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:: Volume 9, Issue 4 (10-2021) ::
J Diabetes Nurs 2021, 9(4): 1718-1727 Back to browse issues page
Effect of Nature Sounds on Stress, Anxiety, Depression, and Sleep Quality in Type II Diabetes
Abolfazl Rahbar , Mohammadreza Firouzkouhi , Mozhgan Rahnama , Abdolghani Abdollahimohammad
‎Department Of Nursing, Zabol University Of Medical Science, Zabol, Iran‎ , abdalqani@gmail.com
Abstract:   (1992 Views)
Introduction: Type II diabetic patients experience various physical and mental problems, such as stress, anxiety, depression, and sleep quality disorders, that require necessary interventions. So far, few studies have evaluated the effectiveness of nature sounds on mood and sleep disorders in patients. Therefore, this study was conducted to determine the effect of nature sounds on stress, anxiety, depression, and sleep quality among type II diabetic patients.
Materials and Methods: In this study, 40 patients with type II diabetes were evaluated in the intervention and control groups (n=20 each). The required data were collected using the Anxiety, Stress, and Depression Scale-21 and Pittsburgh Sleep Quality Index at the baseline and 1 week after the nature sounds intervention. The participants in the intervention group listened to an audio file containing the sounds of nature twice a day, once in the morning and once at night before going to bed, for 20 min at each stage. The control group received the usual nursing care program. The gathered data were analyzed using descriptive and inferential statistics.
Results: The independent t-test did not show a significant difference between the mean scores of stress (11.70±3.14 vs 9.60±3.57), anxiety (9.05±3.32 vs 8.05±3.31), depression (9.25±3.77) vs 9.30±4.07), and sleep quality (9.22±3.61 vs 9.44±4/06) of diabetic patients in the intervention and control groups. However, the ANCOVA with Bonferroni post hoc test by controlling pre-test scores significantly reduced the difference between the mean scores of stress in the intervention and control groups, accounting for 9.58 (95% confidence interval [CI] 8.10, 11.07) and 11.71 (95% CI 10.22, 13.20), respectively.
Conclusion: The sound of nature reduced stress in diabetic patients; nevertheless, it did not have a significant effect on their anxiety, depression, and sleep quality.
 
Keywords: Anxiety, Depression, Music Therapy, Nature sound, Sleep quality, Stress
Full-Text [PDF 564 kb]   (1294 Downloads)    
Type of Study: Research | Subject: Diabetic nursing in Home
Received: 2021/12/21 | Accepted: 2022/01/10 | Published: 2022/02/8
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Research code: 0000
Ethics code: IR.ZBMU.REC.1399.117


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Rahbar A, Firouzkouhi M, Rahnama M, Abdollahimohammad A. Effect of Nature Sounds on Stress, Anxiety, Depression, and Sleep Quality in Type II Diabetes. J Diabetes Nurs 2021; 9 (4) :1718-1727
URL: http://jdn.zbmu.ac.ir/article-1-517-en.html


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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 9, Issue 4 (10-2021) Back to browse issues page
فصلنامه پرستاری دیابت Journal of Diabetes Nursing
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