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هيا إبراهيم أبو ملوح

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​​​​​The Effectiveness of Benson’s Relaxation Technique on Pain and Perceived Stress Among Patients Undergoing Hemodialysis: A Double-Blind, Cluster-Randomized, Active Control Clinical Trial

Authors : Haya Ibrahim Ali Abu Maloh, Kim Lam Soh, Seng Choi Chong, Siti Irma Fadhilah Ismail, Kim Geok Soh, Dima Ibrahim Abu Maloh, Nabeel Al Yateem, and Mohannad Eid AbuRuz ​

Abstract :Benson’s relaxation affects many symptoms among hemodialysis patients. A cluster-randomized active control clinical trial with three repeated measures; pre, 1-week, and 1-month post-intervention sought to evaluate the effectiveness of Benson’s Relaxation on pain and perceived stress (P&PS) among hemodialysis patients. Two governmental hospitals were randomly assigned to intervention and control. Thirty-six participants were randomly selected; 18 were intervention, and 18 were controlled. The intervention group performed Benson’s Relaxation twice a day for 10 minutes for 8 weeks after a training session. The control group received an educational session about Progressive Relaxation. Findings revealed a statistically significant reduction in the PSS-10 and PRI scores between pre-intervention and 1 month after-intervention (p < .001) and at 1 week after intervention and 1 month after-intervention (p < .001). A non-statistically significant reduction between pre-intervention and 1 week after-intervention (p > .05). Benson’s Relaxation significantly relieved P&PS among hemodialysis patients but not after only 1 week of practicing.

Keywords :relaxation therapy, pain, perceived stress, hemodialysis

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Efficacy of Benson’s Relaxation Technique on Anxiety and Depression among Patients Undergoing Hemodialysis: A Systematic Review

Authors :Haya Ibrahim Ali Abu Maloh, Kim Lam Soh, Mohannad Eid AbuRuz, Seng Choi Chong, Siti Irma Fadhilah Ismail, Kim Geok Soh , and Dima Ibrahim Abu Maloh ​

Abstract :This study aimed to evaluate the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis. A systematic review of randomized controlled trials was conducted. Searching databases included EBSCO Host, PubMed, ProQuest, Science Direct, Sage Journals, Ovid, and Google Scholar from January 2000 to September 2020. Five randomized controlled trials were identified. Findings revealed a statistically significant decrease in anxiety score. Concerning depression; one RCT showed a statistically significant decrease and two RCTs revealed a non-significant difference in depression level. The overall quality of the RCTs was not high. Despite that the RCTs showed benefits of BRT in managing anxiety. However, this is not the same for depression. The lack of high-quality scientific evidence supporting its retinue use indicates that additional well designed randomized controlled trials in multiple countries are warranted to support the efficacy of Benson’s relaxation technique on anxiety and depression among patients undergoing hemodialysis.

Keywords : Benson’s relaxation, anxiety, depression, hemodialysis, RCTs, systematic review

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​​​​​Open visitation policy in intensive care units in Jordan: cross-sectional study of nurses' perceptions

Authors : Haya Ibrahim Ali Abu Maloh, Samiha Jarrah, Nabeel Al-Yateem, Fatma Refaat Ahmed & Mohannad Eid AbuRuz​

Abstract :: Introduction: Intensive care unit patients and families experience significant stress. It creates frustrations, nervousness, irritability, social isolation for patients, anxiety, and depression for families. An open visitation policy with no time or duration limits may assist in reducing these negative experiences. However, most Jordanian and regional hospitals within the Middle-East and Northern Africa (MENA) have not implemented this strategy. Purpose: To evaluate nurse managers' and nurses' perspectives on the effects of an open visitation policy at intensive care units (ICUs) on patients, families, and nurses' care. Method: A cross-sectional, descriptive, and comparative survey design was used. Results: A total of 234 nurses participated in the study; 59.4% were males, and 40.6% were females. The mean of their age was 28.6 years, with a mean of 4.1 years of experience. Nurses generally had negative perceptions and attitudes toward the open visitation policy and its consequences on the patient, family, and nursing care. Conclusions: ICU managers and staff nurses did not favor implementing an open visitation in their units despite its known benefits, international recommendations, and relevance and compatibility with the local religious and cultural context. A serious discussion regarding this hesitation from the side of the healthcare professionals should be started to find a suitable solutions that consider the benefits of the open visitation policy and the challenges that prevent its implementation in the Jordanian and Arabic cultures.

Keywords : Intensive care units, Nursing Management, ICU nurses, Family-centered care, Family nursing, Visitation policy

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​​​​​The role of physical activity in improving the quality of life among patients with multiple sclerosis.

Authors :: Dima Abu Maloh, Harran AlRahamneh, Hazem AlNahar & Haya Ibrahim Ali Abu Maloh ​

Abstract :This study aimed to identify the role of physical activity in improving the quality of life among patients with multiple sclerosis. Descriptive approach was used. The results revealed a decrease in the quality of life among Multiple Sclerosis patients. There were no significant differences in the quality of life among multiple sclerosis patients in terms of marital status and duration of injury. There were significant differences in the quality of life among multiple sclerosis patients in terms of physical activities. The researchers recommend identifying the factors that negatively affect multiple sclerosis patients’ quality of life and to practice physical activities. Key words: Physical activity, Quality of life, Multiple Sclerosis.

Keywords : Physical activity, Quality of life, Multiple Sclerosis

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​​​​​: The Effectiveness of Jacobson's Progressive Muscle Relaxation Technique on Fatigue among Jordanian Patients with Multiple Sclerosis during Corona Epidemic

Authors : : Dima Ibrahim Abu Maloh, Hazem AlNahar , Walead AlRahahleh , Hasan Jamal AlOran and Haya Ibrahim Ali Abu Maloh​

Abstract :This study aimed to evaluate the effectiveness of Jacobson's Progressive Muscle Relaxation Technique on fatigue among Jordanian patients with multiple sclerosis during Corona epidemic. A pre-post quasi-experimental design was conducted. A total of 120 participants were divided in to two groups; 60 participants in the intervention group and 60 participants in the control group. The intervention group received the Jacobson's Progressive Muscle Relaxation Technique and was instructed to perform it two specific times a day for 10 minutes each time for 8 weeks. While the control group was subject to routine medication. Data were collected from July 2021 up to November 2021 using the Arabic version of the Modified Fatigue Impact Scale. STROBE guidelines were followed in reporting the review. The pre-intervention and post-intervention levels of the physical, cognitive, psychosocial subscales and the total score of the Modified Fatigue Impact Scale for the intervention group and the control group were compared. Results revealed that there was a statistically significant reduction in the physical, cognitive, psychosocial subscales and the total score of the Modified Fatigue Impact Scale for the intervention group (P0.05). Adding the Jacobson's Progressive Muscle Relaxation Technique to therapeutic routine treatments as it is a cost-effective and useful complementary therapy to reduce fatigue level among patients with multiple sclerosis. This study provides a baseline of data that could facilitate further investigations in the future to improve the quality of services delivered to patients with multiple sclerosis, their quality of life, and satisfaction and reduce their fatigue level.

Keywords :Jacobson's relaxation technique, Fatigue, Multiple sclerosis, Corona-virus

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​​​​​: Quality of Life Among Multiple Sclerosis Patients in Terms of Mental Health

Authors :Dima Ibrahim Abu Maloh, Hazem Nouri AlNahar, Haya Ibrahim Abu Maloh ​

Abstract :This study aimed to identify the mental health quality of life among patients with multiple sclerosis in Jordan. Thus, a descriptive quantitative design was used on a total of (N=100) Multiple Sclerosis patients that were randomly selected by using convenience sampling from the Health Insurance Center in the capital Amman, Jordan. Outcome measurement tools were the demographic data form and the Multiple Sclerosis Quality of Life-54 (MSQOL-54) Scale. The demographic data form consisted of questions about: age in years, gender, stage of multiple scleroses, and physical activities. The Multiple Sclerosis Quality of Life-54 (MSQOL-54) consisted of two domains the physical health composite and the mental health composite. In this study the mental health composite were used by the participants. The results revealed that the QOL- Mental Health Composite among patients with multiple sclerosis was 33.9 + 33.6. Moreover, there was no significant difference in score for male and females p=.874. In addition, there was no significant difference in QOL mental health scores for the age groups p=.165. Finally, there was a significant difference in scores for participants and non-participants in physical activity p=.000. Accordingly, this research concluded that Multiple sclerosis patients’ have a low quality of life in terms of mental health. In addition, practicing physical activities have a positive effect on the quality of mental health among multiple sclerosis patients.

Keywords :mental health, multiple sclerosis, quality of life.

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​​​​​Research Title :Efficacy of Benson's Relaxation Technique on Stress and Pain Among Patients Undergoing Maintenance Hemodialysis: A Systematic Review

Authors : ​Haya Ibrahim Ali Abu Maloh 1 2, Kim Lam Soh 2, Seng Choi Chong 3, Siti Irma Fadhilah Ismail 3, Kim Geok Soh 4, Dima Ibrahim Abu Maloh 5, Mohannad Eid AbuRuz 1

Abstract :Introduction: Stress and pain are high among patients undergoing hemodialysis. Benson's Relaxation technique affected a wide range of physical and psychological signs and symptoms among patients undergoing hemodialysis. Objective: To evaluate the effectiveness of Benson's Relaxation Technique in reducing stress and pain among patients undergoing maintenance hemodialysis. Materials and methods: A systematic review of randomized controlled trials was conducted. A systematic literature search was carried out from 2000 to 2023. Searched databases included EBSCO-Host "Academic Search, Cochrane, CINAHL, Health Business, MEDLINE, Psychology and Behavioral Sciences, SPORTDiscus", PubMed, Ovid, and Google Scholar. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were conducted. RCTs were critically appraised using the Cochrane's Risk of Bias Tool. Four RCTs met the inclusion criteria and included in this review since they were applicable to practice. Results: Four randomized controlled trials were identified supporting the use of Benson's relaxation technique as a nursing treatment in managing stress and pain among patients undergoing maintenance hemodialysis, as it achieved a significant decrease in stress and pain scores. The overall quality of the randomized controlled trials was judged to be low to relatively moderate. Conclusions: Most of the randomized controlled trials lacked details on intervention adherence. It is recommended to conduct additional longitudinal randomized controlled trials in different countries with bigger sample sizes, to provide more evidence for generalizing outcomes.

Keywords :RCTs; Relaxation therapy; hemodialysis; pain; stress

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