Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
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1735-2215
2008-188X
fa
jalali
1401
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2022
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تأثیر یوگای خنده بر افسردگی بیماران مبتلا به سرطان تحت شیمی درمانی: یک کارآزمایی بالینی تصادفی
The effect of laughter yoga on depression in cancer patients undergoing chemotherapy: A randomized clinical trial
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">تشخیص سرطان موجب بروز مشکلات هیجانی و عاطفی عمیقی همچون افسردگی در بیمار مبتلا به سرطان می</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شود</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">. یوگای خنده شامل ورزشهای توأم با خنده میباشد که ممکن است بتواند بر افسردگی بیماران تحت شیمی درمانی مؤثر باشد. این مطالعه با هدف تعیین تأثیر یوگای خنده بر افسردگی بیماران مبتلا به سرطان تحت شیمی درمانی انجام گرفته است</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">این کارآزمایی بالینی تصادفی دو گروهی در مورد 69 بیمار سرطانی تحت شیمی درمانی در مرکز درمانی رضا (ع) مشهد در سال ۱۳۹۷ انجام گرفته است. بیماران به صورت تصادفی به دو گروه مداخله و کنترل اختصاص یافتند. برای گروه مداخله طی چهار روز، روزانه یک جلسه 30-20 دقیقهای فعالیت یوگای خنده قبل از شیمی درمانی اجرا شد. گروه کنترل آموزش خودمراقبتی معمول را دریافت کردند. افسردگی با پرسشنامه ارزیابی افسردگی بک در دو مرحله قبل و پس از اتمام جلسات یوگای خنده سنجیده شد. دادهها با استفاده از آزمون</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt"></span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">های آماری</span></span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">کایاسکوئر، تیمستقل، فیشر و تیزوجی در نرمافزار </span></span></span></span></i><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt">SPSS</span></span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">نسخه 20 تحلیل</span></span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">شد</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">46 نفر (67%) از افراد شرکتکننده در مطالعه زن بودند. میانگین سن بیماران در گروه مداخله 6/9</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif""><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">0/49 و در گروه کنترل 6/12</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif""><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">2/45 سال بود. میانگین نمره افسردگی در مرحله پس آزمون در گروه مداخله (04/6</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif""><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">50/7) به صورت معناداری کم</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">تر از گروه کنترل (53/7</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Cambria","serif""><span style="color:black"><span style="letter-spacing:-.1pt">±</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">54/12) بود (005/0</span></span></span></span></i><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">p</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">). در مقایسه درون گروهی نیز، در گروه مداخله نمره افسردگی تفاوت معناداری در جهت کاهش داشت (001/0</span></span></span></span></i><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">p<</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">)</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">یوگای خنده منجر به بهبود افسردگی در بیماران تحت شیمی درمانی میشود، لذا استفاده از آن در بیماران تحت شیمی درمانی توصیه میشود</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">ثبت کارآزمایی بالینی</span></span></span></i><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">:</span></span></span></i><i> </i><a name="_Hlk113906737"><i><span dir="LTR" lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">IRCT20180429039463N1</span></span></span></i></a><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Diagnosis of cancer causes deep emotional problems such as depression in a patient with cancer. Laughter yoga involves laughter exercises that may be effective in treating depression in patients undergoing chemotherapy. The aim of the study was to determine the effect of laughter yoga on depression in cancer patients undergoing chemotherapy</span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">This two-group randomized clinical trial was conducted on 69 cancer patients undergoing chemotherapy at Reza Medical Center in Mashhad in 2018. Patients were randomly divided into intervention or control groups. For the intervention group, before chemotherapy a 20-30 minute laughter yoga session was performed daily for four days. The control group received routine self-care training. Depression was assessed using the Beck Depression Inventory before and after the laughter yoga sessions. Data were analyzed using Chi-square, independent <i>t</i>-test, Fisher’s exact test, and paired<br>
<i>t</i>-test through the SPSS software version 20</span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Women made up 67% (n=46) of the participants in the study. The mean age of patients in the intervention group was 49.0±9.6 years and in the control group 45.2±12.6 years. The mean score of depression in the post-test in the intervention group (7.50±6.04) was significantly lower than that of in the control group (12.54±7.53) (<i>P</i></span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><</span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">0.005). In within-group comparison, there was a significant decrease in the depression score in the intervention group (<i>P</i><0.001)</span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Laughter yoga improved depression in the patients undergoing chemotherapy. Thus, its use is recommended for these patients.</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Clinical trial registry:</span></span></span></b> <span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">IRCT20180429039463N1</span></span></span><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><span lang="EN-AU" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
افسردگی, یوگای خنده, شیمی درمانی
depression, laughter yoga, chemotherapy
284
295
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3840-3&slc_lang=other&sid=1
Samira
Mohajer
سمیرا
مهاجر