مجله مراقبت های نوین
Modern Care Journal
سه شنبه 12 آبان 1405
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دوره 11، شماره 3 - ( 7-1393 )
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BasiriMoghadam M, Madadkar Dehkordi S, Mohammadpour A, Vaezi A A. The effect of progressive muscle relaxation technique on blood pressure and dialysis adequacy in patients undergoing hemodialysis. , Mod Care J. 2014; 11 (3) :169-176
URL: http://mcj.bums.ac.ir/article-1-613-fa.html
URL: http://mcj.bums.ac.ir/article-1-613-fa.html
ﺑﺼﯿﺮی ﻣﻘﺪم ﻣﻬﺪی، مددکار دهکردی ﺷﯿﺮیﻦ، محمد پور علی، واعظی اﻣﯿﺮ ﻋﺒﺎس. تاثیر تکنیک آرامسازی پیشرونده عضلانی ﺑﺮﻓﺸﺎرﺧﻮن و کفایت دیالیز ﺑﯿﻤﺎران ﺗﺤﺖ درﻣﺎن ﺑﺎ همودیالیز. , مراقبت های نوین. 1393; 11 (3) :169-176
1- مربی گروه آموزشی پرﺳﺘﺎری دانشکده پرﺳﺘﺎری و ﻣﺎﻣﺎیی دانشگاه ﻋﻠﻮم پزشکی گناباد.گناباد، ایﺮان
2- ﺷﯿﺮیﻦ مددکار دهکردی، گروه آموزشی پرستاری ﻣﺮاﻗﺒﺖﻫﺎی ویژه دانشکده پرستاری و مامایی دانشگاه علوم پزشکی ﺷﻬﺮ کرد. ﺷﻬﺮکرد، ایﺮان. تلفن: 09139775406 ﻧﻤﺎﺑﺮ:0383330709 پست الکترونیکی: shirinmadadkar@gmail.come
3- اﺳﺘﺎدیﺎر گروه آموزشی پرﺳﺘﺎری دانشکده پرﺳﺘﺎری و ﻣﺎﻣﺎیی و ﻋﻀﻮ مرکز ﺗﺤﻘﯿﻘﺎت ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎعی و ارﺗﻘﺎی ﺳﻼﻣﺖ دانشگاه علوم پزشکی گناباد. گناباد، ایﺮان
4- ﻣﺘﺨﺼﺺ داخلی درمانی ﺑﯿﻤﺎرﺳﺘﺎن 22ﺑﻬﻤﻦ دانشگاه علوم پزشکی گناباد. گناباد، ایﺮان
2- ﺷﯿﺮیﻦ مددکار دهکردی، گروه آموزشی پرستاری ﻣﺮاﻗﺒﺖﻫﺎی ویژه دانشکده پرستاری و مامایی دانشگاه علوم پزشکی ﺷﻬﺮ کرد. ﺷﻬﺮکرد، ایﺮان. تلفن: 09139775406 ﻧﻤﺎﺑﺮ:0383330709 پست الکترونیکی: shirinmadadkar@gmail.come
3- اﺳﺘﺎدیﺎر گروه آموزشی پرﺳﺘﺎری دانشکده پرﺳﺘﺎری و ﻣﺎﻣﺎیی و ﻋﻀﻮ مرکز ﺗﺤﻘﯿﻘﺎت ﺗﻮﺳﻌﻪ اﺟﺘﻤﺎعی و ارﺗﻘﺎی ﺳﻼﻣﺖ دانشگاه علوم پزشکی گناباد. گناباد، ایﺮان
4- ﻣﺘﺨﺼﺺ داخلی درمانی ﺑﯿﻤﺎرﺳﺘﺎن 22ﺑﻬﻤﻦ دانشگاه علوم پزشکی گناباد. گناباد، ایﺮان
چکیده: (356 مشاهده)
Background and Aim: Dialysis inadequacy is a determinant of the patient’s life. Increased dialysis adequacy plays a significant role in improving awareness of dialysis patients. Blood pressure is also a significant factor in dialysis adequacy. This study aimed to evaluate the impact of Progressive Muscle Relaxation Technique on blood pressure and adequacy of dialysis in hemodialysis patients.
Materials and Methods: This research was a clinical trial conducted in 2013. Hemodialysis patients from two hemodialysis centers in Gonabad (11 controls, 11 trials) and Yazd (34 controls, 34 trials) were chosen by the blocking method and allocated to two control (n=45) and trial (n=45) groups. Any trial received the Relaxation training by the investigator in 3 sessions and under similar circumstances. The patients performed the technique at home once a day for as long as 6 weeks. Then, the blood pressure and dialysis adequacy of the two groups were compared. The data was collected by a demographic questionnaire and a blood pressure checklist. KT/V formula was used to assess the adequacy of hemodialysis. Data was analyzed with SPSS software (version 14) using Independent T Test and Mann-Whitney U tests.
Results: The results showed no significant difference in systolic and diastolic blood pressure between the two groups before intervention, but they were significantly different after the intervention (p<0.001). There was a significant difference in the mean difference of dialysis inadequacy before and after the intervention (p<0.001). After the intervention, dialysis adequacy increased in the intervention group (0.31±.0.12) but decreased in the control group (0.02±.0.1).
Conclusion: Given the reduced blood pressure and increased adequacy in hemodialysis patients, this technique is recommended to be taught in hemodialysis wards.
Materials and Methods: This research was a clinical trial conducted in 2013. Hemodialysis patients from two hemodialysis centers in Gonabad (11 controls, 11 trials) and Yazd (34 controls, 34 trials) were chosen by the blocking method and allocated to two control (n=45) and trial (n=45) groups. Any trial received the Relaxation training by the investigator in 3 sessions and under similar circumstances. The patients performed the technique at home once a day for as long as 6 weeks. Then, the blood pressure and dialysis adequacy of the two groups were compared. The data was collected by a demographic questionnaire and a blood pressure checklist. KT/V formula was used to assess the adequacy of hemodialysis. Data was analyzed with SPSS software (version 14) using Independent T Test and Mann-Whitney U tests.
Results: The results showed no significant difference in systolic and diastolic blood pressure between the two groups before intervention, but they were significantly different after the intervention (p<0.001). There was a significant difference in the mean difference of dialysis inadequacy before and after the intervention (p<0.001). After the intervention, dialysis adequacy increased in the intervention group (0.31±.0.12) but decreased in the control group (0.02±.0.1).
Conclusion: Given the reduced blood pressure and increased adequacy in hemodialysis patients, this technique is recommended to be taught in hemodialysis wards.
نوع مقاله: پژوهشي |
دریافت: 1392/7/19 | پذیرش: 1392/11/22 | انتشار: 1392/12/10
دریافت: 1392/7/19 | پذیرش: 1392/11/22 | انتشار: 1392/12/10
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