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عضویت

جستجوی مقالات مرتبط با کلیدواژه "relaxation therapy" در نشریات گروه "پزشکی"

  • Abdullah Azhdari, Neda Mardani, Marym Javanbakht, Tahereh Mombeni, Melika Ahmadi
    Background

    Multiple sclerosis (MS) is a long-term autoimmune disorder affecting the central nervous system, leading to reduced quality of life and impaired physical and psychological functions.

    Objectives

    This study aims to examine the relative efficacy of yoga and relaxation therapy in improving sleep disturbances, fatigue, and cognitive impairment among individuals diagnosed with MS.

    Methods

    This study employed a semi-experimental research design, including a pre-test, post-test, and follow-up over three months. The target population comprised all MS patients referred to the Iranian MS Association in Tehran between July and November 2023. Sixty participants were selected using purposive sampling and randomly assigned to research groups: Two yoga therapy groups with 17 participants each, a relaxation therapy group with 16 participants, and a control group with 18 participants. The yoga therapy group participated in twelve 90-minute sessions twice a week, while the control group received no intervention and was placed on a waiting list. Various tools, including the Multidimensional Fatigue Inventory (MFI), Cohen-Mansfield Agitation Inventory (CMAI-O), and a concentration skills questionnaire, were used to collect data. The data were analyzed using ANOVA, Bonferroni post hoc test, MANCOVA, and Kruskal-Wallis H tests with a significance level of 0.05, utilizing SPSS 27 software.

    Results

    The study found a significant difference (P < 0.001) in the restlessness factor in both the post-test and follow-up phases. Additionally, there was a significant difference (P < 0.001) in the levels of physical fatigue, mental fatigue, decreased activity, and decreased motivation in both the post-test and follow-up phases, indicating significant changes in the fatigue factor among the research groups. However, there was no significant difference in the general fatigue component between the research groups. A significant difference (P < 0.001) was also found in the concentration factor, particularly in the components of voluntary and involuntary concentration, during both the post-test and follow-up stages.

    Conclusions

    The results of this study indicate that both yoga and relaxation therapy techniques significantly reduce restlessness, physical tiredness, mental fatigue, decreased activity, and decreased motivation. Furthermore, the findings validate that both yoga and relaxation therapy techniques effectively enhance voluntary and involuntary concentration.

    Keywords: Yoga, Relaxation Therapy, Restlessness, Fatigue, Lack Of, Concentration, Multiple Sclerosis Patients
  • فاطمه محلی، محمدعلی نژاد مقدم، مریم سادات کاتبی، علی دشتگرد، مینا قلعه نوئی*
    زمینه و هدف

    اضطراب یک مشکل شایع در بیماران سزارین است که می تواند عواقب نامطلوبی داشته باشد. آرام بخشی بنسون می تواند به عنوان یک روش طب مکمل برای کاهش اضطراب مفید باشد. هدف از این مطالعه، تعیین تاثیر آرام بخشی بنسون بر میزان اضطراب زنان باردار نخست زا متقاضی سزارین بود.

    مواد و روش ها

    این مطالعه نیمه تجربی از نوع مداخله ای در بین 132 زن باردار نخست زا که به مرکز آموزشی درمانی شهدای قاین برای سزارین انتخابی مراجعه کرده بودند، در سال1400-1399 انجام شد. شرکت کنندگان در مطالعه به روش نمونه گیری در دسترس انتخاب شدند و به صورت تصادفی در دو گروه مداخله و کنترل قرار گرفتند. در گروه مداخله، به نمونه ها آموزش آرام سازی بنسون از طریق هدفون داده شد. برای تعیین اضطراب، از پرسش نامه اشپیلبرگر استفاده شد. داده ها با استفاده از نرم افزارSPSS نسخه16 و آزمون های تی زوجی، تی مستقل و مربع کای تحلیل شدند. سطح معناداری  P<0.05درنظر گرفته شد.

    یافته ها

    قبل از مداخله، بین متغیرهای جمعیت شناختی و زمینه ای، میانگین متغیرهای، اضطراب آشکار، پنهان و کل در دو گروه، تفاوت معنی دار وجود نداشت (P>0.05). پس از مداخله، مقایسه دو گروه نشان داد که میانگین نمرات، اضطراب آشکار، پنهان و کل در گروه مداخله به طور معناداری نسبت به گروه کنترل، کاهش داشته است (P<0.05). 

    نتیجه گیری

    علی رغم کاهش اضطراب در گروه مداخله، نتایج حاصله حاکی از آن بود که اضطراب کل و آشکار در گروه کنترل نیز پس از مداخله کاهش معنی داری یافت. به نظر می رسد که عواملی به غیر از تکنیک آرام سازی بنسون در این پژوهش مثل مطالعه مادران، شرکت در کلاس های بارداری توانسته منجر به کاهش اضطراب در بین نمونه های مورد پژوهش باشند.

    کلید واژگان: آرام سازی, اضطراب, سزارین, نخست زا
    Fatemeh Mohalli, Mohammad Alinejad Moghaddam, Maryam Sadat Katebi, Ali Dashtgard, Mina Ghalenoei *
    Introduction

    Anxiety is a common problem in caesarean section patients that can have adverse consequences. Benson relaxation can be useful as a complementary medicine method to reduce anxiety. The aim of this study was to determine the effect of Benson's relaxation on the anxiety level of primiparous pregnant women applying for cesarean section.

    Materials and Methods

    This semi-experimental interventional study was conducted among 132 primiparous pregnant women who had beeb referred to the Shahada Qain Medical Training Center for elective cesarean section in 2021. The participants in the study were selected by available sampling method and were randomly divided into two intervention and control groups. In the intervention group, the samples were given relaxation training through headphones. The Spielberger questionnaire was used to determine anxiety. Data were analyzed using SPSS software (version 16) and paired t-test, independent t-test and chi-square . The significance level of P<0.05 was considered.

    Results

    Before the intervention, there was no significant difference between the demographic and background variables, the mean variables, overt, hidden, and total anxiety in the two groups (P>0.05). After the intervention, the comparison of the two groups showed that the mean scores of overt, hidden and total anxiety in the intervention group significantly decreased compared to the control group (P<0.05).

    Conclusion

    Despite the reduction of anxiety in the intervention group, the results indicated that the total and obvious anxiety in the control group also decreased significantly after the intervention. It seems that factors other than Benson's relaxation technique in this research, such as studying mothers, participating in pregnancy classes have been able to reduce anxiety among the research samples.

    Keywords: Relaxation therapy, anxiety, CESAREAN SECTION, primiparity
  • Razieh Chabok, Arezoo Gholami, Neda Mahdavifar, Mostafa Rad*
    Background

    Sleep disorder is common in women with mastectomy. Previous studies have shown that relaxation technique improves sleep quality. However, the effects of these interventions on the sleep quality of breast cancer patients who underwent mastectomy surgery is still unclear. This study aimed to determine the effect of the Benson relaxation technique (BRT) on sleep quality in women with breast cancer after mastectomy.

    Methods

    This randomized clinical trial study was performed on 72 eligible patients who were referred to the screening and chemotherapy center of Shahid Modares Hospital of Kashmar City from April to July 2021. The patients were selected through convenient sampling and randomly allocated to intervention (n = 36) and control (n = 36) groups. In the intervention group, in addition to the routine treatments, BRT was performed once in the morning and once in the evening for 2 months, each time for 20 minutes. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the score of sleep quality at the beginning of the study and 2 months later. Data were analyzed using the paired t test and independent t test at 95% CI.

    Results

    The mean score of sleep quality before the intervention in the intervention and control groups was 9.25 ± 2.50 and 8.47 ± 2.13, respectively. After the intervention, the mean score of sleep quality in the intervention and control groups was 6.63 ± 1.92 and 8.41 ± 2.15, respectively, and the difference was significant between the 2 groups (P = 0.001)

    Conclusion

    The Benson relaxation technique improves sleep quality in women with breast cancer after mastectomy. Therefore, it can be considered an adjunct therapy to improve the sleep quality in these people.

    Keywords: Mastectomy, Sleep Quality, Benson Relaxation Technique, Relaxation therapy, Breast neoplasms
  • نرجس حشمتی فر، فاطمه برزویی، سارا احمدی، آرزو داوری نیا مطلق قوچان، زهره محمدزاده تبریزی، محمد حسین زاده حصاری*
    زمینه و هدف
    کروناویروس بیماری واگیرداری است که امروزه جامعه بزرگ پرستاری به ویژه پرستاران شاغل در بخش مراقبت ویژه با آن روبه رو هستند. در کنار سایر عوامل استرس زای شغلی در حرفه پرستاری، ماهیت این بیماری، کیفیت زندگی کاری پرستاران را تحت تاثیر قرار داده است. از این رو مطالعه حاضر با هدف تاثیر آرام سازی بنسون بر کیفیت زندگی کاری پرستاران در مراقبت کننده از بیماران کووید 19 انجام گرفت.
    مواد و روش ها
    این مطالعه کارآزمایی بالینی دو گروهی بود. واحدهای پژوهش شامل 62 پرستار شاغل در بخش های مراقبت ویژه بیمارستان واسعی سبزوار بودند که در سال 1399 به روش سرشماری و تخصیص تصادفی به دو گروه آرام سازی بنسون و کنترل تقسیم شدند. گروه مداخله دو بار در هفته به مدت یک ماه و هر بار20 دقیقه تمرینات آرام سازی را انجام دادند. جمع آوری داده ها از طریق پرسش نامه کیفیت زندگی کاری  WRQoL-2انجام شد. داده ها توسط نرم افزار 16spss تجزیه وتحلیل شد.
    یافته ها
    میانگین نمره کل کیفیت زندگی کاری تمام پرستاران پیش از مداخله در شرایط پاندمی کرونا 4/4±53 بود که در سطوح کیفیت زندگی پایین کاری قرار می گیرد. کیفیت زندگی کاری پرستاران مراقبت ویژه پس از انجام آرام سازی بنسون، در مقایسه با گروه کنترل افزایش یافت (p<0.05).
    نتیجه گیری
    این مطالعه نشان داد که آرام سازی بنسون باعث افزایش کیفیت زندگی کاری در پرستاران در مواجهه با بیماران کووید 19 می شود از این رو پیشنهاد می شود مدیران پرستاری ضمن به کارگیری روش های آرام سازی، با ایجاد محیط کاری آرام و کم استرس زمینه مشارکت فعالانه پرستاران را فراهم کنند و به اهداف نظام سلامت دست یابند.
    کلید واژگان: آرام سازی: پرستار:کیفیت زندگی کاری:کووید, 19
    Narjes Heshmatifar, Fatemeh Borzoee, Sara Ahmadi, Arezoo Davarinia, Zohreh Mohamadzadeh Tabrizi, Mohammad Hosein Zadeh Hesari *
    Introduction
    Coronavirus is an infectious disease that is faced by the large nursing community today, especially nurses working in the intensive care unit. Along with other job stressors in the nursing profession, the nature of this disease has affected the quality of Work Life (QWL) of nurses. Therefore, the present study aimed to evaluate the effect of Benson relaxation on nurses' QWL in caring for Covid 19 patients.
    Materials and Methods
    This study was a two-group clinical trial. The research units included 62 nurses working in the intensive care units of Vasi Sabzevar Hospital, who were divided into two Benson sedation and control groups by census method and random assignment in 2019. The intervention group performed relaxation exercises twice a week for one month and each time for 20 minutes. Data collection was done through WRQoL-2 quality of work-life questionnaire. The data was analyzed by spss-16 software.
    Results
    The mean score of QWL of all nurses before the intervention in the crisis conditions was 53±4.4 which is at the low quality of life levels. The quality of life of intensive care nurses increased after Benson relaxation compared to the control group (p <0.05).
    Conclusion
    This study showed that Benson relaxation increases the QWL in nurses in the face of Covid-19 patients, so it is suggested that nursing managers while using relaxation techniques, by creating a calm work environment and Low stress conditions provide the active participation of nurses to achieve the goals of the health system.
    Keywords: Relaxation therapy, Nurse, Quality of Work Life, COVID-19
  • Hamid Barghbani, Rouhollah Barghbani, Yeganeh Salehi, Mostafa Rad*
    Background

    Informal caregivers of COVID-19 patients, who are in direct contact with patients and the virus, experience many psychological issues and are prone to Illness Anxiety Disorder (IAD). Accordingly, this study aims to determine the effects of virtual training of the Benson Relaxation Technique (BRT) on IAD in the informal caregivers of COVID-19 patients.

    Methods

    This randomized clinical trial study was conducted on 54 informal caregivers of COVID-19 patients who scored X ≥20 on the health anxiety inventory (HAI) by Salkovskis. They were randomly divided into control (n=28) and intervention (n=26) groups. The intervention group received the BRT audio file and pamphlet through messengers, and applied this technique twice a day, each for 20 min, for 3 weeks. However, the control group did not receive any training. Subsequently, after 3 weeks, HAI was completed by both groups again. Data analysis was done using SPSS software, version 22.

    Results

    The mean score of IAD in the informal caregivers of the patients before the intervention in the experimental and the control groups was 24.88±5.89 and 23.27±5.64, respectively. After the intervention, the mean score of the IAD in the informal caregivers of the patients in the intervention and the control groups changed to 17.30±7.15 and 19.78±7.14, respectively. The result of the t-test showed a significant difference between the changes in the IAD scores of the two groups after the implementation of the intervention (P=0.046).

    Conclusion

    The findings show that the virtual training of BRT, as a comprehensive, simple, and inexpensive method, reduces IAD in the informal caregivers of COVID-19 patients. The healthcare systems can take steps to support these people who are exposed to IAD by providing virtual training of BRT to informal caregivers of COVID-19 patients.

    Keywords: Virtual, Relaxation therapy, Anxiety disorders, Caregivers, COVID-19
  • Ancy Jose, Sabitha Nayak *, Aparna Rajesh, Neetha Kamath, Nalini M

    Relaxation therapy (RT) is considered to be helpful in the management of symptoms of premenstrual syndrome (PMS). This systematic review (SR) was conducted to find the impact of RT on PMS management, which could be utilized in clinical and community populations. Five major databases like Google Scholar, PubMed, ResearchGate, Scopus, and Web of Science were used as search engines. The Joanna Briggs Institute checklist is used to analyze the quality of articles selected for this review. Only 35 different studies among 71 relevant articles which focused on the topic were selected for this SR. All of the 35 different trials reported that the selected RTs, namely Laura Mitchell, Jacobson, Benson, relaxation unnamed, yoga, aerobic exercise, and massage, significantly decreased PMS. The outcome of this SR suggests that the selected seven RTs effectively relieve PMS and ensure a productive life for all reproductive women.

    Keywords: Premenstrual syndrome, relaxation therapy, systematic review
  • Zahra Molazem, Madineh Alizadeh, Masoume Rambod *
    Background
    Most hemophilia patients experience pain in their lives. Some complementary interventions might affect pain belief. This study aimed to determine the effect of Benson’s relaxation technique on pain intensity, pain belief and perception, and pain acceptance in hemophilia patients.
    Methods
    In this clinical trial study, 80 hemophilia patients were divided into an intervention (relaxation technique) and a control (routine care) group based on block randomization. This study was conducted in the hemophilia center of Shahid Dastgheib hospital affiliated to Shiraz University of Medical Sciences from October to December 2018. The intervention group listened to a voice containing relaxation technique twice a day for eight weeks. Numeric rating scale, pain belief and perception inventory, and chronic pain acceptance questionnaires were completed at the beginning and eight weeks after the intervention. Data were analyzed by SPSS 21 using independent t-test, Paired-t-test, Chi-square, Mann-Whitney U test, and ANCOVA. P-value <0.05 was considered as significant.
    Results
    After the intervention, the mean scores of pain intensity, pain belief and perception inventory, and pain acceptance in the intervention group were 4.26±2.17, -13.35±1.50, and 67.24±9.49 and in the control groups were 5.85±2.61, -2±1.70, and 56.57±11.04, respectively. After the intervention, a difference was found between the groups regarding the mean score of pain intensity (P=0.007), pain belief and perception inventory (P<0.001) and its subscales (P<0.05) as well as total pain acceptance (P<0.001).
    Conclusion
    This study showed relaxation technique can be applied to reduce these patients’ pain intensity, improve their pain belief and perception, and enhance their pain acceptance.
    Keywords: Hemophilia, Pain, Relaxation therapy
  • اکرم ایزدی خواه، مجتبی انصاری شهیدی*، حسن رضایی جمالویی، عباس حقایق
    زمینه و هدف

    درد حاصل از بروز بیماری های مزمن جسمی هم چون سردرد های میگرنی سبب آسیب های هیجانی و روان شناختی در بیماران می شود. بر این اساس پژوهش حاضر با هدف مقایسه اثربخشی درمان ذهن آگاهی و ریلکسیشن بر شدت درد در بیماران مبتلا به سردردهای میگرنی انجام گرفت.

    مواد و روش ها:

     پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه و دوره پیگیری دوماهه بود. جامعه آماری پژوهش شامل بیماران مبتلا به سردردهای میگرنی شهرستان شاهین شهر اصفهان در سه ماهه آخر سال 1397 بود. در این پژوهش تعداد 45 بیمار مبتلا به سردردهای میگرنی با روش نمونه گیری داوطلبانه انتخاب و با گمارش تصادفی در گروه های آزمایش و گواه گمارده شدند (15 بیمار در گروه آزمایش و 15 بیمار در گروه گواه). گروه های آزمایش مداخله 8 جلسه ای درمان ذهن آگاهی کابات زین و 7 جلسه ای ریلکسیشن کان و راتفیسچ را طی دو ماه در جلسات 90 دقیقه ای به صورت جداگانه دریافت نمودند. پرسشنامه مورد استفاده در این پژوهش شامل پرسشنامه شدت درد ملزاک بود. داده های حاصل از پژوهش به شیوه تحلیل واریانس با اندازه گیری مکرر و آزمون تعقیبی بونفرنی مورد تجزیه و تحلیل قرار گرفت.

    یافته ها:

     نتایج نشان داد که درمان ذهن آگاهی و ریلکسیشن بر شدت درد در بیماران مبتلا به سردردهای میگرنی تاثیر معنادار دارد (001/0˂P). علاوه بر این نتایج آزمون تعقیبی نشان داد که در متغیر درد بین دو درمان تفاوت معنادار وجود داشته (001/0˂P) و درمان ریلکسیشن نسبت به درمان ذهن آگاهی به میزان بیشتری توانسته درد بیماران مبتلا به سردردهای میگرنی را کاهش دهد.

    نتیجه گیری: 

    بر اساس یافته های پژوهش حاضر می توان بیان کرد که درمان ریلکسیشن به دلیل تمرکز بر فرایندهای فیزیولوژیکی همچون ماساژ، می تواند نسبت به درمان ذهن آگاهی تاثیر بیشتری بر کاهش شدت درد در بیماران مبتلا به سردردهای میگرنی داشته باشد.

    کلید واژگان: درمان ذهن آگاهی, شدت درد, بهزیستی روان شناختی, سردرد های میگرنی
    Akram Izadi Khah, Mojtaba Ansari Shahidi*, Hassan Rezaei Jamaloei, Abbas Haghayegh

    Aims and background:

     Pain caused by chronic physical illnesses such as migraine headaches causes emotional and psychological damage to patients. according to this the present study was conducted aiming to Compare the effectiveness of mindfulness therapy and relaxation on pain in patients with migraine.

     Materials and Methods:

     The present study was quasi-experimental with pretest, posttest, control group and a two-month follow-up design. The statistical population of the study included the patients with migraine headache in the town of Shahin Shahr, Isfahan in the first quarter of 2019. 30 patients with migraine headache were selected through voluntary sampling method and they were randomly replaced into experimental and control groups (15 patients in mindfulness therapy groups, 15 patients in Relaxation therapy groups and 15 in control group). The experimental groups received 8 sessions of mindfulness therapy sessions of Kabatzin and 7 relaxation sessions of Ozkan and Rathfisch over two months in 90-minute sessions separately. The applied questionnaire in this study included Severity of pain questionnaire of Melzack. The data from the study were analyzed through repeated measurement ANOVA and Bonfrey’s follow-up test.

     Results:
     

    the results showed that mindfulness therapy and relaxation significantly influences Severity of pain in patients with migraine headache (p<0.001). In addition, the results of the follow-up test showed that there is a significant difference between two therapies in variable of pain (p<0.001) and relaxation therapy was more able to decrease the pain of migraine compared to mindfulness therapy. 

    Conclusion:

     According to the findings of the present study it might be stated that Relaxation therapy, due to its focus on physiological processes such as massage, can be more effective than mindfulness therapy in reducing the severity of pain in patients with migraine headaches.

    Keywords: Mindful therapy, Relaxation therapy, Severity of pain, Migraine Headache
  • MohammadMehdi Mohammadi, Shima Parandin
    BACKGROUND

    Pregnancy is associated with negative psychological symptoms (NPS) and multidimensional pain. Therefore, the present study was conducted to determine the effect of the combination of Benson’s relaxation technique (BRT) and brief psychoeducational intervention (BPI) on multidimensional pain and NPS of pregnant women.

    MATERIALS AND METHODS

    The present randomized clinical trial was conducted on pregnant women referred to Imam Reza and Motazedi Hospitals in Kermanshah, Iran. In this regard, 60 pregnant women were randomly allocated to intervention (n = 30) and control (n = 30) groups. The groups attended BRT and BPI educational sessions for 4 weeks, but the control group received no intervention</AQ6>. Subsequently, both groups completed Depression Anxiety Stress Scale‑21 and multidimensional pain inventory.

    RESULTS

    The mean NPS (stress, anxiety, and depression) was significantly decreased in the intervention group (P < 0.001), while no statistically significant differences were observed in the control group (P > 0.05). The independent t‑test revealed a significant difference between the mean scores of intervention and control groups (P < 0.001). The mean multidimensional pain was significantly decreased in mothers after the completion of educational sessions (P < 0.001), and the independent t‑test results indicated a significant difference between the scores of the intervention and control groups (P < 0.001).

    CONCLUSION

    The results of this study suggested that the combination of BRT and BPI can lead to a reduction in the NPS and multidimensional pain in the pregnant women. This intervention is recommended to be considered as part of a healthcare program in pregnant mothers.

    Keywords: Pain, pregnant women, relaxation therapy
  • میترا ایاسی، سمیه رضایی*، محمد علی حیدری، معصومه باقری
    مقدمه
    خارج کردن لوله سینه ای یکی از بدترین رویدادها در بیماران بستری در بخش مراقبت ویژه است. با وجود پیشرفت های علمی، هنگام عمل جراحی قلب باز اقدامی موثر برای کاهش درد ناشی از آن صورت نمی گیرد؛ بنابراین مطالعه حاضر با هدف بررسی تاثیر آرام سازی تنفسی بر شدت درد ناشی از خارج کردن لوله سینه ای پس از عمل جراحی قلب باز انجام شده است.
    روش کار
    مطالعه حاضر از نوع کارآزمایی بالینی یک سوکور به شمار می آید که در سال 1395 انجام شده است. در این مطالعه 80 بیمار تحت جراحی قلب باز که تنها یک لوله سینه ای مدیاستینال داشتند در مرکز قلب مازندران بررسی شدند و با تخصیص تصادفی در دو گروه مداخله و کنترل قرار گرفتند. در گروه مداخله برای آرام سازی از تمرین های تنفسی آرام و عمیق به مدت 5 دقیقه پیش از خروج لوله استفاده شد. شدت درد با مقیاس معیاری دیداری درد، قبل، بلافاصله و 15 دقیقه پس از خارج کردن لوله سینه ای سنجیده شد. تجزیه و تحلیل داده ها نیز با آزمون های رایج صورت گرفت.
    یافته ها
     براساس نتایج، بین شدت درد در دو گروه قبل از خارج کردن لوله سینه ای اختلاف معنی داری وجود ندارد (0/84=P). همچنین میان شدت درد، بلافاصله پس از خروج لوله در گروه مداخله در مقایسه با گروه کنترل اختلاف آماری معنی داری مشاهده می شود (0/0001=P)، اما بین شدت درد 15 دقیقه بعد از خروج لوله گروه های مداخله و کنترل اختلاف معنی داری مشهود نیست (0/21=P).
    نتیجه گیری
    آرام سازی تنفسی تکنیکی موثر بر شدت درد ناشی از خروج لوله سینه ای بیماران پس از عمل جراحی قلب باز است و استفاده از این روش پیش از خروج لوله، به دلیل نداشتن هزینه، کاربری آسان و موثربودن توصیه می شود.
    کلید واژگان: آرام سازی, لوله سینه ای, درد, جراحی قلب باز
    Mitra Ayyasi, Mohammad Ali Heydari, Masoumeh Bagheri, Somayeh Rezaie
    Introduction
    Patients admitted to the intensive care unit express the chest tube removal as one of their worst experiences. In spite of scientific advances, no effective action is taken to reduce the pain due to it. Therefore, the aim of this study was to investigate the effect of respiratory relaxation on the severity of pain resulting from the removal of chest tube after coronary artery bypass graft. 
    Methods
    This single blind randomized trial was performed in 2016 on 80 patients with open heart surgery with only one mediastinal chest tube. Patients were randomly divided into case and control groups. In the case group, relaxation and relaxation breathing exercises were used for 5 minutes before the tube was exhausted. The severity of pain was measured by visual analog scale before, immediately and 15 minutes after the removal of the chest tube. Data analysis was performed using common tests.
    Results
    The results showed that there was no significant difference between the severity of pain in both groups before the removal of the chest tube (P=0.84). It was also found that there was a significant difference between the severity of pain immediately after the discharge of the tube in the case group (P=0.0001), but there was no significant difference between the intensity of pain 15 minutes after the withdrawal of the tubes in the case and control groups (P=0.21).
    Conclusion
    Respiratory relaxation is an effective technique for the pain intensity of postoperative chest tube after open heart surgery. It is recommended to use this method before tubing, due to lack of cost, ease of use and effectiveness.
    Keywords: Relaxation therapy, Chest tubes, Pain, Coronary artery bypass graft
  • Saeideh Nasiri, Hossein Akbari, Leila Tagharrobi, Akram Sadat Tabatabaee
    BACKGROUND

    If anxiety and depression do not detect in pregnant women, they may cause complications for the mother, child, and family, including postpartum depression. With regard to the administrative capability of relaxation in health centers, this study was conducted to determine the effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression in pregnant women.

    MATERIALS AND METHODS

    This randomized clinical trial was conducted on pregnant women in the city of Kashan at 28–36 weeks. At the onset of the study, demographic questionnaire, Edinburgh Depression Scale, and Depression, Anxiety, and Stress Scale‑21 (DASS‑21) were completed. Providing obtaining score of mild‑to‑moderate in the stress, anxiety, and depression scale and score of 10 or higher in Edinburgh Depression Scale, individuals were divided randomized to the intervention group (n = 33) and control group (n = 33). DASS‑21 was again completed in the 4th–7th weeks of beginning of the study by all women.

    RESULTS

    Analysis of variance with repeated measures indicated significant differences in mean of scores of stress, anxiety, and depression at three different times in relaxation group (P < 0.05) whereas found no significant differences in the mean of scores of stress, anxiety, and depression in the control group.

    CONCLUSIONS

    In this study, relaxation could reduce stress, anxiety, and depression in pregnant women during six sessions. Due to the simplicity and low cost of this technique, it can be used to reduce stress and anxiety in pregnant women and improve pregnancy outcomes.

    Keywords: Anxiety, depression, guided imagery, pregnancy, relaxation therapy, stress
  • Saeideh Nasiri, Masoumeh Kordi *, Morteza Modares Gharavi, Masoud Kashani Lotfabadi
    Background
    Postpartum depression with high prevalence and unpleasant complications needs to be identified and treated.
    Objective
    This study aimed to compare the effect of problem-solving therapy (PST) and relaxation on the severity of postpartum depressive symptoms.
    Methods
    This randomized controlled trial was performed in health-care centers of Mashhad city, Iran, in women on the 3rd postpartum week. A total of 120 women were selected conveniently and randomly assigned to three groups (i.e., PST, relaxation, and control groups). The women completed Edinburgh Depression Scale and Beck Depression Inventory (BDI). Problem-solving skills were educated during six weekly sessions. Progressive muscle relaxation exercises and guided imagery were performed daily and once a week during 6 weeks, respectively. In the control group, women received usual postpartum care. All groups completed a daily checklist for recording depression symptoms. The three groups completed the BDI once again a week after the end of the intervention. Data analysis was conducted using Chi-square, paired t-test, analysis of variance (ANOVA), and repeated measures ANOVA.
    Results
    The mean difference of severity of depressive symptoms was significantly different between the three groups at 9 weeks after delivery (−14.86 ± 6.15 in PST group, −10.71 ± 5.23 in relaxation group, and −4.72 ± 4.51 in the control group, P
    Conclusion
    Both PST and relaxation can reduce the severity of depressive symptoms. However, the effects of PST were more than those of relaxation.
    Keywords: Depressive symptoms, Postpartum depression, Problem?solving, Relaxation therapy
  • خانم سمیه زالی پور*، خدامراد مومنی
    سابقه و هدف
    سندرم پیش از قاعدگی یکی از شایع ترین مشکلات زنان است که می تواند منجر به کاهش کارایی تحصیلی، شغلی و اختلال در روابط بین فردی شود. بنابر این استفاده از برخی مداخلات جهت رفع این مشکل ضروری به نظر می رسد. در پژوهش حاضر به بررسی اثربخشی آرمیدگی عضلانی بر کاهش علایم سندرم پیش از قاعدگی پرداخته شد.
    روش بررسی
    این کارآزمایی بالینی با داشتن گروه شاهد و بررسی پیش-آزمون و پس آزمون صورت گرفت. بدین منظور در سال 91-92 یکی از دبیرستان های دخترانه شبانه روزی استان کرمانشاه به صورت تصادفی خوشه ایانتخاب شد و پرسشنامه سنجش علایم سندرم پیش از قاعدگی در میان دانش آموزان پخش گردید. پس از دو سیکل متوالی پرسشنامه ها جمع آوری شد و از میان مبتلایان 30 نفر به صورت تصادفی ساده انتخاب گردید و به صورت تصادفی در دو گروه آزمایشی و گواه جایگزین شدند. گروه آزمایش طی 8 جلسه آرمیدگی عضلانی را در طول 1 ماه آموزش دید و هر روز به طور مداوم همراه با دی وی دی آموزش آرمیدگی عضلانی به تمرین پرداخت و سپس از هر دو گروه پس آزمون به عمل آمد.
    یافته ها
    میانگین علایم سندرم پیش از قاعدگی پیش از مداخله در گروه شاهد و آزمایش به ترتیب (5/34±69/66 و 5/84±69/21)، و پس از مداخله در گروه شاهد و آزمایش به ترتیب (5/36±69/07 و 6/03±62/29) بود (0/001>p). گروه آرمیدگی عضلانی در پس آزمون، به طور معنی داری در میانگین علایم سندرم پیش از قاعدگی کاهش نشان داد.
    نتیجه گیری
    به نظر می رسد که آرمیدگی عضلانی موجب کاهش سندرم پیش از قاعدگی می شود. تحقیقات بیشتر را در این زمینه توصیه می کنیم.
    کلید واژگان: آرمیدگی عضلانی, سندرم پیش از قاعدگی, درمان مکمل
    Background
    Premenstrual syndrome is characterized by the cycle occurrence physical, psychological and behavioral symptoms during the luteal phase of the menstruation cycle and will disappear within a few days of the onset of menstruation. The aim of this study was to assess the effect of relaxation therapy on premenstrual syndrome.
    Materials And Methods
    This was a double-blind clinical trial study with control group and pretest-post-test. Study was carried out on 29 volunteer students of Kermanshah schools with PMS diagnosis in year 91-92. After surveying two menstruation cycles and confirming PMS existence, subject were randomly assigned into relaxation and control group. Relaxation protocol was performed for eight weeks in 1 month. Volunteers completed DRSP during 2 cycles before and 1 cycle after intervention. Data were analyzed using SPSS software.
    Results
    The Mean premenstrual syndrome scores, in comparison between before intervention, (69.21±5.84 in relaxation group, 69.66±5.34 in control group) and after intervention (62.29±6.03 in relaxation group, 69.07±5.36 in control group) (p-value<0.001), relaxation group showed significant decrease averagely in mean of symptoms.
    Conclusion
    Based on the results of this study it can be concluded that relaxation therapy is an effective method for relieving symptoms of premenstrual syndrome. Our advice is for more research in this area.
    Keywords: Premenstrual syndrome, Relaxation therapy, Complementary therapy
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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