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Register a new userEffects of Back Massage and Facial Massage on Sleep Quality in Critically Ill Patients
تأثير تدليك الظهر وتدليك الوجه على نوعية النوم عند مرضى الحالات الحرجة
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سوسن غزال( باحث )
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المقدمة: يعد اضطراب النوم من الاضطرابات الشائعة في وحدات الرعاية المركزة، والتغيرات التي حدثت في الممارسة السريرية الموجهة لدعم النوم في وحدات الرعاية المركزة متفرقة، ميزت جمعية الجهاز التنفسي الأوروبية والجمعية الأوروبية للطب والعناية المركزة أن العلاج بالتدليك قد يحسن نوعية النوم. الهدف: قد أجريت هذه الدراسة لتحديد تأثير تدليك الظهر وتدليك الوجه على نوعية النوم في مرضى الحالات الحرجة. طرائق البحث وأدواته: أجري البحث على عينة قوامها 45 مريضاً في وحدات الرعاية المركزة في مستشفى الأسد الجامعي والمستشفى الوطني. تم تقييم نوعية النوم في المجموعتين التجريبيتين والمجموعة الضابطة باستخدام مقياس نوعية النوم Groningen بعد ساعة من تطبيق السياسة. النتائج: أوضحت النتائج فعالية تدليك الظهر وتدليك الوجه، إذ تحسنت نوعية النوم بشكل ملحوظ (** P = 0.000) في المجموعة التجريبية التي تلقت تدليك الظهر والمجموعة التجريبية التي تلقت تدليك الوجه بقيمة متوسطة (3,9981) و (4,4043)على التتابع، أكثر من المجموعة الضابطة التي لم تتلق التدليك وتركت لروتين المشفى. الاستنتاجات: تقترح معلومات الدراسة أن تدليك الظهر وتدليك الوجه علاجان فعالان في تحسين نوعية النوم في مرضى الحالات الحرجة.
Introduction: Sleep disturbance is common among patients in intensive care units (ICUs). Changes in clinical practice to promote sleep in the ICUs have been sporadic. The European Respiratory Society and the European Society of Intensive Care Medicine recognize that massage therapy may improve quality of sleep. Goal: This study was conducted to identify the effects of back and face massage on sleep quality in ICU patients. Material and Methods: A sample of 45 patients in intensive care units in Al-Assad University Hospital and Alwatani Hospital were recruited in the study. Both the massage and control participants were evaluated for sleep quality by Groningen sleep quality scale, 1 hour after administration of the protocol. Results: The effectiveness of back and face massage, as quality of sleep, is significantly improved (p=0.000) in the experimental back and face massage groups (mean score 3.9981), and (mean score 4,4043) respectively, than in control group (mean score – 0.8117). In conclusion, our data suggest that back and face massage therapy is effective in improving the quality of sleep in ICU patients
Artificial intelligence review:
Research summary
تهدف هذه الدراسة إلى تحديد تأثير تدليك الظهر وتدليك الوجه على نوعية النوم لدى مرضى الحالات الحرجة في وحدات العناية المركزة. تم إجراء البحث على عينة من 45 مريضًا في مستشفى الأسد الجامعي والمستشفى الوطني. تم تقييم نوعية النوم باستخدام مقياس نوعية النوم Groningen بعد ساعة من تطبيق البروتوكول. أظهرت النتائج فعالية تدليك الظهر وتدليك الوجه في تحسين نوعية النوم بشكل ملحوظ في المجموعات التجريبية مقارنة بالمجموعة الضابطة. تدعم البيانات أن العلاج بالتدليك يمكن أن يكون فعالًا في تحسين نوعية النوم لدى مرضى الحالات الحرجة، مما يساهم في تقليل مضاعفات العناية المركزة وتقليل مدة الإقامة في المستشفى وتحسين نوعية الحياة.
Critical review
دراسة نقدية: تعتبر هذه الدراسة خطوة مهمة نحو فهم تأثير التدليك على نوعية النوم لدى مرضى الحالات الحرجة. ومع ذلك، يمكن انتقادها من عدة جوانب. أولاً، حجم العينة صغير نسبياً مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم تناول العوامل النفسية والاجتماعية التي قد تؤثر على نوعية النوم بشكل كافٍ. ثالثاً، كان من الممكن أن تكون هناك مجموعة متنوعة من التدخلات الأخرى التي يمكن مقارنتها بالتدليك لتحسين نوعية النوم. على الرغم من هذه النقاط، فإن الدراسة توفر بيانات قيمة يمكن أن تكون أساسًا لدراسات مستقبلية أكثر شمولية.
Questions related to the research
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ما هو الهدف الرئيسي من الدراسة؟
الهدف الرئيسي من الدراسة هو تحديد تأثير تدليك الظهر وتدليك الوجه على نوعية النوم لدى مرضى الحالات الحرجة في وحدات العناية المركزة.
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ما هي الأدوات المستخدمة لتقييم نوعية النوم في الدراسة؟
تم استخدام مقياس نوعية النوم Groningen لتقييم نوعية النوم في الدراسة.
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ما هي النتائج الرئيسية للدراسة؟
أظهرت النتائج أن تدليك الظهر وتدليك الوجه يحسنان نوعية النوم بشكل ملحوظ في المجموعات التجريبية مقارنة بالمجموعة الضابطة.
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ما هي التوصيات التي قدمتها الدراسة بناءً على النتائج؟
توصي الدراسة باستخدام العلاج بالتدليك كإجراء فعال لتحسين نوعية النوم لدى مرضى الحالات الحرجة، مما يمكن أن يقلل من مضاعفات العناية المركزة ويقلل من مدة الإقامة في المستشفى ويحسن نوعية الحياة.
References used
POTTER PA, Perry AG. Fundamentals of Nursing (2012). St Louis: Mosby Publishers
ROEHER TA, Roth T. Sleep and pain: interaction of two vital function (2005). Retrieved on 24 Sept 2007 from http://www.ncbi. nlm.nih.gov
PATEL M., Chipman J., Carlin BW, Shade D. Sleep in the Intensive Care Unit Setting. Critical Care Nursing Quarterly (2008) 31(4): 309-318
TEMBO A C, Parker V. Factors that impact on sleep in intensive care patients. Intensive and Critical Care Nursing (2009) 25, 314-322
ELLIOTT R, McKilney S, Cistullip P. The quality and duration of sleep in the intensive care setting: an integrative review. InternationalJournal of Nursing Studies (2011) 48, 384-400
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