تأثیر دو روش غوطه‌ورسازی پا در آب سرد و گرم بر کیفیت خواب زنان باردار مبتلا به سندرم پای بیقرار

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه پرستاری، دانشکده‌ پرستاری، دانشگاه علوم پزشکی اراک، اراک، ایران. دانشجوی دکترای پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

2 دکترای تخصصی گروه مامایی، دانشکده‌ پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.

3 کارشناس مامایی، بیمارستان طالقانی، دانشگاه علوم پزشکی اراک، اراک، ایران.

چکیده

مقدمه:اختلال خواب، از شایع‌ترین مشکلات دوران بارداری است و همراهی سندرم پاهای بیقرار در بارداری می‌تواند کیفیت خواب را بیشتر مختل کند. مطالعه حاضر با مقایسه تأثیر دو روش غوطه‌ورسازی پا در آب سرد و گرم بر کیفیت خواب زنان مبتلا به سندرم پای بیقرار انجام شد.
روش‌کار:این مطالعه کارآزمایی بالینی تصادفی در سال 1398 بر روی 80 زن باردار دارای سندرم پای بیقرار مراجعه‌کننده به بیمارستان طالقانی شهر اراک انجام شد. نمونه‌ها به‌صورت در دسترس انتخاب و سپس به دو گروه تصادفی، مداخله با آب گرم و سرد تخصیص یافتند. یک گروه پاهای خود را هر شب به‌مدت 2 هفته با آب سرد دمای 25-20 درجه سانتی‌گراد و گروه دیگر پاها را برای همان مدت با آب گرم 45-40 درجه سانتی‌گراد به‌مدت 10 دقیقه (در هر گروه) قرار می‌دادند. کیفیت خواب با استفاده از پرسشنامه کیفیت خواب پیترزبورگ بین دو گروه و همچنین قبل و بعد از مطالعه ارزیابی شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 23) و آزمون‌های کای دو، تی مستقل و تی زوجی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: قبل و بعد از مداخله کیفیت خواب در گروه مداخله با آب گرم 46/2±42/7 و 17/2±91/4 (001/0=p) و در گروه آب سرد 56/2±50/6 و 86/1±47/4 بود (001/0=p). بین نمره کیفیت خواب دو گروه بعد از انجام مطالعه اختلاف آماری معناداری وجود نداشت (329/0=p).
نتیجه‌گیری: مداخله با آب گرم و هم مداخله با آب سرد باعث کاهش نمره کیفیت خواب در زنان باردار شده بود. در نتیجه می‌توان از مداخلات ذکر شده برای بهبود کیفیت خواب زنان باردار که قادر به استفاده از مداخلات دارویی به‌دلیل عوارض آنها نمی‌باشند، استفاده کرد.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of Warm and Cold Footbath on Sleep Quality in Pregnant Women with Restless Legs Syndrome

نویسندگان [English]

  • Hadi Jafarimanesh 1
  • Katayoon Vakilian 2
  • Shirin Mobasseri 3
1 Instructor, Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran. PhD Student in Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2 PhD in Midwifery, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
3 B.Sc. in Midwifery, Taleghani Hospital, Arak University of Medical Sciences, Arak, Iran.
چکیده [English]

Introduction: Sleep disorders are one of the most common problems during pregnancy and the presence of Restless legs syndrome in pregnancy can further impair sleep quality The purpose of this study was to compare the effect of two methods of cold and warm water immersion on sleep quality of pregnant women with restless legs syndrome.
Methods: This randomized clinical trial study was performed on 80 pregnant women with restless legs syndrome referred to Arak Taleghani hospital in 2019. The samples were selected by convenience method and were randomly divided into two groups: hot water (group 1) and cold (group 2). Group 1 was asked to soak their feet in cold water 20 to 25°c every night for 10 minutes and for 2 weeks. Group 2 was asked to soak their feet in warm water 40 to 45°c every night for 10 minutes and for 2 weeks. Sleep quality was measured between the two groups and at the beginning and end of the study by Pittzburgh Sleep Quality Questionnaire. Data were analyzed by SPSS software (version 23) and Chi-square, independent t-test and paired t-test. p < 0.05 was considered statistically significant.
Results: Sleep quality in hot water group before and after the intervention was 7.42 ± 2.46 and 4.91± 2.17, respectively (P = 0.001); in cold water before and after the intervention was 6.50 ± 2.56 and 4.47 ±1.86, respectively. There was no statistically significant difference between the sleep quality scores of the two groups after the study (p = 0.329).
Conclusion: Intervention with hot water and cold water reduced the quality of sleep score in pregnant women. As a result, the mentioned interventions can be used to improve the sleep quality of pregnant women who are not able to use medical interventions due to their side effects

کلیدواژه‌ها [English]

  • Complementary therapies
  • pregnancy
  • Reproductive health
  • Restless legs syndrome
  • Sleep Hygiene
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