrobial effect on Staphylococcus aureus than other 3 investigated bacteria and has no effect on Pseudomonas aeruginosa. There is no difference between the effect of the examined extract on clinical and standard samples, and the effect of this extract on different bacteria is different.
View Abstract
Methods: In this cross-sectional study, the effect of Rosa canina L hydroalcoholic extract on 20 samples of Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus was investigated. the Minimum Inhibitory Concentration(MIC), Minimum Bactericidal Concentration(MBC) and zone of inhibition(ZOI) of each clinical sample were investigated and compared with the standard sample. the results were statistically analyzed by 21 SPSS software.
Findings: Rosa canina L hydroalcoholic extract has no antibacterial effect on Pseudomonas aeruginosa. the lowest inhibitory concentration was related to Staphylococcus aureus 125 µg/ml, Escherichia coli 325 µg/ml and Klebsiella pneumoniae 350 µg/ml, respectively. The difference in minimum MIC, MBC and ZOI between clinical and standard samples was not statistically significant. The ZOI diameter of Klebsiella pneumoniae and Escherichia coli clinical samples were equal (9/8 mm).
Conclusion: The hydroalcoholic extract of Rosa canina L has a better antimicrobial effect on Staphylococcus aureus than other 3 investigated bacteria and has no effect on Pseudomonas aeruginosa. There is no difference between the effect of the examined extract on clinical and standard samples, and the effect of this extract on different bacteria is different.
Effect of Faye Glenn Abdellah's Nursing Theory on Quality of Life in Cancer Patients: A Randomized Controlled Trial
Z. Mahmoudi, F. Rahimi Dolat Abad, L. Gholami, A. H. Bayat, M.S. Mirzaee, M. Alishapour
Aims: Cancer disrupts the quality of life of patients, as well as increases the care burden of the patients' families. The current study aimed to determine the effect of Glenn Abdellah's nursing theory on quality of life of patients with cancer.
Materials & Methods: In this randomized control trial, 60 patients with cancer were selected by purposive sampling method in Shahid Modarres Hospital, Saveh city in 2020.
Then the samples were divided into intervention and control groups using random allocation. Then the samples were divided into intervention (n=30) and control (n=30) groups using random allocation. The intervention related to ten steps in Faye Glenn Abdellah’s Nursing Theory was implemented for intervention group, but there was no intervention in the control group. Information was collected before, after the intervention, and one month after the intervention through World Health Organization Quality-of-Life Scale (WHOQOL-BREF). Data were analyzed by SPSS 22 software, using descriptive statistics methods and inferential analysis tests.
Findings: In the intervention group, the mean score of patients' quality of life increased significantly after intervention and one month after intervention (p<0.001). After intervention and the follow-up period, the quality of life in the intervention group was better than that of the control group (p<0.001).
Conclusion: The use of nursing care theories, such as Faye Glenn Abdellah's nursing theory, can improve the quality of life in cancer patients.
View Abstract
Materials & Methods: In this randomized control trial, 60 patients with cancer were selected by purposive sampling method in Shahid Modarres Hospital, Saveh city in 2020.
Then the samples were divided into intervention and control groups using random allocation. Then the samples were divided into intervention (n=30) and control (n=30) groups using random allocation. The intervention related to ten steps in Faye Glenn Abdellah’s Nursing Theory was implemented for intervention group, but there was no intervention in the control group. Information was collected before, after the intervention, and one month after the intervention through World Health Organization Quality-of-Life Scale (WHOQOL-BREF). Data were analyzed by SPSS 22 software, using descriptive statistics methods and inferential analysis tests.
Findings: In the intervention group, the mean score of patients' quality of life increased significantly after intervention and one month after intervention (p<0.001). After intervention and the follow-up period, the quality of life in the intervention group was better than that of the control group (p<0.001).
Conclusion: The use of nursing care theories, such as Faye Glenn Abdellah's nursing theory, can improve the quality of life in cancer patients.
Effect of Hypnosis on Pulmonary Function and Severity of the Disease in Asthmatic Patients: A Randomized Clinical Trial
Z. Mohebbi, Sh. Najafi Doulatabad, M. Malekzadeh, S H Nabavizadeh, H. Marioryad, E. Momeni , M. Niazi, M. Zoladl
Abstract
Aim: Asthma is one of the common, chronic respiratory diseases which psychological factors play an important role in it and comorbidities of several psychological disorders such as anxiety, depression, and panic attacks are common in asthmatic patients. The aim of this study was to determine the effect of hypnosis on pulmonary function and severity of the disease in asthmatic patients.
Materials and Methods: This randomized clinical trial study, was carried out on 64 asthmatic patients, who referred to the clinic of Shahid Mofattah in Yasuj, Iran in 2010. The subjects were selected by purposeful sampling method, and randomly assigned into the tow group of the intervention (subjects were treated by solo hypnosis in a 90-minute session and conventional treatments) and control group (subjects were treated by conventional treatments, in addition, providing an explanation about requirement care point for improvement of asthma in 15 minutes) by use of balanced block randomization. In addition to completing demographic information at the beginning of the study, determination of pulmonary function and asthma severity were conducted respectively through measurement of FEV1 and NAEPP classification (EPR-3) at the starting point of the study and one month after the completion of the research intervention. Data were analyzed using SPSS 21 software, through independent sample t-test, paired sample t-test, Chi-square test, and marginal homogeneity test.
Findings: one month after completing the research intervention, the FEV1 in the intervention group increased than the control group and the severity of asthma in the intervention group decreased than the control group.
Conclusion: Hypnosis as an adjuvant treatment is effective in the improvement of pulmonary function and reducing the disease severity in asthmatic patients.
View Abstract
Aim: Asthma is one of the common, chronic respiratory diseases which psychological factors play an important role in it and comorbidities of several psychological disorders such as anxiety, depression, and panic attacks are common in asthmatic patients. The aim of this study was to determine the effect of hypnosis on pulmonary function and severity of the disease in asthmatic patients.
Materials and Methods: This randomized clinical trial study, was carried out on 64 asthmatic patients, who referred to the clinic of Shahid Mofattah in Yasuj, Iran in 2010. The subjects were selected by purposeful sampling method, and randomly assigned into the tow group of the intervention (subjects were treated by solo hypnosis in a 90-minute session and conventional treatments) and control group (subjects were treated by conventional treatments, in addition, providing an explanation about requirement care point for improvement of asthma in 15 minutes) by use of balanced block randomization. In addition to completing demographic information at the beginning of the study, determination of pulmonary function and asthma severity were conducted respectively through measurement of FEV1 and NAEPP classification (EPR-3) at the starting point of the study and one month after the completion of the research intervention. Data were analyzed using SPSS 21 software, through independent sample t-test, paired sample t-test, Chi-square test, and marginal homogeneity test.
Findings: one month after completing the research intervention, the FEV1 in the intervention group increased than the control group and the severity of asthma in the intervention group decreased than the control group.
Conclusion: Hypnosis as an adjuvant treatment is effective in the improvement of pulmonary function and reducing the disease severity in asthmatic patients.
Psychometric Properties of the Iranian Version of Physical Disability Sexual and Body Esteem Questionnaire in Women with Polycystic Ovary Syndrome
Sh. Aramesh , H. Allan, F. Bazarganipour , Z. khashavi, M. Taheri, Sh. Salari
Aims: The objective of this study was to evaluate the psychometric properties of the Iranian version of the physical disability sexual and body esteem questionnaire (PDSBE) in women with polycystic ovary syndrome (PCOS).
Materials & Methods: The present cross sectional study was conducted on 100 women with PCOS referred to the infertility clinic in Hormozgan province, Iran. After translating the questionnaire and to determine the linguistic validity, a panel of experts evaluated the content validity index (CVI) and content validity ratio (CVR). Exploratory factor analysis (EFA) was done to assess the questionnaire structure. Discriminate and convergent validity were evaluated, using known group comparisons and correlating PDSBE with body image concern inventory (BICI).
Finding: CVI and CVR results were 0.9 and 0.95, respectively. The results of EFA showed a 2 factor structure (sexual esteem and sexual attraction perceived by others) responsible for 61.21% of variance. A Cronbach's alpha test of the questionnaire was satisfactory. The results of known group comparisons showed that PDSBE differentiates well between patients, who differ in terms of clinical characteristics. Moreover, the results of convergent validity were indicative of a desirable correlation between the scores of BICI questionnaire and the domains of sexual esteem (r=0.43, p<0.001) and attractiveness of PDSBE (r= 0.48; p<0.001).
Conclusion: The PDSBE is an understandable and readable questionnaire. Also, women with normal clinical features had higher level of sexual esteem and felt more attractive.
Materials & Methods: The present cross sectional study was conducted on 100 women with PCOS referred to the infertility clinic in Hormozgan province, Iran. After translating the questionnaire and to determine the linguistic validity, a panel of experts evaluated the content validity index (CVI) and content validity ratio (CVR). Exploratory factor analysis (EFA) was done to assess the questionnaire structure. Discriminate and convergent validity were evaluated, using known group comparisons and correlating PDSBE with body image concern inventory (BICI).
Finding: CVI and CVR results were 0.9 and 0.95, respectively. The results of EFA showed a 2 factor structure (sexual esteem and sexual attraction perceived by others) responsible for 61.21% of variance. A Cronbach's alpha test of the questionnaire was satisfactory. The results of known group comparisons showed that PDSBE differentiates well between patients, who differ in terms of clinical characteristics. Moreover, the results of convergent validity were indicative of a desirable correlation between the scores of BICI questionnaire and the domains of sexual esteem (r=0.43, p<0.001) and attractiveness of PDSBE (r= 0.48; p<0.001).
Conclusion: The PDSBE is an understandable and readable questionnaire. Also, women with normal clinical features had higher level of sexual esteem and felt more attractive.
Effect of Caffeine on Coughing in Children Aged 3-36 Months: A Randomized Clinical Trial
M. Tagrian Esfahani , K. Keshavarz, A. Keshtkari, H. Sadeghi Mansourkhani, M. Akbartabar Toori , M. Zoladl
Aims: Coughing is one of the most common clinical complaints in pediatric medicine. Since caffeine, as a central nervous system stimulant from methylxanthine, inhibits tumor necrosis factor-alpha (TNFα) and leukotriene synthesis and reduces inflammation and initiates the immune process, the aim of this study was to determine the effect of caffeine on coughing in children aged 3-36 months.
Materials and Methods: In this randomized clinical trial study in 2015, among children referred to the Shahid Mofateh Pediatric Clinic of Yasuj, 120 children aged 3-36 months with coughing due to bronchiolitis, lower respiratory viral disease, increased airway sensitivity, or moderate persistent asthma were selected by convenience sampling method. They were assigned in intervention (reciving salbutamol and caffeine) and control (reciving salbutamol alone) groups by quadratic block randomization. In addition to completing demographic information at the beginning of the study, data on daily and nocturnal cough at the beginning of the study, 48 hours, 1 week, and 2 weeks after starting the drug were recorded. The data were analyzed by SPSS 21 software, using Mann-Whitney test, Chi-square or Fisher's exact test, generalized estimating equation, Friedman, and Wilcoxon statistical tests.
Findings: Daily cough and nocturnal cough significantly decreased in the intervention group at 48 hours, 1 and 2 weeks after beginning the treatment (p<0.05).
Conclusion: Prescription of caffeine with salbutamol is effective in accelerating improvement of cough in children.
View Abstract
Materials and Methods: In this randomized clinical trial study in 2015, among children referred to the Shahid Mofateh Pediatric Clinic of Yasuj, 120 children aged 3-36 months with coughing due to bronchiolitis, lower respiratory viral disease, increased airway sensitivity, or moderate persistent asthma were selected by convenience sampling method. They were assigned in intervention (reciving salbutamol and caffeine) and control (reciving salbutamol alone) groups by quadratic block randomization. In addition to completing demographic information at the beginning of the study, data on daily and nocturnal cough at the beginning of the study, 48 hours, 1 week, and 2 weeks after starting the drug were recorded. The data were analyzed by SPSS 21 software, using Mann-Whitney test, Chi-square or Fisher's exact test, generalized estimating equation, Friedman, and Wilcoxon statistical tests.
Findings: Daily cough and nocturnal cough significantly decreased in the intervention group at 48 hours, 1 and 2 weeks after beginning the treatment (p<0.05).
Conclusion: Prescription of caffeine with salbutamol is effective in accelerating improvement of cough in children.
Performance Indicators of Affiliated Hospitals to Yasuj University of Medical Sciences, Iran (2011-2018): Pabon Lasso Model
A. Mousavizadeh, L. Manzouri, A. Karimibaseri
Aims: Hospital indicators are one of the most important criteria of hospital efficiency. The aim of this study was to determine the performance indicators of affiliated hospitals of Yasuj University of Medical Sciences in 2011-2018.
Instruments & Methods: This cross-sectional descriptive study was conducted on 5 hospitals, including Shahid Beheshti, Shahid Rajaei, and Emam-Sajjad Yasuj hospitals, and Shahid Rajaei Hospital in Gachsaran and Emam-Khomeini Hospital in Dehdasht affiliated to Yasuj University of Medical Sciences in 2011-2018. Bed Occupancy Rate (BOR), Bed Turnover (BTR) and Average Length of Stay (ALS) were collected through hospital information system and analyzed according to Pabon Lasso model and compared with the standard levels.
Findings: The mean BTR (98.76 times per year), ALS (2.12 days) and BOR (70.9%) in hospitals in 2011-2018 were favorable. ALS was 15.24 days in Shahid Rajaei hospital in Yasuj. Shahid Beheshti hospital was in zone 3 in all years. Emam-Sajjad hospital was in zone 3 in all years except 2014. Shahid Rajaei hospital of Yasuj was in zone 4 in 2011-2018. Emam-Khomeini hospital was in zone 1 in 2015-2016, zone 3 in 2011-2012, 2014, 2017-2018, and zone 4 in 2013. Shahid Rajaei hospital of Gachsaran was in zone 3 only in 2012, zone 1 in 2016-2019 and zone 2 in 2011 and 2013-2015.
Conclusion: The performance indicators of affiliated hospitals of Yasuj University of Medical Sciences are at the favorable and moderate level, and in total, in 2011-2018, most of the hospitals have been in zone 3, which indicates good performance.
View Abstract
Instruments & Methods: This cross-sectional descriptive study was conducted on 5 hospitals, including Shahid Beheshti, Shahid Rajaei, and Emam-Sajjad Yasuj hospitals, and Shahid Rajaei Hospital in Gachsaran and Emam-Khomeini Hospital in Dehdasht affiliated to Yasuj University of Medical Sciences in 2011-2018. Bed Occupancy Rate (BOR), Bed Turnover (BTR) and Average Length of Stay (ALS) were collected through hospital information system and analyzed according to Pabon Lasso model and compared with the standard levels.
Findings: The mean BTR (98.76 times per year), ALS (2.12 days) and BOR (70.9%) in hospitals in 2011-2018 were favorable. ALS was 15.24 days in Shahid Rajaei hospital in Yasuj. Shahid Beheshti hospital was in zone 3 in all years. Emam-Sajjad hospital was in zone 3 in all years except 2014. Shahid Rajaei hospital of Yasuj was in zone 4 in 2011-2018. Emam-Khomeini hospital was in zone 1 in 2015-2016, zone 3 in 2011-2012, 2014, 2017-2018, and zone 4 in 2013. Shahid Rajaei hospital of Gachsaran was in zone 3 only in 2012, zone 1 in 2016-2019 and zone 2 in 2011 and 2013-2015.
Conclusion: The performance indicators of affiliated hospitals of Yasuj University of Medical Sciences are at the favorable and moderate level, and in total, in 2011-2018, most of the hospitals have been in zone 3, which indicates good performance.
Effect of Aspirin on Pre-eclampsia and Fetal Growth Restriction in Obese Pregnant Women: A Randomized Controlled Clinical Trial
R. Vanda, Sh. Aramesh, M. Sadeghian, M.A. Ghatee, P. Ghaffari
Aim(s): Obesity in pregnant women is a serious health problem that has many complications such as pre-eclampsia and fetal growth restriction (FGR). The aim of the present study was to evaluate the effect of aspirin on prevalence of pre-eclampsia and FGR in obese pregnant women.
Materials & Methods: This randomized controlled clinical trial was conducted on 187 pregnant women referring to birth center of Mofatteh Clinic, Yasuj University of Medical Sciences, Yasuj, Iran in 2017-2018.
The subjects were selected using purposive sampling method and randomly divided into two groups; intervention group (n=89) and control group (n=98). The intervention group received 80mg/day aspirin and the control group received placebo at 13-20 weeks of gestation until 34 weeks of pregnancy. Data were analyzed by SPSS 21 software using Chi square test.
Findings: The prevalence of pre-eclampsia (1.1 vs. 11.2) and FGR (3.4 vs. 21.4) were significantly lower in the intervention group compared to the control group (p<0.05).
Conclusion: Administration of 80mg/daily of aspirin from 13-20 weeks of gestation in obese pregnant women reduces the incidence of pre-eclampsia and FGR, which could support the positive role of aspirin in preventing pre-eclampsia and FGR.
View Abstract
Materials & Methods: This randomized controlled clinical trial was conducted on 187 pregnant women referring to birth center of Mofatteh Clinic, Yasuj University of Medical Sciences, Yasuj, Iran in 2017-2018.
The subjects were selected using purposive sampling method and randomly divided into two groups; intervention group (n=89) and control group (n=98). The intervention group received 80mg/day aspirin and the control group received placebo at 13-20 weeks of gestation until 34 weeks of pregnancy. Data were analyzed by SPSS 21 software using Chi square test.
Findings: The prevalence of pre-eclampsia (1.1 vs. 11.2) and FGR (3.4 vs. 21.4) were significantly lower in the intervention group compared to the control group (p<0.05).
Conclusion: Administration of 80mg/daily of aspirin from 13-20 weeks of gestation in obese pregnant women reduces the incidence of pre-eclampsia and FGR, which could support the positive role of aspirin in preventing pre-eclampsia and FGR.
Comparison the Effect of Fennel on Maternal Serum Prolactin Level and Neonatal Weight Gain with Effect of Domperidon and Placebo
A. Keshtkari, A. Mehboudi, M.A. Ghatee, N. Bagheri
Aims: Breastfeeding is an economic and valuable method to protect infant health during the life and provides unique biological and emotional effect for mothers and infants. The aim of this study was to compare the effect of fennel on maternal serum prolactin level and neonatal weight gain to effect of domperidon and placebo on these variables.
Materials & Methods: In this single blind randomized clinical trial (RCT), 150 volunteer mothers who had delivery and their newborns in Imam Sajad Hospital of Yasuj University of Medical Science, Yasuj, Iran in 2018, were selected by convenience sampling method and randomly assigned into three equal groups: placebo, domperidone, and fennel groups. Participants used placebo, domperidone tablets and fennel seeds powder for 14 days. Serum prolactin levels of mothers were measured with ELISA method before and after interventions. The weight of newborns were measured using digital scales on birth day, 14th and 28th days of study. Data were analyzed by SPSS 21 software using Chi square test, paired t-test, and one-way ANOVA.
Findings: The mean serum prolactin level of the mothers before and after intervention in all three groups were not significantly different (p>0.05). The mean weight of neonates on the birth day, 14th day and 28th day in three groups did not show any significant difference (p>0.05).
Conclusion: Fennel and domperidone have no effect on the serum prolactin level of lactating mothers and weight gain of newborns.
Comparison of the Effect of Two Doses of Vitamin D (Vit D-Ca and Vit D-Ca+Vit D) from the 16th Week on Preterm Labor in Pregnant Women
N S Mosallanejad, A V Taghavi, M Saadat, M Rajaii, F Bazarganipour
Aims Preterm labor (delivery earlier than 37 weeks) is one of the most common problems
with midwifery. Recently, vitamin D deficiencies have been reported with adverse maternal
outcomes such as pregnancy toxicity, intrauterine growth limitation, and preterm labor. The
aim of this study was to compare the effect of 2 doses of vitamin D (Vit D-Ca and Vit D-Ca+Vit
D) from the 16th week on preterm labor in pregnant women.
Materials & Methods The present single-blind randomized clinical trial was conducted
on 202 pregnant women referred to 5 obstetric and gynecological clinics in Bandar Abbas,
Hormozgan province, Iran during January 2016 to March 2017. The subjects were selected
by randomization sampling method and were randomly assigned into group A (n=150) and
group B (n=152). Group A received Vit D-Ca supplements, containing 400 IU/day, and group
B received Vit D-Ca supplement plus Vit D (with D3 brand), containing 1000 IU/day from
the 16th week of pregnancy until delivery. The subjects were examined from the 16th week
of pregnancy until delivery. The data were analyzed by SPSS 21 software, using independent
t-test, Mann-Whitney U test and Chi-square test.
Findings The incidence of preterm labor in the group receiving Vit D-Ca+Vit D (group B) was
24 (16.0%) and in the group receiving Vit D-Ca alone was 25 (16.7%). There was a significant
difference between the two groups in terms of preterm labor (p=0.01).
Conclusion Vit D-Ca plus Vit D intake reduces preterm labor in pregnant women more than
Vit D-Ca alone intake.
View Abstract
with midwifery. Recently, vitamin D deficiencies have been reported with adverse maternal
outcomes such as pregnancy toxicity, intrauterine growth limitation, and preterm labor. The
aim of this study was to compare the effect of 2 doses of vitamin D (Vit D-Ca and Vit D-Ca+Vit
D) from the 16th week on preterm labor in pregnant women.
Materials & Methods The present single-blind randomized clinical trial was conducted
on 202 pregnant women referred to 5 obstetric and gynecological clinics in Bandar Abbas,
Hormozgan province, Iran during January 2016 to March 2017. The subjects were selected
by randomization sampling method and were randomly assigned into group A (n=150) and
group B (n=152). Group A received Vit D-Ca supplements, containing 400 IU/day, and group
B received Vit D-Ca supplement plus Vit D (with D3 brand), containing 1000 IU/day from
the 16th week of pregnancy until delivery. The subjects were examined from the 16th week
of pregnancy until delivery. The data were analyzed by SPSS 21 software, using independent
t-test, Mann-Whitney U test and Chi-square test.
Findings The incidence of preterm labor in the group receiving Vit D-Ca+Vit D (group B) was
24 (16.0%) and in the group receiving Vit D-Ca alone was 25 (16.7%). There was a significant
difference between the two groups in terms of preterm labor (p=0.01).
Conclusion Vit D-Ca plus Vit D intake reduces preterm labor in pregnant women more than
Vit D-Ca alone intake.
Association between IL-10 rs1800872 Polymorphism in the Promoter Region of Human IL-10 Gene and Susceptibility to Rheumatoid Arthritis in the Patients in Southwest of Iran
S. Hassanzadeh, F. Hedayati, E. Hosseini, J.M. Malekzadeh, E. Masnavi, A. Keshtkari
Aims: Interleukin-10 is an important immunoregulatory cytokine that has an inhibitory effect on the initiation and progression of inflammatory responses in different situations such as autoimmune diseases including rheumatoid arthritis. Polymorphism in IL-10 promoter region affects the expression of this gene. It therefore seems reasonable that these polymorphisms may contribute to rheumatoid arthritis susceptibility in special populations. the aim of this study was to investigate the association between IL-10 rs1800872 polymorphism in the promoter region of human IL-10 gene and susceptibility to rheumatoid arthritis in the patients in southwest of Iran.
Materials & Methods: The present study is a case-control study conducted among patients with and without rheumatoid arthritis referred to the Mofateh clinic in Yasuj, Iran. Both case (n=64) and control (n=65) groups were selected using purposive sampling and were matched in terms of age, gender and ethnicity. Peripheral blood samples were collected from subjects and rs1800872 genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism method. SPSS 26.0 software was used for statistical analysis of data
Findings: The association between the frequency of TT genotypes and the incidence of rheumatoid arthritis was significant (OR=6.45; 95% CI= 1.30-32.00; p=0.023). On the other hand, the distribution of the T allele showed a significant relationship with rheumatoid arthritis (OR= 2.23; 95% CI= 1.26–3.97; p=0.006).
Conclusion: TT genotype of rs1800872 polymorphism is associated with rheumatoid arthritis susceptibility in southwestern Iranian population and can be considered as a risk factor for rheumatism.
View Abstract
Materials & Methods: The present study is a case-control study conducted among patients with and without rheumatoid arthritis referred to the Mofateh clinic in Yasuj, Iran. Both case (n=64) and control (n=65) groups were selected using purposive sampling and were matched in terms of age, gender and ethnicity. Peripheral blood samples were collected from subjects and rs1800872 genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism method. SPSS 26.0 software was used for statistical analysis of data
Findings: The association between the frequency of TT genotypes and the incidence of rheumatoid arthritis was significant (OR=6.45; 95% CI= 1.30-32.00; p=0.023). On the other hand, the distribution of the T allele showed a significant relationship with rheumatoid arthritis (OR= 2.23; 95% CI= 1.26–3.97; p=0.006).
Conclusion: TT genotype of rs1800872 polymorphism is associated with rheumatoid arthritis susceptibility in southwestern Iranian population and can be considered as a risk factor for rheumatism.
A survey about psoriasis patients in Yasuj, Iran
Z. Saeedi Nezhad, N. Dabiri
Aims: Psoriasis is a common immune-related skin disorder that affects 2-3% of worldwide people. This study aimed to determine the disease characteristics of psoriasis patients.
Materials & Methods: In this descriptive cross-sectional study, using the convenience sampling method, 164 psoriatic patients who were referred to a dermatology clinic in Yasuj from 2013 to 2014 participated. Demographic information and medical parameters were collected by a dermatologist through observation and using a researcher-made checklist. SPSS software version 19 was used for the statistical analysis of data.
Findings: Participants were consisting of 106 males and 58 females. The mean age of females was 28.72±15.89, and for males was 29.83±23.19. Most of them had the mild disease (48.3%), and common plaque-type psoriasis (87.7%). Sites of skin involvement were 80.4% on extremities. Nail involvement was 31.7% and arthritis was detected in 3% of cases. There was a history of pruritus or burning sensation in 41.5% of cases. There was only a 17.1% positive family history.
Conclusion: According to the results of this study, the ratio of men with psoriasis to women was higher. Most of the skin lesions caused by this disease were observed in the extremities, head, face and trunk, respectively, and in this respect both gender were similar and few participants reported a positive family history in this regard.
View Abstract
Materials & Methods: In this descriptive cross-sectional study, using the convenience sampling method, 164 psoriatic patients who were referred to a dermatology clinic in Yasuj from 2013 to 2014 participated. Demographic information and medical parameters were collected by a dermatologist through observation and using a researcher-made checklist. SPSS software version 19 was used for the statistical analysis of data.
Findings: Participants were consisting of 106 males and 58 females. The mean age of females was 28.72±15.89, and for males was 29.83±23.19. Most of them had the mild disease (48.3%), and common plaque-type psoriasis (87.7%). Sites of skin involvement were 80.4% on extremities. Nail involvement was 31.7% and arthritis was detected in 3% of cases. There was a history of pruritus or burning sensation in 41.5% of cases. There was only a 17.1% positive family history.
Conclusion: According to the results of this study, the ratio of men with psoriasis to women was higher. Most of the skin lesions caused by this disease were observed in the extremities, head, face and trunk, respectively, and in this respect both gender were similar and few participants reported a positive family history in this regard.
Effect of Prayer-Based Movements on Pain and Endurance of Flexor Muscles in Patients with Non-specific Chronic Low Back Pain
A. Jokarborzabad, Z. Karimi, P. Yazdanpanah, N. Roustaei, S. Mohammadhossini
Aims: Chronic non-specific low back pain is the most common chronic lower back pain, and developing a therapeutic and rehabilitative plan to more rapidly mend patients with lower back pain has always been discussed. The present study aimed to determine the effect of prayer-based movements on pain and endurance of flexor muscles in patients with non-specific chronic low back pain.
Materials & Methods: This quasi-experimental study was conducted on all the patients with a chronic non-specific LBP referring to Shahid Mofatteh Clinic No. 1 in Yasuj, 2020. According to block random assignment, Sixty-six patients were divided into two groups of the intervention and control. In the intervention group, prayer-based exercises were performed three sessions a week for eight weeks. The control group was not instructed. The demographic questionnaire and Quebec back pain disability scale were used to measure pain, and the maintain the 60° angle test was used to collect data before intervention; the visual pain measurement scale was used immediately after the intervention, and the endurance test of spine flexor muscles performed at the angle of 60° was used a week after the intervention. The collected data were analyzed by SPSS 21 using descriptive statistics and statistical tests of Paired T, Mann-Whitney, Independent T, Wilcoxon, Chi-square, and Shapiro-Wilk.
Findings: There was no significant difference between the two groups in terms of pain severity and endurance of the flexor muscles at the starting point (p>0.05). The comparisons of the mean immediately and a week after the intervention were significant (p<0.05).
Conclusion: Prayer-based exercises effectively affect pain severity and endurance of flexor muscles in patients with non-chronic lower back pain.
Comparison the Effect of Omeprazole, Esomeprazole and Lansoprazole on Treatment of Gastroesophageal Reflux Disease in Infants
R. Abassi , F. Abassi , A. Mosavizadeh , H. Sadeghi , A. Keshtkari
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.
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.
Comparison of the Effect of Teach-Back Method and Video Clip Training on the Sense of Coherence of Mothers with Children Suffering from Asthma
A. Poursamad, Z. Karimi, M.S. Mousavi
Aims: Mothers whose children suffer from chronic diseases experience high levels of stress. Promoting the sense of coherence can be a way to reduce the stress. The aim of this study was to compare the effect of teach-back method and video clip teaching on the sense of coherence of mothers with children suffering from asthma.
Materials & Methods: In this randomized controlled trial, 75 eligible mothers with children suffering from asthma in Yasuj in 2020 were selected by convenience sampling method and randomly assigned into three groups: video clip group, teach-back method group and control group. In video clip group, training was performed through a 15-minute clip in two sessions. In teach-back method group 8 training sessions were held. Data were collected using the Antonovsky's Sense of Coherence scale-13 at baseline and one month after the intervention. Data were analyzed using SPSS 21 by descriptive and inferential statistics.
Findings: Before the intervention, there was no significant difference in the mean score of sense of coherence and its subscale in the three groups (p>0.05). One month after the intervention, there was a significant difference in the mean score of sense of coherence and its subscales between the two intervention groups with the control group (p=0.001). Also, a significant difference was observed between the two intervention groups in the mean scores of the sense of coherence and comprehensibility (p<0.05).
Conclusion: Both video clip and teach-back methods improves mothers' sense of coherence, but teach-back method is more effective than video clip teaching.
View Abstract
Materials & Methods: In this randomized controlled trial, 75 eligible mothers with children suffering from asthma in Yasuj in 2020 were selected by convenience sampling method and randomly assigned into three groups: video clip group, teach-back method group and control group. In video clip group, training was performed through a 15-minute clip in two sessions. In teach-back method group 8 training sessions were held. Data were collected using the Antonovsky's Sense of Coherence scale-13 at baseline and one month after the intervention. Data were analyzed using SPSS 21 by descriptive and inferential statistics.
Findings: Before the intervention, there was no significant difference in the mean score of sense of coherence and its subscale in the three groups (p>0.05). One month after the intervention, there was a significant difference in the mean score of sense of coherence and its subscales between the two intervention groups with the control group (p=0.001). Also, a significant difference was observed between the two intervention groups in the mean scores of the sense of coherence and comprehensibility (p<0.05).
Conclusion: Both video clip and teach-back methods improves mothers' sense of coherence, but teach-back method is more effective than video clip teaching.
Fibroepithelial Stromal Polyp as Low Back Lesion in 88-year-old Man: a Case Report
z. daneshyar, M. Shokripour
Introduction: Fibroepithelial stromal polyp (FESP) of the female lower genital tract is a rare benign lesion characterized by polypoid proliferation of stroma, covered by a benign squamous epithelium in the vulvovaginal region. These hormone-sensitive lesions usually occur in young to middle-aged women. The lesions are typically no larger than 5 cm in diameter and are found randomly during routine gynecologic examinations.
Patient Information: The case of this study was an 88-year-old man with a solitary polypoid lesion measuring 3×2×2 in the low back area showing the histological appearances of those described in the vulvovaginal region.
It was a well-circumscribed gray-brown lesion covered by wrinkled skin. Histopathological examination revealed edematous hypocellular lesion at low magnification with hyperplastic squamous epithelium coating with reactive epithelial change. At high magnification, the lesion consisted of bland-appearing spindle and stellate-shaped cells in an edematous and fibrous stroma with a large number of variably-sized blood vessels. Immunohistochemistry showed the lesional cells to be focally immunoreactive for EMA and negative for CD34, SMA in stromal cells.
Conclusion: FESPs is an uncommon benign lesion that can occur in men and areas other than the genitals with independence from female sex hormones. Although this is a benign finding, reporting it will increase the knowledge about this rare tumor.
View Abstract
Patient Information: The case of this study was an 88-year-old man with a solitary polypoid lesion measuring 3×2×2 in the low back area showing the histological appearances of those described in the vulvovaginal region.
It was a well-circumscribed gray-brown lesion covered by wrinkled skin. Histopathological examination revealed edematous hypocellular lesion at low magnification with hyperplastic squamous epithelium coating with reactive epithelial change. At high magnification, the lesion consisted of bland-appearing spindle and stellate-shaped cells in an edematous and fibrous stroma with a large number of variably-sized blood vessels. Immunohistochemistry showed the lesional cells to be focally immunoreactive for EMA and negative for CD34, SMA in stromal cells.
Conclusion: FESPs is an uncommon benign lesion that can occur in men and areas other than the genitals with independence from female sex hormones. Although this is a benign finding, reporting it will increase the knowledge about this rare tumor.
Effect of P6 Point Acupressure on Anxiety Caused by Venipuncture in Patients with Thalassemia: A Clinical Trial Study
S. Avini, M. Hosseini, M. Behnam Moghadam, M. Zoladl
Aims: Anxiety caused by repeated venipuncture is common in patients with thalassemia in the thalassemia ward. Acupressure is one of the methods used to reduce patients' anxiety. This study aimed to determine the effect of the P6 point acupressure on anxiety caused by venipuncture in thalassemia patients.
Materials & Methods: This randomized controlled clinical trial was conducted on 80 patients with thalassemia at Shahid Beheshti Hospital in Yasuj city in 2019, who were divided into two intervention and control groups by blocked random allocation. Acupressure intervention was performed at P6 point on the inner side of the arm and in the cavity between the bones of the forearm, above the crease of the wrist. The Spielberger State-Trait Anxiety Inventory was used to collect information. Data were analyzed using descriptive and inferential statistics (independent t-test, paired t-test, and chi-square test) through SPSS 21 software.
Findings: There was no significant difference in the state and trait anxiety between the intervention and control groups at the beginning of the study (p>0.05). However, a significant difference was observed in the state anxiety between the intervention and control groups after the intervention (p<0.05), but there was no significant difference in the trait anxiety score between the two groups (p>0.05).
Conclusion: Acupressure reduces trait anxiety caused by venipuncture in thalassemia patients hospitalized to the thalassemia ward, while it does not affect their trait anxiety.
View Abstract
Materials & Methods: This randomized controlled clinical trial was conducted on 80 patients with thalassemia at Shahid Beheshti Hospital in Yasuj city in 2019, who were divided into two intervention and control groups by blocked random allocation. Acupressure intervention was performed at P6 point on the inner side of the arm and in the cavity between the bones of the forearm, above the crease of the wrist. The Spielberger State-Trait Anxiety Inventory was used to collect information. Data were analyzed using descriptive and inferential statistics (independent t-test, paired t-test, and chi-square test) through SPSS 21 software.
Findings: There was no significant difference in the state and trait anxiety between the intervention and control groups at the beginning of the study (p>0.05). However, a significant difference was observed in the state anxiety between the intervention and control groups after the intervention (p<0.05), but there was no significant difference in the trait anxiety score between the two groups (p>0.05).
Conclusion: Acupressure reduces trait anxiety caused by venipuncture in thalassemia patients hospitalized to the thalassemia ward, while it does not affect their trait anxiety.
Efficacy of Pregabalin on Reducing Pain in Patients with Lumbosacral Radiculopathy
H. Mohammadi, M. Afkari, N. Salehi, A. Roozbehi
Aims: Pregabalin is one of the anti-seizure and analgesic drugs, which is widely used in the treatment of neuropathic pain and chronic radiculopathy in the form of monotherapy. The aim of this study was to evaluate the effectiveness of pregabalin drug therapy with common treatment (an NSAID) on reducing pain in patients with lumbosacral radiculopathy.
Materials & Methods: In this clinical trial, 90 patients with lumbosacral radiculopathy referring to the clinic of Shahid Mofatteh, Yasuj, Iran in 2018, were selected using purposeful convenience sampling and divided into intervention (N=45) and control (N=45) groups. The pain severity was assessed by a standard visual analog scale (VAS). In the intervention group, 100 mg celecoxib every 12 hours, plus 75 mg per day pregabalin, and in the control group, 100 mg celecoxib every 12 hours, plus 75 mg per day pregabalin placebo were prescribed. After 8 weeks, the severity of the pain was again assessed and compared.
Findings: At the beginning of the study, the mean pain severity in the intervention and control group did not differ significantly (p>0.05). After the intervention, the mean pain severity between the two groups did not show a significant difference (p>0.05). The severity of the pain did not differ significantly between the two groups of intervention and control according to age, disease history, location of pain, and body weight (p>0.05).
Conclusion: The efficacy of pregabalin and NSAID in comparison with NSAID use in patients with lumbosacral radiculopathy is not different in reducing pain severity.Aims: Pregabalin is one of the anti-seizure and analgesic drugs, which is widely used in the treatment of neuropathic pain and chronic radiculopathy in the form of monotherapy. The aim of this study was to evaluate the effectiveness of pregabalin drug therapy with common treatment (an NSAID) on reducing pain in patients with lumbosacral radiculopathy.
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Materials & Methods: In this clinical trial, 90 patients with lumbosacral radiculopathy referring to the clinic of Shahid Mofatteh, Yasuj, Iran in 2018, were selected using purposeful convenience sampling and divided into intervention (N=45) and control (N=45) groups. The pain severity was assessed by a standard visual analog scale (VAS). In the intervention group, 100 mg celecoxib every 12 hours, plus 75 mg per day pregabalin, and in the control group, 100 mg celecoxib every 12 hours, plus 75 mg per day pregabalin placebo were prescribed. After 8 weeks, the severity of the pain was again assessed and compared.
Findings: At the beginning of the study, the mean pain severity in the intervention and control group did not differ significantly (p>0.05). After the intervention, the mean pain severity between the two groups did not show a significant difference (p>0.05). The severity of the pain did not differ significantly between the two groups of intervention and control according to age, disease history, location of pain, and body weight (p>0.05).
Conclusion: The efficacy of pregabalin and NSAID in comparison with NSAID use in patients with lumbosacral radiculopathy is not different in reducing pain severity.Aims: Pregabalin is one of the anti-seizure and analgesic drugs, which is widely used in the treatment of neuropathic pain and chronic radiculopathy in the form of monotherapy. The aim of this study was to evaluate the effectiveness of pregabalin drug therapy with common treatment (an NSAID) on reducing pain in patients with lumbosacral radiculopathy.
Effect of Individual Psychotherapy with a Focus on Self-Efficacy on Quality of Life in Patients with Thalassemia Major: A Clinical Trial
P. Taheri, Kh. Nooryan, Z. Karimi, M. Zoladl
Aims: The aim of this study was to investigate the effect of individual psychotherapy with a focus on self-efficacy on quality of life in patients with thalassemia major.
Materials and Methods: In this randomized clinical trial study in 2016, among patients with thalassemia major referring to Cooley's anemia ward of Shahid Rajaie Hospital in Gachsaran, Iran, 50 eligible patients were selected by convenience sampling method. They were assigned in intervention (n=25) and control (n=25) groups by quadratic block randomization. Each of 50 subjects signed the informed written consent. Demographic questionnaire and 36-Item Short-Form Health Survey (SF-36) were used as the research tool. The data were analyzed by SPSS 21 software, using Chi-square test, independent T-test, and the Mann-Whitney U test.
Findings: One month after the intervention, the scores of the Physical Component Summary (2461.8±15.7) and the Mental Component Summary (1873.0± 21.6) in the intervention group were significantly higher than the same scores (2283.2±279.8) and (1712.6±270.5) in the control group (p<0.05). At this time, the score of all Health Domain Scales of SF-36 Health Survey in the intervention group were higher than the same scores in the control group. These differences were significant except for the Role-Physical and Bodily Pain (p<0.05).
Conclusion: Individual psychotherapy with a focus on self-efficacy is effective on increasing quality of life of patients with thalassemia major.
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Materials and Methods: In this randomized clinical trial study in 2016, among patients with thalassemia major referring to Cooley's anemia ward of Shahid Rajaie Hospital in Gachsaran, Iran, 50 eligible patients were selected by convenience sampling method. They were assigned in intervention (n=25) and control (n=25) groups by quadratic block randomization. Each of 50 subjects signed the informed written consent. Demographic questionnaire and 36-Item Short-Form Health Survey (SF-36) were used as the research tool. The data were analyzed by SPSS 21 software, using Chi-square test, independent T-test, and the Mann-Whitney U test.
Findings: One month after the intervention, the scores of the Physical Component Summary (2461.8±15.7) and the Mental Component Summary (1873.0± 21.6) in the intervention group were significantly higher than the same scores (2283.2±279.8) and (1712.6±270.5) in the control group (p<0.05). At this time, the score of all Health Domain Scales of SF-36 Health Survey in the intervention group were higher than the same scores in the control group. These differences were significant except for the Role-Physical and Bodily Pain (p<0.05).
Conclusion: Individual psychotherapy with a focus on self-efficacy is effective on increasing quality of life of patients with thalassemia major.
Health Measures in the Event of an Earthquake during the COVID-19 Pandemic
H. Seyedin, A. Nasiri, M. Ahmadi Marzaleh, A. Marzban, M. Dowlati
There is no abstract.
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Comparing the Effects of Group and Family-Centered Education in the Elderly Lifestyle
M.S. Shaafi , N. Hosseini , 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.
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.
Serum Leptin, Plasma Glucose, and Lactate Changes following Aerobic Exhaustive Incremental Exercise in Trained 18-26 Years Old Men
M. Hosseini, B. Mohammadi, J. Mohammadi
Aims: This study aimed to examine the acute effects of exhaustive incremental exercise on serum leptin, glucose, and lactate in one session in trained 18-26 years old men.
Material & Methods: The present study was conducted in 2021 on male physical education students available at the Faculty of Sports Sciences of the Shahid Chamran University of Ahvaz in Iran. Thirty students who had 18-26 years old, with body fat between 15-25% and VO2max between 35-45ml/kg/min, were simple randomly selected through 200 physical education students, and they were divided into two equal training and the control groups (each of them consists of 15 subjects). The exercise test included the Astrand test on a treadmill that performed exhaustive incremental exercise. Blood samples have been collected from two groups in pre and post-test and 9 hours after exhaustive incremental exercise. The statistical analyses used were the Independent T-test and one-way ANOVA tests by SPSS version 20.
Findings: Results showed that serum leptin did not change between three measurement sets in the training group in comparison to the control group (p>0.05). Plasma glucose significantly changed between pre and post-test and pretest and 9 hours later (p<0.001). Plasma lactate significantly changed in post-test in comparison to pretest and 9 hours later to post-test (p<0.001).
Conclusion: Incremental exhaustive exercise has no significant effect on serum leptin.
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Material & Methods: The present study was conducted in 2021 on male physical education students available at the Faculty of Sports Sciences of the Shahid Chamran University of Ahvaz in Iran. Thirty students who had 18-26 years old, with body fat between 15-25% and VO2max between 35-45ml/kg/min, were simple randomly selected through 200 physical education students, and they were divided into two equal training and the control groups (each of them consists of 15 subjects). The exercise test included the Astrand test on a treadmill that performed exhaustive incremental exercise. Blood samples have been collected from two groups in pre and post-test and 9 hours after exhaustive incremental exercise. The statistical analyses used were the Independent T-test and one-way ANOVA tests by SPSS version 20.
Findings: Results showed that serum leptin did not change between three measurement sets in the training group in comparison to the control group (p>0.05). Plasma glucose significantly changed between pre and post-test and pretest and 9 hours later (p<0.001). Plasma lactate significantly changed in post-test in comparison to pretest and 9 hours later to post-test (p<0.001).
Conclusion: Incremental exhaustive exercise has no significant effect on serum leptin.
