تأثير تن آرامي بر نشانه‌هاي رواني زنان مبتلا به مولتيپل اسكلروزيس

The effects of relaxation on the psychological symptoms in women with multiple sclerosis

زمينه و هدف: بيماران مولتيپل اسكلروزيس (ام‌ اس) نسبت به افراد سالم داراي سطوح بسيار بالاتري از اختلالات رواني نظير افسردگي، اضطراب و استرس هستند كه به‌شدت بر كيفيت زندگي آنان تأثيرگذار است و نقش مهمي در تحريك شروع حملات بيماري مولتيپل اسكلروزيس (ام ‌اس)، بدتر شدن علائم و افزايش خستگي دارند. از درمان هاي رايج و كم ‌هزينه در طب مكمل تن آرامي مي‌باشد. اين پژوهش با هدف بررسي تأثير تكنيك تن آرامي بر افسردگي، اضطراب و استرس زنان مبتلا به ام ‌اس انجام شد. روش بررسي: اين پژوهش يك مطالعه كار آزمايي باليني تصادفي كه بر روي 50 بيمار مبتلا به ام‌ اس مراجعه‌كننده به كلينيك ام‌ اس بيمارستان كاشاني اصفهان انجام شد. پس از نمونه‌گيري به روش آسان، نمونه‌ها به‌صورت تخصيص تصادفي در دو گروه آزمون و كنترل قرار گرفتند. در گروه آزمون تكنيك تن آرامي طي 4 هفته، دو بار در هفته به مدت 40 دقيقه براي هر بيمار انجام شد و گروه كنترل فقط تحت دريافت مراقبت و درمان‌هاي معمول دارويي طبق دستور پزشك معالج قرار گرفتند. اطلاعات با استفاده از پرسشنامه DASS-21 قبل، بلافاصله و دو ماه بعد از مداخله در دو گروه جمع‌آوري گرديد. داده‌ها توسط SPSS و آمار توصيفي و استنباطي تجزيه‌وتحليل شدند. يافته‌ها: ميانگين نمرات استرس، اضطراب و افسردگي قبل از اجراي مداخله در دو گروه اختلاف معني‌داري نداشت (0/5P) و در گروه كنترل وجود نداشت (0/05

Background and aims: Multiple sclerosis (MS) patients compared to healthy subjects have much higher levels of psychological disorders such as depression, anxiety and stress that greatly affect their quality of life and significant role in stimulating the onset of MS, worsening symptoms and increasing fatigue. Relaxation in complementary medicine is the most common treatments with low cost. This study aimed to determine the effects of relaxation on depression, anxiety, stress and in women suffering of MS. Methods: This study is a randomized clinical trial that was carried out on 50 patients with MS referred to MS Clinic of Kashani Hospital in Isfahan, Iran. After simple non-random sampling, participants were randomly assigned by minimization method to three groups: Reflexology, relaxation, and control groups. In the experimental group was performed relaxation intervention within 4 weeks, twice a week for 40 min and the control group were received care and routine medical treatment as directed by a doctor? Data were collected through DASS-21 questionnaire before, immediately and 2 months after interventions in two groups. Data analysis was performed by SPSS using descriptive and inferential statistics. Results: Mean scores of stress, anxiety, and depression before the intervention showed no significant difference in the two groups (P>0.5), but immediately after the intervention, independent t-test showed significant difference between mean scores of stress (P=0.001), anxiety (P=0.02) and depression (P=0.02) between groups while two months after the intervention there was only a significant difference between the mean score of stress in the two groups (P=0.003). Also, findings obtained from repeated measures analysis of variance showed that the severity stress, anxiety and depression during the different times in experimental group had significant difference (P<0.001); while, this difference was not significant in the control group (P>0.05). Conclusion: It seems that relaxation technique as intervention in reducing stress, anxiety and depression is effective in women with MS. However, the technique has long-term effects on stress. So, this method as effective technique can be recommended.