Journal of Hayat
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تأثیر ماساژ بازتابی کف پا بر الگوی تنفسی کودکان بستری با کتواسیدوز دیابتی
The effect of foot reflexology massage on the breathing patterns of children hospitalized with diabetic ketoacidosis
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کتواسیدوز دیابتی یکی از عوارض تهدیدکننده حیات ناشی از دیابت شیرین است. بررسی روشهای مراقبتی مؤثر در کودکان مبتلا به این عارضه، اهمیت ویژهای دارد. هدف این پژوهش، بررسی تأثیر ماساژ بازتابی کف پا بر الگوی تنفسی کودکان بستری با کتواسیدوز دیابتی بود<span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></i></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">این مطالعه یک کارآزمایی بالینی دو گروهی قبل و بعد بود که در سال </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">۱۴۰۲</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> در بیمارستان تخصصی امام حسین (ع) اصفهان انجام شد. نمونهها به روش در دسترس انتخاب و به صورت تصادفی در گروه آزمون و کنترل تخصیص یافتند. مداخله ماساژ بازتابی از بدو ورود کودک تا زمان بهبود</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> کتواسیدوز دیابتی</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">، هر دو ساعت یک بار و هر بار به مدت </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">۱۰</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> تا </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">۱۵</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> دقیقه در هر پا انجام شد. دادهها با استفاده از آزمون آنالیز کوواریانس و آنالیز واریانس دوطرفه با اندازههای تکراری و با سطح خطای 5% در نرمافزار</span></span></i><i><span dir="LTR" style="font-size:10.0pt"> SPSS </span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نسخه </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">۲۶</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> تحلیل شد<span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" 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 b="" style="font-family:" 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 b="" style="font-family:" yagut="">با کنترل اثر مقادیر قندخون، </span></span></i><i><span dir="LTR" style="font-size:10.0pt">PH</span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""> و بیکربنات، میانگین زمان بهبودی از </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کتواسیدوز دیابتی</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">در گروه آزمون بهطور معناداری کم</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">تر از گروه <span style="color:black">کنترل بود </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="position:relative"><span style="top:.5pt">(001/0></span></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="position:relative"><span style="top:.5pt">p</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="position:relative"><span style="top:.5pt">). </span></span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">پس </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">از مداخله، میانگین</span></span></i><i><span dir="LTR" style="font-size:10.0pt"> PH </span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">و بیکربنات سدیم خون در هر دو گروه افزایش معنادار دا<span style="color:black">شت </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="position:relative"><span style="top:.5pt">(001/0></span></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="position:relative"><span style="top:.5pt">p</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="position:relative"><span style="top:.5pt">). </span></span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">همچنین </span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">میانگین بیکربنات سدیم خون در گروه آزمون نسبت به گروه کنترل، پس از مداخله بهطور معناداری بیش</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">تر بود </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="position:relative"><span style="top:.5pt">(009/0></span></span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="position:relative"><span style="top:.5pt">p</span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="position:relative"><span style="top:.5pt">)</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black"><span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">نتایج نشان داد، طول مدت ابتلا به</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کتواسیدوز دیابتی</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">در کودکان گروه آزمون، حتی پس از کنترل اثر مقادیر قندخون، </span></span></i><i><span dir="LTR" style="font-size:10.0pt">PH</span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">و بیکربنات، کم</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">تر از گروه کنترل بود. بنابراین، استفاده از ماساژ بازتابی کف پا در کنار مراقبتهای معمول، میتواند به بهبود وضعیت بیماران و کاهش زمان بهبود</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کتواسیدوز دیابتی</span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" yagut="">کمک کند<span style="color:black">.</span></span></span></i></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><i><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" yagut=""><span style="color:black">ثبت کارآزمایی بالینی: </span></span></span></i></b><strong><i><span dir="LTR" style="font-size:10.0pt">IRCT20130812014333N202</span></i></strong><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim: </span></span></span></b><span style="font-size:10.0pt">Diabetic ketoacidosis is a serious and potentially life-threatening complication of diabetes mellitus. Exploring non-pharmacological interventions that may support standard care in children with this condition is crucial for improving clinical outcomes. This study aimed to evaluate the effect of foot reflexology massage on the respiratory patterns of children hospitalized with diabetic ketoacidosis</span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials: </span></span></span></b><span style="font-size:10.0pt">This clinical trial included two groups with pre- and post-intervention assessments. The study was conducted on children admitted with diabetic ketoacidosis to Imam Hossein Specialized Hospital in Isfahan in 2023. Participants were selected using convenience sampling and randomly assigned to either an experimental or a control group. The intervention consisted of foot reflexology massage administered every two hours, with each session lasting ten to fifteen minutes per leg, from admission until recovery from diabetic ketoacidosis. Data were analyzed using analysis of covariance and two-way repeated measures analysis of variance, with a significance level of 0.05, using SPSS software version 26</span><span style="font-size:10.0pt"><span style="letter-spacing:-.1pt">.</span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results: </span></span></span></span></b><span style="font-size:10.0pt">After controlling for blood glucose, blood PH, and bicarbonate levels, the mean recovery time from diabetic ketoacidosis was significantly shorter in the experimental group compared to the control group (<i>P</i><0.001). Following the intervention, both groups exhibited a significant increase in blood PH and bicarbonate levels (<i>P</i><0.001). Moreover, the experimental group demonstrated a significantly higher mean bicarbonate level compared to the control group after the intervention (<i>P</i>=0.009)</span><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><b><span style="font-size:10.0pt"><span style="color:black"><span style="layout-grid-mode:line">Conclusion: </span></span></span></b><span style="font-size:10.0pt">Foot reflexology massage was associated with a shorter duration of diabetic ketoacidosis in children, independent of blood glucose, PH, and bicarbonate levels. These findings suggest that incorporating foot reflexology massage as an adjunct to standard care may enhance patient recovery and improve clinical outcomes in pediatric diabetic ketoacidosis</span><span style="font-size:10.0pt"><span style="color:black">.</span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><b><span style="font-size:10.0pt">Clinical trial registry:</span></b> <strong><span style="font-size:10.0pt">IRCT20130812014333N202</span></strong><span style="font-size:10.0pt"><span style="color:black"></span></span></span></span><br>
ماساژ بازتابی کف پا, کتواسیدوز دیابتی, دیابت
foot reflexology massage, diabetic ketoacidosis, pediatric diabetes, non-pharmacological intervention
304
316
http://hayat.tums.ac.ir/browse.php?a_code=A-10-1-52&slc_lang=fa&sid=1
Faezeh
Naghiha
فائزه
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