تأثیر آموزش مدیریت استرس به روش از راه دور بر میزان اشباع اکسیژن خون محیطی بیماران مبتلا به کووید 19 : یک کارآزمایی بالینی تصادفی شده

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

3 استادیار، گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی آجا، تهران، ایران.

4 استادیار، گروه بیماری‌های عفونی و گرمسیری، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

10.22123/chj.2023.389366.2001

چکیده

مقدمه: بیماران مبتلا به کووید 19 به علت درگیری ریوی، دچار هیپوکسی و کاهش اشباع اکسیژن خون محیطی می‌شوند. این بیماران استرس زیادی دارند و ملزم به رعایت شرایط قرنطینه هستند. این مطالعه با هدف تعیین تأثیر آموزش مدیریت استرس به روش از راه دور بر میزان اشباع اکسیژن خون محیطی بیماران کووید 19 انجام شد.
مواد و روش‌ها: در این کارآزمایی بالینی، جامعه پژوهش تمامی بیماران مبتلا به کووید 19 مراجعه‌کننده به بیمارستان غرضی شهر اصفهان در زمستان سال 1400 بودند. با روش نمونه‌گیری در دسترس، 70 نفر انتخاب و به روش تصادفی‌سازی به دو گروه مداخله و کنترل (35 نفر) تقسیم شدند. برای گروه مداخله برنامه آموزش آنلاین مدیریت استرس از راه دور (پنج جلسه 60 دقیقه‌ای در دو هفته) اجرا گردید. گروه کنترل آموزشی دریافت نکرد. اشباع اکسیژن خون، قبل و بعد از آموزش، اندازه‌گیری شد. داده‌ها با آزمون‌های مجذور کای، تحلیل واریانس، تی مستقل و زوجی و تحلیل کوواریانس تجزیه­وتحلیل شدند.
یافته‌ها: میانگین و انحراف معیار اشباع اکسیژن خون به ترتیب در پیش‌آزمون و پس­آزمون در گروه مداخله 25/2±83/93 و 05/1±82/97 و در گروه کنترل 15/2±02/94 و 99/1±16/95 بود. آموزش مدیریت استرس از راه دور، بر میزان اشباع اکسیژن خون بیماران کووید 19 تأثیر معنی‌دار داشته (001/0p=) و این شاخص را در گروه مداخله افزایش داد (05/0p≤).
نتیجه‌گیری: آموزش مدیریت استرس به روش از راه دور می‌تواند اشباع اکسیژن خون بیماران کووید 19 را بهبود بخشد. این شیوه آموزش با توجه به راحتی و امکان استفاده در شرایط قرنطینه این بیماران، توصیه می‌شود.
 

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Remote Stress Management Training on Saturation of Peripheral Oxygen in Patients with COVID-19: A Randomized Clinical Trial

نویسندگان [English]

  • H Hosseini Naveh 1
  • M Ansari Shahidi 2
  • A M Rahnejat 3
  • MR Yazdani 4
1 PhD Student in Health Psychology, Dept. of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
2 Assistant Prof., Dept. of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
3 Assistant Prof., Dept. of Clinical Psychology, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran.
4 Assistant Prof., Dept. of Infectious Diseases and Tropical Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: Due to pulmonary involvement, COVID-19 patients experience a decrease in the saturation of peripheral oxygen. These patients perceive a lot of stress and are required to comply with isolation conditions. This study was conducted with the aim of investigating the effect of remote stress management training on the saturation of peripheral oxygen of covid-19 patients.
Materials and Methods: In this randomized clinical trial, the research population was all the patients with COVID-19 referred to Gharazi Hospital in Isfahan City in the winter 2021. 70 people were selected by convenience sampling method and divided into two intervention and control groups (35 people) by limited randomization method. For the intervention group, the remote stress management online training program was implemented in five 60-minute sessions over two weeks. The control group did not receive any training. The saturation of peripheral oxygen index was measured before and after training sessions. The data were analyzed using chi-square test, analysis of variance, independent and paired t-test, and analysis of covariance.
Results: Mean and standard deviation of the saturation of peripheral oxygen in the pre-test and post-test in the intervention group were 93.83±2.25 and 97.82±1.05, respectively, and in the control group 94.02±2.15 and 95.16±1.99, respectively. Remote stress management training has had a significant effect on the saturation of peripheral oxygen in COVID-19 patients (p=0.001) and increased this index in the intervention group (p<0.05).
Conclusion: Remote stress management training can improve the saturation of peripheral oxygen in covid-19 patients. Therefore, this method of training is recommended due to the convenience and possibility of using it in the isolation conditions of these patients.
 

کلیدواژه‌ها [English]

  • Stress management
  • Remote training
  • Saturation of peripheral oxygen
  • COVID-19

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سلامت جامعه
دوره 17، شماره 3
دی 1402
صفحه 59-69

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