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IRCT20150519022320N26 IRCT 2022-11-13 Rafsanjan University of Medical Sciences Comparing the diaphragmatic relaxation training and cognitive-behavioral therapy on sleep quality of the elderly Comparing the diaphragmatic relaxation training and cognitive-behavioral therapy on sleep quality of the elderly 2022-03-07 anticipated 75 Complete https://irct.ir/trial/62129 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: After determining the framework of the samples, the data will be divided between 3 blocks A, B, C with the help of block randomization based on gender and age, in such a way that the first data in one of the 3 groups will be divided by a simple random method and using the software "Random allocation software" are selected and in the next 2 groups, the data is allocated in the same way based on the software. After equal allocation of data to 3 groups, treatment methods were written on 3 separate sheets and one method was assigned to each of the groups by lottery. N/A sleep quality. Intervention 1: Intervention group: Cognitive-behavioral therapy intervention according to the instructions of Morin CM, Espie CA booklet for 4 weeks (2 sessions of 60 minutes per week) under the supervision of a qualified instructor (having work experience in psychological interventions with the elderly, including cognitive-behavioral therapy) A group is presented in the classroom to ensure the correct implementation of the work method. Meetings are performed with individual assignments (checklist for intervention at home) and the last 10 minutes of each session are spent reviewing reports related to these assignments and answering questions. Intervention 2: Diaphragmatic breathing intervention group is invited to the faculty to practice a session in person and is practiced by the student (who has received the necessary permission to perform this intervention) through oral training, educational clips and pamphlets. After the end of the first session, the student will be evaluated one by one to ensure the correct implementation, and the implementation of the plan will be continued by them at home for 30 days and the student will be followed by a daily phone call to perform the procedure correctly and continuously. According to the LEE study, patients are advised to sit comfortably in a chair 30 minutes before bedtime, with one hand on the chest and the other on the abdomen with the knees bent and the shoulders relaxed. They are then asked to breathe slowly through their nose so that their abdomen moves up in front of their hands. The hand on the chest should be as stable as possible. During the exhalation phase, the patient should tighten the abdominal muscles and exhale slowly through the pursed lips. This exercise should be performed for 20 minutes every night before bed. Intervention 3: Control group: The control group will be formed by the Whats App group for 4 weeks by the researcher and will explain the problems that will occur in the aging process and will answer their medical questions and problems. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No further information available
public Dr.Tayebeh Mirzaei
Faculty of Nursing, Nurse blvd., Jomhury street, Rafsanjan
Rafsanjan Iran (Islamic Republic of) 7718174715 +98 34 3428 0038 t.mirzaei@rums.ac.ir Rafsanjan University of Medical Sciences scientific Dr.Tayebe Mirzaei
Faculty of Nursing, Nurse blvd., Jomhury street, Rafsanjan
Rafsanjan Iran (Islamic Republic of) 7718174715 +98 34 3428 0038 T.Mirzaei@rums.ac.ir Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Being over 60 years old Having an appropriate level of cognitive function (minimum score of 8 in the shortened cognitive test) Having the ability to read and write Complete mastery of Persian language Having the written consent to participate in the research Sleep disturbance based on getting a score higher than 5 in the Pittsburgh questionnaire 60 years 80 years Both Not wanting to continue cooperation Deterioration of the patient's physical condition so that he is unable to cooperate Start taking sleeping pills Performing exercises and other interventions that affect the quality of sleep Foot of the patient F51 Sleep disorders not due to a substance or known physiological condition Treatment - Other Treatment - Other Other Intervention group: Cognitive-behavioral therapy intervention according to the instructions of Morin CM, Espie CA booklet for 4 weeks (2 sessions of 60 minutes per week) under the supervision of a qualified instructor (having work experience in psychological interventions with the elderly, including cognitive-behavioral therapy) A group is presented in the classroom to ensure the correct implementation of the work method. Meetings are performed with individual assignments (checklist for intervention at home) and the last 10 minutes of each session are spent reviewing reports related to these assignments and answering questions. Diaphragmatic breathing intervention group is invited to the faculty to practice a session in person and is practiced by the student (who has received the necessary permission to perform this intervention) through oral training, educational clips and pamphlets. After the end of the first session, the student will be evaluated one by one to ensure the correct implementation, and the implementation of the plan will be continued by them at home for 30 days and the student will be followed by a daily phone call to perform the procedure correctly and continuously. According to the LEE study, patients are advised to sit comfortably in a chair 30 minutes before bedtime, with one hand on the chest and the other on the abdomen with the knees bent and the shoulders relaxed. They are then asked to breathe slowly through their nose so that their abdomen moves up in front of their hands. The hand on the chest should be as stable as possible. During the exhalation phase, the patient should tighten the abdominal muscles and exhale slowly through the pursed lips. This exercise should be performed for 20 minutes every night before bed. Control group: The control group will be formed by the Whats App group for 4 weeks by the researcher and will explain the problems that will occur in the aging process and will answer their medical questions and problems. Sleep quality score of PSQI questionnaire. Timepoint: Before, immediately and one month after the intervention. Method of measurement: Elderly Sleep Quality Scale. Rafsanjan University of Medical Sciences Approved 2022-02-23 Research Ethics Committee of Rafsanjan University of Medical Sciences School of Nursing and Midwifery, Nurse Avenue, Rafsanjan rafsanjan Kerman Iran (Islamic Republic of)