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بررسی تأثیر تکنیک آرامسازی بنسون بر اضطراب مرگ بیماران مبتلا به سرطان سینه
Effect of Benson’s relaxation technique on death anxiety among patients with breast cancer
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<strong><em><span style="color:black;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زمینه و هدف: </span></span></span></em></strong><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">سرطان</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">سینه</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">یکی</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">شایعترین</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">سرطانهای</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زنان</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">بوده</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">عنوان</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">یک</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">بیماری</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">مزمن</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">دارای</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">عوارض</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">روانشناختی مختلف</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">جمله</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">اضطراب</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">مرگ است. هدف مطالعه حاضر تعیین</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">تأثیر تکنیک آرامسازی بنسون بر</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">اضطراب</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">مرگ</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زنان</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">مبتلا</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">سرطان سینه</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">بوده است<span style="color:black;">.</span></span></span></em><br>
<strong><em><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">روش بررسی:</span></span></span></span></em></strong> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">در این مطالعه کارآزمایی بالینی تصادفی شده، تعداد 100 بیمار مبتلا به سرطان سینه مراجعهکننده به بیمارستان ولایت قزوین در سال 1396 با روش نمونهگیری مستمر انتخاب شدند و با تخصیص تصادفی در دو گروه مداخله و کنترل قرار گرفتند. پرسشنامههای اطلاعات جمعیتشناختی و اضطراب مرگ تمپلر قبل از مداخله توسط هر دو گروه تکمیل شد. </span></span></em><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">تکنیک آرامسازی بنسون به بیماران گروه مداخله آموزش داده شد، و از آن هاخواسته شد تا آن را را به مدت </span></span></em><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">3 ماه انجام دهند و انجام آرامسازی هر ماه توسط چک لیست کنترل شد. مجدداً پرسشنامهها توسط هر دو گروه تکمیل شد. داده­ها با استفاده از آمار توصیفی و تحلیلی در نرم­افزار </span></span></em><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span></em><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> نسخه 23 مورد تجزیه و تحلیل</span></span></em> <em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">قرار گرفت<span style="letter-spacing:-.1pt;"><span style="color:black;">.</span></span></span></span></em><br>
<strong><em><span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">یافتهها</span></span></span></span></em></strong>: <em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نتایج نشان داد که بین دو گروه از نظر توزیع متغیرهای جمعیتشناختی اختلاف معناداری وجود ندارد </span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(05/0<</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">).</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> قبل از مداخله بین میانگین نمرات اضطراب مرگ بیماران دو گروه مداخله (3/10</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:symbol;"><span style="font-size:10.0pt;">±</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">4/46) و کنترل (07/10</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:symbol;"><span style="font-size:10.0pt;">±</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">6/49) نیز تفاوت آماری معناداری مشاهده نشد </span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(05/0<</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">)</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. اما پس از مداخله بین میانگین نمرات گروه مداخله (2/10</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:symbol;"><span style="font-size:10.0pt;">±</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">5/44) و کنترل (2/11</span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:symbol;"><span style="font-size:10.0pt;">±</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">9/48) تفاوت معناداری مشاهده شد </span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(05/0></span></span></span></em><em><span dir="LTR" style="letter-spacing:-.2pt;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">)</span></span></span></em><em><span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">.</span></span></span></span></em><br>
<strong><em><span style="color:black;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نتیجهگیری: </span></span></span></em></strong><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">براساس نتایج این مطالعه میتوان نتیجه گرفت که تکنیک آرامسازی بنسون در کاهش اضطراب مرگ بیماران مبتلا به سرطان سینه مؤثر است<span style="color:black;">.</span></span></span></em><br>
<strong><em><span style="font-family:b yagut;"><span style="font-size:10.0pt;">ثبت کارآزمایی بالینی:</span></span></em></strong> <em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">IRCT20170610034435N8</span></span></span></em><br>
<strong>Background & Aim:</strong> Breast cancer is one of the most prevalent cancers in women and is regarded as a chronic disease with various psychological complications including death anxiety. This study aimed to examine the effect of Benson’s relaxation technique on death anxiety among women with breast cancer.<br>
<strong>Methods & Materials:</strong> In this randomized clinical trial, 100 patients with breast cancer referred to Velayat Hospital in Qazvin in 2017 were selected using the consecutive sampling and randomly assigned into groups of experimental and control. A questionnaire on demographic information and the Templer Death Anxiety Scale were used. Benson’s relaxation technique was taught to the patients in the experimental group. Afterward, they were asked to perform the technique for three months and were monthly followed up using checklists. The Templer Death Anxiety Scale was completed again by both groups. Data were analyzed via the SPSS software version 23 using descriptive and analytical statistics.<br>
<strong>Results:</strong> There was no significant difference in demographic variables between the two groups (<em>P</em>>0.05). Before the intervention, no statistically significant difference was observed between the mean scores of death anxiety in the patients of the experimental group (46.4±10.3) and the control group (49.6±10.07) (<em>P</em>>0.05). However, after the intervention, a statistically significant difference was observed between the mean scores of death anxiety in the experimental group (44.5±10.2) and the control group (48.9±11.2) (<em>P</em><0.05).<br>
<strong>Conclusion:</strong> According to the results of the study, it can be concluded that Benson’s relaxation technique is effective in reducing death anxiety among patients with breast cancer.<br>
<strong>Clinical trial registry: </strong>IRCT20170610034435N8<br>
آرامسازی بنسون, اضطراب مرگ, سرطان سینه
Benson’s relaxation, death anxiety, breast cancer
355
367
http://hayat.tums.ac.ir/browse.php?a_code=A-10-2036-2&slc_lang=other&sid=1
Samira
Moradipour
سمیرا
مرادیپور