Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
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1735-9260
1735-9279
fa
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1403
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2025
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مقایسه تاثیر آموزش برنامه بهداشت خواب و ماساژ بازتابی کف پا با روغن سیاه دانه بر کیفیت خواب و کیفیت زندگی سالمندان: یک مطالعه کارازمایی بالینی شاهد دار تصادفی
Comparison of the Effects of a Sleep Hygiene Training Program and Foot Reflexology Massage with Nigella Sativa Oil on Sleep Quality and Quality of Life in the Elderly: A Randomized Controlled Clinical Trial
طب سالمندان
Geriatrics
پژوهشي-کامل
Research(Original)
<span style="line-height:2;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">کیفیت خواب و زندگی سالمندان از عوامل کلیدی بهبود سلامت و رفاه آنهاست. با توجه به ترجیح روشهای غیردارویی، این مطالعه با هدف تأثیر آموزش بهداشت خواب و ماساژ رفلکسولوژی را بر کیفیت خواب و زندگی سالمندان</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">، انجام پذیرفت.</span></span><span lang="FA"><span style="font-family:"B Zar""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA"><span style="font-family:"B Koodak"">مواد و روش</span></span><span lang="FA"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="FA"><span style="font-family:"B Koodak"">ها:</span></span> <span lang="AR-SA" style="font-family:"B Zar""><span style="color:black">این مطالعه کارآزمایی بالینی تصادفیشده، در سال </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۲۰۲۳</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> روی </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۱۲۷</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> سالمند در ساری انجام شد. شرکتکنندگان به سه گروه (دو گروه مداخله و یک گروه کنترل) تقسیم شدند. گروههای مداخله شامل آموزش بهداشت خواب (گروههای </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۲</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> تا </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۵</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> نفره) و ماساژ با روغن سیاهدانه (</span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۸</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> جلسه در </span></span><span lang="FA" style="font-family:"B Zar""><span style="color:black">۴</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"> هفته) بودند. گروه کنترل مداخلهای دریافت نکرد و کیفیت خواب و زندگی با پرسشنامههای استاندارد قبل، بلافاصله بعد و یک ماه پس از مداخله ارزیابی شد. دادهها با آزمونهای اندازهگیری مکرر، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">Tamhane</span></span><span style="font-family:"B Zar""><span style="color:black"> و معادلات برآورد تعمیم یافته تحلیل شدند</span></span><span dir="LTR" style="color:black">.</span><span lang="FA"><span style="font-family:"B Koodak""><span style="color:#0e101a"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="color:black">یافته</span></span></span><span lang="FA"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="color:black">ها:</span></span></span> <span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">قبل از مداخله، تفاوت معنیداری در کیفیت خواب بین گروهها وجود نداشت</span></span></span><span lang="FA"><span style="font-family:"B Zar""><span style="color:black"> (0/763=</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">P</span></span><span lang="FA"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span> <span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">پس از مداخله و یک ماه بعد، بهبود معنیدار در کیفیت خواب در گروههای مداخله مشاهده شد (0/001 =</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">P</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span> <span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">هم</span></span></span><span lang="FA"><span style="font-family:"B Zar""><span style="color:black"></span></span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">چنین، کیفیت زندگی در هر دو گروه مداخله بهطور معنیداری بهتر از گروه کنترل بود (0/05 = </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">P</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span> <span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">تفاوت معنیداری در کیفیت زندگی بلافاصله و یک ماه پس از مداخله مشاهده نشد (0/525= </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">P</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="color:black">).</span></span></span><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="color:black">استنتاج:</span></span></span> <span lang="FA" style="font-family:"B Zar""><span style="color:black">روشهای غیردارویی مانند آموزش بهداشت خواب و ماساژ بازتابی کف پا میتوانند بهبود قابل توجهی در کیفیت خواب و زندگی سالمندان داشته باشند، که توصیه می گردد از هر دو روش آزموده شده در این مطالعه با اولویت ماساژ رفلکسولوژی کف پا در بهبود وضعیت خواب و کیفیت زندگی سالمندان استفاده گردد.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="font-size:5.0pt"><span style="font-family:"B Zar""></span></span></span></span></span></span><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Zar""><span style="color:black">شماره ثبت کارآزمایی بالینی</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"> IRCT20221106056420N1</span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"yekanYW","serif""><span style="color:black"> :</span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></i></span></span></span></span></span><br>
<span style="line-height:2;"><span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.1pt">Background and purpose:</span></span></span></b> <span style="font-size:9.5pt">Sleep quality and overall quality of life are key factors in improving the health and well-being of the elderly. Given the preference for non-pharmacological methods, this study examines the effects of sleep hygiene training and reflexology massage on sleep quality and the quality of life among the elderly.</span><span dir="RTL" lang="AR-SA" style="font-size:9.5pt"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.1pt"></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Materials and methods:</span></span></span></b> <span style="font-size:9.5pt"><span style="letter-spacing:-.2pt">This randomized controlled trial, conducted in 2023, included 127 elderly individuals in Sari. Participants were divided into three groups: two intervention groups and one control group. The intervention groups received either sleep hygiene training (delivered in small groups of 2–5 participants) or black seed oil massage (administered in 8 sessions over 4 weeks). The control group received no intervention. Sleep quality and quality of life were assessed at three time points: before the intervention, immediately after, and one-month post-intervention, using standardized questionnaires. Data were analyzed using repeated measures analysis, Tamhane post-hoc tests, and generalized estimating equation tests.</span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif"">Results:</span></span></b> <span style="font-size:9.5pt">Before the intervention, there was no significant difference in sleep quality between the groups (P = 0.763). However, post-intervention and one month later, significant improvements in sleep quality were observed in both intervention groups (P= 0.001). Similarly, quality of life was significantly higher in both intervention groups compared to the control group (P= 0.05). No significant difference in quality of life was found between the intervention groups immediately after and one-month post-intervention (P= 0.525).</span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif"">Conclusion</span></span></b><b><span style="font-size:10.0pt">:</span></b> <span style="font-size:9.5pt">These results indicate that non-pharmacological methods, such as sleep hygiene training and foot reflexology massage, can significantly improve both sleep quality and quality of life in the elderly. Based on the findings, both methods are recommended, with foot reflexology massage showing greater effectiveness. It should be considered as a primary approach to enhancing sleep quality and overall well-being in the elderly.</span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><i><span dir="RTL" lang="AR-SA" style="font-size:4.0pt"><span style="letter-spacing:-.1pt"></span></span></i></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><i><span style="font-size:9.0pt"><span style="letter-spacing:-.1pt">(Clinical Trials Registry Number: </span></span></i><i><span style="font-size:9.0pt"><span style="color:black">IRCT20221106056420N1</span></span></i><i><span style="font-size:9.0pt"><span style="letter-spacing:-.1pt">)</span></span></i></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><i><span style="font-size:4.0pt"><span style="line-height:107%"></span></span></i></b></span></span></span><br>
بهداشت خواب, ماساژ بازتابی کف پا, کیفیت خواب, کیفیت زندگی, سالمندان, ماساژ سوئدی, روغن سیاهدانه
sleep hygiene, foot reflexology massage, sleep quality, quality of life, elderly, Swedish massage, nigella sativa oil
53
68
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-16584-1&slc_lang=fa&sid=1
Mohammad Taha
Saadati Rad
محمدطاها
سعادتی راد
saadatirad@yahoo.com
1003194753284600176711
1003194753284600176711
No
MSc Student in Geriatric Health, Student Research Committee, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
کارشناسی ارشد سلامت سالمندی، گروه سلامت سالمندی، دانشکده ی بهداشت، دانشگاه علوم پزشکی مازندران،ساری،ایران
Ahmad
Delbari
احمد
دلبری
ahmad_1128@yahoo.com
1003194753284600176712
1003194753284600176712
No
Associate Professor, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
دانشیار، مرکز تحقیقات سالمندی، دانشگاه علوم توانبخشی و سلامت اجتماعی، تهران، ایران
Javad
Setareh
جواد
ستاره
javad.setareh47@gmail.com
1003194753284600176713
1003194753284600176713
No
Associate Professor, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات روانپزشکی و علوم رفتاری، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران
Afsaneh
Fendereski
افسانه
فندرسکی
afsaneh.fendereski@gmail.com
1003194753284600176714
1003194753284600176714
No
Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
استادیار، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت،دانشگاه علوم پزشکی مازندران، ساری، ایران
Ehteram Sadat
Ilali
احترام السادات
ایلالی
paradis2082000@yahoo.com
1003194753284600176715
1003194753284600176715
Yes
Associate Professor, Department of Geriatric Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار سالمندشناسی، گروه سلامت سالمندی،دانشکده بهداشت، دانشگاه علوم پزشکی مازندران،ساری،ایران
Kiarash
Saatchi
کیارش
ساعتچی
drsaatchiclinic@gmail.com
1003194753284600176716
1003194753284600176716
No
General Practitioner, Iranian Acupuncture Scientific Association, Tehran, Iran
پزشک عمومی، انجمن علمی طب سوزنی ایران، تهران، ایران