Fakhravar Solmaz, Bahrami Nasim, Qurbani Mostafa, Olfati Forouzan
Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Social Determinants of Health Research Center, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
Int J Community Based Nurs Midwifery. 2021 Jan;9(1):55-63. doi: 10.30476/ijcbnm.2020.85560.1274.
Despite high number of visited cases, there are no certain therapeutic guidelines for mastalgia. Generally pain is associated with poor quality of life in all dimensions. The present study aimed to investigate the effect of healthy lifestyle promotion intervention on the quality of life in cyclic mastalgia.
This study was a randomized controlled trial (RCT) conducted on women suffering from cyclic mastalgia at the age of 20 and older before menopausal age referred to the health centers of Karaj,Iran from September 2017 to August 2018. The participants were randomly assigned to intervention (N=40) and control groups (N=40). Intervention was carried out in two 46-minute sessions and two 90-minute sessions for the intervention group. The quality of life was assessed before and after the intervention in both groups using the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The data were analyzed through SPSS statistical software(version 21) using independent sample t-test, Chi-square,and Paired t-test. Besides, P<0.05 was considered as statistically significant.
Before the intervention, both groups were matched in terms of marital status, educational level, occupation, history of breastfeeding, and mean scores of quality of life (P>0.05). After the intervention, the mean score of life quality in physical, social, environmental, and general health dimensions in the intervention group increased significantly compared to the control group (P>0.001). This difference was not statistically significant in the mental health dimension (P=0.086).
The present study indicated that healthy lifestyle promotion intervention could improve the quality of life of women with cyclic mastalgia. IRCT2017100236513N1.
尽管就诊病例数量众多,但对于乳房疼痛尚无明确的治疗指南。一般来说,疼痛在各个方面都与生活质量差相关。本研究旨在探讨促进健康生活方式干预对周期性乳房疼痛患者生活质量的影响。
本研究是一项随机对照试验(RCT),于2017年9月至2018年8月在伊朗卡拉季的健康中心,对20岁及以上绝经前患有周期性乳房疼痛的女性进行。参与者被随机分为干预组(N = 40)和对照组(N = 40)。对干预组进行了两次46分钟的课程和两次90分钟的课程干预。两组在干预前后均使用世界卫生组织生活质量简表(WHOQOL - BREF)评估生活质量。数据通过SPSS统计软件(版本21)使用独立样本t检验、卡方检验和配对t检验进行分析。此外,P < 0.05被认为具有统计学意义。
干预前,两组在婚姻状况、教育水平、职业、母乳喂养史和生活质量平均得分方面相匹配(P > 0.05)。干预后,干预组在身体、社会、环境和总体健康维度的生活质量平均得分与对照组相比显著提高(P>0.001)。在心理健康维度,这种差异无统计学意义(P = 0.086)。
本研究表明,促进健康生活方式干预可改善周期性乳房疼痛女性的生活质量。IRCT2017100236513N1。