مینا جوزی

Gastrointestinal diseases are one of the common disorders and endoscopy is the most important diagnostic method for these disorders. One of the common psychological disorders during the endoscopic procedure is anxiety. There are different ways to solve psychological problems. Nursing counseling is one of the approaches used in anxiety control, which can be done face-to-face or remotely. The purpose of this study is to determine the impact of remote nursing program design and implementation on anxiety and satisfaction with the care of selected endoscopy patients.

This study was conducted as an action research, which includes two parts of remote nursing website design and its implementation as a semi-experimental study. 60 selected endoscopy patients were included in the study. They were assigned to two groups of 30 people, control and intervention, by gradual allocation in the form of simple randomization and using a table of random numbers. In the intervention group, nursing consultation was designed remotely on the web by providing a link to selected endoscopy patients, including training and care before and after endoscopy. In the control group, nursing care of the patient and his education was done by the nurse and placing pamphlets at the patient's disposal. In this pamphlet, all care before and after endoscopy was explained to the patient. The data were collected using the demographic information questionnaire, the Spielberger anxiety questionnaire, and the patient satisfaction questionnaire on the quality of nursing care developed by the researcher. The results of the research were analyzed using descriptive and inferential statistical methods and using chi-square, independent t-test, and paired t-tests in spss software version 20.

The findings of the study showed that the two groups were similar in terms of individual characteristics. After the intervention, the average total score of anxiety in the remote nursing education group was significantly lower than the control group (P<0.001), and the average score of patient satisfaction with the quality of nursing care after the intervention was different between the intervention and control groups. It was statistically significant (P<0.001).
Discussion &

The results showed that remote nursing consultation is effective in reducing anxiety and increasing the satisfaction of selected endoscopy patients. According to it, it is suggested to nursing managers to use this method for diagnostic tests that have a high number of referrals.

Breast cancer is the most common malignancy in women and the main cause of cancer-related deaths in the world. According to the Health-Belief Model, people who become aware and sensitive about breast cancer will have more motivation to perform self-examination. The goal of the present study was to determine the effect of education based on the components of the Health Belief Model on breast self-examination performance in female employees of Najafabad-Azad-University.

This semi-experimental research was conducted with a pre-test-post-test design in the presence of 60 female employees of the Islamic Azad University-Najafabad Branch. After obtaining permission, the samples were randomly selected and assigned to two groups of 30 people. Both groups completed the Health-Belief-Model questionnaire and performance checklist before and after the study. Two 90-minute theoretical training sessions and one practical session (in 5 groups, on the simulator) were conducted in the intervention group. At the end, the mean scores of the two groups were compared. The data were analyzed with descriptive and inferential statistical tests (independent T-test, paired T-test) with SPSS-21.

The age range of the participants was 29 to 54 years, and both groups were homogeneous in age. Before research, the mean scores of the components of Perceived- Susceptibility, Perceived-Sensitivity, Perceived-Benefits, Perceived-Barriers, Motivation, Self-Efficacy and the total score of the components of two groups were not significantly different (P=0.21). Finally, the overall average and the scores of Perceived-Sensitivity, Perceived-Benefits, Motivation, Self-Efficacy and Performance after training increased in the intervention group (P=0.001), but in the control group, the mean scores of Perceived-Susceptibility, Perceived-Sensitivity, Motivation and Self-Efficacy did not differ significantly (P = 0.70).

The current study confirmed the effectiveness of the Health-Belief-Model in promoting breast self-examination behavior, so this model can have a positive effect on women's attitude and performance and reduce the Perceived-Barriers and increase the benefits of performing this health behavior.

Background and Objectives Hypothyroidism is one of the causes of mental disorders such as depression and anxiety, especially in pregnant women. One of the ways to prevent the occurrence of such disorders is the use of non-pharmacological methods such as muscle relaxation, which can be taught to pregnant women either face-to-face or face-to-face. Therefore, the present study was conducted with the aim of comparing the effectiveness of muscle relaxation training in two ways, face-to-face and remotely, on the level of stress and anxiety of pregnant women with hypothyroidism. Subjects and Methods This semi-experimental study was conducted with a pre-test and post-test design in the year 2019 in selected centers of comprehensive health services in Najafabad. The research sample included 66 pregnant women with hypothyroidism. In this research, easy sampling method and random allocation of samples in two groups were used. Data collection tools were Spielberger anxiety and stress questionnaires spp-14. The data were described and analyzed with SPSS version 21 software at a significance level of less than 0.05. Results The results showed that face-to-face training is an effective method in muscle relaxation training as a safe and effective intervention in reducing stress and anxiety in pregnant women. Conclusion Based on the findings of the present study, face-to-face training is an effective method for muscle relaxation training as a safe and effective intervention in reducing stress and anxiety in pregnant women.

Background and Objectives Hypertension is one of the causes of cardiovascular diseases. The existence of a correlation between hypertension and some factors, such as diabetes, body mass index, and age, has been proven in past studies. The risk of contracting such diseases is higher due to the issues in the lives of refugees in each society. So far, no serious attention has been paid to this issue; therefore, this study aimed to investigate the relationship between hypertension and some factors, such as gender, age, migration period, occupation, marriage, and ethnicity, were conducted on Afghan refugees living in Isfahan. Subjects and Methods This study was conducted on 4,165 Afghan refugees (1,525 men and 2,640 women), over 30 years old, living in Isfahan in the form of screening in Zainbiye, Isfahan, from February 2020 to July 2020. The required data were collected using a demographic form and measuring blood pressure in two stages at Zainbiye Health Center. Data was analyzed by SPSS software (version 20). Results According to the results, the average prevalence of hypertension was 30.7%. The results of the correlation test showed that gender, age, migration period, occupation, marriage, and ethnicity were related to the average blood pressure of refugees. The results of the correlation coefficient test did not show a significant relationship between hypertension and such factors as smoking, history of hypertension in the family, and education level. Conclusion The findings showed that an increase in the age of the refugees, their longer period of migration, the death of a spouse or separation, occupation, and ethnicity had a significant relationship with their high blood pressure, highlighting the need for more reflection and attention by the officials of the refugee organization.

Nurses play a vital role in the health care system of a country, Therefore, having moral principles and work conscience in nurses is one of the requirements of this profession.This study was conducted with the aim of comparing the effect of two educational methods on the ability to comply with ethical principles(work conscience)of nursing students in the Azad University of Najafabad and Isfahan(Khorasgan).

The number of samples in the first part (retrospective - face-to-face training) was112students and in the second part(intermittent-virtual training)169 students had the conditions to enter the research. In order to collect information, a part of the reliable and valid questionnaire tool "Clinical Competence of Nursing Students in Internship period" by Jouzi and colleagues (2014) was used, which included the ethical dimension of clinical competence. SPSS 24 software was used for data analysis.

The results showed that there was no significant difference in the mean ability scores of the nursing students of Islamic Azad University of Najafabad and Isfahan(Khorasgan)in observing the ethical principles(p>0.05)in the two courses of virtual and face-to-face training.

The non-attendance training that was held in these universities during the covid 19 has been of high quality, so that the scores obtained from the assessment of clinical competence were not significantly different from the attendance period, which shows the professionalism and pioneering nature in these two universities in teaching virtual training method.

Background &

In the future, the field nursing student will be responsible for managing a ward alone, so having the ability to manage and provide safe care is one of the requirements of this profession. This study was conducted with the aim of comparing the effect of two educational methods on the ability to manage care and to document the provision of safe care in nursing intern students.
Materials &

The number of samples in the first part (retrospective - face-to-face training) was 112 students and in the second part(intermittent-virtual training)169 students had the conditions to enter the research. To collect information, a part of the reliable and valid questionnaire tool "Clinical Competence of Nursing Students in Arena" by Jouzi and colleagues (2014) was used, which included the management dimension of clinical competence. To analyze the data, SPSS 24 software was used at the level of (P>0.05).

The results showed that there was no significant difference in the mean scores of ability in care management and documentation of safe care provision of nursing students in two courses of virtual and face-to-face training (p>0.05).

The nursing intern students in the virtual education course, like the students in the face-to-face course, were able to obtain high grades in terms of their ability to manage care and document the provision of safe care, which shows that the training provided to students during the Corona era was effective in maintaining students' competence.

One of the methods to control of the effects of hypothyroidism, especially in pregnancy period, is the use of non-medicated methods such as muscle relaxation, which can be taught by different methods. The aim of this study was to compare the effectiveness of muscle relaxation training in both face-to-face and distance methods on sleep quality in pregnant women with hypothyroidism.

This quasi-experimental study with pre-test-post-test design was conducted in 2020 in Najafabad Comprehensive Health Service Centers. The sample consisted of 66 pregnant women with hypothyroidism. Convenience sampling method and random allocation of samples (using Excel program and patients' file numbers) were used in both face-to-face and remote groups. Written informed consent was obtained from all samples. The data collection tool was the Petersburg Sleep Quality Questionnaire. Data were analyzed by SPSS software version 16 at a significance level of less than 0.05.

The results showed that before training, the mean total score of sleep quality disorder and its dimensions were not significantly different between the two groups (P > 0.05). After training, the mean score of sleep quality disorder in the dimensions of sleep delay, sleep duration, sleep efficiency and daily dysfunction was not significantly different between the two groups (P > 0.05), but the mean total score of sleep quality disorder and the dimensions of mental quality of sleep and sleep disorders in the face-to-face training group (total sleep quality disorder score: 3.27 ± 0.25) were significantly lower than the distance education group (total sleep quality disorder score: 5.67 ± 0.60), (P < 0.05).

Face-to-face training is an effective method in muscle relaxation training as a safe intervention in reducing sleep disorders of pregnant women.

Caring for a stroke patient imposes a high level of care on family caregivers and affects their lives that require specific attention. The aim of this study was to determine the effect of the follow-up care model on the care pressure of family caregivers of stroke patients.

This is a quasi-experimental study. The study population was family caregivers of stroke patients. 60 family caregivers were selected based on inclusion criteria and were divided into two groups of intervention and control using a random number table. In the intervention group, the follow-up was implemented for one month based on care model. The control group received routine training during discharge. Data collection tools were demographic questionnaire and Zarit care pressure. The samples answered the questionnaires one day before discharge and one week after the intervention. Data were analyzed by descriptive statistics (mean, standard deviation, rate, percentage) and inferential tests (independent and paired t-test, chi-square, Mann-Whitney) by spss-18 software.

The mean score of caring stress before the intervention was not significantly different between the two groups (P <0.67). After the intervention, the mean score of care pressure in the intervention group was significantly lower than the control (P˂0.001). The mean score of care pressure before and after the intervention in the intervention group was significantly different (P˂0.01).

Follow-up care reduces the care pressure on family caregivers of stroke patients. It is recommended to be used to reduce the stress of care and the problems caused by it in the care of stroke patients.

Success in quitting addiction requires completing the treatment process. The personality of the addict or its psychological disorders may play a mediating role in adherence to treatment. The aim of this study was to investigate the mediating role of personality components in the relationship between anxiety, stress, depression, and adherence to treatment.

This descriptive-correlational study was conducted in addiction treatment clinics in Saqez with the participation of 131 men members of the Association of Anonymous Addicts. Data collection tools were the NEO personality questionnaire and the DASS-21 questionnaire which was completed as a self-report. Data were analyzed by the chi-square test, logistic regression, and Pearson correlation coefficient in SPSS 18 software.

Depression and personality components (neuroticism, introversion, flexibility, agreement, responsibility) predict adherence to treatment in addicted patients, but among these variables, the neuroticism component is stronger (p = 0.001, 0.426, β = R2 = 0.178). Also, the components of personality and adherence to treatment are predictors of anxiety, among which the predictive flexibility is stronger (p = 0.001, β = 0.313, R2 = 0.021). Finally, the components of personality and adherence to treatment, except for responsibility, are predictors of stress, among which the predictive flexibility is stronger (p = 0.001, β = 0.354, R2 = 0.041).

Considering the effect of personality traits of addicted people in the occurrence of psychological problems such as depression, stress, anxiety, and adherence to their treatment, it is recommended to pay attention to the personality component and psychological problems of these people in education and treatment.

In half of all cardiac arrests, nurses are the first to begin resuscitation. Therefore, one of the requirements of nurses and nursing students is to acquire the necessary knowledge about the drugs used in resuscitation. The aim of this study was to compare the effect of resuscitation drugs training by in-person and in-absentia methods on the knowledge of nursing students studying in Islamic Azad University, Najafabad Branch, in 2020.

This is a quasi-experimental study with pre-test and post-test design. The samples consisted of 60 fourth and fifth semester students who were studying in the School of Nursing and Midwifery of Najafabad Azad University in 2020. Educations were conducted in person, online and offline methods. The research tools included a demographic questionnaire and a researcher-made questionnaire. Data were analyzed using SPSS software (version18) and ANOVA and Chi-square tests.

The results showed that all three types of education are effective in increasing the knowledge level of students (P <0.001): in-person (mean: before 9.45 and after 16.25), online in-absentia (mean: before 9.6 and after 15) and offline in-absentia (mean: before 10.4 and after 14.2); but, in-person education was the most effective method (P <0.001).

The Analysis of research findings showed that face-to-face training was more effective than online and offline distance learning. Taking measures by health system managers to plan to provide cardiopulmonary resuscitation training can have positive results for educational and medical centers.

One of the consequences of brain injury is coma. On the other hand, complications that threaten comatose patients in ICU wards are a risk factor for sensory deprivation.

The aim of this study was to compare sensory stimuli with familiar sound and patient auditory preferences on the level of consciousness of patients in coma admitted to intensive care units.

The present study is a Interventional study of three groups before and after  that was performed on 45 patients admitted to the intensive care unit of selected hospitals in Ahvaz in 1399. Patients with inclusion criteria were randomly divided into two intervention groups and a control group. The minute was broadcast on the patientchr('39')s bedside for 3 days from the beginning of admission and twice a day (6 times in total) at 10 am and 3 pm on the patientchr('39')s bed. Routine care was performed for the control group and routine sounds were given. Awareness level was collected 15 minutes before and 15 minutes after the intervention in all three groups. The instrument for assessing patientschr('39') level of consciousness was GCS and FOUR scale. Descriptive and inferential statistical methods were used to analyze the data.

The mean level of consciousness of the auditory preferences and familiar voice group after the intervention was significantly higher than the control group (P <0.05) but there was no significant difference between the two groups of auditory preferences and familiar voice (P> 0.05).

Considering that the effect of familiar sound and hearing preferences has been more than unfamiliar sound, it is recommended to provide a program of auditory stimulation with familiar voice and hearing preferences for some patients in ICU wards

One of important circle of sustainable health development in humanity general is the part of health and medical health care and nursechr('39')s constitute70 present and are a biggest renderer of service for sanitary and therapeutic of health and therapeutic team. For preservation of standards observation care, cognition of manners of development and gradation clinical competence for nurses is obligatory. The aim of this study was specify clinical competence for nurses in Azad university-Isfahan bray (Khorasghan) and Najaf Abad.

In this descriptive and inferential analysis study 112 person of trainer students are enter in to study. All of slightly information are accumulation with two questionnaire demographic questionnaire. Analysis are accomplished in two level of descriptive and inference and with SPSS APP. Version 22.

In this study, the score of average for clinical competence of nurses in Azad university-Isfahan branch and Najaf Abad was 09123459/18 and 59/20986/34 in sequence. In the sum of average of score of clinical competence in two university the value 84/22112130 was get and 8/72 percent was in super quality. Also, the result of this study in clinical competence dimension was indicate the clinical competence of students in lookout of patient center were (9/42) percent acceptance and perform of professional duty (3/72) percent, documentation of safe observation (5/70) percent, capability in ethical principles (7/77) percent, capability in care management (2/65) percent, and in social accountability and responsibility were (1/74) percent. That were in super quality.

As regards of importance in the subjects of clinical competence, it is necessary that hospital staff supper the students be independent and involve in creativity and innovation and all of them consult with teachers and think about necessary measures for decrease of obstacles for clinical competent.

Progressive insulin resistance (IR) is a physiologic state during pregnancy which could be ended to gestational diabetes. Given the relationship between weight and insulin resistance (IR), the study of the association between nutrients intake and insulin resistance is particularly rational and predictive.

The current descriptive cross-sectional study was performed on 138 nulliparous women with healthy and single pregnancies. Individual characteristics were collected by a researcher-administered questionnaire. At 6th</sup>-10th</sup> weeks of pregnancy, physical activity scores and nutrients intake were determined using the Pregnancy Physical Activity Questionnaire and 24-hour recall for three consecutive days, respectively. At the same time, fasting serum glucose and insulin levels were also measured to calculate IR by the formula.

Square root transformation of IR index at the first trimester was significantly correlated with household income, occupational activity, pre-pregnancy body mass index (BMI), weight, and physical activity at 6th</sup>-10th</sup> weeks of gestation. However, after adjusting the effect of related variables, household income and maternal weight were significantly associated with IR, and occupational activity had a trend toward the significant association. Moreover, vitamin D, linolenic acid, beta-carotene, vitamin E, and carbohydrate intake were significantly correlated with IR index. However, after adjusting for the related variables, vitamin E had a direct significant relationship with IR, and glucose and maltose intakes were inversely associated with IR.</div>

Significant association between household income and maternal weight at the first trimester can be used to control IR, which is a key component for gestational diabetes. The association of vitamin E, glucose, and maltose intakes with IR may be a guide to get new results. We suggest further studies about the association between occupational activity and insulin resistance in pregnant women.

 Upon hospitalization of a premature infant immediately after giving birth, mothers would experience high levels of anxiety. One of the essential non-pharmacological interventions to control the anxiety is massage. The purpose of this study was to investigate the effect of massage on the anxiety of mothers with preterm infants.

 In this experimental research, 140 samples were selected based on inclusion criteria using a convenience sampling method and then put in two groups of back massage and one control group. The tools for collecting the data were demographic questionnaire and Lehrer & Woolfolk's somatic, cognitive, and behavioral anxiety inventory. The data were analyzed using descriptive (Mean±SD) and inferential statistics tests (Chi-square, independent t-test, paired t-test, Fisher, and covariance analysis) by SPSS V. 13.

 The mean scores of somatic, cognitive, and behavioral anxiety components showed significant differences before and after the intervention in the massage group (P<0.05). There was also a significant difference between the mean anxiety after the intervention (P<0.05). 

 The obtained results indicate that the back massage method is effective in reducing the components of somatic, cognitive, and behavioral anxiety. Hence, this method may be utilized to reduce the anxiety of mothers with premature infants.

The purpose of the present study was to graphically and comprehensively illustrate the data on the impact of violent games on the behavior of children and adolescents.

This visualization system was designed based on the Schneider principle using the results of a clinical study by psychologists at the University of Ohio that included 242 children aged 8 to 12 years in three groups. All groups played different versions of the Minecraft game, then using data recorded in an Excel file on the Figshare site. 4 variables were depicted. The variables were finding the gun, length of time the gun was held, the number of trigger pulls, as well as demographic or control characteristics including age and gender of the child was depicted.

Visualization was designed in the processing environment and it was easy to compare the three groups using color, shape and coordinate channels. Accordingly, it appears that violent behaviors in children who experienced gun play were greater than those played the sword; both of them showed more violent behaviors than the group who played non-violent version. Violent behaviors were also more prevalent in male children in all three groups. In other words, girls in the 8-12 age group in all three groups were less likely to exhibit post-match violent behavior.

In this study, data on the impact of violent games on the behavior of children and adolescents were graphically and comprehensibly visualized based on the Schneider Principle and revealed that violent behaviors in children who experienced violent games were higher than control group. Violent behaviors were also more prevalent in male children in all three groups.

The essential goal of the nursing education is acquiring the clinical competency for safe care delivery to patients, especially in the internship period, the final phase of nursing education, that students are prepared for entry to clinic as newly graduated nurses. This study aimed to determine the nursing student`s competencies during the internship period. In this qualitative study, conventional content analysis was used.16 persons from different universities that participated to clinical education in internship period, interviewed semi-structured. Obtained data from participants was recorded and analyzed by Maxqda2007 software and themes were extracted inductively by 7-steps content analysis method. During data analysis, one essential theme (humanistic patient-centered care) and 4 categories were developed: "humanistic view to patient, communication with patient and family, scientific care based on the patient needs and patient safety". We suggest that Special programs be taken in order to acquire humanistic patient-centered care competency in the internship period as the final time for the nursing students education.

Due to continuous changes in the quality of care، the need for providing safe care by competent nurses is interesting. While surveys show that most nursing graduates، are eligible for inclusion in the labor market. One of the effective factors is the lack of required competencies in the internship period educators that are responsible for the final phase of nursing education. The purpose of this study was to determine clinical educators` competencies during internship period. In this study، a qualitative design، conventional content analysis was used. 16 persons that participated to clinical education in internship period interviewed semi-structurally. The obtained data from participants was recorded and analyzed by Maxqda 2007software، and the themes were extracted inductively from the raw data. During data analysis، 5 themes and 12 categories were developed: «personality traits» (behavior، vulnerability، professional attitude)، «professional communication» (moderating role، ethicalconsiderations and multidimensionalcommunication) «professional education» (empowering in applying the effective teaching methods، skills in applying knowledge) «Management Power» (empowering instudents supervision) «Clinical evaluation» (skills in explaining the objective evaluation criteria and empowering in applying the collaborative evaluation of student) By considering the effective role of educators in nursing education in the internship period and the importance of students` authority and self-steam in providing safe care for patients، maintaining and increasing the clinical educator competency is interested.

University students are faced with stress due to changes in their roles and exposure to new situations. Educational counseling and advising by faculty members can be a good strategy for the early discovery of student''s problems and prevention from becoming a public issue. The aim of this study was investigate the effect of the educational counseling program by the supervisor on the level of anxiety in bachelor degree nursing students. This quasi-experimental study was conducted using a before-after design with two groups. The sample was consisted of 60 people in each control and experiment group. Data was collected using the standard Kattle test questionnaire completed before and also after the intervention by the samples. Descriptive and inferential statistical were used to analyze the data. The samples in both groups were homogenous in terms demographic variable. It was reported that the level of anxiety of the students in both groups was the same before the intervention. (P=0. 56). A significant difference was found between the level of anxiety of the students in both groups after the intervention (P=0. 001). Counseling and educational guidance by the supervisor make the communications ties between the supervisor and student stronger. Moreover، it helps with resolving probable educational issues and also avoiding future educational problems.

In addition routine conservative management for decreasing the difficulties of stroke patients, complementary treatments such as massage therapy is also applied that is considered as one of the most important nursing managements. The goal of this study was assessment of the effect of massage therapy on the level of blood pressure and anxiety of stroke patients. This quasi-experimental study with two groups, two steps and pre- Post design was done on 50 patients with CVA (cerebrovascular accident). Sampling was done with convenience method and patients were divided randomly to two groups. Including criteria were documented CVA, the ability of speaking, complete consciousness, one week hospitalization period and having the motivation for the entering in this study. In massage group, relatives to patient should massage the patient body 7 times per day after receiving complete administration and doing the right technique at the next days. Control group received only the routine management. Blood pressure and Cattle test for anxiety were evaluated before and the end of study. In massage group, mean blood pressure had been significantly decreased at the end of study (p<0.05). Anxiety score in the massage group had been decreased after study, but there was no significant difference (NS). Results showed the positive effect of massage on decreasing blood pressure and anxiety level. Therefore, it could be suggested as complement method alongside of the routine treatment of stroke for increasing the welfare and remediation sense of the patients.

Effects of massage therapy on blood pressure of patients with CVA Jouzi, M (MSc.), Amini R (MSc.), Noorbakhsh V3. Cerebrovascular accidents (CVA or strokes) are the third leading cause of death after myocardial infarction and cancer in western countries, most of which result from emboli or thrombosis. In addition to mortality, they lead to lifelong inability manifested by various ambulatory, physical, verbal, visual, memory, and… disorders. Along with routine supportive interventions at hospitals to reduce these problems, complementary therapies such as massage as one of the most important interventions are also applicable. The goal of this study was to determine the effects of massage therapy on systolic and diastolic blood pressures in patients with CVA in 2005. In this quasi-experimental study with 2 groups, a prospective design at 2 stages was used. Subjects included 50 patients with CVA at neurology unit of Shariati Hospital in Isfahan, selected by convenience sampling method and randomly divided into 2 equal experimental and control groups. Inclusion criteria were confirmed diagnosis of CVA, ability to speak, complete consciousness, hospital stay at least for 1 week and desire to take part in the study. In the experimental group, massage technique was instructed to their attendants and after confirmation of its correctness, they performed it 7 times a day. Blood pressure of the subjects was measured before and after each massage. No specific intervention was performed in the control group except routine procedures. Data were collected by standard stethoscope and sphygmomanometer and compared in the two groups at the end. Paired t¬-test showed a significant decrease in the blood pressure of the massage group while the pressure significantly increased in the control group (P<0.05). The results showed a decreasing effect of massage on blood pressure of CVA patients. Therefore, this therapy can be recommended as a complementary method along with routine treatments for better recovery and welfare of these patients.