Iranian Journal of Ergonomics
مجله ارگونومی
Iran J Ergon
Medical Sciences
http://journal.iehfs.ir
1
admin
1735-1960
2345-5365
8
10.53208/IJE
14
13
fa
jalali
1392
9
1
gregorian
2013
12
1
1
2
online
1
fulltext
fa
بررسی اثر نور روز بر سلامت روانی سالمندان
Effect of daylight on subjective general health factors in elderly
سایر موارد
Other Cases
پژوهشي
Research
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در درمان بیماری</span><span lang="FA"></span><span lang="FA">های روانی از قبیل افسردگی فصلی و اختلالات ریتم سیرکادین بسیار
رایج است. نوردرمانی با استفاده از نور طبیعی یا مصنوعی انجام می</span><span lang="FA"></span><span lang="FA">گیرد که می</span><span lang="FA"></span><span lang="FA">تواند نقش پیشگیرانه
در ایجاد اختلالات مذکور داشته باشد. مطالعه حاضر با هدف ارزیابی اثر نور روز بر بهبود
عوامل ذهنی سلامت سالمندان انجام شده است.</span></span></p><span style="background-color: rgb(255, 255, 255)"> </span><p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt text-align: justify line-height: normal background-image: none background-repeat: repeat background-attachment: scroll background-position: 0% 0% background-clip: border-box background-origin: padding-box background-size: auto auto direction: rtl unicode-bidi: embed"><span style="background-color: rgb(255, 255, 255)"><b><span lang="FA">مواد و روشها: </span></b><span lang="FA">در این مطالعه مداخله</span><span lang="FA"></span><span lang="FA">ای، 19 نفر (7مرد و
12زن) از واجدین شرایط ورود به مطالعه ساکن در مراکز نگهداری سالمندان همدان انتخاب
شدند. از شرکت</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span></span><span lang="FA">کنندگان خواسته شد، روزانه دو ساعت از ساعت 9:00 تا 10:00 صبح و ساعت 4:00 تا
5:00 عصر به مدت یکماه در معرض نور خورشید قرار گیرند. میزان سلامت عمومی و خواب آلودگی
سالمندان قبل و بعد از مداخله با پرسشنامه سلامت عمومی </span><span dir="ltr" style="font-size: 10pt">GHQ</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt"><span dir="rtl"></span><span dir="rtl"></span> </span><span lang="FA">و مقیاس خواب آلودگی کرولینسکا (</span><span dir="ltr" style="font-size: 10pt">KSS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA"><span dir="rtl"></span><span dir="rtl"></span>) ارزیابی شد.</span></span></p><span style="background-color: rgb(255, 255, 255)"> </span><p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt text-align: justify line-height: normal background-image: none background-repeat: repeat background-attachment: scroll background-position: 0% 0% background-clip: border-box background-origin: padding-box background-size: auto auto direction: rtl unicode-bidi: embed"><span style="background-color: rgb(255, 255, 255)"><b><span lang="FA">یافته ها: </span></b><span lang="FA">میانگین نمره سلامت
عمومی پس از مداخله از 31/36 به 89/29 کاهش یافت (003/0=</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span dir="ltr" style="font-size: 10pt">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA"><span dir="rtl"></span><span dir="rtl"></span>). نتایج حاکی از افزایش سطح خواب آلودگی از ساعت 3:00 تا 7:00 بامداد
و کاهش آن در طول روز بویژه از ساعت 13:00 تا 20:00 بود (001/0=</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span dir="ltr" style="font-size: 10pt">P</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA"><span dir="rtl"></span><span dir="rtl"></span>).</span></span></p><span style="background-color: rgb(255, 255, 255)"> </span><p class="MsoNormal" dir="rtl" style="text-align: justify line-height: normal background-image: none background-repeat: repeat background-attachment: scroll background-position: 0% 0% background-clip: border-box background-origin: padding-box background-size: auto auto direction: rtl unicode-bidi: embed"><span style="background-color: rgb(255, 255, 255)"><b><span lang="FA">نتیجه گیری:
</span></b><span lang="FA">نوردرمانی
می</span><span lang="FA"></span><span lang="FA">تواند باعث تنظیم ریتم بیولوژیک و چرخه خواب - بیداری و در نهایت اصلاح وضعیت سلامت
روانی سالمندان شود. پیشنهاد می</span><span lang="FA"></span><span lang="FA">شود سالمندان به صورت برنامه</span><span lang="FA"></span><span lang="FA">ریزی شده صبح و عصر
در معرض نور خورشید قرار گیرند. این روش می</span><span lang="FA"></span><span lang="FA">تواند به عنوان یک روش کمکی
در پیشگیری و درمان اختلالات خلقی و خواب در سالمندان به کار رود.</span></span></p><span style="background-color: rgb(255, 255, 255)">
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This before-after clinical trial investigated the effect of daylight on morning and night melatonin, subjective general health using GHQ questionnaire, sleepiness and alertness on elderly who lived in nursing houses.
Nineteen nursing home residents participated voluntarily. They exposed to daylight from 9 to 10 A.M. and from 4 to 5 P.M. for 6 weeks. General health of all participants was evaluated using general health questionnaire (GHQ) as well. Also we used of KSS and VAS questionnaire foe assessment of sleepiness and alertness.
Baseline morning and night melatonin levels were 25.39 (±19.75)pg/ml, and 40.3 (±21.55)pg/ml respectively. Daylight exposure significantly affected morning melatonin at 7:00 A.M. but had no significant effect on night melatonin at 8:00 P.M. Mean score of general health changed 36.31 to 29.89 (P=0.003). Karolinska sleepiness scale (KSS) and Visual Analogue Scale (VAS) showed increase sleepiness and decrease alertness from 3:00 to 7:00 A.M. Sleepiness decreased and alertness increased during 1:00 P.M and 20:00 P.M.
Overall day light exposure may delay sleep phase and circadian rhythm problems in elderly people. Anxiety and insomnia could be improved with daylight exposure. Our findings suggest that elders should be exposed to scheduled daylight in morning and evening for prevention and improvement of mental disorders. Adequate light should be provided for elder’s homes and nursing house. We have proposed to further study with a larger sample size be done to assess effect of daylight on GHQ' subscales.
نور درمانی, افسردگی, اضطراب, سالمندان, پرسشنامه GHQ, پرسشنامه KSS
Daylight, Elderly, KSS, GHQ, anexity, depression
49
55
http://journal.iehfs.ir/browse.php?a_code=A-10-29-1&slc_lang=fa&sid=1
Zohreh
Karami
زهره
کرمی
10031947532846001392
10031947532846001392
No
Rostam
Golmohammadi
رستم
گلمحمدی
golmohamadi@umsha.ac.ir
10031947532846001393
10031947532846001393
Yes
گروه ارگونومی، دانشکده بهداشت و مرکز تحقیقات علوم بهداشتی، دانشگاه علوم پزشکی همدان
Ahmad
Heydari Pahlavian
احمد
حیدری پهلویان
10031947532846001394
10031947532846001394
No
Rashid
Heydari Moghaddam
رشید
حیدری مقدم
10031947532846001395
10031947532846001395
No
Jalal
Poorolajal
جلال
پورالعجل
10031947532846001396
10031947532846001396
No