IMEMR
66.92
Volume 5, Issue 4 (2024)                   J Clinic Care Skill 2024, 5(4): 225-231 | Back to browse issues page
Article Type:
Original Research |

Print XML PDF HTML Full-Text (HTML)


History

How to cite this article
Arianpour H, Hosseini M, Afrasiabifar A, Malekzadeh J. Effect of Benson Relaxation and Warm Foot Bath on Sleep Quality in Acute Coronary Syndrome Patients. J Clinic Care Skill 2024; 5 (4) :225-231
URL: http://jccs.yums.ac.ir/article-1-226-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran
2- “Faculty of Nursing” and “Social Determinants of Health Research Center”, Yasuj University of Medical Sciences, Yasuj, Iran
3- Faculty of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
4- Department of Nutrition, Faculty of Health and Nutrition, Yasuj University of Medical Sciences, Yasuj, Iran
* Corresponding Author Address: Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Shahid Motahari Boulevard, Yasuj, Boyer-Ahmad, Yasuj, Iran. Postal Code: 7591994799
Abstract   (336 Views)
Aims: Sleep disorders are common in acute coronary syndrome. Benson relaxation techniques, warm foot baths, and a combination of these two may be helpful in improving the sleep quality of patients. Therefore, this study was conducted to determine the effect of the combination of Benson relaxation and warm foot baths on the sleep quality of patients with acute coronary syndrome.
Materials & Methods: This randomized controlled clinical trial was conducted in the winter of 2018 and spring of 2019 on 64 patients with acute coronary syndrome hospitalized in the ICU of Shahid Rajaee Hospital, Gachsaran, Iran. The patients were randomly allocated into four groups: Benson relaxation (16 patients), warm foot bath (16 patients), a combination of relaxation and foot bath (16 patients), and a control group (16 patients). Each intervention group received the intervention once every night (nights 2, 3, and 4) before bedtime in the hospital. The patients’ sleep quality was assessed by completing the St. Mary’s Hospital Sleep Questionnaire (SMHSQ) before (day 1) and after the intervention (in the morning of days 3, 4, and 5). The data were analyzed using SPSS 16 software, employing the chi-square, Kruskal-Wallis, and Bonferroni post hoc statistical tests.
Findings: Sixty-four patients, including 40 males (62.5%) and 24 females (37.5%), with a mean age of 54.24±8.16 years, participated in this study. On night 4, a statistically significant difference was observed in each of the intervention groups, including warm foot bath (P=0.004), Benson relaxation (p=0.001), and the combination group (p=0.007), compared to the control group. However, no significant difference was indicated between the combination group and any of the individual intervention groups (p>0.05).
Conclusion: Benson relaxation techniques, warm foot baths, and their combination equally improve sleep quality in patients with acute coronary syndrome.
Keywords:

References
1. Yalcin G, Ozsoy E, Karabag T. The relationship of body composition indices with the significance, extension and severity of coronary artery disease. Nutr Metab Cardiovasc Dis. 2020;30(12):2279-85. [Link] [DOI:10.1016/j.numecd.2020.07.014]
2. Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med. 2016;4(13):256. [Link] [DOI:10.21037/atm.2016.06.33]
3. Rahmani A, Naseri M, Salaree MM, Nehrir B. Comparing the effect of foot reflexology massage, foot bath and their combination on quality of sleep in patients with acute coronary syndrome. J Caring Sci. 2016;5(4):299-306. [Link] [DOI:10.15171/jcs.2016.031]
4. Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics-2021 update: A report from the American Heart Association. Circulation. 2021;143(8). [Link]
5. Aalami H, Moghadam HM, Moghaddam MB, Bazeli J. Effect of hybrid aromatherapy on sleep quality of patients with acute coronary syndrome admitted to cardiac care unit. Middle East J Fam Med. 2018;7(10):268. [Link] [DOI:10.5742/MEWFM.2018.93231]
6. Moradkhani A, Baraz S, Haybar H, Hemmatipour A, Hesam S. Effects of local thermotherapy on chest pain in patients with acute coronary syndrome: A clinical trial. Jundishapur J Chronic Dis Care. 2018;7(4):e69799. [Link] [DOI:10.5812/jjcdc.69799]
7. Motallaei M, Darand M, Taftian M, Beigrezaei S, Golvardi-Yazdi F, Mohyadini M, et al. A cross-sectional study on the association between lifestyle factors and coronary artery stenosis severity among adults living in central Iran: A protocol for the Iranian-CARDIO study. ARYA Atheroscler. 2024;20(1):51-61. [Link]
8. Nesami MB, Gorji MAH, Rezaie S, Pouresmail Z, Chorati JY. The effect of acupressure on the quality of sleep in patients with acute coronary syndrome in Cardiac Care Unit. Iran J Crit Care Nurs. 2014;7(1):7-14. [Link]
9. Naseri M, Rahmani A, Nerir B, Salari M, Moshkani Farahani M. Effect of foot reflexology massage and foot bath on the sleep quality of patients with acute coronary syndrome: A comparative study. J Crit Care Nurs. 2016;9(4). [Link] [DOI:10.17795/ccn-10294]
10. Saneie P, Otaghi M. Investigating the effect of performing the quiet time protocol on the sleep quality of cardiac patients. Technol Res Inf Syst. 2018;1(2). [Persian] [Link]
11. Bakavoly ME, Sajjadi M, Ghasemi R, Ajamzibad H. Comparison of the impacts of Benson relaxation technique and foot reflexology massage on sleep quality of patients with systolic heart failure: A randomized clinical trial. Iran J Nurs Midwifery Res. 2023;28(4):448-54. [Link] [DOI:10.4103/ijnmr.ijnmr_332_21]
12. Davodi Boroujerdi Q, Ahmadi M, Moradi P, Jafari M. Investigating factors affecting sleep quality in the elderly suffering from coronary artery disease. Res Med. 2020;44(4):594-9. [Persian] [Link]
13. Maust DT, Lin LA, Blow FC. Benzodiazepine use and misuse among adults in the United States. Psychiatr Serv. 2019;70(2):97-106. [Link] [DOI:10.1176/appi.ps.201800321]
14. Seldenrijk A, Vis R, Henstra M, Van Grootheest D, Salomons T, Overmeire F, et al. Systematic review of the side effects of benzodiazepines. NEDERLANDS TIJDSCHRIFT VOOR GENEESKUNDE. 2017;161:D1052. [Dutch] [Link]
15. Mirbastegan N, Ganjloo J, Bakhshandeh Bavarsad M, Rakhshani MH. Effects of aromatherapy on anxiety and vital signs of myocardial infarction patients in intensive care units. Int Med J Malays. 2016;15(2). [Link] [DOI:10.31436/imjm.v15i2.387]
16. Fazlollahpour-Rokni F, Shorofi SA, Mousavinasab N, Ghafari R, Esmaeili R. The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery. Complement Ther Clin Pract. 2019;34:201-7. [Link] [DOI:10.1016/j.ctcp.2018.11.014]
17. Ebrahimi Hosein Abadi S, Paryad E, Ghanbari Khanghah A, Pasdaran A, Kazem Nezhad Leyli E, Sadeghi Meibodi AM. Effects of aromatherapy using lavender oil on hemodynamic indices after coronary artery bypass graft surgery. J Holist Nurs Midwifery. 2018;28(3):163-70. [Link] [DOI:10.29252/hnmj.28.3.163]
18. Pourshaikhian M, Moghadamnia MT, Kazemnezhad Leyli E, Shafiei Kisomi Z. Effects of aromatherapy with Matricaria chamomile essential oil on anxiety and hemodynamic indices in patients with acute coronary syndrome, 2021: A randomized controlled trial. BMC Complement Med Ther. 2024;24(1):17. [Link] [DOI:10.1186/s12906-023-04326-9]
19. Moradi Mohammadi F, Bagheri H, Khosravi A, Ameri M, Khajeh MM. The effect of Benson relaxation technique on sleep quality after coronary artery bypass graft surgery. Avicenna J Nurs Midwifery Care. 2020;27(6):371-80. [Persian] [Link] [DOI:10.30699/ajnmc.27.6.371]
20. Belchamber C. Payne's handbook of relaxation techniques: A practical handbook for the health care professional. London: Elsevier Health Sciences; 2021. [Link]
21. Zakerimoghadam M, Shaban M, Mehran A, Hashemi S. Effect of muscle relaxation on anxiety of patients undergo cardiac catheterization. HAYAT. 2010;16(2):64-71. [Persian] [Link]
22. Potter PA, Perry AG, Stockert PA, Hall A, Ochs G. Study guide for fundamentals of nursing. London: Elsevier Health Sciences; 2012. [Link]
23. Moeini M, Khadibi M, Bekhradi R, Mahmoudian SA, Nazari F. Effect of aromatherapy on the quality of sleep in ischemic heart disease patients hospitalized in intensive care units of heart hospitals of the Isfahan University of Medical Sciences. Iran J Nurs Midwifery Res. 2010;15(4):234-9. [Link]
24. Bagheri-Nesami M, Gorji MAH, Rezaie S, Pouresmail Z, Cherati JY. Effect of acupressure with valerian oil 2.5% on the quality and quantity of sleep in patients with acute coronary syndrome in a cardiac intensive care unit. J Tradit Complement Med. 2015;5(4):241-7. [Link] [DOI:10.1016/j.jtcme.2014.11.005]
25. Teimouri F, Pishgooie SA, Malmir M, Rajai N. The effect of Benson relaxation on physiological criteria in patients undergoing coronary artery bypass graft surgery. Complement Med J. 2019;9(3):3812-23. [Persian] [Link] [DOI:10.32598/cmja.9.3.3812]
26. Silva A, Queiroz SSd, Andersen ML, Mônico-Neto M, Campos RMdS, Roizenblatt S, et al. Passive body heating improves sleep patterns in female patients with fibromyalgia. Clinics. 2013;68(2):135-40. [Link] [DOI:10.6061/clinics/2013(02)OA03]
27. Ellis BW, Johns MW, Lancaster R, Raptopoulos P, Angelopoulos N, Priest RG. The St. Mary's Hospital sleep questionnaire: A study of reliability. Sleep. 1981;4(1):93-7. [Link] [DOI:10.1093/sleep/4.1.93]
28. Abolhasani S. Effect of sensory stimulation on sleep deprivation symptoms and cardiac index in patients admitted to coronary care unit selected hospitals of Isfahan University of Medical Sciences [dissertation]. Isfahan: Isfahan University of Medical Sciences; 2003. [Persian] [Link]
29. Moslemi F, Alijaniha F, Naseri M, Kazemnejad A, Charkhkar M, Heidari MR. Citrus aurantium aroma for anxiety in patients with acute coronary syndrome: A double-blind placebo-controlled trial. J Altern Complement Med. 2019;25(8):833-9. [Link] [DOI:10.1089/acm.2019.0061]
30. Neyse F, Daneshmandi M, Sadeghi Sharme M, Ebadi A. The effect of earplugs on sleep quality in patients with acute coronary syndrome. Crit Care Nurs. 2011;4(3):127-34. [Persian] [Link]
31. Zeraati F, Saif Rabiee M, Araqhchian M, Sabori T. Assessment of quality of sleep and use of drugs with sedating properties in adult patients hospitalized in Hamadan Ekbatan Hospital. Avicenna J Clin Med. 2010;16(4):31-6. [Persian] [Link]
32. Sirati M, Pishgooie SA, Jadid-Milani M. The effect of Benson's sedation on the sleep quality of hospitalized elderly: A randomized controlled trial. J Nurs Adv Clin Sci. 2024;1(4):193-8. [Link] [DOI:10.32598/JNACS.2408.1052]
33. Akbarzadeh R, Koushan M, Rakhshani MH, Hashemi NSM. Effect of the Benson relaxation technique on quality of sleep in patients with chronic heart disease. J Sabzevar Univ Med Sci. 2014;21(3):492-500. [Persian] [Link]
34. Talebi Ghadicolaei H, Heydary Gorji MA, Bagheri B, Yazdani Charati J, Hadinejad Z. The effect of warm footbath on the quality of sleep on patients with acute coronary syndrome in cardiac care unit. J Caring Sci. 2019;8(3):137-42. [Link] [DOI:10.15171/jcs.2019.020]
35. Farrokhian R, Solimani MA, Sheikhi MR, Alipour M. Effect of foot reflexology massage on sleep quality in hemodialysis patients: A randomized control trial. Avicenna J Nurs Midwifery Care. 2016;24(4):213-20. [Persian] [Link] [DOI:10.21859/nmj-24041]