Jundishapur Journal of Chronic Disease Care最新文献

{"title":"Prevalence of Low Back Pain and Association Factors Among Operating Room Personnel of Ahvaz Hospitals: A Cross-Sectional Study","authors":"Jaber Zabihirad, Samir Moniri, Reza Tavakkol, Ashkan Karimi, Kourosh Zarea","doi":"10.5812/jjcdc-145854","DOIUrl":"https://doi.org/10.5812/jjcdc-145854","url":null,"abstract":"Background: Low back pain is a common musculoskeletal disorder among healthcare specialty nurses. Operating room staff are particularly susceptible to experiencing low back pain due to the nature of their work. Objectives: We conducted a study to investigate the prevalence of low back pain and the factors associated with it. Methods: A cross-sectional study was conducted on 323 operating room staff from five hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences. Data was collected using a questionnaire developed by Tavakol et al. This questionnaire included demographic information and assessed the prevalence and dimensions of low back pain. The data was analyzed using IBM SPSS v.26. Results: The results showed that the prevalence of low back pain (LBP) was 74.3%. In this study, 64.8% of the personnel were women, 63.5% were married, and 72.4% had a bachelor's degree. Additionally, 87% had no history of smoking. The average age was 33.83 ± 7.02 years. There was a significant relationship between the prevalence of LBP and gender (P = 0.044), marital status (P = 0.0001), BMI (P = 0.008), age (P = 0.0001), shift work (P = 0.001), work experience (P = 0.0001), and the average number of shifts (P = 0.037). Conclusions: We found a high prevalence of LBP among operating room personnel, which is related to both individual and occupational factors. Our recommendations for nursing managers include modifying work shifts, allocating less physically demanding tasks to senior personnel and females, and implementing educational programs that focus on improving ergonomics and reducing physical strain.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"33 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814320","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":"Evaluation of Intraoperative Saline Injection Leak Test Without Transesophageal Echocardiography as a Reliable Method During Heart Valve Repair","authors":"Amanollah Heidari, N. Akiash, Amir Moradi, Maryam Dastoorpour, Farzaneh Ahmadi, A. Assareh, Syed Mohammad Reza Afshani, Afshin Zarin","doi":"10.5812/jjcdc-147055","DOIUrl":"https://doi.org/10.5812/jjcdc-147055","url":null,"abstract":"Background: Valvular heart diseases (VHD) pose a significant global health challenge, leading to numerous cardiac surgeries. The quality of valve repair is typically assessed using transesophageal echocardiography (TEE) and saline injection tests intraoperatively. However, TEE is not universally available, particularly in resource-limited settings. Objectives: This study aimed to evaluate the effectiveness of saline injection tests as the sole method for assessing cardiac valve repair quality. Methods: This retrospective cohort study included patients who underwent cardiac valve surgery without intraoperative TEE assessment. Preoperative transthoracic echocardiography (TTE) was performed on all patients. A consistent team performed all valve repairs, and the quality of these repairs was assessed intraoperatively using the saline injection test. Postoperative TTE was also conducted to evaluate valve function and compare it with preoperative measurements. Results: The study comprised 16 patients (mean age: 63.8 ± 10.6), predominantly male. Mitral valve (MV) repair was performed on 11 patients, with nine showing improved function (P-value: 0.006). Seven patients underwent tricuspid valve repair (TVr), all of whom exhibited improved function (P-value: 0.01). Four patients received aortic valve repair, with three showing improved function (P-value: 0.10). Additionally, significant improvements were observed in left ventricular end-diastolic diameter (LVEDd), left ventricular end-diastolic volume (LVEDV), inter-ventricular septal diameter, posterior wall thickness (PWT), tricuspid annular plane systolic excursion (TAPSE), right ventricular peak systolic myocardial velocity (RVSm), pulmonary artery pressure, tricuspid regurgitation (TR) gradient, and right atrium area. Conclusions: The saline injection test can be a valuable tool for assessing the quality of mitral and tricuspid valve repairs, particularly when TEE is unavailable. However, its reliability for aortic valve repair remains uncertain.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"118 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819851","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 Utilization of Outpatient Health Services and the Associated Factors Among the Older Adults Covered by Comprehensive Health Service Centers in Rasht","authors":"Mohadeseh Nejadghasem, Shahla Asiri, Abdolhosein Emami Sigaroudi, Ehsan Kazemnezhad","doi":"10.5812/jjcdc-141598","DOIUrl":"https://doi.org/10.5812/jjcdc-141598","url":null,"abstract":"Background: The increase in the older adult population has resulted in a higher demand for outpatient health services and subsequently increased costs paid by older adults. Objectives: This study conducted in Rasht aimed to determine the utilization of outpatient health services among older adults covered by comprehensive health service centers and the factors associated with it. Methods: This cross-sectional analytical study was conducted on 384 older adults aged 60 years and older covered by comprehensive health service centers. The sampling method was stratified random sampling based on consecutive sampling. The information required was collected through a researcher-made two-part questionnaire, including individual-social characteristics and outpatient services, via interviews. Data were analyzed using SPSS version 21 software. The significance level of the tests was considered to be P < 0.05. Results: The results showed that 82.8% of the older adults required outpatient services and 90.9% of them actually received these services. Out of the total, 65.1% went to private sector facilities, 17% to public facilities, and the remaining 18% visited facilities in both sectors. The main reasons for not utilizing outpatient services were the lack of money and the inability to pay. Factors such as place of residence (P = 0.014, OR = 2.417), the presence of chronic disorders (P = 0.047, OR = 1.689), health status (P = 0.012, OR = 0.619), and education level (P = 0.05, OR = 0.763) were found to be associated with the utilization of outpatient services. Conclusions: Two-thirds of the sample had chronic diseases, most of them received outpatient services from the private sector, and about 75% of those who did not receive the service could not afford the costs. Therefore, it is necessary to improve the quality of outpatient services in the public sector and enhance their accessibility. Some individuals were unaware of health screenings for older adults in the comprehensive health services centers, so informing them about these services can be useful in promoting their utilization by older adults and reducing the costs of outpatient services.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141829232","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":"Mothers' Experiences of Children Undergoing Congenital Heart Disease Surgery: A Qualitative Study","authors":"Yequb Mosazad, Fatemeh Valizadeh, Fatemeh Ghasemi, Kimia Karami","doi":"10.5812/jjcdc-144797","DOIUrl":"https://doi.org/10.5812/jjcdc-144797","url":null,"abstract":"Background: Surgery for children with congenital heart disease (CHD) elevates maternal physical and mental stress, potentially impacting the quality of care provided to the child. Objectives: This study aimed to elucidate mothers' experiences surrounding their child's CHD surgery. Methods: In this qualitative content analysis study, we included 20 mothers of children admitted to Tehran Children's Medical Center Hospital for CHD surgery using purposive sampling. Unstructured interviews and field notes were utilized perioperatively for data collection. Analysis was conducted concurrently with data collection employing the Graneheim and Lundman content analysis approach. Rigor was ensured using Lincoln and Guba’s criteria. Results: The findings were categorized into four themes: (1) \"The Bitter and Difficult Motherhood Experience\" stemming from the shock of the child's abnormality and subsequent challenges in caregiving; (2) mothers engaged in \"In Search of Reassurance,\" striving for accurate diagnosis and optimal treatment quality through information seeking and accessing superior medical services; (3) \"Tides in Supportive Networks\" reflected varying degrees of support from personnel, peers, and surrounding individuals, ranging from conscientiousness to stressfulness; (4) Mothers attained a state of \"Relative Calm After the Storm\" by navigating through the surgery ordeal with spirituality and hope despite enduring anxieties. Conclusions: The journey through a child's CHD surgery proved harrowing for mothers due to the initial shock and ongoing caregiving challenges. Care provision should prioritize maternal readiness and empowerment, emphasize professional conduct, reassurance, spiritual care, and steer social support networks towards positive contributions.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"87 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352950","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 Prevalence of Protein S, Protein C, Factor V Leiden, and Homocysteine Disorders in Patients with Antiphospholipid Syndrome: A Retrospective Study","authors":"Ali Badfar, N. Saki, Forough Nakhostin, Alireza Ghanbaran, Elham Rajaei","doi":"10.5812/jjcdc-144094","DOIUrl":"https://doi.org/10.5812/jjcdc-144094","url":null,"abstract":"Background: Antiphospholipid syndrome (APS) is a non-inflammatory autoimmune disease primarily characterized by thrombosis. Previous studies have indicated that disorders in proteins S and C, Factor V Leiden, and homocysteine levels can contribute to the occurrence of miscarriage in patients with APS. Objectives: This study aims to determine the prevalence of protein S, protein C, Factor V Leiden, and homocysteine disorders in patients with APS. Methods: This research was conducted as a retrospective study, utilizing the clinical information of patients who were referred to Golestan Ahvaz Hospital and whose records were available. A pre-prepared checklist was used to extract and record patients' clinical information, including demographic data, prevalence of miscarriage, vascular disorders (arterial and venous), pulmonary and venous thrombosis, preterm labor, intrauterine fetal demise (IUFD), intrauterine growth restriction (IUGR), and disorders or deficiencies of proteins C and S, as well as homocysteine levels. Results: In the present study, the results showed that a reduction in proteins C and S was observed in 18 (15.1%) and 20 (16.8%) patients, respectively. Thrombosis was present in 103 (86.6%) patients, and 27 (22.7%) patients had Aps Ab. The results indicated a statistically significant relationship between protein C deficiency, thrombosis, vascular events, and the presence of Abs in patients (P < 0.05) Additionally, a significant relationship was found between protein C deficiency and IUFD (P < 0.05). However, no significant relationship was observed between Aps Ab and IUFD or IUGR (P > 0.05). Conclusions: The results indicated that protein C can be used as a diagnostic factor in AP patients. Additionally, protein C was associated with IUFD in these patients.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"114 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352081","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 Movement Correction Exercises with and Without Mirror Therapy on Painand Disability with Chronic Low Back Patients: A Randomized Control Trial","authors":"Majid Jalalmanesh, N. Elahi, Maryam Alsadat Kardaani, Shahin Goharpaie, Elham Maraghi","doi":"10.5812/jjcdc-137946","DOIUrl":"https://doi.org/10.5812/jjcdc-137946","url":null,"abstract":"Background: There is evidence supporting the effectiveness of mirror therapy (MT) in improving pain and function in the upper limbs. However, there are limited studies that validate its effectiveness in enhancing function and reducing pain among individuals with chronic back pain. Objectives: This study aimed to assess the effect of motor correction exercises with and without MT on pain intensity and disability in patients with chronic low back. Methods: This randomized clinical trial study was conducted on 72 participants with chronic back pain referring to physiotherapy centers affiliated with Jundishapur University of Medical Sciences, Ahvaz. Specific exercises using MT were performed in the intervention group (36 participants) and without it in the control group (36 participants) for 10 weeks. The condition of the patients before and after the intervention and 3 months after the intervention was evaluated using a chronic pain questionnaire, pain intensity, and Oswestry index. The data were analyzed using SPSS version 22, employing descriptive and inferential statistical methods. A significance level of P ≤ 0.05 was used. Results: A significant difference was observed between the groups for the variables that showed pain intensity after treatment (P = 0.001) and the difference remained in the follow-up (P = 0.003) Chronic pain after treatment and the difference at follow-up [-0.41 (-3.45 to 2.47), P = 0.001] and disability remained after treatment [-2.6 (-5.6 to 0.5); P = 0.02] which indicates the effectiveness of MT. Conclusions: Based on the results, MT was effective in reducing the pain intensity and disability experienced by patients with chronic back pain. As a result, considering its affordability and ease of access, patients can perform the exercises independently after receiving proper instruction and guidance.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"294 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140703595","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":"Survival Rate of Hemodialysis Patients and Its Predictors: A Multicentric Retrospective Cohort Study","authors":"Sahar Ahmadi Valiabadi, S. Hosseinigolafshani, M. Ranjbaran","doi":"10.5812/jjcdc-142669","DOIUrl":"https://doi.org/10.5812/jjcdc-142669","url":null,"abstract":"Background: Despite advancements in medical and nursing care, the mortality rate among hemodialysis patients remains unexpectedly high. Objectives: This study aimed to evaluate the survival rates and identify mortality predictors among hemodialysis patients in Qazvin Province, Iran, over a five-year period from March 2015 to March 2020. Methods: This historical cohort study involved 378 hemodialysis patients from seven hospitals in Qazvin province, including Bu Ali Sina, Velayat, Razi, Alvand, Valiasr, Bueen Zahra, and Avaj, covering the period from March 21, 2015, to March 20, 2020. The study was based on data extracted from the patient's medical records, offering a detailed overview of their medical history and treatments during this timeframe. Results: The study revealed a median survival time of 38.5 months, with survival rates at 1, 2, 3, 4, and 5 years being 84.3%, 68.1%, 53.2%, 39.8%, and 18.0%, respectively. Cox regression analysis identified several key predictors of mortality. Mortality rates increased with age, higher levels of blood urea nitrogen, and when hemoglobin levels fell below 10 g/dL or calcium levels exceeded 9.5 mg/dL. Conversely, patients who underwent hemodialysis three times a week had higher levels of education, used fistula access, and experienced significantly lower mortality rates. Conclusions: The study highlighted the need for targeted interventions to improve both the survival rates and quality of life for hemodialysis patients in Qazvin Province. It emphasized the importance of careful monitoring and effective management of factors such as age, blood urea nitrogen, hemoglobin, and calcium levels, as well as the patients' educational background, frequency of dialysis sessions, and type of vascular access. By focusing on these aspects, healthcare professionals in the region could significantly enhance patient outcomes and prognoses in hemodialysis care.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140722403","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":"Spiritual Health and COVID-Related Anxiety Among Adolescents with and Without Chronic Disease","authors":"Reihane Moghimian, M. Babaie, S. Amiri, Mona Moharamkhani, Shadi Dalvand, Azam Shirinabadi Farahani","doi":"10.5812/jjcdc-139448","DOIUrl":"https://doi.org/10.5812/jjcdc-139448","url":null,"abstract":"Background: Spiritual health has been linked to the mental health of adolescents. Yet, the impact of the coronavirus pandemic on the spiritual health of adolescents with chronic diseases, as opposed to the mental health of their healthy counterparts in Iran, has not been explored. Objectives: The aim of this study was to examine the association between spiritual health and COVID-19-induced anxiety among adolescents, both with and without chronic diseases. Methods: This descriptive cross-sectional study involved 85 adolescents with chronic diseases (selected through convenience sampling) and 80 adolescents without chronic diseases (selected through cluster random sampling) in Tehran, Iran. The Spiritual Well-Being Scale (SWBS) and the Corona Disease Anxiety Scale (CDAS) were utilized for data collection. Results: The findings indicated that anxiety levels related to COVID-19 were significantly higher among adolescents with chronic diseases compared to their healthy peers (P = 0.001). Additionally, spiritual well-being was significantly lower in adolescents with chronic diseases than in healthy adolescents (P = 0.001). Conclusions: The COVID-19 pandemic appears to be linked to psychological and spiritual vulnerabilities in adolescents with chronic diseases, suggesting a need for psychological support and special consideration for these individuals.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"219 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140730405","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 Patient Quality of Life Following Percutaneous Coronary Intervention: An Examination of the Information-Motivation-Behavioral Skills Model","authors":"S. Vagharseyyedin, Zahra Ghorbanimoghadam, S. Tabiee","doi":"10.5812/jjcdc-139598","DOIUrl":"https://doi.org/10.5812/jjcdc-139598","url":null,"abstract":"Background: Ischemic heart disease stands as the foremost cause of death among cardiovascular conditions. The most commonly employed revascularization method for treating ischemic heart disease is percutaneous coronary intervention (PCI). An improvement in the patient's quality of life frequently serves as the primary measure of PCI's success. Objectives: The purpose of this study was to assess the impact of an educational program grounded in the information-motivation-behavioral skills (IMB) model on the quality of life of patients who have undergone PCI. Methods: This quasi-experimental study involved 84 patients selected from those referred to the Cardiovascular Clinic of Razi Hospital in Birjand city, located in eastern Khorasan. Participants were required to fill out a demographics form and the Short Form of the Quality-of-Life Questionnaire (SF-12). They were then divided into an intervention group (n = 42) and a control group (n = 42) through the use of the permuted block method. Those in the intervention group participated in a 6-week educational program (meeting once weekly) designed around the IMB model. The control group received the standard care available at the Cardiovascular Clinic. Both groups were asked to return to the Cardiology Clinic 6 weeks after the initial test to complete the SF-12 (posttest). All participants were surveyed again one month after the second questionnaire completion (follow-up). Results: The intervention group showed a significant increase in the mean score of physical health immediately and one month after the intervention, compared to the pretest scores (P = 0.001 and P = 0.004, respectively). Furthermore, the mean posttest score for psychological health in the intervention group significantly improved compared to the pretest (P < 0.001), and their follow-up score improved significantly compared to the posttest score (P = 0.02). There were no significant changes in the mean scores for physical and psychological health in the control group over time (P > 0.05). Conclusions: This study indicates that the quality of life for patients post-PCI can be significantly improved through participation in an educational program based on the IMB model. This research provides a foundation for the development of interventions with more enduring effects on post-PCI patient outcomes.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"47 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140231572","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 Cognitive-Behavioral Therapy on the Sexual Function of Women with Maternal Near Miss: A Randomized Controlled Trial","authors":"Shohreh Dashtpayma, Parvin Abedi, Poorandoht Afshari, Shahin Norouzi, Maryam Dastoorpoor","doi":"10.5812/jjcdc-142445","DOIUrl":"https://doi.org/10.5812/jjcdc-142445","url":null,"abstract":"Background: There is evidence that maternal near miss (MNM) may adversely affect sexual function later in life. Objectives: This study aimed to evaluate the effect of cognitive-behavioral therapy (CBT) on the sexual function of women with MNM. Methods: Forty-eight women with MNM were randomly assigned to 2 groups: CBT (n = 24) and control (n = 24). Women in the CBT group received 8 counseling sessions based on CBT. Data were collected using a demographic questionnaire and the Female Sexual Function Index (FSFI). Women were requested to complete the FSFI questionnaire before and after the 8-session intervention. A total score of > 26 was considered normal sexual function. The intervention started in June and was completed in October 2021. The Shapiro-Wilk test, independent t-test, Chi-square test, and Mann-Whitney test were used to analyze the data. Results: Results: The scores of all components of sexual function improved in the CBT group compared to the control group as follows: Sexual desire (3.77 ± .64 vs. 2.25 ± .53, P < 0.001), sexual arousal (3.72 ± .45 vs. 2.40 ± .48, P < 0.001), lubrication (3.13 ± .35 vs. 2.60 ± .36, P < 0.001), orgasm (3.11 ± .45 vs. 1.0 ± .42, P < 0.001), sexual satisfaction (4.25 ± .52 vs. 2.83 ± .81, P < 0.001), pain (2.36 ± .80 vs. 4.21 ± .54, P < 0.001), total score of sexual function (20.37 ± 1.44 vs. 15.3 ± 1.40, P < 0.001). Conclusions: While CBT significantly improved the sexual function of women with MNM, their sexual performance score still did not fall within the normal range. Our results indicate that women with a near miss may require additional counseling sessions or alternative interventions.","PeriodicalId":471457,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"167 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235470","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}