Zanko Journal of Medical Sciences
مجله علوم پزشکی زانکو
Zanko J Med Sci
Medical Sciences
http://zanko.muk.ac.ir
1
admin
2383-3343
2476-325X
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8888
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en
jalali
1400
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gregorian
2022
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بررسی تأثیر موسیقی درمانی بر فشار خون و اضطراب در کودکان تحت دیالیز بیمارستان طالقانی گرگان
The effect of music therapy on blood pressure and anxiety in children on dialysis in Taleghani Hospital in Gorgan
عمومى
General
كاربردي
Applicable
<div style="text-align: justify;"><span style="font-size:18px;"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">زمینه و هدف:</span></span></span></b> <span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">بیماران همودیالیزی، علاوه بر روبه</span></span></span><span lang="FA"><span style="line-height:115%"></span></span><span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">رو شدن با تغییرات متعدد فیزیولوژیک، با تنش</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">های روانی بسیاری نیز روبهرو می­ گردند که هرکدام به نوبه خود می</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">تواند در روان و شخصیت آن</span></span></span><span lang="FA"><span style="line-height:115%"></span></span><span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">ها اختلال ایجاد کند. </span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">پژوهش حاضر، با هدف تبیین اثر موسیقی</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">درمانی بر کاهش اضطراب و فشارخون کودکان تحت درمان دیالیز انجام شد.</span></span></span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:18px;"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">مواد و روشکار</span></span></span></b><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">:</span></span></span></b> <span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">پژوهش حاضر، به روش نیمه</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">آزمایشی از نوع پیش</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">آزمون_پس</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">آزمون با گروه گواه انجام شد. جامعه پژوهش، شامل کودکان تحت درمان دیالیز مرکز آموزشی درمانی کودکان بیمارستان شهید طالقانی گرگان در سال 1397 بود که با نمونه</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">گیری هدفمند، 30 کودک انتخاب و به صورت تصادفی در دو گروه مداخله موسیقی</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">درمانی (15 نفر) و گروه گواه (15 نفر) جای گرفتند. پرسشنامه پژوهش، اضطراب آشکار کودکان رینولدز بود. دادههای گردآوری شده با استفاده از تحلیل کوواریانس چندمتغیره و نرم افزار </span></span></span><span dir="LTR" style="font-family:"Times New Roman","serif"">SPSS</span> <span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">نسخه 24 در سطح اطمینان 0/95 تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:18px;"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">یافته</span></span></span></b><b><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></b><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">ها:</span></span></span></b> <span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">میانگین اضطراب در گروه آزمایش قبل از مداخله </span></span></span></span></span></span></span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">32/57</span></span></span><span style="font-family:"Times New Roman","serif""><span style="color:black">±</span></span><span dir="RTL" lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">/2/49 </span></span></span><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">و بعد از مداخله، 30/42</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif"">±</span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">51/ 2بود و فشارخون، در گروه آزمایش قبل از مداخله 13/57</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif"">±</span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">0/53و بعد از مداخله، 12/65</span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif"">±</span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">0/38بود که از لحاظ آماری، این اختلاف بین اضطراب و فشار خون معنادار بود (0/001></span></span></span><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif"">P</span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">). </span></span></span></span></span></span></span></span></span></div>
<span style="font-size:18px;"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">بحث و نتیجه</span></span></span></b><b><span dir="LTR"><span style="line-height:115%"><span style="font-family:"Times New Roman","serif""></span></span></span></b><b><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">گیری:</span></span></span></b> <span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">میتوان گفت که</span></span></span> <span lang="FA"><span style="line-height:115%"><span style="font-family:"B Zar"">موسیقی درمانی، راهکار مناسبی برای کاهش اضطراب و فشارخون </span></span></span><span lang="AR-SA"><span style="line-height:115%"><span style="font-family:"B Zar"">کودکان تحت درمان دیالیز است. موسیقی درمانی، با تحریک آزادسازی مواد شبه مورفینی و یا اندورفینها در مغز باعث کاهش درد، فشارخون، و اضطراب میشود.</span></span></span></span></span></span></span></span></span>
<div style="text-align: justify;"><span style="font-size:18px;"><span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-family:"Times New Roman","serif"">Background and Aim:</span></b><span style="font-family:"Times New Roman","serif""> Hemodialysis patients, in addition to experiencing various physiological changes, also face many psychological stresses, each of which in turn can disrupt their psyche and personality. This study aimed to explain the effect of music therapy on reducing anxiety and blood pressure in children undergoing dialysis.</span></span></span><br>
<span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-family:"Times New Roman","serif"">Materials & Methods: </span></b><span style="font-family:"Times New Roman","serif"">This study was a quasi-experimental pretest-posttest method with a control group. The study population included children undergoing dialysis at Shahid Taleghani Hospital in Gorgan in 2018. By purposive sampling, 30 children were selected and randomly divided into two groups: the music intervention therapy group (15 people) and the control group (15 people). The research questionnaire was Reynolds's overt anxiety in children. The collected data were analyzed using multivariate analysis of covariance and SPSS software version 24 at a confidence level of 0.95.</span></span></span><br>
<span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-family:"Times New Roman","serif"">Results:</span></b><span style="font-family:"Times New Roman","serif""> Statistical findings showed that the mean of anxiety in the experimental group before the intervention was 2.49±32.57 and after the intervention was 2.51±30.42. Also, the blood pressure in the experimental group before the intervention was 0.53±13.57 and after the intervention was 0.38±12.65 which suggested that the difference between anxiety and blood pressure was statistically significant (P<0.001).</span></span></span><br>
<span style="font-family:Calibri,"sans-serif""><span style="color:black"><b><span style="font-family:"Times New Roman","serif"">Conclusion:</span></b><span style="font-family:"Times New Roman","serif""> According to the results of this study, it can be said that music therapy is a good approach to reduce anxiety and blood pressure in children undergoing dialysis. Music therapy reduces pain, blood pressure, and anxiety by stimulating the release of morphine-like substances or endorphins into the brain.</span></span></span></span></div>
موسیقی درمانی, دیالیز کلیوی, اضطراب, فشار خون
Music therapy, Dialysis, Anxiety, Blood pressure
27
36
http://zanko.muk.ac.ir/browse.php?a_code=A-10-548-7&slc_lang=fa&sid=1
Mojtaba
Aghili
سید مجتبی
عقیلی
dr_aghili1398@yahoo.com
10031947532846005241
10031947532846005241
Yes
Assistant Professor, Department of Psychology, Payame Noor University, Gorgan, Iran
استادیار گروه روانشناسی، دانشگاه پیام نور، گرگان، ایران
Nastaran
Izadi
نسترن
ایزدی
Izadin29-psy@yahoo.com
10031947532846005242
10031947532846005242
No
Master of Psychology, Payame Noor University, Golestan, Iran
کارشناس ارشد روانشناسی، دانشگاه پیام نور، گرگان، ایران
Arezou
Asghari
آرزو
اصغری
azasghari@gmail.com
10031947532846005243
10031947532846005243
No
Assistant Professor, Department of Psychology, Faculty of Humanities, Kowsar University, Bojnourd, Bojnourd, Iran
استادیار گروه روانشناسی، دانشکده علوم انسانی، دانشگاه کوثر بجنورد، بجنورد، ایران
Mitra
Namazi
میترا
نمازی
mitra_namazi@yahoo.com
10031947532846005244
10031947532846005244
No
Master of Clinical Psychology, Shahroud University of Science and Research, Semnan, Iran
کارشناسی ارشد روانشناسی بالینی، دانشگاه علوم و تحقیقات شاهرود، سمنان، ایران