مقایسه تأثیر تکنیک آرام‌سازی بنسون و ذهن‌آگاهی بر کیفیت خواب زنان باردار: یک مطالعه کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران.

2 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

3 دانشیار گروه روان‌شناسی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران.

4 مربی گروه پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی یاسوج، یاسوج، ایران.

چکیده

مقدمه: زنان­ باردار به‌علت تغییرات هورمونی و فیزیکی در این دوره، با مشکلات عدیده ­ای از جمله اختلال خواب مواجه می­ شوند که زمینه استرس، تنش و اضطراب را در آنان فراهم می­ کند. به‌علت محدودیت مصرف دارو در این دوران، ممکن است از روش ­های غیردارویی برای بهبود این وضعیت استفاده نمود که می ­توان به آرام ­سازی بنسون و ذهن­ آگاهی اشاره نمود، لذا مطالعه حاضر با هدف تعیین و مقایسه تأثیر تکنیک آرام­ سازی بنسون و ذهن­ آگاهی بر کیفیت خواب زنان باردار انجام گرفت.
روش‌کار: در این مطالعه کارآزمایی بالینی تصادفی یک‌سوکور که در سال 1401 انجام گرفت، 102 زن باردار شهر شیراز دارای کیفیت خواب پایین بر اساس تخصیص تصادفی بلوکی به یکی از سه گروه مداخله آرام ­سازی بنسون، ذهن­آگاهی و کنترل تخصیص یافتند. داده­ های مربوط به کیفیت خواب از طریق شاخص کیفیت خواب پیتزبورگ قبل از مداخله و 1 ماه بعد از مداخله جمع­ آوری گردید. مداخلات در طی 8­ هفته انجام گرفت. تجزیه و تحلیل داده­ ها با استفاده از نرم­ افزار SPSS (نسخه 21) و آزمون ­های آماری کای دو، تحلیل واریانس یک‌طرفه، تست تعقیبی توکی و تی­ زوجی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: قبل از مداخله تفاوت آماری معنی­ داری در میانگین نمره کلی کیفیت خواب در هر سه گروه مشاهده نشد (05/0<p). میانگین نمره کلی کیفیت خواب قبل از مداخله در بین سه گروه آرام ­سازی بنسون، ذهن­ آگاهی و کنترل به‌ترتیب 83/1±08/­7، 77/2±52/7 و 27/2±76/6 و بعد از مداخله 23/3±52/3، 24/2±73/2 و 19/2±91/6 بود که بعد از مداخله تفاوت معنی‌داری بین گروه‌های مداخله نسبت به گروه کنترل وجود داشت (05/0>p) و هر دو گروه مداخله نسبت به گروه کنترل تأثیر یکسانی داشتند.
نتیجه­ گیری: هر دو روش تکنیک آرام ­سازی بنسون و ذهن­ آگاهی بر کیفیت خواب زنان باردار مؤثر می­ باشند، لذا هر دو روش می­ توانند به‌عنوان مداخله مراقبتی مورد استفاده قرار گیرند.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of Benson's relaxation and mindfulness on the sleep quality of pregnant women: A randomized clinical trial study

نویسندگان [English]

  • Fatemeh Shams 1
  • Shaghayegh Moradi Alamdarloo 2
  • Mohammad Malekzadeh 3
  • Mohammadlatif Rastian 4
1 M.Sc. in Nursing, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Associate Professor, Department of Psychology, Social Determinant of Health Research Center, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran.
4 Instructor, Department of Nursing, School of Nursing, Yasouj University of Medical Sciences, Yasouj, Iran.
چکیده [English]

Introduction: Pregnant women due to hormonal and physical changes in pregnancy face many problems, such as sleep disorders, which creates stress, tension and anxiety. Due to limitation of drug consumption during pregnancy, it is possible to use non-pharmacological methods to improve this situation, which can point to Benson's relaxation and mindfulness. Therefore, the present study was conducted with aim to determine and compare the effect of Benson's relaxation and mindfulness on the sleep quality of pregnant women.
Methods: : In this single-blind randomized clinical trial study which was conducted in 2022, 102 pregnant women from Shiraz city with low sleep quality were allocated to one of the three groups of Benson relaxation, mindfulness and control by using the random block allocation method. The data related to the quality of sleep was checked through the Pittsburgh questionnaire before and one month after the intervention. The interventions were carried out in 8 weeks. Data were analyzed using SPSS software (version 21) and Chi-square, ANOVA, Tukey's post hoc test and paired t-test. P<0.05 was considered statistically significant.
Results: Before the intervention, there was no statistically significant difference among the three groups in the mean score of sleep quality (P >0.05). The mean total scores of sleep quality before the intervention in the three groups of Benson's relaxation, mindfulness and control were 7.08±1.83, 7.52±2.77 and 6.76±2.27, respectively, and after the intervention were 3.52±3.23, 2.73±2.24 and 6.91±2.19, respectively; there was a significant difference between the two intervention groups and the control group after the intervention (p<0.05) and both two intervention groups had the same effect compared to the control group.
Conclusion: Both methods of Benson relaxation technique and mindfulness are effective on the sleep quality of pregnant women; therefore both methods can be used as the care intervention.

کلیدواژه‌ها [English]

  • Benson's relaxation
  • Mindfulness
  • Pregnant women
  • Sleep quality

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 7
مهر 1402
صفحه 54-63

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