Volume 18, Issue 1 (5-2021)
J Res Dev Nurs Midw 2021, 18(1): 17-20 |
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Mirhosseini S, Rezaei M, Mirbagher Ajorpaz N. The Effect of Benson Relaxation Technique on General Health of Patients with Multiple Sclerosis: A Randomized Controlled Trial. J Res Dev Nurs Midw 2021; 18 (1) :17-20
URL: http://nmj.goums.ac.ir/article-1-1222-en.html
URL: http://nmj.goums.ac.ir/article-1-1222-en.html
1- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran , mirhosseini@yahoo.com
2- Autoimmune Diseases Research Center, Department of Medicine, Kashan University of Medical Sciences, Kashan, Iran
2- Autoimmune Diseases Research Center, Department of Medicine, Kashan University of Medical Sciences, Kashan, Iran
Abstract: (2146 Views)
Background: MS is a potentially disabling disease of the brain and spinal cord (central nervous system). Patients with MS have some problems in their general health. The purpose of this study was to determine the effects of Benson relaxation technique on general health in MS patients.
Methods: This randomized controlled trial study was done on MS patients who registered in MS center in Kashan, Iran, from March 2017 to July 2018. The first sixty eligible patients were recruited through convenient sampling method and then patients were randomly assigned to experimental and control groups. Patients in both groups were completed the Goldberg General Health Questionnaire (GHQ-28) before and after the intervention. Benson relaxation technique was performed by patients in the intervention group twice a day, 20 minutes per session, over a period of eight weeks. Data were analyzed using Chi-square, independent t-test, and paired t-test in the SPSS software (version 16). The level of significance was set at 0.05.
Results: There was significant difference in the mean scores of general health before (44.22±12.4) and after (31.14±11.09) the intervention in the experimental group (P=0.002). After intervention, the difference between the mean difference scores of general health in the control (1.78±3.5) and experimental (13.08±2.88) groups was significant (P=0.002).
Conclusion: According to the findings, the Benson relaxation technique can be effective for improving MS patients’ general health, physical and mental status, and social function. Due to the cost-effectiveness and safety of this technique, we propose the inclusion of the technique in the treatment protocol for MS patients.
Methods: This randomized controlled trial study was done on MS patients who registered in MS center in Kashan, Iran, from March 2017 to July 2018. The first sixty eligible patients were recruited through convenient sampling method and then patients were randomly assigned to experimental and control groups. Patients in both groups were completed the Goldberg General Health Questionnaire (GHQ-28) before and after the intervention. Benson relaxation technique was performed by patients in the intervention group twice a day, 20 minutes per session, over a period of eight weeks. Data were analyzed using Chi-square, independent t-test, and paired t-test in the SPSS software (version 16). The level of significance was set at 0.05.
Results: There was significant difference in the mean scores of general health before (44.22±12.4) and after (31.14±11.09) the intervention in the experimental group (P=0.002). After intervention, the difference between the mean difference scores of general health in the control (1.78±3.5) and experimental (13.08±2.88) groups was significant (P=0.002).
Conclusion: According to the findings, the Benson relaxation technique can be effective for improving MS patients’ general health, physical and mental status, and social function. Due to the cost-effectiveness and safety of this technique, we propose the inclusion of the technique in the treatment protocol for MS patients.
Keywords: Benson relaxation technique , Health [MeSH], Multiple Sclerosis [MeSH], Complementary Therapies [MeSH]
Type of Study: Original Article |
Subject:
Nursing
References
1. Kamińska J, Koper OM, Piechal K, Kemona H. Multiple sclerosis-etiology and diagnostic potential. Postepy higieny i medycyny doswiadczalnej (Online). 2017 Jun 30; 71:551-63. [View at paplisher] [DOI:10.5604/01.3001.0010.3836] [Google Scholar]
2. Milo R, Kahana E. Multiple sclerosis: geoepidemiology, genetics and the environment. Autoimmun Rev. 2010; 9(5):A387-94. [View at paplisher] [DOI:10.1016/j.autrev.2009.11.010] [Google Scholar]
3. Ontaneda D, Thompson AJ, Fox RJ, Cohen JA. Progressive multiple sclerosis: prospects for disease therapy, repair, and restoration of function. Lancet. 2017;389(10076):1357-1366. [View at paplisher] [DOI:10.1016/S0140-6736(16)31320-4] [Google Scholar]
4. Correale J, Gaitán MI, Ysrraelit MC, Fiol MP. Progressive multiple sclerosis: from pathogenic mechanisms to treatment. Brain. 2017; 140(3):527-546. . [View at paplisher] [DOI:10.1093/brain/aww258] [Google Scholar]
5. Mirhosseini S, Mohammadi A, Rezaei M, Mirbagher Ajorpaz N. The Effect of Benson Relaxation Technique on the Fatigue Severity of Patients With MS. JCCNC. 2019; 5 (3):175-182. . [View at paplisher] [DOI:10.32598/JCCNC.5.3.175] [Google Scholar]
6. Birnbaum G, Stulc J. High dose biotin as treatment for progressive multiple sclerosis. Mult Scler Relat Disord. 2017; 18:141-143. [View at paplisher] [DOI:10.1016/j.msard.2017.09.030] [Google Scholar]
7. Lublin FD, Reingold SC, Cohen JA, Cutter GR, Sørensen PS, Thompson AJ, et al. Defining the clinical course of multiple sclerosis: the 2013 revisions. Neurology. 2014; 83(3):278-86. [View at paplisher] [DOI:10.1212/WNL.0000000000000560] [Google Scholar]
8. Merkel B, Butzkueven H, Traboulsee AL, Havrdova E, Kalincik T.Timing of high-efficacy therapy in relapsing-remitting multiple sclerosis: A systematic review. Autoimmun Rev. 2017; 16(6):658-665. [View at paplisher] [DOI:10.1016/j.autrev.2017.04.010] [Google Scholar]
9. Feinstein A, Freeman J, Lo AC.Treatment of progressive multiple sclerosis: what works, what does not, and what is needed. Lancet Neurol. 2015; 14(2):194-207. [View at paplisher] [DOI:10.1016/S1474-4422(14)70231-5] [Google Scholar]
10. Latimer-Cheung AE, Pilutti LA, Hicks AL, Martin Ginis KA, Fenuta AM, MacKibbon KA, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development. Arch Phys Med Rehabil. 2013; 94(9):1800-1828.e3. [View at paplisher] [DOI:10.1016/j.apmr.2013.04.020] [Google Scholar]
11. World Health Organization. Policies and Practices for Mental Health in Europe, Meeting the Challenges. World Health Organization, Geneva, Switzerland.2008. [View at paplisher]
12. Martin R, Sospedra M, Rosito M, Engelhardt B. Current multiple sclerosis treatments have improved our understanding of MS autoimmune pathogenesis. Eur J Immunol. 2016; 46(9):2078-90. [View at paplisher] [DOI:10.1002/eji.201646485] [Google Scholar]
13. Robles-Cedeno R, Ramio-Torrenta L. Cladribine in the treatment of relapsing multiple sclerosis. Rev Neurol. 2018; 67(9):343-354. [View at paplisher] [DOI:10.33588/rn.6709.2018184] [Google Scholar]
14. Torabian M, Taghadosi M, Mirbagher Ajorpaz N, Khorasanifar L. The effect of Pilates exercises on general health in women with type 2 diabetes. Life Scie J.2013; 10(1): 283-288. [View at paplisher] [Google Scholar]
15. Mohammadi A, Ajorpaz NM, Torabi M, Mirsane A, Moradi F. Effects of music listening on preoperative state anxiety and physiological parameters in patients undergoing general surgery: A randomized quasi-experimental trial. Cen Eur J Nur Mid. 2014;5 :156-160. [View at paplisher] [DOI:10.15452/CEJNM.2014.05.0011] [Google Scholar]
16. Mirbagher N, Aghajani M. Comparing the effect of pure and impure honey on severity of pain, amount of bleeding, and duration and interval of menstrual cycles in female students with primary dysmenorrheal. Life Sci J.2013; 10(1): 835-841. [View at paplisher] [Google Scholar]
17. Rahimimoghadam Z, Rahemi Z, Mirbagher Ajorpaz N, Sadat Z. Effects of Pilates exercise on general health of hemodialysis patients. J Bodyw Mov Ther. 2017; 21(1):86-92. [View at paplisher] [DOI:10.1016/j.jbmt.2016.05.012] [Google Scholar]
18. Eshgh ZM, Rahemi Z, Majd HA, Hoviattalab SK, Yaghamaei F. Effects of walking on quality of life of mastectomy patients at selected hospitals of Tehran. Iran J Nurs Midwifery. Res. 2011; 16 (4): 299-303 [View at paplisher] [Google Scholar]
19. Dikmen HA, Terzioglu F. Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life during Chemotherapy in Gynecologic Cancer Patients. Pain Manag Nurs. 2019;20(1):47-53. [View at paplisher] [DOI:10.1016/j.pmn.2018.03.001] [Google Scholar]
20. Rambod M, Sharif F, Pourali-Mohammadi N, Pasyar N, Rafii F. Evaluation of the effect of Benson's relaxation technique on pain and quality of life of haemodialysis patients: a randomized controlled trial. Int J Nurs Stud. 2014; 51(7):964-73. [View at paplisher] [DOI:10.1016/j.ijnurstu.2013.11.004] [Google Scholar]
21. Solehati T, Rustina Y. Benson Relaxation Technique in Reducing Pain Intensity in Women after Cesarean Section. Anesth Pain Med.2015; 5 (3):e22236. [DOI:10.5812/aapm.22236v2]
22. Dayapoğlu N, Tan M. Evaluation of the effect of progressive relaxation exercises on fatigue and sleep quality in patients with multiple sclerosis. J Altern Complement Med. 2012;18(10):983-7. [DOI:10.1089/acm.2011.0390]
23. Moazami Goudarzi Y, Ghadirian F, Vahedian A, Pishgoo A.The Effect of Benson Relaxation on the Anxiety of Patients under Radial Angiography: A Randomized Clinical Trial, Criti Care Nur J. 2018;11 (1) : e65623. [DOI:10.5812/ccn.65623]
24. Mahdavi A, Gorji MA, Gorji AM, Yazdani J, Ardebil MD. Implementing Benson's Relaxation Training in Hemodialysis Patients: Changes in Perceived Stress, Anxiety, and Depression. N Am J Med Sci. 2013;5(9):536-40. [DOI:10.4103/1947-2714.118917]
25. Galvin JA, Benson H, Deckro GR, Fricchione GL, Dusek JA. The relaxation response: reducing stress and improvingcognition in healthy aging adults. Complement Ther Clin Pract. 2006 Aug; 12(3):186-91. [DOI:10.1016/j.ctcp.2006.02.004]
26. Eyigor S, Karapolat H, Yesil H, Uslu R, Durmaz B. Effects of Pilates exercises on functional capacity, flexibility, fatigue, depression and quality of life in female breast cancer patients: a randomized controlled study. Eur J Phys Rehabil Med.2010; 46 (1): 481e487.
27. , Chichester, 1983.
28. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psych Med. 1979; 9: 139-45. [DOI:10.1017/S0033291700021644]
29. Werneke U, Goldberg DP, Yalcin I, Ustün BT. The stability of the factor structure of the General Health Questionnaire. Psychol Med. 2000; 30(4):823-9. [DOI:10.1017/S0033291799002287]
30. Javanmard GH, Mamaghani J. Standardization of GHQ-28 Inventory on the students of Azerbaijan Province of Iran. Procedia Social Beh Sciences.2013; 84 (1) : 47-52. [DOI:10.1016/j.sbspro.2013.06.507]
31. Bagheri-Nesami M, Mohseni-Bandpei MA, Shayesteh-Azar M. The effect of Benson Relaxation Technique on rheumatoid arthritis patients: extended report. Int J Nurs Pract. 2006; 12(4):214-9. [DOI:10.1111/j.1440-172X.2006.00568.x]
32. Munro BH. Statistical Methods for Health Care Research,fifth ed, Lippincott Williams & Wilkins, Philadelphia, PA, 2004.
33. Mowla F, Khanjari S, Inanlou M. Contribution of Benson's Relaxation Technique and Brief Psycho-Educational Intervention on Quality of Life of Primary Caregivers of Iranian Children with Chronic Diseases. J Pediatr Nurs. 2017; 35:65-71. [DOI:10.1016/j.pedn.2017.02.037]
34. Seifi L, Najafi Ghezeljeh T, Haghani H. Comparison of the Effects of Benson Muscle Relaxation and Nature Sounds on the Fatigue in Patients With Heart Failure: A Randomized Controlled Clinical Trial. Holist Nurs Pract. 2018;32(1):27-34. [DOI:10.1097/HNP.0000000000000242]
35. Smith KE, Norman GJ.Brief relaxation training is not sufficient to alter tolerance to experimental pain in novices. PLoS One. 2017;12(5):e0177228. [DOI:10.1371/journal.pone.0177228]
36. Nazari F, Soheili M, Hosseini S, Shaygannejad V. A comparison of the effects of reflexology and relaxation on pain in women with multiple sclerosis. J Complement Integr Med. 2016 Mar; 13(1):65-71. [DOI:10.1515/jcim-2015-0046]
37. Novais PG, Batista Kde M, Grazziano Eda S, Amorim MH.The effects of progressive muscular relaxation as a nursing procedure used for those who suffer from stress due to multiple sclerosis. Rev Lat Am Enfermagem. 2016; 24:e2789. [DOI:10.1590/1518-8345.1257.2789]
38. Jain S, Shapiro SL, Swanick S, Roesch SC, Mills PJ, Bell I,ET AL. A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Ann Behav Med. 2007; 33(1):11-21. [DOI:10.1207/s15324796abm3301_2]
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