School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Islamic Azad University of Yazd, Yazd, Iran.
BMC Psychol. 2021 Mar 16;9(1):43. doi: 10.1186/s40359-021-00547-0.
Thalassemia have a negative impact on the patients' psychological health and sleep quality. This study aimed to determine the effects of a positive thinking training program on hope and sleep quality of patients with thalassemia major.
This randomized clinical trial was conducted on 78 patients with thalassemia major including 36 males (46.2%) and 42 females (53.8%) with a mean age of 25.56 ± 29.6 in Iran. Subjects were randomly assigned into experimental and control groups. Experimental group received 16 h training based on positive thinking materials published by Martin Seligman. Control group received only usual programs. Data were collected at baseline, as well as immediately and one month after the intervention, using Snyder's Hope Scale and the Pittsburgh Sleep Quality Index. Data analysis was performed using SPSS Software 18.0; statistical tests included the independent T-test, the Chi-square, Mann Whitney, and Friedman test. Significance level was set at 0.05 in this study.
The experimental group had a significantly higher mean hope score compared to the control group immediately (45.38 ± 7.82 vs. 35.32 ± 5.54, P < 0.001) and one month following intervention (44.67 ± 3.47 vs. 35 ± .54, P < 0.001). Moreover, the mean sleep quality scores of the experimental group was significantly greater than that for control group immediately (5.35 ± 2.02 vs. 7 ± 2.4, P = 0.004) and one month after the intervention (4.23 ± 2.2 vs.7.02 ± 3.03, P < 0.001).
Since our training program on positive thinking improved hope and quality of sleep in patients with thalassemia major, we recommend the use of such courses as an important step toward promotion of hope and sleep quality among these patients. Trial registration The name of the registry: Iranian Registry of Clinical Trials.
IRCT2017010431774N1. URL of the trial registry record: https://en.irct.ir/trial/24923 . Registration Date: 07/03/2017.
地中海贫血症对患者的心理健康和睡眠质量有负面影响。本研究旨在确定积极思维训练计划对重型地中海贫血症患者希望和睡眠质量的影响。
本随机临床试验在伊朗对 78 名重型地中海贫血症患者进行，其中 36 名男性（46.2%）和 42 名女性（53.8%），平均年龄为 25.56±29.6 岁。将受试者随机分为实验组和对照组。实验组接受基于 Martin Seligman 发表的积极思维材料的 16 小时培训。对照组仅接受常规方案。在基线、干预后立即和一个月后使用 Snyder 的希望量表和匹兹堡睡眠质量指数收集数据。使用 SPSS 软件 18.0 进行数据分析；统计检验包括独立 t 检验、卡方检验、Mann Whitney 检验和 Friedman 检验。本研究的显著性水平设为 0.05。
实验组在干预后立即（45.38±7.82 vs. 35.32±5.54，P<0.001）和一个月后（44.67±3.47 vs. 35±0.54，P<0.001）的平均希望评分显著高于对照组。此外，实验组的平均睡眠质量评分也明显高于对照组，在干预后立即（5.35±2.02 vs. 7±2.4，P=0.004）和一个月后（4.23±2.2 vs.7.02±3.03，P<0.001）。
由于我们的积极思维训练计划提高了重型地中海贫血症患者的希望和睡眠质量，我们建议将此类课程作为提高这些患者希望和睡眠质量的重要步骤。
临床试验伊朗注册处。
IRCT2017010431774N1。
https://en.irct.ir/trial/24923 。
2017 年 7 月 3 日。
