Journal of Babol University of Medical Sciences

fa تأثیر آرام‌سازی بنسون بر افسردگی بیماران تحت همودیالیز The Effect of Benson Relaxation Technique on Depression in Patients Undergoing Hemodialysis پرستاری Nursing مداخله ای Interventional <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">سابقه و هدف<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> افسردگی شایعترین اختلال روانپزشکی در بیماران همودیالیزی است که تأثیر سوء بر سیر بیماری و روند درمان دارد و به عنوان عامل خطر مستقل در مرگ و میر این بیماران شناخته میشود. هدف از این مطالعه تعیین تأثیر آرامسازی بنسون بر افسردگی بیماران تحت درمان با همودیالیز میباشد. <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مواد و روشها<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> این مطالعه کارآزمایی بالینی بر روی 65 بیمار همودیالیزی انجام شد. بیماران با انتخاب تصادفی به دو گروه کنترل (32نفر) وآرامسازی بنسون (33 نفر) تقسیم شدند. بیماران گروه مداخله تمرینات آرام سازی بنسون را پس از آموزش، دوبار در روز، هر بار 20 دقیقه به مدت یکماه انجام دادند. پرسشنامه افسردگی بک قبل و یک ماه بعد از مداخله تکمیل شد. بیماران گروه کنترل مراقبتهای معمول را دریافت کردند(2<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">N2014011115393:<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">IRCT). <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">یافته<span dir="ltr" lang="AR-SA" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ها<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> از کل افراد تحت مطالعه 51 نفر مرد بودند. میانگین سنی افراد در گروه آزمون 9/18±48/57 و در گروه شاهد 8/17±49/93 سال بود. قبل از مداخله، در دو گروه از نظر متغیرهای مورد بررسی تفاوت معنیداری وجود نداشت. میانگین نمره افسردگی در گروه آرامسازی بنسون از 9/86±32/46 در قبل مداخله به 9/23±23/30 در بعد مداخله رسید که دارای اختلاف آماری معنیداری بود (<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p<0/001). میانگین نمره افسردگی در گروه کنترل از 9/24±30/58 در قبل مداخله به 9/23±30/83 در بعد مداخله رسید. <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتیجه<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">گیری<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">:<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> <span lang="AR-SA" style="font-size: 9pt font-family: '2 Mitra' background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتایج این پژوهش نشان داد آرامسازی بنسون در کاهش افسردگی بیماران همودیالیزی مؤثر است. بنابراین میتوان با بکارگیری از این تمرینات در بهبودی و پیشگیری از مشکلات روانشناختی این بیماران گام برداشت<span dir="ltr" style="font-size: 9pt font-family: Tahoma, sans-serif background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">. BACKGROUND AND OBJECTIVE: Depression is the most common mental disorder in patients undergoing hemodialysis. This disorder has adverse effects on the course of disease and treatment process and is recognized as an independent risk factor for death in hemodialysis patients. The purpose of this study was to determine the relaxing effects of Benson relaxation technique on depression in patients undergoing hemodialysis. METHODS: This clinical trial was performed on 65 hemodialysis patients. Subjects were randomly divided into two groups: control group (n=32) and intervention group using Benson relaxation technique (n=33). The intervention group performed Benson relaxation exercises twice a day for 20 minutes over one month. Beck Depression Inventory was completed one month before and one month after the intervention. The control group received usual treatments (IRCT: 2014011115393N2( FINDINGS: Overall, 51 patients were male in the present study. The mean age of participants was 48.57±9.18 years in the intervention group and 49.93±8.17 years in the control group. Before the intervention, there was no significant difference between the groups in terms of the studied variables. The mean score of depression in the intervention group decreased from 32.46±9.86 before the intervention to 23.30±9.23 after the intervention the difference was statistically significant (p<0.001). Also, the mean score of depression in the control group changed from 30.58±9.24 before the intervention to 30.83±9.63 after the intervention. CONCLUSION: The results of this study showed that Benson relaxation technique is effective in reducing depression in hemodialysis patients. Therefore, by applying this technique, we can take a major step towards improving and preventing patients’ psychological problems. آرام‌سازی بنسون, افسردگی, همودیالیز. Benson Relaxation Technique, Depression, Hemodialysis 34 40 http://jbums.org/browse.php?a_code=A-10-1742-1&slc_lang=fa&sid=1 narjes heshmatifar نرجس حشمتی فر nheshmatifar@yahoo.com 100319475328460012907 100319475328460012907 Yes hajar sadeghi هاجر صادقی 100319475328460012908 100319475328460012908 No ali mahdavi علی مهدوی 100319475328460012909 100319475328460012909 No M shegarf nahaee محمد رضا شگرفی نخعی 100319475328460012910 100319475328460012910 No M Rakhshani محمدحسن رخشانی 100319475328460012911 100319475328460012911 No