Journal of Clinical Research in Paramedical Sciences最新文献

{"title":"The Effectiveness of Paradoxical Time Table Technique on Negative Automatic Thoughts, Cognitive Avoidance and Fear of Evaluating others in People with Social Anxiety Disorder","authors":"Faezeh Tabibpour Bahnemiri, Roya Azadikenari, Atefe Najafipour","doi":"10.5812/jcrps-147395","DOIUrl":"https://doi.org/10.5812/jcrps-147395","url":null,"abstract":"Background: Social anxiety disorder is a psychological disorder characterized by constant fear and avoidance of social situations due to fear of evaluation. Objectives: The aim of the present study was to investigate the effectiveness of paradoxical time table technique on negative automatic thoughts, cognitive avoidance and fear of evaluating others in people with social anxiety disorder. Methods: The current research method was semi-experimental with a pre-test and post-test design with a control group. The statistical population of the research included all people with social anxiety disorder (50 people) who referred to Derakhshan counseling center in Babolsar city in 2021. The sample included 30 patients who were purposefully selected and randomly divided into two experimental groups (15 people) and control group (15 people). To collect data, ATQ negative automatic thoughts questionnaire, Sexton & Dugas CAQ cognitive avoidance questionnaire and Watson & Friend fear evaluation questionnaire were used. Research data was analyzed using SPSS-23 software. Results: The results of the analysis showed that the paradoxical timetable technique was significantly effective on negative automatic thoughts, cognitive avoidance and fear of evaluation by others (P < 0.001). Conclusions: The results of this research can be used in the treatment of negative automatic thoughts, cognitive avoidance and fear of evaluation by others in people with social anxiety disorder.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Metacognitive Therapy on Relational Beliefs and Self-Differentiation in Couples with Marital Conflict","authors":"Ameneh Esmaeili, P. Asgari, P. Ehteshamzadeh, S. Safarzadeh","doi":"10.5812/jcrps-146428","DOIUrl":"https://doi.org/10.5812/jcrps-146428","url":null,"abstract":"Background: Metacognitive therapy targets self-differentiation and relational beliefs by helping couples identify unhelpful thinking patterns that fuel conflict. By addressing these underlying cognitive processes, metacognitive therapy aims to improve both individual well-being and relational dynamics. Objectives: This research aimed to determine the effectiveness of metacognitive therapy in couples with marital conflicts attending the family court in Karaj city. Methods: The present study employed a semi-experimental design with a pretest-posttest and control group. The statistical population of this study comprised all couples applying for divorce who had sought divorce or marital dispute resolution at the family court in Karaj in the year 2023. A sample of 32 individuals (16 individuals per group) was selected through voluntary sampling, considering the study entry criteria, and randomly assigned to the experimental and control groups. Participants completed questionnaires on their relational beliefs and self-differentiation in the pretest and posttest stages. The experimental group underwent 16 sessions of 90-minute metacognitive therapy, while the control group received no intervention. Data analysis was conducted using analysis of covariance. Data analysis was performed using SPSS-27 software. Results: Metacognitive therapy significantly improved relational beliefs compared to the control group (P < 0.001). The experimental group's mean score increased from 85.19 (± 9.89) at pretest to 135.88 (± 11.91) at posttest, while the control group showed minimal change (pretest: 89.31 ± 7.99; posttest: 95.75 ± 16.94). Similar improvements were observed in self-differentiation scores (P < 0.001). The experimental group's mean score increased from 120.81 (± 8.88) at pretest to 173.50 (± 14.45) at posttest, compared to minimal change in the control group (pretest: 126.31 ± 7.40; posttest: 125.75 ± 11.06). Conclusions: The present study yielded significant findings that support the effectiveness of metacognitive therapy in improving relational and marital functioning. These results are promising, suggesting that metacognitive therapy may be a valuable intervention for couples experiencing marital conflict.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141229451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of the Usability of Academic Social Networks","authors":"Mohammad Hosein Hayavihaghighi, Mohammad Hossein Pourasad, Mohammad Dehghani","doi":"10.5812/jcrps-145525","DOIUrl":"https://doi.org/10.5812/jcrps-145525","url":null,"abstract":"Background: Today, academic social networks play an important role in supporting educational and research activities. Objectives: The present study aimed to compare the usability of these academic social networks. Methods: This comparative study was conducted in 2023 to examine four academic social networks. The data collection checklist consisted of 8 dimensions and 70 questions. After checking the website and the guide of these 4 social networks, the resulting data entered Excel for analysis. Results: Among the 4 social networks, Research Gate ranked first with a score of 87.14, followed by LinkedIn with a score of 75.71, Mendeley 65.71 and Academia 51.43. The mean score of communication channels was 65.91, intelligence 66.67, search capabilities 72.50, privacy 67.86, communication management 79.55, customization 71.43, navigation 92.86, and guidelines 43.75. Conclusions: The strength of the investigated social networks lied in the navigation dimension. The dimensions that needed improvement in these social networks were guideline and privacy.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"253 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140247183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Hospitals in Yasuj, Iran, in Terms of the Implementation of the Health System Planning and the Quality of Medical Services","authors":"Ismail Shamsodin Shamsodin, Ahmed Alamdari, Vahid Mohammad Hosseini, Raziyeh Mohammadhossieni Servak","doi":"10.5812/jcrps-143870","DOIUrl":"https://doi.org/10.5812/jcrps-143870","url":null,"abstract":"Background: Today, the implementation of the health system plan has led to the reduction of people's payments and to equitable access to health services and the improvement of the quality of services. Objectives: The current research was conducted with the aim of a comparative study of hospitals in Yasuj, Iran, in terms of the implementation of the health system plan and the quality of medical service. Methods: The statistical population of the present descriptive study was 380 patients at Shahid Beheshti Hospital, Yasuj, 150 patients in Shahid Rajaei Hospital and 300 patients in Imam Sajjad Hospital, all located at Yasuj, Iran. According to Morgan's table, 181 patients at Shahid Beheshti Hospital, 108 patients at Shahid Rajaei Hospital and 169 patients at Imam Sajjad Hospital were included as the statistical sample. All the participants completed the questionnaire and the implementation status of the health system plan and the quality of medical services. One-way ANOVA was used to analyze the statistical findings. All statistical operations were performed using SPSS v.18 software Results: The results of the the present study indicated that the health system implementation status of Shahid Beheshti Hospital, Imam Sajjad Hospital and Shahid Rajaei Hospital in Yasuj was favorable. These findings indicated that the health system plan in Yasuj were properly and correctly implemented. Moreover, the quality of medical services at Shahid Beheshti Hospital, Imam Sajjad Hospital, and Shahid Rajaei Hospital in Yasuj were satisfactory. Also, the results showed that there is was no significant difference in the quality of medical services in Yasuj hospitals (P = 0.44 & F = 0.81 & 455 & 2 F). Correspondingly, the results disclosed that there was no significant difference in the implementation status of the health system plan of hospitals in Yasuj city (P = 0.39 & F = 0.93 & 455 & 2). Conclusions: Medical centers should continuously evaluate the quality of their services, since improving the quality of medical services encourages patients to follow their treatment instructions correctly and on time, and also accelerate the progress of treatments and achieves the main therapeutic goal of treating patients.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"20 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140252882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Nordic Walking on the Galectin 3 and Some New Metabolic Markers in Elderly Men with Osteosarcopenic Obesity","authors":"Farshad Mirzaee, M. Omidi, Mohamadreza Yousefi","doi":"10.5812/jcrps-140668","DOIUrl":"https://doi.org/10.5812/jcrps-140668","url":null,"abstract":"Background: Sarcopenia is the age-related progressive loss of muscle mass and strength. The main symptom of the condition is muscle weakness. Objectives: The aim of the present study was to determine the effect of 12 weeks of Nordic walking on the expression of the cardiovascular biomarker galectin 3 gene and some new metabolic markers in elderly men with osteosarcopenic obesity. Methods: Twenty elderly men with a Mean age of 60 to 80 years, who had osteosarcopenic obesity with a body mass index (equal to and above 30) and body fat percentage (equal to and above 30) participated in this research and they were randomly divided into 2 Nordic walking training groups and a control group (10 people in each group). The Nordic walking training program was implemented for 12 weeks and 3 days a week. The intensity of the exercises in each session was 50 to 75% of the maximum heart rate and the duration of each exercise session was 60 minutes. Results: 12 weeks of Nordic walking exercises caused a significant decrease in the circulating levels of galectin-3 (P = 0.001) and a decrease in the TyG-BMI index (P = 0.001) in the subjects. But there was no significant effect on the atherogenic index of plasma (AIP) (P = 0.265) and TyG (P = 0.126) and TyG-BMI (P = 0.347) indices of the subjects. Conclusions: Nordic walking exercise plays an important role in reducing cardiovascular risks by reducing galectin 3 biomarker and atherogenic plasma index (AIP).","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Nordic Walking on the Galectin 3 and Some New Metabolic Markers in Elderly Men with Osteosarcopenic Obesity","authors":"Farshad Mirzaee, M. Omidi, Mohamadreza Yousefi","doi":"10.5812/jcrps-140668","DOIUrl":"https://doi.org/10.5812/jcrps-140668","url":null,"abstract":"Background: Sarcopenia is the age-related progressive loss of muscle mass and strength. The main symptom of the condition is muscle weakness. Objectives: The aim of the present study was to determine the effect of 12 weeks of Nordic walking on the expression of the cardiovascular biomarker galectin 3 gene and some new metabolic markers in elderly men with osteosarcopenic obesity. Methods: Twenty elderly men with a Mean age of 60 to 80 years, who had osteosarcopenic obesity with a body mass index (equal to and above 30) and body fat percentage (equal to and above 30) participated in this research and they were randomly divided into 2 Nordic walking training groups and a control group (10 people in each group). The Nordic walking training program was implemented for 12 weeks and 3 days a week. The intensity of the exercises in each session was 50 to 75% of the maximum heart rate and the duration of each exercise session was 60 minutes. Results: 12 weeks of Nordic walking exercises caused a significant decrease in the circulating levels of galectin-3 (P = 0.001) and a decrease in the TyG-BMI index (P = 0.001) in the subjects. But there was no significant effect on the atherogenic index of plasma (AIP) (P = 0.265) and TyG (P = 0.126) and TyG-BMI (P = 0.347) indices of the subjects. Conclusions: Nordic walking exercise plays an important role in reducing cardiovascular risks by reducing galectin 3 biomarker and atherogenic plasma index (AIP).","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"187 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Sports Injuries Among School Student-Athletes and Their Effects on the Mental and Physical Health","authors":"A. Naderi, Mitra Mohammadi","doi":"10.5812/jcrps-140117","DOIUrl":"https://doi.org/10.5812/jcrps-140117","url":null,"abstract":"Background: Regular exercise is beneficial for children and teenagers in terms of physical and mental health, but it is crucial to acknowledge the potential for injuries and the lack of extensive research on the prevalence and consequences of sports-related injuries in this age group. Objectives: This study aims to investigate the occurrence of sports injuries and assess how they may affect students' mental and physical well-being. Methods: The current study was cross-sectional research conducted in Hamedan City from 1401 to 1402. The statistical population of this study consisted of students who participated in team sports. A total of 153 students, with an average age of 14.1 ± 2.8, were selected as the study population. The quality of life was assessed using the SF36 scale, while physical and mental health were evaluated using the PROMIS-2 scales. The collected data were analyzed using SPSS version 21 software and the independent t-test statistical method, with a significance level set at 0.05. Results: The research results have shown that 24.2% of student-athletes in Hamedan City suffer from sports injuries in at least one part of their body. The areas that most commonly affected were the feet and toes (16.2%), ankles (13.5%), and knees (10.8%). Furthermore, the findings from the research indicate that student-athletes with a previous history of sports injuries had a significantly lower average quality of life, physical health, social functioning, and pain interference compared to those who had not experienced such injuries (P < 0.05). Conclusions: Sports injuries are common among student-athletes who participate in team sports, and they can significantly affect both their physical and social well-being. Such injuries can have a detrimental impact on the daily lives and social interactions of adolescent athletes. Therefore, health professionals must be fully aware of these repercussions and make them a key focus when managing sports injuries.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"59 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Effects of Fentanyl and Nitroglycerin on Hemodynamic Changes During Laryngoscopy: A Randomized Trial","authors":"Javad Aminisaman, Javad Nazari, Yasamin Aminisaman, Rasool Kawyannejad","doi":"10.5812/jcrps-142407","DOIUrl":"https://doi.org/10.5812/jcrps-142407","url":null,"abstract":"Background: Laryngoscopy is the required procedures in general anesthesia that can cause cardiovascular disorders for the patient. Various pharmacological methods are used to reduce unwanted laryngoscopy responses. Objectives: The present study aimed to compare the effects of fentanyl and nitroglycerin spray on hemodynamic responses during laryngoscopy. Methods: In a clinical trial study, 40 patients were divided into two groups. In one group of patients, intravenous fentanyl (2 µg/kg) was given and in the other group, 2 puffs sublingually nitroglycerin spray was given in addition to receiving fentanyl. Hemodynamic variables were measured at one minute before and after laryngoscopy. The data was analyzed using SPSS version 19 software. Results: The study data showed that there is no statistically significant difference between the study groups in terms of demographics. Systolic and diastolic blood pressure, as well as heart rate decreased significantly in the group of receiving simultaneous fentanyl and nitroglycerin in comparison to the group receiving fentanyl alone. Conclusions: The results of our study showed that the administration of nitroglycerin spray with fentanyl more weakened the cardiovascular responses induced by laryngoscopy.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Psychological Hardiness and Distress Tolerance in Mothers of Hard of Hearing Children: The Efficacy of Mindfulness integrated with Spiritual Therapy","authors":"Mohammad Ebrahim Abbasi, Mohsen Golmohammadian, Keivan Kakabraee","doi":"10.5812/jcrps-138109","DOIUrl":"https://doi.org/10.5812/jcrps-138109","url":null,"abstract":"Background: Hard of hearing is a prevalent disability among children that presents challenges not only for the children themselves but also for their parents. The identification of a child’s hard of hearing often triggers a series of crises within the family, particularly for the mother. Objectives: This study aimed to investigate the effectiveness of integrating mindfulness and spiritual therapy in enhancing the psychological hardiness and distress tolerance among mothers of hard-of-hearing children. Methods: This quasi-experimental study included a pretest-posttest method and two follow-up stages with a control group. A sample 0f 60 mothers who had children with hard of hearing were selected by convenience sampling method and were randomly assigned to either the experimental group, which received mindfulness integrated with spiritual therapy (n = 30), or the control group (n = 30). Two post-test stages were conducted in both experimental and control groups and psychological hardiness and distress tolerance were evaluated using the Ahvaz Hardiness Inventory (AHI) and Distress Tolerance Scale (DTS) data were analyzed using analysis of covariance with repeated measures. Results: The mindfulness integrated with spiritual therapy had a significant effect on enhancing distress tolerance and the psychological hardiness of mothers of hard-of-hearing children There was a significant difference in the total scores of AHI and DTS between the experimental and control groups (P < 0.05). Furthermore, there was a significant difference between the pre-test, post-test, and follow-ups (P < 0.05). Conclusions: The present study supports the efficacy of integrating mindfulness and spiritual therapy for improving psychological hardiness and distress tolerance among mothers of hard-of-hearing children.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138591700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Family-Oriented Empowerment on Life Satisfaction and Happiness of Patients with Hemophilia: A Quasi-Experimental Study","authors":"Niloofar Arab, Elaheh Asadi-Bidmeshki, M. Rahnama, Abdolghani Abdollahimohammad, Mehrbanoo Amirshahi","doi":"10.5812/jcrps-140594","DOIUrl":"https://doi.org/10.5812/jcrps-140594","url":null,"abstract":"Background: Various complications of the disease and its treatment can lead to a decrease in life satisfaction among hemophilia patients. As family functioning plays a crucial role in the well-being of patients, this study aimed to determine the effect of family-oriented empowerment on the life satisfaction and happiness of patients with hemophilia. Methods: This quasi-experimental study included 36 hemophilia patients who met the study criteria and were randomly assigned into the control and experiment groups (18 participants in each group). Data were collected using a demographic questionnaire, Diener's life satisfaction questionnaire, and the Oxford happiness questionnaire. The questionnaires were completed before and one month after the intervention. Data were analyzed using SPSS 24. Results: The independent t-test did not reveal a significant difference in the mean scores of life satisfaction and happiness between the control and experiment groups before the intervention. However, a significant difference was observed in the average scores of life satisfaction and happiness between the control and experiment groups after the intervention (P < 0.001). Conclusions: The results demonstrated a positive effect of family-centered empowerment intervention on the life satisfaction and happiness of hemophilia patients.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"11 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}