بررسي تأثير روش آرام‌سازي بنسون بر اضطراب بيماران مبتلا به انفاركتوس ميوكارد بستري در بخش مراقبت‌هاي ويژه قلبي مركز آموزشي درماني سيدالشهداي اروميه در سال 96-1395

STUDY OF THE EFFECT OF BENSON RELAXATION METHOD ON THE ANXIETY LEVEL OF PATIENTS WITH MYOCARDIAL INFARCTION ADMITTED TO CCU WARDS OF EDUCATIONAL and TREATMENT CENTER OF SEYYED SHAHADA, URMIA, IRAN, 2017

ﭘﻴﺶﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ :ﺍﻧﻔﺎﺭﮐﺘﻮﺱ ﻣﻴﻮﮐﺎﺭﺩ ﺑﻪﻋﻨﻮﺍﻥ ﻳﮏ ﺑﻴﻤﺎﺭﻱ ﻣﻨﺠﺮ ﺑﻪ ﻣﺮﮒ ﻭ ﻧﺎﺗﻮﺍﻧﻲ ﺩﺭ ﺟﻬﺎﻥ ﺷﻨﺎﺧﺘﻪ ﺷﺪﻩ ﺍﺳﺖ ﮐﻪ ﻣﻲﺗﻮﺍﻧﺪ ﺍﺯﻟﺤﺎﻅ ﺟﺴﻤﻲ، ﺍﺟﺘﻤﺎﻋﻲ، ﻋﺎﻃﻔﻲ ﺭﻭﺍﻥﺷﻨﺎﺧﺘﻲ ﺑﻪ ﺑﻴﻤﺎﺭ ﺁﺳﻴﺐ ﺑﺮﺳﺎﻧﺪ. ﺍﺿﻄﺮﺍﺏ ﻧﻴﺰ ﺑﻪﻋﻨﻮﺍﻥ ﻋﺎﺭﺿﻪ ﺍﺧﺘﻼﻻﺕ ﺭﻭﺍﻥﺷﻨﺎﺧﺘﻲ ﻣﻲﺗﻮﺍﻧﺪ ﺳﺒﮏ ﺯﻧﺪﮔﻲ ﻓﺮﺩ ﺭﺍ ﻣﺘﺄﺛﺮ ﻭ ﺑﺎﻋﺚ ﺍﻓﺰﺍﻳﺶ ﻫﺰﻳﻨﻪﻫﺎﻱ ﺩﺭﻣﺎﻥ، ﻋﻮﺩ ﺑﻴﻤﺎﺭﻱ ﻭ ﺑﺴﺘﺮﻱ ﻣﺠﺪﺩ ﻭ ﺍﻓﺰﺍﻳﺶ ﻣﻴﺰﺍﻥ ﻣﺮﮒﻭﻣﻴﺮ ﺷﻮﺩ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺍﻫﻤﻴﺖ ﺍﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻭ ﺗﺄﺛﻴﺮ ﺍﺿﻄﺮﺍﺏ ﺩﺭ ﺭﻭﻧﺪ ﺗﺸﺪﻳﺪ ﺁﻥ، ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺭﻭﺵ ﺁﺭﺍﻡﺳﺎﺯﻱ ﺑﻪﻋﻨﻮﺍﻥ ﻳﮏ ﺷﻴﻮﻩ ﺩﺭﻣﺎﻧﻲ ﻣﺴﺘﻘﻞ ﻣﻲﺗﻮﺍﻧﺪ ﭘﻴﺎﻣﺪﻫﺎﻱ ﻣﻄﻠﻮﺑﻲ ﺍﺯ ﻗﺒﻴﻞ ﮐﺎﻫﺶ ﺗﻨﺶ ﻭ ﺍﺳﺘﺮﺱ ﺑﻪ ﺩﻧﺒﺎﻝ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ. ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎﻫﺪﻑ ﺗﻌﻴﻴﻦ ﺗﺄﺛﻴﺮ ﺁﺭﺍﻡﺳﺎﺯﻱ ﺑﻨﺴﻮﻥ ﺑﺮ ﺳﻄﺢ ﺍﺿﻄﺮﺍﺏ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﺍﻧﻔﺎﺭﮐﺘﻮﺱ ﻣﻴﻮﮐﺎﺭﺩ ﺑﺴﺘﺮﻱ ﺩﺭ ﻣﺮﮐﺰ ﺁﻣﻮﺯﺷﻲ ﺩﺭﻣﺎﻧﻲ ﺳﻴﺪﺍﻟﺸﻬﺪﺍ ﺍﺭﻭﻣﻴﻪ ﺻﻮﺭﺕ ﮔﺮﻓﺖ. ﻧﻔﺮ ﺍﺯ ﺑﻴﻤﺎﺭﺍﻥ ﺑﻪﺻﻮﺭﺕ ﺩﺭ ﺩﺳﺘﺮﺱ ﺍﻧﺘﺨﺎﺏ ﺷﺪﻧﺪ ﻭ ﺑﻪﺻﻮﺭﺕ ﺗﺼﺎﺩﻓﻲ ﺩﺭ ﺩﻭ ﮔﺮﻭﻩ ﻣﺪﺍﺧﻠﻪ ﻭ ﮐﻨﺘﺮﻝ ﻗﺮﺍﺭ 60 ، ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﮐﺎﺭ: ﺩﺭ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﮐﺎﺭﺁﺯﻣﺎﻳﻲ ﺗﺠﺮﺑﻲ 4 ﺩﻗﻴﻘﻪ ) ﺩﺭﻣﺠﻤﻮﻉ 15 ﻧﻮﺑﺖ ﺻﺒﺢ ﻭ ﻋﺼﺮ ﻭ ﺩﺭ ﻫﺮ ﻧﻮﺑﺖ 2 ﺭﻭﺯ ﻣﺘﻮﺍﻟﻲ ﻭ ﺩﺭ ﻫﺮ ﺭﻭﺯ 2 ﮔﺮﻓﺘﻨﺪ. ﺩﺭ ﮔﺮﻭﻩ ﻣﺪﺍﺧﻠﻪ ﺍﻧﺠﺎﻡ ﻓﻦ ﺁﺭﺍﻡﺳﺎﺯﻱ ﺑﻨﺴﻮﻥ ﺑﺮﺍﻱ ﻫﺮ ﺑﻴﻤﺎﺭ ﻃﻲ ﺟﻠﺴﻪ( ﺍﺟﺮﺍ ﺷﺪ ﻭ ﺩﺭ ﮔﺮﻭﻩ ﮐﻨﺘﺮﻝ ﻣﺪﺍﺧﻠﻪﻱ ﺧﺎﺻﻲ ﺻﻮﺭﺕ ﻧﮕﺮﻓﺖ ﻭ ﺍﻳﻦ ﮔﺮﻭﻩ ﺍﺯ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺮﺍﻗﺒﺖﻫﺎﻱ ﺭﻭﺗﻴﻦ ﺭﺍ ﺩﺭﻳﺎﻓﺖ ﮐﺮﺩﻧﺪ. ﺍﺑﺰﺍﺭ ﺟﻤﻊﺁﻭﺭﻱ ﺩﺍﺩﻩﻫﺎ ﭘﺮﺳﺸﻨﺎﻣﻪ ، ﺩﻣﻮﮔﺮﺍﻓﻴﮏ ﻭ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺍﺳﺘﺎﻧﺪﺍﺭﺩ ﺳﻨﺠﺶ ﺳﻄﺢ ﺍﺿﻄﺮﺍﺏ ﺍﺷﭙﻴﻞ ﺑﺮﮔﺮ ﺑﻮﺩ. ﺍﻳﻦ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ ﻗﺒﻞ ﻭ ﺑﻌﺪ ﺍﺯ ﺍﻧﺠﺎﻡ ﻣﺪﺍﺧﻠﻪ ﺗﮑﻤﻴﻞ ﺷﺪﻧﺪ. ﺟﻬﺖ ﺗﺠﺰﻳﻪﻭﺗﺤﻠﻴﻞ ﺩﺍﺩﻩﻫﺎ SPSS ﺍﺯ ﺁﺯﻣﻮﻥ ﺗﺤﻠﻴﻞ ﮐﻮﻭﺍﺭﻳﺎﻧﺲ ﻭ ﺗﻲ ﺯﻭﺟﻲ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﺮﻧﺎﻣﻪ ﻧﺮﻡﺍﻓﺰﺍﺭ - ﺍﺳﺘﻔﺎﺩﻩ ﺷﺪ. 21 ﻳﺎﻓﺘﻪﻫﺎ: ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮﺍﺕ ﺍﺿﻄﺮﺍﺏ ﺩﺭ ﮔﺮﻭﻩ ﻣﺪﺍﺧﻠﻪ ﻗﺒﻞ ﻭ ﺑﻌﺪ ﻣﺪﺍﺧﻠﻪ ﺑﺎ ﻫﻢ ﻣﺘﻔﺎﻭﺕ ﺑﻮﺩ، ﺩﺭﺣﺎﻟﻲﮐﻪ ﺩﺭ ﮔﺮﻭﻩ ﮐﻨﺘﺮﻝ، ﺍﻳﻦ ﻧﻤﺮﺍﺕ ﺗﻔﺎﻭﺕ ﻣﻌﻨﻲﺩﺍﺭﻱ ﺑﺎ ﻫﻢ ﻧﺪﺍﺷﺘﻨﺪ. .(P =0/0001 ) ﻫﻤﭽﻨﻴﻦ ﺑﻴﻦ ﻣﻴﺰﺍﻥ ﺍﺿﻄﺮﺍﺏ ﺩﻭ ﮔﺮﻭﻩ ﻣﺪﺍﺧﻠﻪ ﻭ ﮐﻨﺘﺮﻝ ﺑﻌﺪ ﺍﺯ ﺍﺟﺮﺍﻱ ﺭﻭﺵ ﺁﺭﺍﻡﺳﺎﺯﻱ ﺑﻨﺴﻮﻥ ﺗﻔﺎﻭﺕ ﻣﻌﻨﻲﺩﺍﺭﻱ ﻣﺸﺎﻫﺪﻩ ﮔﺮﺩﻳﺪ ﻧﺘﻴﺠﻪﮔﻴﺮﻱ: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺍﺛﺮﺍﺕ ﻣﺜﺒﺖ ﺁﺭﺍﻡﺳﺎﺯﻱ ﺑﻨﺴﻮﻥ ﺩﺭ ﮐﺎﻫﺶ ﺍﺿﻄﺮﺍﺏ ﻭ ﺑﻪﮐﺎﺭﮔﻴﺮﻱ ﺁﺳﺎﻥ ﻭ ﻫﺰﻳﻨﻪ ﮐﻢ ﻭ ﺩﺭ ﺩﺳﺘﺮﺱ ﺑﻮﺩﻥ ﺍﻳﻦ ﺭﻭﺵ، ﮐﺎﺭﺑﺮﺩ ﺁﻥ ﺟﻬﺖ ﺗﺴﻜﻴﻦ ﻣﺸﮑﻼﺕ ﻧﺎﺷﻲ ﺍﺯ ﺍﺿﻄﺮﺍﺏ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﺍﻧﻔﺎﺭﮐﺘﻮﺱ ﻣﻴﻮﮐﺎﺭﺩ ﺗﻮﺻﻴﻪ ﻣﻲﺷﻮﺩ.

Background & Aims: Myocardial infarction (MI) is known to be a leading cause of death and disability in the world, which can harm the patient physically, socially, emotionally or psychologically. Anxiety as an adjunct to psychological disorders can also affect the lifestyle of the individual and increase the cost of treatment, recurrence and increase mortality. Regarding the importance of this disease and the effect of anxiety in its intensification process, the use of relaxation as an independent treatment can have desirable outcomes such as reducing stress. This study was carried out to determine the effect of Benson relaxation method on the anxiety level of patients with myocardial infarction admitted to CCU wards of educational and treatment center of Seyyed Shahada, Urmia, Iran. Materials & Methods: This experimental study was performed on 60 patients were randomly selected and divided into intervention and control groups. In the intervention group, Benson's relaxation technique was performed for each patient for 2 consecutive days and 2 times in the morning and evening and each session lasted 15 minutes (A total of 4 sessions) There was no intervention in the control group and this group of patients received routine care. The data gathering tool were demographic questionnaire and the Spielberger Standard Anxiety Scale Questionnaire. The questionnaires were completed before and after e intervention. To analyze the data, covariance analysis and paired t-test were used by using of SPSS-21 software. Results: The mean of anxiety scores in the intervention group before and after the intervention were different, while in the control group, these scores did not differ significantly. There was a significant difference between the anxiety level of the two intervention and control groups after the implementation of the Benson relaxation method (p = 0.0001). Conclusion: Considering the positive effects of Benson's relaxation on reducing anxiety, easy and low cost utilization and the availability of this method, it is recommended to use this method to relieve anxiety problems in patients with myocardial infarction.