Journal of Hayat
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بررسی اثر طب فشاری گوش بر خستگی و اختلالات خواب بیماران تحت همودیالیز در شهر اهواز: مطالعهای کارآزمایی بالینی
Effect of auricular acupressure on fatigue and sleep disorders in hemodialysis patients in Ahvaz: A clinical trial study
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
ر<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:-.2pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">شایع­ترین مشکلات در بیماران­ تحت ­همودیالیز، اختلالات ­خواب و خستگی می­باشد که کیفیت زندگی آنها را تحت ­تأثیر قرار می­دهد. طب­ فشاری ­گوش به ­عنوان یک ­روش ­غیردارویی می­تواند در کنترل این مشکلات مؤثر باشد. هدف مطالعه حاضر تعیین تأثیر طب ­فشاری­ گوش بر اختلالات­ خواب و شدت­ خستگی در بیماران تحت همودیالیز می­باشد<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="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"></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="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:-.2pt">روش بررسی: </span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در­ این مطالعه </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">کارآزمایی بالینی دوسوکور،</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> 40 بیمار مراجعه­کننده به مراکز­ همودیالیز بیمارستان­های گلستان و امام­خمینی(ره) وابسته به دانشگاه­ علوم ­پزشکی ­جندی ­شاپور­ اهواز در سال 1400، به صورت تخصیص تصادفی در گروه آزمون و کنترل قرار گرفتند. گروه آزمون در نقاط حقیقی و گروه کنترل در نقاط کاذب طی دو هفته طب ­فشاری ­گوش را دریافت ­کردند. </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">از </span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">مقیاس کیفیت ­خواب </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Pittsburgh</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> و مقیاس عددی جهت سنجش شدت خستگی استفاده شد. داده­ها در نرم­افزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">SPSS</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه 17 با آزمون­های آماری توصیفی و تحلیلی آنالیز شدند<span style="color:black"><span style="letter-spacing:-.2pt">.</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> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در گروه آزمون، میانگین و انحراف معیار نمره کیفیت خواب و شدت خستگی در قبل از مداخله به ترتیب، 51/1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">75/11 و 43/1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">20/6 بود که این مقدار در بعد از مداخله به ترتیب به 04/1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">60/8 و 21/1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif">±</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">00/5 کاهش آماری معنادار پیدا کردند (001/0></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">p</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> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">یافته­ها نشان داد که طب ­فشاری­ گوش بر افزایش کیفیت ­خواب و کاهش شدت ­خستگی مؤثر می­باشد، لذا به عنوان یک روش آسان، ایمن و ارزان می­تواند در کنار مراقبت­های معمول بیماران همودیالیز برای کاهش خستگی و اختلالات خواب به­کار گرفته شود<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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">ثبت کارآزمایی بالینی:</span></span></span></i></b><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">IRCT20201021049102N1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></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 dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span>
<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 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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The most common problems in patients undergoing hemodialysis are sleep disturbances and fatigue, which affect their quality of life. Auricular acupressure, as a non-pharmacological method, can be effective in controlling these issues. The aim of this study was to evaluate the impact of auricular acupressure on sleep disturbances and the severity of fatigue in hemodialysis patients in Ahvaz</span></span><span 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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials: </span></span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">In this clinical trial, 40 hemodialysis patients visiting the hemodialysis centers of Imam Khomeini and Golestan hospitals, affiliated with Jundishapur University of Medical Sciences in Ahvaz in 2021, were randomly assigned to two groups: the test group and the control group. The test group received auricular acupressure at true acupressure points, while the control group received acupressure at false points over a two-week period. Data collection tools included the Pittsburgh Sleep Quality Index and the Numeric Rating Scale to assess fatigue severity. Data analysis was performed using SPSS version 17 with descriptive and inferential statistical tests at a significance level of 0.05</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">.</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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results: </span></span></span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">In the intervention group, the mean sleep quality score before the intervention were 11.75±1.51, and 6.20±1.43 which decreased to 8.60±1.04 and 5.00±1.21 after the intervention, and this difference was statistically significant (<i>P</i><0.0001)</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="layout-grid-mode:line">Conclusion: </span></span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The findings showed that auricular acupressure improves sleep quality and reduces sleep disturbances and fatigue severity in hemodialysis patients. Therefore, auricular acupressure can be used as an easy, safe, and inexpensive method alongside routine care for hemodialysis patients to reduce fatigue and sleep disturbances</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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Clinical trial registry:</span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">IRCT20201021049102N1</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"><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>
کیفیت خواب, خستگی, همودیالیز, طب فشاری
sleep quality, fatigue, hemodialysis, acupressure
317
333
http://hayat.tums.ac.ir/browse.php?a_code=A-10-653-13&slc_lang=fa&sid=1
Alireza
Momeni
علیرضا
مومنی