بررسی تأثیر پیاده روی با گام شمار بر کیفیت ذهنی خواب زنان یائسه

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: اختلال خواب یکی از آشکارترین علائم دوران یائسگی می باشد. هورمون درمانی علائم ناشی از یائسگی مانند بی خوابی را بهبود می بخشد، اما هورمون درمانی به دلیل اثرات جانبی که به همراه دارد، از طرف زنان انتخاب نمی شود. لذا بسیاری از زنان به راه های درمان جایگزینی دیگر متوسل می شوند. مطالعه حاضر با هدف تعیین تأثیر پیاده روی منظم با گام شمار بر کیفیت ذهنی خواب زنان یائسه در مراکز بهداشتی درمانی اهواز انجام شد.
روش کار: این مطالعه کارآزمایی بالینی در سال 1393 بر روی 112 زن یائسه واجد شرایط در مراکز بهداشتی درمانی اهواز انجام شد. افراد به طور تصادفی در دو گروه آزمایشی مداخله و کنترل قرار گرفتند. گروه مداخله هفته ای حداقل 5 بار و هر بار حداقل یک ساعت پیاده روی داشتند و تعداد قدم ها با گام شمار ثبت شد. در این پژوهش ابزار گردآوری داده ها پرسشنامه شاخص کیفیت خواب پیتزبورگ بود که در چهار مرحله (قبل از مداخله، 4 هفته و 8 هفته و 12 هفته بعد) جمع آوری شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 18) و آزمون های آماری تی تست، کای اسکوئر و آزمون غیرپارامتری من ویتنی و اندازه گیری تکراری فریدمن انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: میانگین نمره کیفیت ذهنی خواب در گروه مداخله از 6/0±1/2 به 6/0±2/1 به طور معناداری کاهش پیدا کرد (001/0=p) که نشانه بهبود وضعیت خواب می باشد و در گروه کنترل از 5/0±1/2 به 6/0±0/2 با اختلاف آمار بی معنایی تغییر پیدا کرد (45/0=p).
نتیجه گیری: پیاده روی منظم در زنان یائسه کیفیت ذهنی خواب را حفظ می کند و می تواند باعث ارتقاء کیفیت ذهنی خواب زنان شود. لذا با توجه به نتایج مطالعه در دسترس بودن منابع حمایتی در سیستم های بهداشتی درمانی، لزوم برگزاری جلسات آموزشی در مورد فعالیت فیزیکی و پیاده روی در مراکز مختلف بهداشتی درمانی هرچه بیشتر آشکار می شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of walking with pedometer on sleep subjective quality in postmenopausal women

نویسندگان [English]

  • Farzaneh Farshadbakht 1
  • Mitra Tadayon 2
  • Parvin Abedi 3
1 M.Sc. student of Midwifery, School of Nursing and Midwifery, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
2 Instructor of Midwifery, School of Nursing and Midwifery, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
3 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jondi Shapour University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Sleep disturbance is one of the most obvious symptoms in menopause. Hormone replacement treatment improves menopausal symptoms such as insomnia. However, women do not select hormone therapy because of its adverse effects. This study was performed with aim to determine the effect of regular walking with pedometer on sleep subjective quality in postmenopausal women at medical-health centers of Ahvaz.
Methods: This randomized clinical trial was performed on 112 qualified postmenopausal women in medical-health centers of Ahvaz in 2014. The subjects were randomly placed in two groups of intervention and control. The intervention group had walking at least five times a week, each time for one hour, and their steps were recorded with a pedometer. Data collection tool was Pittsburgh Sleep Quality Index questionnaire that were collected in four stages (before intervention, four weeks, eight weeks, and twelve weeks later). Data was analyzed using SPSS software (version18) and t-test, Chi-square test,   non-parametric Mann-Whitney test, and Friedman repeated measurement. PResult: Mean score of sleep subjective quality in intervention group was significantly reduced from 2.1±0.6 to 1.2±0.6 (P=0.001) Which indicate improvement of sleeping. and in control group from 2.1±0.5 to 2±0.6 which was not significant (P=0.08).
Conclusion: Regular walking in postmenopausal women maintains sleep subjective quality and promotes their sleep subjective quality. Therefore, according to the results of the study and the access to supportive sources in health system, the necessity of holding the training sessions about physical activity and walking at health centers has been much more evident.

کلیدواژه‌ها [English]

  • Menopause
  • Sleep
  • walking
  1. Taibi DM, Vitiello MV, Barsness S, Elmer GW, Anderson GD, Landis CA. A randomized clinical trial of valerian fails to improve self – reported, Polysomnographic, and actigraphic sleep in order women with insomnia. Sleep Med 2009;10(3):319 – 328.
  2. Kravitz HM, Avery E, Sowers MF, Bromberger JT, Daniel J, Buysse MD. Relationships between Menopausal and Mood Symptoms and EEG Sleep Measures in a Multi-ethnic Sample of Middle-Aged Women: The SWAN Sleep Study. Sleep 2011; 34(9):1221-1232.
  3. Stacie E, Geller L, studee B. Contemporary alternatives to estrogens for menopause. Maruritas 2006;551(3):53 – 513.
  4. National portal statistics, Result of the general census of population and housing selected tables [Internet]. 2007 [cited available at: http://www.sci.org.ir/portal/face/public/census85.natayej/census85.jada velmom takhab.
  5. Speroff l HR, Natan J. In: aghsa MM MS, Eshtiaghi R, , editor. Clinical Gynaecological Endocrinology Speroff.
  6. Abolhasani SH. Effect of sensuous stimulation on sleep in the patients hospitalized in coronary care unit. Scientific journal of Kurdistan university of Medical Sciences 2007;2-4.(persisn(.
  7. Poorafkari N, Arfaii A, Dadashzade H, Ghaemmaghami J. The prevalence of sleep disorders in patients with psychiatric disorders and the general population of Tabriz. Medical journalof Tabriz university of Medical Science & Health service 2004;64:28-32.(Persian(.
  8. Malakzadegan A, Moradkhani M, Ashayeri H, Haghani H. Effect of relaxation on insomnia during third trimester among pregnant women. The journal of Nursing and Midwifery Tehran university 2010;23(64):52-58.(Persian(.
  9. Cookej R, Ancoli –Ireal s. Sleep an its disorder in older adults. Psychiatric Clinic North Am 2006;29(4):93-107.
  10. Nobahar M, Vafaaee A. Elderly sleep disturbances and management. Geriatric 2007; 2(4): 263-268. (Persian)
  11. Mahdizadeh S, Salari MM, Ebadi A, Aslani j, Naderi Z, Avazeh A, Abbasi A.  Relationship between sleep quality of life in chemical warfare victims with bronchiolitis obliterans referred to Baqiyatallah hospital of Tehran, Iran. Payesh(Health monitor). 2011;10(2):265-277.(Persian)
  12. Nasiriziba F. Comparison of general health and quality of sleep in two groups of nursing with Fixed shiftsand rotation shift. Nursing & Midwifery faculty of Iran University 2007; 3-61.(Persian)
  13. Nunes DM, Mota RM, Machado MO, Pereira ED, Bruin VM. Effect of melatonin administration on subjective sleep quality in chronic obstructive pulmonary disease. Braz J Med Biol Res October 2008; 41(10): 926-931.
  14. Atkinson G, Drust B, Reilly T, Waterhouse J. “Relevance of melatonin to sports medicine and science”, Sports Med 2003;33: P:809-831.
  15. Atkinson G, Davenne D. “Relationships between sleep and physical activity and human health”. The journal of Physiology and Behavior 2007; 90:P229-235.
  16. Driver H.S, Taylor S.R. “Exercise and sleep”. Sleep Medicine Reviws 2004; p:387 – 402.
  17. Gerber M, Brand S, Holsboer-Trachsler E, Puhse U. Fitness and exercise as correlates of sleep complaints: Is it all in our minds? Med Sci Sports Exerc. 2010 May;42(5): 893-901.
  18. Montgomery P, Dennis J. “Physical exercise for sleep problems in adults aged 60+”. The Cochrane Database of systematic reviews 2002; 4.
  19. Sternfeld B, Katherine A, Bette J. Caan C. Efficacy of exercise for menopausal symptoms: A Randomized controlled Trial. Menopaus 2014 Apr; 21(4):330-338.
  20. Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among school children in the united states and china. Pediatrics. 2005; 115: 1-9
  21. Kaplan and Sadok synopsis of psychiatry.Sadock BJ, 11th ed. 2015.759-84
  22. Sabatini M.Sleep quality in patient with chronic renal failure Medicine 2008; 9(10):240- 246.
  23. Rahiminia F, Mohebi H, Gholisaberianbroojeni M. Effact of walking on the quality and quantity of sleep related physiological paramaters in older men. Biological Science and Sport 2004;3:111-126.(Persian)
  24. Doyle A. Validation of the omron Hj-700 It Pedometor in alaboratory and field – based setting. Medicine and Science in Sport and Exercise 2007; 39(5):186.
  25. Guidelines for data processing and Analysis of the international physical Activity Questionaire (IPAQ)- short Form April 2004;2:.Available at:www.ipaq,ki.se.com.
  26. Buysse D. J, Reynolds Iii C. F, Monk T. H, Berman S. R, & Kupfer D. J. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research 1989; 28(2), 193-213.
  27. Heidari A, Ehteshamzade P, Marashi M. The relationship between insomnia severity, sleep quality, sleepiness and impaired mental health and academic performance of girls. Journal of Women and Culture 2010: 1(4); 65-76.
  28. Tudor-Luck C, Basset D. How many spets/day are enough? Prelimnary pedometer indices for public health. Sports Medicine 2004;34(1):1-80.
  29. Mirmohammadali M, Ashrafinia F, Rajabi H, Amelvalizadeh M, Sadeghniiat Haghighi KH, Kazemnejad A. Effect of Exercise on Quality of Sleep in Post-Partum Women. The journal of Nursing and Midwifery Tehran university 2012;18(1):20-29.(Persian)
  30. Diana M,Taibi A, Michael V, Vitiello B. Apilot study of gently yoga for sleep disturbance in women with osteoarthritis. Sleep Medicine2011;12:512-517.
  31. Rahmaninia F, Mohebi H, Borujeni M. The effect of walking on quality, quantity and sleep-related physiological parameters in elderly men. Sport Biosciences (move) 2010; 111-126.
  32. Nikkhah P, Abedi P, Najar SH. The Effect of Walking with Pedometer on General Health of Postmenopausal Women. IJOGI Mar 2014; 18(141): 8-17.
  33. Dua js, Cooper AR, Fox KR, Grahamstaurt A. Exercise training in adults with congenital heart disease: Feasibility and benefits. Int j cardiol 2010 jan 21; 138(2):196-205.
  34. Sasi T, Inoue Y, Komada Y, etal. Effect of insomnia and sleep medication on health related the quality of life. Sleep Med 2010 May; 11(5); 452-7.