Effect of energy preservation technics on extent of fatigue of chemical veterans with respiratory disorders of Isfahan city in
Effect of energy preservation technics on extent of fatigue of chemical veterans
with respiratory disorders of Isfahan city in
Introduction: fatigue is one of most prevalent and weakening symptoms of respiratory diseases among chemical veterans which widely affect many aspects of individual’s life. This paper aims to determine the effect of energy preservation technics on the degree of fatigue of chemical veterans with respiratory disorders.
Material and methods: this study is of clinical trial type that has been done on 50 chemical veterans with respiratory disorder. The sampling is done by convenient approach from statistical population of chemical veterans of Isfahan city. Patients are placed by randomization method in two groups of experiment and control. Energy preservation technics (ECM) has been trained in experiment group during three months in the Isfahan Foundation of Martyrs and Veterans and the patients adopted these methods for two months by control of researcher at home. Fatigue of patients has been examined before, after and three months after the intervention using fatigue severity scale (FSS). Results have been analyzed using SPSS 20 software and t pair and t independent tests.
Findings: average of fatigue of study samples in experiment group before intervention was 39.46+9.07 and immediately after the intervention it decreased to 33.94+5.11, and three months later it reduced to 29.29+4.42 and the difference was significant. At control group, the average of fatigue before the intervention was 40.08 +10.68 and after intervention it increased to 42.06+6.56 and three months after intervention it increased to 43.16+3.09.
Conclusion: considering the findings of the study, use of energy preservation technics has positive influence on decrease of degree of fatigue of chemical veterans with respiratory disorders. Therefore, one can use it as an optimized approach and while decreasing the cost of frequent admittance to healthcare centers, it reduces major problems derived from the disease.
Keywords: respiratory diseases, fatigue, energy preservation technics, chemical veterans
War is an inauspicious and undesirable event for any country (Samad Soltani et al, 2015) and it has been always a serious and disturbing subject for society public health (Bagheri Kaboregh, 2006). Although international treaties been declared prohibition of use of chemical and biological agents at war in 1925 (Rezai, 2003), chemical agents were used extensively at Iran-Iraq war by Iraq Ba’ath army at 1980 decade (Alaei, 2013, Blali et al, 2009). Clinical and laboratory studies during Iran-Iraq war have specified that the majority of used chemical weapons were Sulfur Mustard or mustard gas followed by toxic organophosphate gases, phosgene and Cyanide (Sobati et al, 2003). Most used toxic gas in this war was mustard gas or Sulfur mustard (Zarchi et al, 2005), which bring about long term health problems for who have exposed to it and more than 45 thousands of chemical victims in Iran are suffering from its morbidities (Ranjbar Shayan et al, 2009). Most of morbidities of Mustard Gas occur at lung (95%), eyes (65%), skin (75%) (Ghanai et al, 2010), (Blali et al, 2009).
Respiratory problems is the most prevalent long term morbidity among veterans who have been exposed to Mustard gas (Qazanfari et al, 2009), one of most weakening and prevalent symptom from these problems is fatigue (Blacker et al, 2012).
Fatigue is a mental experience (Sajadi et al, 2010) that can be specified as feeling weakness and exhaustion, decrease of body force, lack of energy, disability, incapability in continuing the activity, drowsiness, deficient concentration, sense of inadequacy, and decrease of motivation (Panahi et al, 2012). Chemical veterans experience the fatigue more than average at their everyday life. Unfortunately, modern tumultuous life beside common respiratory problems of chemical veterans prevents them to find a suitable solution for their fatigue (Poursaleh et al, 2011).
In previous research, many drug or non-drug solutions are raised for control of fatigue. Fatigue is controllable to some extent by drug, however, given the problems and morbidities derived from drug treatment, use of drug methods which decrease fatigue don’t seem logical (Saksvik et al, 2011).
Non-drug solutions of treatment of fatigue includes sport, work therapy, physiotherapy, use of proper mechanics of body, time planning and management and energy optimization (Shah, 2009, Blikman et al, 2013). Energy preservation technics including training of energy preservation behaviors are presented at three dimensions of resting, relaxation, planning and organizing the everyday activities and control of body temperature, that includes appropriate sport movements, and their aim is empowering people for participating in self-care, carrying out the work
and recreational activities (Afari& Buchwald, 2003).
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