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Paper Information

Journal:   MEDICAL JOURNAL OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES   Spring 2003 , Volume 37 , Number 57; Page(s) 76 To 81.
 
Paper: 

THE EFFECT OF RELAXATION AND BIOFEEDBACK ASSISTED RELAXATION IN PATIENTS WITH MILD HYPERTENSION

 
 
Author(s):  NAJAFIYAN J.*, GHOLESTAN HASHEMI S.M.
 
* Isfahan Cardiovascular Research Center, Amin Hospital, Isfahan University of Medical Sciences, Isfahan
 
Abstract: 

Background and Objectives: Blood pressure is one of the most prevalent chronic diseases and because of the chronicity it needs a life long therapy. Many patients are not compliant to continue their treatment and after a long period discontinue their drugs and seek for non-drug treatments. In this study, we evaluated the effect of two techniques of behavioral therapy, relaxation and biofeedback assisted relaxation on blood pressure.
Materials and Methods: Fifty-six men (aged between 30 to 60 years) with mild hypertension, who did not use any pharmacological treatment, took part in this study. Participants were randomly divided into three groups, relaxation or group I (19 participants), biofeedback assisted relaxation or group II (18 patients) and control or group III (19 patients). Treatment period consisted of ten sessions (every other day). Group I and II performed relaxation for 15 minutes during each session. In group II at the end of each relaxation session for another 15 minutes blood pressure was measured at 2 to 3 minute interval and declared to the patient. Heart rate and blood pressure were measured and recorded before and after each session.
In control group only blood pressure was measured at each session. Stress state was measured by Malekpoor questionnaire with 67%validity. Anxiety was measured by Ketel questionnaire. Before and after study period patients filled stress and anxiety questionnaires (total 20 days).
Results: The mean of systolic and diastolic blood pressures was reduced after study period in group one and two. There was a significant difference between group one and three (p<0.05) and between groups two and three (p<0.05).
Conclusion: Relaxation and biofeedback-relaxation techniques reduce systolic and diastolic blood pressures, and these behavioral techniques can be useful as the main therapy or an adjuvant to the routine drug therapy of hypertension

 
Keyword(s): RELAXATION, BIOFEEDBACK-ASSISTED, ANXIETY, STRESS, HYPERTENSION
 
References: 
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