تأثير برنامه تمريني منتخب هوازي بر كيفيت زنذگي بيماران مرد مبتلا به مولتيپل اسكلروزيس

Effect of Aerobic Exercise Program on Quality of Life in Male Patients with Multiple Sclerosis

ﻣﻘﺪﻣﻪ: اﯾﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ ﺗﺄﺛﯿﺮ ﺑﺮﻧﺎﻣﻪ ﺗﻤﺮﯾﻨﯽ ﻫﻮازي ﺑﺮ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺑﯿﻤﺎران ﻣﺮد ﻣﺒﺘﻼ ﺑﻪ ﻣﺎﻟﺘﯿﭙﻞ اﺳﮑﻠﺮوزﯾﺲ ﺑﻪ ﻋﻨﻮان ﯾﮏ روش درﻣﺎﻧﯽ ﻣﮑﻤﻞ، اﻧﺠﺎم ﺷﺪه اﺳﺖ. روش ﺑﺮرﺳﯽ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ ﻣﯽﺑﺎﺷﺪ ﮐﻪ ﻧﻤﻮﻧﻪ آﻣﺎري آن60 ﻧﻔﺮ ﺑﻮدﻧﺪ ﮐﻪ ﺑﻪ ﺻﻮرت در دﺳﺘﺮس از آﺳﺎﯾﺸﮕﺎه ﺳﺎﻟﻤﻨﺪان و ﻣﻌﻠﻮﻟﯿﻦ ﮐﻬﺮﯾﺰك، ﮐﻪ ﻋﻀﻮ اﻧﺠﻤﻦ ام. اس. اﯾﺮان ﻧﯿﺰ ﺑﻮدﻧﺪ، اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ ﮔﺮوه ﮐﻨﺘﺮل و آزﻣﻮن ﺗﻘﺴﯿﻢ ﺷﺪﻧﺪ. ﭘﺲ از ﯾﮏ ﺟﻠﺴﻪ آﺷﻨﺎﺳﺎزي ﺑﯿﻤﺎران ﮔﺮوه آزﻣﻮن ﺑﺎ اﻫﺪاف و روش ﻣﺪاﺧﻠﻪ، 27 ﺟﻠﺴﻪ 60 دﻗﯿﻘﻪاي ﺑﺮﻧﺎﻣﻪ ﺣﺮﮐﺘﯽ ﻣﻨﺘﺨﺐ ﻫﻮازي ﻃﯽ 9ﻫﻔﺘﻪ ﺑﻪ ﻣﺮﺣﻠﻪ اﺟﺮا درآﻣﺪ. اﺑﺰارﻫﺎي ﺟﻤﻊآوري اﻃﻼﻋﺎت ﺷﺎﻣﻞ ﭘﺮﺳﺶ ﻧﺎﻣﻪ اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﯿﮏ، ﻓﺮم ﮐﻮﺗﺎه ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ )8-SF( و ﭼﮏ ﻟﯿﺴﺖﻫﺎي ﺧﻮدﮔﺰارشدﻫﯽ ﺑﻮد. از آزﻣﻮنﻫﺎي آﻣﺎري ﺗﻮﺻﯿﻔﯽ، ﺗﯽﻣﺴﺘﻘﻞ و ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ ﺑﺎ اﻧﺪازه ﮔﯿﺮي ﻣﮑﺮر ﺟﻬﺖ ﺗﺠويز ﺗﺤﻠﯿﻞ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮماﻓﺰار آﻣﺎري 16 SPSS version ﺑﺎ ﺳﻄﺢ ﻣﻌﻨﺎداري 0/05 ≤p اﺳﺘﻔﺎده ﮔﺮدﯾﺪ. ﻧﺘﺎﯾﺞ: ﻧﺘﺎﯾﺞ ﺣﺎﺻﻞ از ﻣﻘﺎﯾﺴﻪ دو ﮔﺮوه ﺑﺎ آزﻣﻮن آﻣﺎري T ﻣﺴﺘﻘﻞ ﻧﺸﺎن داد ﮐﻪ در ﻧﻤﺮه ﮐﻞ )48=p=0/23 ،T=1/21 ،df( و اﺑﻌﺎد ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ )ﺟﺴﻤﯽ: 48=p=0/19 ،T=1/31 ،df؛ رواﻧﯽ 48=p=0/31 ،T=0/96 ،df( ﺗﻔﺎوت ﻣﻌﻨﺎدار ﺑﯿﻦ ﮔﺮوه ﮐﻨﺘﺮل و آزﻣﺎﯾﺶ وﺟﻮد ﻧﺪارد. ﻫﻢ ﭼﻨﯿﻦ ﻧﺘﺎﯾﺞ ﺗﺤﻠﯿﻞ وارﯾﺎﻧﺲ اﻧﺪازهﻫﺎي ﻣﮑﺮر ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل از ﻧﻈﺮ اﺑﻌﺎد ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺗﻔﺎوت ﻣﻌﻨﯽ داري وﺟﻮد دارد. ﻧﺘﯿﺠﻪ ﮔﯿﺮي: اﻧﺠﺎم ﺗﻤﺮﯾﻦ ﻫﻮازي ﮐﻪ در اﯾﻦ ﭘﮋوﻫﺶ ﺑﻪ ﺻﻮرت ﯾﮏ ﺑﺮﻧﺎﻣﻪ ﺣﺮﮐﺘﯽ ﻣﻨﺘﺨﺐ ﺑﻮد ﺑﺎﻋﺚ ارﺗﻘﺎء ﺳﻄﺢ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺑﯿﻤﺎران ﻣﻮﻟﺘﯿﭙﻞ اﺳﮑﻠﺮوزﯾﺲ ﺷﺪ، ﺑﻨﺎﺑﺮاﯾﻦ اﯾﻦ روش درﻣﺎﻧﯽ ﻣﮑﻤﻞ ﺑﻪ ﻋﻨﻮان ﯾﮏ روش ﻣﻮﺛﺮ و ﻣﻘﺮون ﺑﻪ ﺻﺮﻓﻪ در ﻫﺰﯾﻨﻪ و زﻣﺎن و ﻫﻢ ﭼﻨﯿﻦ داﺷﺘﻦ قابليت ﯾﺎدﮔﯿﺮي و اﺟﺮاي آﺳﺎن ﺑﻪ ﺑﯿﻤﺎران ﻣﻮﻟﺘﯿﭙﻞ اﺳﮑﻠﺮوزﯾﺲ ﺗﻮﺻﯿﻪ ﻣﯽﮔﺮدد.

Introduction: The purpose of this study was to determine the effect of aerobic exercise program on quality of life in multiple sclerosis men as a complementary therapeutic approach to multiple sclerosis. Methods: This was a semi-experimental study. The statistical sample consisted of 60 people was selected by the available sampling method from Kahrizak Nursing Home where was also a member of the Iranian MS society. They were randomly divided into control and test groups. After an introductory session of the patients with the aims and intervention method in the experimental group, 27 sessions of 60 minutes of aerobic exercise program were performed in 9 weeks. Data collection tools consisted of a demographic questionnaire, a short quality of life (SF-8) questionnaire, and self-report checklist with a significant level of p≤0.05. Descriptive statistical tests, independent t-test and repeated measures analysis of variance were used for analysis using SPSS version 16 statistical software with a significance level of p≤0.05. Results: The results showed that there was no significant different between the two groups in terms of the total score (df = 48 = T 21.1, p = 0.23) and dimensions of quality of life (Physical: df = 48, T = 1.31, p = 0.19; mental: df = 48, t = 0.96, p = 0.31) There was no significant difference between the control and experimental groups. The results of repeated measures analysis of variance showed that there was a significant difference between the experimental and control groups in terms of quality of life dimensions. Conclusion: In general, aerobic exercise, which was chosen as an exercise program in this study, improves the quality of life of multiple sclerosis patients. Therefore, this complementary therapeutic approach is recommended as an effective and cost-effective method in cost and time, as well as the ability to learn and easy to administer to multiple sclerosis patients.