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بررسی تأثیر تنفس عمیق بر اضطراب، خستگی و کیفیت خواب پرسنل اتاق عمل

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه هوشبری و اتاق عمل، دانشکده پیراپزشکی ساری، مرکز تحقیقات طب سنتی و مکمل و پژوهشکده اعتیاد ساری، دانشگاه علوم پزشکی مازندران، ساری، ایران

2 استادیار، گروه اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی البرز، کرج، ایران

3 دانشجوی کارشناسی ارشد اتاق عمل، گروه هوشبری و اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران

4 استادیار، گروه هوشبری و اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران

چکیده

زمینه و هدف: به دلیل کار در شرایط اورژانسی، دارا بودن تکنیک کاری بالا و حجم زیاد کار، اتاق عمل، بخشی پرتنش شناخته می‌شود که می‌تواند باعث بروز مشکلاتی در افراد شاغل در آن شود. این مطالعه با هدف بررسی تأثیر تنفس عمیق بر اضطراب، خستگی و کیفیت خواب پرسنل اتاق عمل انجام شد..
مواد و روش‌ها: این کارآزمایی بالینی به روش پیش‌آزمون- پس‌آزمون، در سال 1399 بر روی تکنولوژیست‌های اتاق عمل و تکنسین‌های بیهوشی انجام شد. 35 نفر از افرادی که معیارهای ورود به مطالعه را داشتند به‌صورت تصادفی ساده انتخاب شدند و به مدت چهار هفته تمرینات تنفس عمیق را انجام دادند. پرسش‌نامه‌های شدت خستگی چند بعدی، کیفیت خواب پیتزبورگ و اضطراب بک قبل، دو هفته و چهار هفته پس از مداخله، تکمیل و مقایسه ‌گردید.
یافته‌ها: میانگین نمره اضطراب از 9.57±19.65 به 6.34±14.2 بعد از دو هفته و 5.67±10.68 بعد از چهار هفته رسید. میانگین نمرات خستگی، از 10.07±64.37 به 8.72±56.79 و سپس 8.76±52.75 رسید که در هر دو اثر زمان کاملاً معنی‌دار می‌باشد (0.001>P). میانگین نمره کیفیت خواب، از 3.41±9.89 به 2.7±8.92 و سپس 2.7±7.71 رسید. در زمان قبل تا 2 هفته بعد، اختلاف معنی‌داری وجود ندارد (0.57=P) ولیکن در زمان 2 تا 4 هفته بعد، شاهد اختلاف معنی‌دار بودیم (0.04=P).
نتیجه‌گیری: با توجه به تأثیرات مثبت تنفس عمیق بر پرسنل اتاق عمل، استفاده از این روش غیردارویی و بدون عارضه به‌منظور حفظ سلامت روانی و جسمی پرسنل و افزایش ایمنی و کیفیت کار پیشنهاد می‌گردد

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Deep Breathing on Anxiety, Fatigue and Sleep Quality in Operating Theater Staff

نویسندگان [English]

  • Ebrahim Nasiri 1
  • Leila Sadati 2
  • rana abjar 3
  • Hooshang Akbari 4

1 Assistant Professors, Department of Anesthesiology and Operating Room, School of Allied Medical Sciences, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

2 Assistant Professor, Department of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Karaj, Iran

3 MSc Student of Operating Room Technologist, Department of Anesthesiology and Operating Room, School of Allied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran

4 Assistant Professor, Department of Anesthesiology, Faculty of Paramedical, Mazandaran University of Medical Sciences, Sari, Iran

چکیده [English]

Introduction: Due to the work in emergency situations, having high work technique and large volume of work, the operating room is known as a stressful part. Which can cause problems for the personnel working in it. The aim of this study was to investigate the effect of deep breathing on anxiety, fatigue and sleep quality of operating room personnel.
Materials and Methods: This clinical trial was performed by pre-test-post-test method in 2020 on operating room technologists and anesthesia technicians. Thirty-five people who met the inclusion criteria were randomly selected and performed deep breathing exercises for four weeks. Multidimensional fatigue intensity, Pittsburgh Sleep Quality and Beck Anxiety Questionnaires were completed and compared before, two weeks and four weeks after the intervention.
Results: The mean anxiety score changed from 19.65 ± 9.57 to 14.2 ± 6.34 after two weeks and 10.68 ± 5.67 after four weeks. The mean fatigue scores changed from 64.37 ± 10.07 to 56.79 ± 8.72 and then 52.75 ± 8.76 Which is quite significant in both time effects (P <0.001). The average sleep quality score changed from 9.89 ± 3.41 to 8.92 ± 2.7 and then 7.71 ± 2.7. There was no significant difference in the previous time - 2 weeks later (P = 0.57). However, at 2-4 weeks later, There was significant difference (P = 0.04).
Conclusion: Due to the positive effects of deep breathing on operating room personnel, the use of this non-pharmacological and uncomplicated method is recommended to maintain the mental and physical health of personnel and increase safety and quality of work.

کلیدواژه‌ها [English]

  • Anxiety
  • Deep Breathing
  • Fatigue
  • Sleep quality
  • Operating room
  • Operating room technicians
مراجع
  1. Moallemi S, Adroom M. Comparison of Job Stress and Job Satisfaction Amongst Nurses of Different Units. Mil Caring Sci. 2016;3(3):165-173 [persian].
  2. Jafari N, Bakhshi E, Moradi A, Asadi H, Kalantari R, Naderi M. Assessment of Demographic and Job Related Stressors on Depression, Stress and Anxiety in Employees of Islam Abad Gharb Health Centers. J Heal. 2018;9(4):403–13.
  3. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakim A. The relationship between nurses’ clinical competency and job stress in Ahvaz university hospital, 2013. J Clin Nurs Midwifery. 2015;4(1):39–49.
  4. Alipour N, Shabani M, Fakhr AA, Mahdiyoun S-A. Study of occupational stress as predictors of nursing intention to leave. J Ergon. 2018;6(1):58-64 [persian].
  5. Biganeh J, Abolghasemi J, Alimohammadi I, Ebrahimi H, Torabi Z, Ashtarinezhad A. Survey Of Occupational Stress Effects On Burnout Among Nurses. Knowl Heal. 2018 Jan;13(1):10–8.
  6. Barati Dowom P, Roshanaei K, Darvishi M. Neurophysiological Mechanism of Sleep and Wakefulness Regulation. Neurosci J Shefaye Khatam. 2015;3(3):121-135 [persian].
  7. Roehrs T. Sleep physiology and pathophysiology. Clin Cornerstone. 2000;2(5):1–12.
  8. Salehi K, Alhani F, Mahmoudifa Y, Rouhi N. Quality of Sleep and Related Factors among Imam Khomeini Hospital Staff Nurses. Nurs care Reaserch Cent. 2010;23(63):18–25.
  9. Aghili SM, Afzali S. The Effect of Yoga Yoga Breathing Exercises on chronic Low Pain, Anxiety, Psychological and Physical Well-being of Women with MS. Q J Heal Psychol. 2017 Mar;5(20):109–24.
  10. Babahaji M, Tayebi A, Ebadi A, Askari S, Ebrahimi SM, Sharafi SF. Effect Of Hathayoga Exercise On Sleep Quality Of Hemodialysis Patients. Iran J Nurs Res. 2014;9(3 (34)):1–9.
  11. Perciavalle V, Blandini M, Fecarotta P, Buscemi A, Di Corrado D, Bertolo L, et al. The role of deep breathing on stress. Neurol Sci. 2017;38(3):451–8.
  12. Ariga RA. Decrease anxiety among students who will do the objective structured clinical examination with deep breathing relaxation technique. Open Access Maced J Med Sci. 2019;7(16):2619–22.
  13. Ma X, Yue ZQ, Gong ZQ, Zhang H, Duan NY, Shi YT, et al. The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Front Psychol. 2017;8(874):1–12.
  14. Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013;41(12):1218–23.
  15. Ong JJY, Bharatendu C, Goh Y, Tang JZY, Sooi KWX, Tan YL, et al. Headaches Associated With Personal Protective Equipment – A Cross-Sectional Study Among Frontline Healthcare Workers During COVID-19. Headache. 2020;60(5):864–77.
  16. Su C-Y, Peng C-Y, Liu H-L, Yeh I-J, Lee C-W, Su C-Y;, et al. Comparison of Effects of N95 Respirators and Surgical Masks to Physiological and Psychological Health among Healthcare Workers: A Randomized Controlled Trial. Int J Environ Res Public Heal 2021, Vol 18, Page 13308. 2021;18(24):13308.
  17. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
  18. Fillion L, Gélinas C, Simard S, Savard J, Gagnon P. Validation evidence for the French Canadian adaptation of the Multidimensional Fatigue Inventory as a measure of cancer-related fatigue. Cancer Nurs. 2003;26(2):143–54.
  19. Smets EMA, Garssen B, Bonke B, De Haes JCJM. The multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res. 1995;39(3):315–25.
  20. Schneider RA. Reliability and validity of the Multidimensional Fatigue Inventory (MFI- 20) and the Rhoten Fatigue Scale among rural cancer outpatients. Cancer Nurs. 1998;21(5):370–3.
  21. Beck AT, Epstein N, Brown G, Steer RA. An Inventory for Measuring Clinical Anxiety: Psychometric Properties. J Consult Clin Psychol. 1988;56(6):893–7.
  22. De Couck M, Caers R, Musch L, Fliegauf J, Giangreco A, Gidron Y. How breathing can help you make better decisions: Two studies on the effects of breathing patterns on heart rate variability and decision-making in business cases. Int J Psychophysiol. 2019;139:1–9.
  23. Serafim SD, da Ponte FDR, Lima FM, Martins DS, Rosa AR, Kunz M. Effects of deep breathing in patients with bipolar disorder. Perspect Psychiatr Care. 2019;55(1):119–25.
  24. Yusuf A, Iswari MF, Sriyono S, Yunitasari E. The effect of combination of spiritual deep breathing exercise therapy on pain and anxiety in postoperative nonpatological orthopedic fracture patients. EurAsian J Biosci. 2020;14(1):1625–31.
  25. Öner Cengiz H, Ayhan M, Güner R. Effect of deep breathing exercise with Triflo on dyspnoea, anxiety and quality of life in patients receiving covid-19 treatment: A randomized controlled trial. J Clin Nurs. 2021.
  26. Yau KKY, Loke AY. Effects of diaphragmatic deep breathing exercises on prehypertensive or hypertensive adults: A literature review. Complement Ther Clin Pract. 2021;43:101315.
  27. Khng KH. A better state-of-mind: deep breathing reduces state anxiety and enhances test performance through regulating test cognitions in children. Cogn Emot. 2016;31(7):1502–10.
  28. Hayama Y, Inoue T. Complementary Therapies in Clinical Practice The effects of deep breathing on ‘ tension e anxiety ’ and fatigue in cancer patients undergoing adjuvant chemotherapy. Complement Ther Clin Pract. 2012;18(2):94–8.
  29. Ghorbani A, Hajizadeh F, Sheykhi MR, Mohammadpoor asl A. The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial. J Caring Sci. 2019;8(4):219–24.
  30. Fatma Gündogdu SK. Using Pranayama and Deep Breathing Exercises to Reduce Cancer-Related Fatigue and Insomnia During Radiotherapy:A Randomized Controlled Study. Res Sq. 2021;1–15.
  31. Laborde S, Hosang T, Mosley E, Dosseville F. Influence of a 30-day slow-paced breathing intervention compared to social media use on subjective sleep quality and cardiac vagal activity. J Clin Med. 2019;8(2):193.
  32. Liu Y, Jiang T tong, Shi T ying, Liu Y ning, Liu X mei, Xu G jun, et al. The effectiveness of diaphragmatic breathing relaxation training for improving sleep quality among nursing staff during the COVID-19 outbreak: a before and after study. Sleep Med. 2021;78:8–14.
  33. Cheng KS, Croarkin PE, Lee PF. Heart Rate Variability of Various Video-Aided Mindful Deep Breathing Durations and Its Impact on Depression, Anxiety, and Stress Symptom Severity. Mindfulness (N Y). 2019;10(10):2082–94.
مجله دانشگاه علوم پزشکی سبزوار
دوره 29، شماره 5
آذر و دی 1401
صفحه 718-729
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سابقه مقاله
  • تاریخ دریافت: 22 فروردین 1401
  • تاریخ بازنگری: 27 خرداد 1401
  • تاریخ پذیرش: 29 خرداد 1401
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