تاثیر برنامه طراحی شده پیاده روی بر سلامت روان و توانایی عملکردی و علایم قلبی بیماران مبتلا به تالاسمی ماژور
محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 3، شماره: 2
سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 326
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شناسه ملی سند علمی:
JR_EBCJ-3-2_002
تاریخ نمایه سازی: 23 مهر 1398
چکیده مقاله:
Background: Thalassemia is the most common hereditary disease in Iran. Cardiac complications and cardiac symptom have been identified as the major problem, which has profound impact on the mental health of patients with thalassemia. One method of reducing this impact is an exercise plan. Aim: The purpose of this study was to examine the effect of a designed Walking plan on the mental health and functional ability and cardiac symptoms in patients with thalassemia. Methods: In a semi-experimental study, 75 patients with thalassemia major (18 years and older) were randomly divided into the case and control groups. The patients in case group sas carried out the designed walking plan for eight weeks. At the beginning and end of the program mental health measured by (Goldberg) Questionnaire, functional ability measured by 6MWT. Cardiac symptoms were measured every week by Cardiac symptoms questionnaire. Validity and reliability of the questionnaire was assessed by content validity and test-retest reliability with (α=0.96). Data were analyzed using SPSS 16 software. Chi-square and paired and Independent T-test and Repeated Measure ANOVA were performed. Results: There was no significant difference between two groups in demographic variables. The post mean of mental health in case group (39/72±6.27) was lower than the control group (54/67±6.03) and this difference of mean mental health between two groups was significant (p=0.001). Mean of distance 6MWT in case group (440/65±103.46 M), was more than the control group (395/50±90.25 M) and the mean distance 6MWT between two groups was also significant (p=0.04). Repeated measures analysis of variance of cardiac symptoms scores have shown that there is a significant difference from the viewpoint of change pattern of mean Cardiac symptoms score in eight weeks between two groups (p=0.001). Conclusion: Implement designed walking program improve the mental health, functional ability and reduces cardiac symptoms. This program is recommended to all patients with thalassemia.
کلیدواژه ها:
نویسندگان
Mahdieh Arian
MSc in Education Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Robabeh Memarian
Assistant Professor, Department Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Farveh Vakilian
Assistant Professor, Medical School group cardiology, Mashhad University of Medical Sciences, Mashad, Iran
Zahra Badiei
Associate professor, Medical School group Pediatric.Mashhad University of Medical Sciences.Mashad.Iran
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