Showing 18 results for Afrasiabifar
R. Rezaeikia , Sh. Najafi Doulatabad , A. Afrasiabifar , M. Zoladl ,
Volume 1, Issue 1 (Winter 2020)
Abstract
Aims: The present study was conducted with the aim of determining the effect of passive movements on hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse, and pulse pressure of patients under ventilation.
Materials & Method: In this controlled clinical trial, 64 patients under ventilation in Kohgiluyeh and Boyer-Ahmad University of Medical Sciences and Health Services and Shiraz University of Medical Sciences were selected by convenience sampling method. They were assigned to experimental (32 people) and control (32 people) groups, using random block assignment. The experimental group, in half supine position at 30°, received passive movements of the lower extremities, according to the protocol, by a therapist for 22 minutes. Then, the values of hemodynamic parameters were recorded after 22 minutes and at intervals of 2, 6, 12 and 24h after the post-test, as follow-up times. Data were analyzed by SPSS 21 software, using independent t-test, Chi-square test and repeated measure of variance analysis.
Findings: In hemodynamic parameters of the experimental group in each time interval, including immediately, 2 hours, 6 hours, 12 hours, and 24 hours after the completion of the research interventions, compared with their amount at the starting point of the study, and in comparison with these changes in the control group, there was no significant difference (p>0.05).
Conclusion: Passive movements of lower extremity have no effect on hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse, and pulse pressure of patients under ventilation.
A. Amini , A. Afrasiabifar , S.a.v. Taghavi ,
Volume 1, Issue 1 (Winter 2020)
Abstract
Aims: Evidence has suggested that there might be negative consequences and benefits associated with maternal exercise while breastfeeding. The aim of the present study was to determine the effect of the exercise on lactation in breastfeeding women regarding whether mothers can exercise and breastfeed without detriment to the growth of their infants.
Materials & Methods: In this randomized controlled clinical trial, 38 lactating mothers with inclusion criteria referring to breastfeeding clinic, Isfahan, Iran in 2015 to 2016 were randomly divided into the intervention and control groups. The intervention group was required to do aerobic exercises for 6 weeks (3 days in week for 30 minutes in day).Training of aerobic exercise under the supervision of an expert was, then, performed. An educational pamphlet of the exercises along with the CD was given to them. Control group only received the routine care. After the intervention, mother and neonate outcomes such as mother's breastfeeding interval and neonate weight were measured by the breastfeeding questionnaire. Data analysis was performed by t-test, X2 and Mann–Whitney U test.
Findings: A significant difference was observed between 2 groups concerning the interval of breastfeeding (3.55±0.51 VS 2.05± 0.41) and neonate's weight (6775.00±468.34 VS 5836.11± 401.39; p<0.001). In the group that received aerobic exercises, the number of breastfeeding in 24 hours and neonate's weight were more than control group.
Conclusion: Aerobic exercise has positive on the breastfeeding frequency and body weight of neonate. Thus, these exercises are recommended to be incorporated in postpartum care.
M.r. Koohpyma, S.j. Sadat, A. Afrasiabifar, M. Zoladl,
Volume 1, Issue 2 (Spring 2020)
Abstract
Aims: Today, due to the failure of non-surgical methods in the treatment of obesity, surgical procedures such as sleeve gastrocetomy are used. Similar to other invasive interventions, sleeve gastrectomy causes an imbalance in hemodynamic parameters. The aim of this study was to determine the effect of early mobilization on hemodynamic parameters in patients undergoing sleeve gastrectomy.
Materials and Methods: The present study is a clinical trial that was conducted in Shiraz in 2016. 88 patients were selected by convenience sampling method and divided into intervention and control groups, using randomized block design. Hemodynamic parameters including systolic and diastolic blood pressure and arterial oxygen saturation were recorded at the time of entering the ward, 6, 12, and 24 hours after departure. T-test, Mann-Whitney, Chi-square, repeated measures ANOVA, Kruskal-Wallis, Friedman test, and SPSS 21 software were used.
Findings: The changes in systolic and diastolic blood pressure in the intervention group at each time interval after intervention were significantly different from that of the control group (p>0.05). Also, changes in arterial oxygen saturation in the intervention group except for the early mobilization, at other times compared to their starting point, were significantly different in comparison to the control group (p>0.05).
Conclusion: The effect of early mobilization is greater compared to the conventional procedure of mobilization for the patients after sleeve gastrectomy surgery in the systolic and diastolic blood pressure and arterial oxygen saturation.
A.k. Alamdari, R. Taheri, A. Afrasiabifar, M.l. Rastian,
Volume 1, Issue 2 (Spring 2020)
Abstract
Aims: Several studies have shown controversy over the effectiveness of various educational methods. This study was performed with the aim of comparing the effect of face-to-face education and educational booklet on health-related quality of life in patients suffering from type 2 diabetes.
Materials and Methods: In this clinical trial study, which was conducted in 2017, 120 patients qualified to enter the study were selected by random sampling; they were randomly allocated to 3 groups, including, face-to-face group, education through booklet, and control group. The data were collected through Diabetes Quality of Life-Brief Clinical Inventory (DQL-BCI). Patients in the two intervention groups were presented with materials with the same educational content, but different teaching methods. The data were analyzed by SPSS 21, using Chi-square, one-way analysis of variance, paired t-test, and Tukey's post hoc test.
Findings: Before intervention, mean score of health-related quality of life in patients in the 3 groups was not statistically significant (p=0.1). After intervention, there was a significant difference between the mean score of health-related quality of life of patients in intervention groups and control group (p=0.001). However, there was no significant difference between the patients in face-to-face and education through booklet groups (p>0.05).
Conclusion: The effect of face-to-face education and educational booklet on health-related quality of life in patients with type 2 diabetes is the same.
M. Koohpeyma , S.j. Sadat , M. Zoladl , A. Afrasiabifar ,
Volume 1, Issue 3 (Summer 2020)
Abstract
Aims: Among different treatments for obesity, sleeve gastrectomy has been more effective. Despite the positive effect of this surgery on the treatment of obesity, sleeve gastrectomy, like other invasive interventions, results in an imbalance in hemodynamic parameters. The aim of this study was to investigate the effect of gradual mobilization with bed activity on hemodynamic parameters in patients undergoing sleeve gastrectomy.
Materials & Methods: In this randomized clinical trial, 88 patients candidate for sleeve gastrectomy in Ghadir Mother and Child Hospital affiliated to the Shiraz University of Medical Sciences, who were eligible, were selected by convenience sampling method and divided into the intervention and control groups (44 subjects in each group) using random block allocation. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation of all patients were recorded at the time of admission to the ward immediately, 6, 12 and 24 h after withdrawal from the bed. Data were analyzed by SPSS 21 software and descriptive and inferential statistics.
Findings: The changes of hemodynamic parameters in the intervention group were significantly different at each time point of measurement after the interventions compared to these changes in control group (p<0.05).
Conclusion: The effect of gradual mobilization with bed activity is more than the conventional procedure for patients’ mobilization after gastrectomy on balancing of systolic blood pressure, diastolic blood pressure, and arterial oxygen saturation.
M. Sadeghi , S. Zabolipour , A. Afrasiabifar , Sh. Najafi Doulatabad ,
Volume 1, Issue 3 (Summer 2020)
Abstract
Aims: Rheumatoid arthritis is the most common autoimmune disease of chronic inflammation and pain is one of the most prevalent complaints of these patients. The aim of this study was to compare the effect of sole reflexology massage and stretching exercises on pain severity of patients with rheumatoid arthritis.
Materials & Methods: This clinical trial study was conducted among 75 patients with rheumatoid arthritis referred to the Shahid Mofatteh Clinic in Yasuj, Iran in 2017-18. Subjects were selected by purposive sampling method and divided into three groups including sole reflexology massage, stretching exercises and control groups by random block allocation (N=25 in each group). The interventions were carried out for one month including 30-minute sessions three times a week. Pain severity of patients was evaluated before interventions and 10 minutes after the last intervention session using Standardized visual analogue scale (VAS). Data were analyzed by SPSS 21 software using Chi-square test, one-way ANOVA and Tukey post hoc tests.
Findings: Before interventions, the mean score of pain of patients among sole reflexology massage, stretching exercises and control groups had no significant difference (p=0.1). After interventions, a significant difference was observed in the pain severity of patients of three groups (p=0.001) that this difference was related to the stretching exercises group compared to the sole reflexology massage and control groups.
Conclusion: Stretching exercises reduce the pain severity of patients with rheumatoid arthritis, but sole reflexology massage does not improve or reduce the pain of these patients.
F. Pirami, S. Zabolipoor, A. Afrasiabifar, Sh. Najafi Doulatabad,
Volume 2, Issue 2 (Spring 2021)
Abstract
Aims: Pain is one of the most important complications after colorectal surgery, and recently the use of non-pharmacological methods to reduce this complication researchers' attention has been drawn. This study aimed to determine the effect of pelvic floor muscle exercise on the severity of pain in women after colorectal surgery.
Materials & Methods: In this randomized clinical trial, all female patients with one of the benign colorectal diseases were referred to Be'sat, and Shahid Rajaei hospitals of Gachsaran and Shahid Beheshti hospital of Yasuj, Iran, in 2016 were studied. Ninety-six patients were selected by convenience sampling method and randomly assigned to intervention and control groups. Patients in the preoperative intervention group were trained to exercise the pelvic floor muscles, and these postoperative contraction exercises were performed 60-100 times a day. 6, 12, 18, 24, and 48 hours after surgery, pain intensity was collected using a numerical pain scale. Data collected in SPSS 22 were analyzed by independent t-test, chi-square, Fisher's exact, and Mann-Whitney tests.
Findings: The mean pain intensity in both intervention and control groups decreased over time after surgery. No significant differences were comparing the means of pain intensity in 6, 12, 18, 24, and 48 hours after the surgery between the two groups (p>0.05).
Conclusion: Pelvic floor muscle exercise intervention has no effect on the severity of pain in women after colorectal surgery.
S. Zabolypour, A. Afrasiabifar, S. Mohammadi, M. Farzannia,
Volume 2, Issue 3 (Summer 2021)
Abstract
Aims: Sleep is one of the basic physiological needs of human beings, and sleep quality is an effective criterion on the quality of life of hemodialysis patients. Therefore, paying attention to sleep and its improvement should be a priority in nursing care. This study aimed to determine the effect of increasing the pumped blood volume delivered to dialyzer on sleep quality in hemodialysis patients.
Materials & Methods: This semi-experimental study is a clinical trial carried out on 50 hemodialysis patients referred to the hospitals affiliated with Tehran University of Medical Sciences in 2011. Convenience sampling selected samples and randomly divided them into control and intervention groups through permuted block randomization. Data were collected by Pittsburgh Sleep Quality Index in the three stages before intervention and 2 and 4 weeks after intervention. The blood volume delivered to the dialyzer increased by 25ml in the first two weeks and 50ml in the second two weeks compared to before the intervention. Data were analyzed by SPSS 21 software using repeated measures ANOVA and Kruskal-Wallis test.
Findings: The mean score of sleep quality in the intervention group before the intervention and two and four weeks after the intervention were 10.2±2.6, 8.8±3.4 and 6.9±2.9, respectively and in the control group were 11.4±2.8, 12.5±3.3, and 12.6±3.4, respectively. There was no significant difference in the total score of sleep quality and some of its dimensions between the intervention and control groups (p<0.05).
Conclusion: Increasing blood volume delivered to the dialyzer has improved hemodialysis patients' sleep quality, and this improvement seems to be clinically significant.
T. Heidari, S. F. Zainat Motlagh, A. Afrasiabifar, N. Hosseini, M. Fooladi,
Volume 2, Issue 4 (Fall 2021)
Abstract
Aims: Diabetes is a common disease manageable by self-care behaviors. Although studies have identified facilitators such as support, self-efficacy, and inhibitors such as insufficient information about diabetes and inadequate incentive for self-care behaviors, there has been no comprehensive qualitative study of Iranian diabetic patients and their self-care behaviors. This study aimed to determine the facilitators and inhibiting factors in type 2 diabetic patients’ self-care behavior.
Participants & Methods: Using a qualitative content analysis approach, 19 Iranian patients with type 2 diabetes between 30-60 years were purposefully selected. Semi-structured interviews helped collect data until saturation was reached after 25 interviews. Data were analyzed using the content analysis method.
Findings: Researchers found two main themes indicating facilitators and inhibitors of self-care behavior and derived ten sub-themes. Perceived facilitators to self-care behaviors were diabetes as a life-threatening disease, self-control, self-efficacy in self-care, and support for self-care. Self-care inhibitors were personal inefficiencies, the others’ beliefs about diabetes treatment, lack of support, perceived threat to self-identity for being a diabetic, arbitrary control, and perceived helplessness.
Conclusion: Self-care behaviors among Iranian patients with type 2 diabetes are affected by multiple factors such as personal beliefs and attitudes, family and community support, and self-efficacy.
Z. Javid, M. Salari, A. Afrasiabifar, V. Minasian, R. Abbasi Larki ,
Volume 3, Issue 1 (Winter 2022)
Abstract
Aims: Hemodialysis treatment affects the long-term life of the patients. Therefore, most hemodialysis patients have an inactive lifestyle. Inactivity is associated with a high risk of poor quality of life, hospitalization, and mortality among dialysis patients. Therefore, this study aimed to compare the effect of aerobic and resistance training on the quality of life of hemodialysis patients.
Methods: In this clinical trial study, 64 hemodialysis patients of Shahid Beheshti Hospital in Yasuj who were eligible to participate in the study were selected by convenience sampling method. The subjects were randomly assigned into three groups (aerobic exercise, resistance exercise, and control group). Patients in the aerobic exercise group were provided fixed bicycle aerobic exercise for 8 weeks during hemodialysis, and the subjects in the resistance exercise group were provided resistance training by stretches and dumbbells. The control group did not receive any intervention. A demographic questionnaire, Kidney Disease Quality Of Life-Short Form (KDQOL-SF) was used immediately before and after the interventions. Data were analyzed using SPSS 21 through a one-way analysis of variance.
Findings: There was no statistically significant difference in the mean score of the public quality of life (p=0.8) and specific quality of life (p=0.2) between the experimental and control groups, before the intervention. There was a statistically significant difference in the public and specific quality of life (p=0.001) between the aerobic and resistance training groups with the control group. However, there was no statistically significant difference in the public and specific quality of life between the aerobic and resistance exercise groups (p>0.05).
Conclusion: Both types of aerobic and resistance exercises can be done by the individual as complementary and practical, effective, affordable, and available therapy. Therefore, it is suggested to provide interventions in the educational program for patients undergoing hemodialysis by the health team members.
Sh. Kharamin, Kh. Nourian, A. Mosavi, S. Afroughi, A. Afrasiabifar, S. Hosseini Nik, S. Cheraghi, A. Niknam,
Volume 3, Issue 2 (Spring 2022)
Abstract
Aims: Many emotional problems including anxiety have been reported in diabetic patients. Different training methods have been used to reduce the patients' anxiety. This study aimed to compare the effectiveness of cognitive-behavioral model implementation by peers and nurses on anxiety in patients with type 2 diabetes.
Materials & Methods: This randomized clinical trial study was performed on 75 patients with type 2 diabetes referred to Diabetes Clinic in Gachsaran, Iran in 2018. The samples were selected through purposive sampling method and randomly assigned to the three groups (intervention by nurses, intervention by peers and control). The Hazlett-Stevens protocol was implemented for the training groups by nurses and peers in 12 sessions. Data were collected through Hilton Anxiety Rating Scale and analyzed using SPSS 21 software and inferential tests.
Findings: The mean anxiety score in the intervention groups by nurses and peers was significantly different compared to the control group after the intervention (p<0.05). Also, a statistically significant difference was observed in the mean anxiety score of the post-test compared to the pre-test in the intervention groups by peers and nurses (p<0.05). However, there was no significant difference between the anxiety scores of the intervention groups by peers and nurses after the intervention (p>0.05).
Conclusion: Cognitive-behavioral model training by both peers and nurses is effective on the anxiety of patients with type 2 diabetes.
M. Jafari, A. Afrasiabifar, M. Salari,
Volume 3, Issue 4 (Fall 2022)
Abstract
Aims: Endotracheal suctioning is the most effective way to clear discharge and maintain open airway. This is usually done by nurses. This study aimed to determine the effect of combinational changes of catheter size and its related suction negative pressure on hemodynamic parameters of patients undergoing mechanical ventilation.
Materials & Methods: In this clinical trial study, thirty-five patients undergoing ventilators were eligible for inclusion were selected by available sampling method. Endotracheal suctioning was performed for each patient 4 times with at least 2 hours interval by catheter 10 and 12 and negative pressures of 100 and 150 were used. Hemodynamic parameters of all patients were recorded immediately before, immediately after, 10 and 20 minutes after each intervention. The data were then analyzed using SPSS 21 and ANOVA with repeated measures.
Findings: Suctioning with catheters 10 and 12 at pressures of 100 and 150 increased the hemodynamic parameters immediately after endotracheal suction. These increases was significant in systolic blood pressure (p=0.004) and mean arterial blood pressure (p=0.01). This test showed a statistically significant difference between intervention and intra-intervention in mean arterial oxygen saturation at post-suction time (p=0.001).
Conclusion: Although the catheter 12 and pressure 100 and 150 indicated a greater increase in hemodynamic parameters at the time immediately after endotracheal suctioning, the changes are minor and within the normal range and decreased 10 and 20 minutes after the procedure and approached pre-suction time.
A. Hosseini, A. H. Doustimotlagh, A. Afrasiabifar, S. Sedaghattalab,
Volume 4, Issue 2 (Spring 2023)
Abstract
Aims: Different corticosteroids with different characteristics, such as hydrocortisone and dexamethasone, have been used to treat exacerbated chronic obstructive pulmonary disease, but the drug of choice is unclear. The main goal of the present study was to compare the efficacy of hydrocortisone and dexamethasone on clinical symptoms, peak expiratory flow, oxidative stress factors, and inflammatory mediators in patients with exacerbation of chronic obstructive pulmonary disease.
Materials & Methods: In this single-blind randomized clinical trial study in 2021, 70 eligible patients with chronic obstructive pulmonary disease exacerbations were selected and randomly divided into two A (8mg of intravenous dexamethasone daily) and B (200mg of intravenous daily hydrocortisone) groups. Clinical symptoms and peak expiratory flow were measured before intervention (day 1), after intervention (day 2), and on discharge day. However, oxidative stress factors and inflammatory mediators were evaluated on day one and discharge day. Moreover, the probable complications of both drugs were measured and scaled 1-4 by the researcher.
Findings: Between groups, comparisons showed significant differences in the patients’ clinical indicators for shortness of breath (p=0.02), sputum volume (p=0.01), and oxygen saturation of arterial blood (p=0.02). However, these differences were related to the first day, and no statistically significant differences were observed on the second or discharged days. The intragroup comparison revealed that the prescription of both dexamethasone and hydrocortisone led to significant improvement in the patient’s clinical symptoms.
Conclusion: Dexamethasone and Hydrocortisone are the same in improving important clinical symptoms and have similar efficacy on inflammation and oxidative stress in patients with COPD exacerbation.
A. Afrasiabifar, N. Jafari Dehkordi, A. Mosavi,
Volume 4, Issue 2 (Spring 2023)
Abstract
Aims: Improving oral hygiene is a part of the nursing care in oncology centers. Its maintenance can also play an important role in improving Oral Health-Related Quality of Life (OHRQOL). This study investigated the effect of natural grape vinegar and rosewater solution on oral health-related quality of life in chemotherapy patients.
Materials & Methods: A randomized controlled trial was conducted on 60 chemotherapy patients. Patients were randomly assigned to one of two groups of intervention and control. The participants rinsed their mouths with grape vinegar and rosewater solution for one minute thrice daily for 14 days. An oral Health Impact Profile was used for data collection. Data were analyzed by SPSS 21, using descriptive statistics methods and inferential analysis tests, including an independent sample T-test.
Findings: The global mean score of oral health-related quality of life in the chlorhexidine group was 31.8±4.8 and19.5±4.6 for one day before and 21 days after the intervention, respectively. These values for grape vinegar and rosewater group patients were 30.8±6.3 and 14.1±4.1, respectively. The independent sample T-test showed a significant difference between the two groups at 21 days after the intervention.
Conclusion: Grape vinegar and rosewater combined solution improves OHRQOL in chemotherapy patients.
A. Afrasiabifar, A. Mosavi, Sh. Najafi Doulatabad, M. Mohammadian Behebahani,
Volume 4, Issue 4 (Fall 2023)
Abstract
Aims: Studies conducted in the field of non-pharmacological interventions to control delayed nausea and vomiting caused by chemotherapy have reported contradictory results. The present study was conducted with the aim of comparing the effect of ice massage and C-band on acute and delayed nausea and vomiting caused by chemotherapy.
Materials and methods: In the present clinical trial study, 105 patients referred to the chemotherapy department of Shahid Rajaei Hospital, Yasuj, Iran, in 2018, were selected by convenience sampling and randomly assigned to three groups: Ice massage, C bandage and control. In the group of ice massage and C bandage, massage with zinc ice and C bandage were used for stimulation, respectively. Acute nausea and vomiting was assessed through the Moro questionnaire, and delayed nausea and vomiting were assessed using the mask tool at 6, 12, 18, 24 and 48 hours after chemotherapy before and after the interventions. The collected data were analyzed using SPSS version 22 software.
Findings: Before intervention, there was no significant difference in terms of the presence/absence, as well as the severity of acute and delayed nausea and vomiting in the three groups at 6, 12, 18 and 24 hours after chemotherapy (p>0.05). Also, there was no significant difference in the presence/absence and intensity of acute and delayed nausea in the patients in the ice massage, band C, and control groups at 6, 12, 18, and 24 hours after chemotherapy after the interventions.
Conclusion: Ice massage and C-bandage did not improve nausea and vomiting in chemotherapy patients.
Sh. Najafi Doulatabad, A. Afrasiabifar, Y. Parandvar,
Volume 4, Issue 4 (Fall 2023)
Abstract
Aims: Stroke is a localized and sudden neurological disorder in the brain that can decrease muscle strength. This study aimed to determine the effect of Proprioceptive Neuromuscular Facilitation exercises on the muscle strength of stroke patients.
Materials & Methods: This pre-post clinical trial with a randomized control group was conducted in 2017-2018. Patients with stroke were referred to the Neurology Department of Shahid Beheshti Hospital in Yasuj City, Iran. Sixty eligible stroke patients were selected through convenience sampling and assigned to intervention and control groups using random block allocation. Data were collected through a muscle strength questionnaire at baseline, immediately post-intervention, and four weeks after the last intervention. Statistical analysis was performed using SPSS 21 software, employing Wilcoxson and Mann-Whitney U.
Findings: There was no statistically significant difference in muscle strength between the research samples before and immediately after the intervention. However, one month after the intervention, a statistically significant difference was reported between the two groups (p<0.05). The difference in the mean muscle strength was significant in the test group (p=0.001).
Conclusion: Implementing proprioceptive neuromuscular facilitation techniques improves muscle strength in stroke patients.
H. Jamshidi, J.m. Malekzadeh , A. Afrasiabifar , A.k. Alamdari, H. Zamani Habibabad , N. Hosseini ,
Volume 5, Issue 1 (Winter 2024)
Abstract
Aims: Fatty liver disease is a type of fat accumulation in the liver parenchyma that can be related to lifestyle. Therefore, this study compared the effectiveness of nutrition education with and without physical activity on blood lipids and liver aminotransferase enzymes in men with non-alcoholic fatty liver disease.
Materials & Methods: This study is a randomized clinical trial with a control group, carried out on 80 employees working in the South Pars gas complex in Jam, Iran, suffering from fatty liver. The participants were allocated to four nutrition education groups; a physical activity group, a nutrition education group with physical activity, an education group without physical activity, and a control group (20 people each) using a random block sampling method. In all four groups, 48 hours before the intervention, 3 and 6 months after the intervention, blood lipids and liver enzymes were measured and recorded in a form. Data were analyzed using SPSS 21 software and chi-score statistics, one-way ANOVA, and repeated measures ANOVA test.
Findings: Alanine aminotransferase enzyme showed a significant improvement in each of the 3 intervention groups compared to the control group at 3 and 6 months after the research intervention (p=0.001). Low-density lipoprotein showed a significant improvement in 6 months, which was related to the group of physical activity combined with nutrition education (p=0.005).
Conclusion: Exercise and education interventions are more effective over a longer period of time in preventing and treating non-alcoholic fatty liver disease.
H. Arianpour, M. Hosseini, A. Afrasiabifar, J.m. Malekzadeh,
Volume 5, Issue 4 (Fall 2024)
Abstract
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.
