@2024 Afarand., IRAN

---

ISSN: 2008-2630    Iranian Journal of War & Public Health 2016;8(2):89-94

Background
People tend to increase longevity and specifically note to positive features of life such as qualities, and the quality of life are considered in their life style [1].
Previous Studies
… [2-8, 11-12.] Research has shown that interventions such as cheerful, noncompetitive and aerobic exercise as an active exercise and massage and vibration as a passive exercise, can be effective on improving the mood, physical rehabilitation and mental relaxation of people with physical illnesses [9-13] … [14].
Aim(s)
The aim of current research was to study the effect of sequential exercise program on the life quality of chronic chemical pulmonary victims in Markazi Province.
Research type
This is a semi-experimental study.
Research society, place and time
This study was conducted on 12 chemical victims in 2014 in Markazi Province.
Sampling method and number
12 out of 16 Markazi Province chemical victims were selected purposively that had entrance criteria included male gender, age between 50 to 60 years old and proven track record of confronting the mustard gas during the chemical bombardment of different areas in the country, according to medical records available on the victims Foundation, and patients who were chronic pulmonary victims according to results of conducted spirometry. The study exit criteria were individual’s lack of cooperation and low volume of serum samples. Participants took part in the research with Informed consent.
Used devices&materials
At first, participants’ individual specifications were collected by demographic information questionnaire and life quality was evaluated through Health Survey Short Form (SF-36). This questionnaire is a general tool that can be used in general population and in patients’ various populations. This questionnaire includes 36 questions with 8 dimensions; Physical function, physical role limitations, emotional role limitations, exhilaration, mental health, social function, physical pain and general health and it is summarized in two scales ; 0 and 100 that present the worst and the best condition respectively. Persian translation’s validation of Short Form of Health Survey has been conducted in Tehran and the questionnaire’s Cronbach's alpha coefficients obtained from 0.77 to 0.90 and its correlation is more than 0.4 from 0.58 to 0.95 [6]. Retest was used in current research to determine the reliability of this tool on victims and reliability coefficient obtained 0.85 that is acceptable. The sequential exercise program was used in order to implement exercise program adequate for victims. The aim of implementation of this exercise program was to improve various aspects of life quality by increasing muscle strength and individual’s physical efficiency. Sequential exercise program included instruction of planned and gentle exercises, skin, eye, nutrition health advices and appropriate physical movements that was prepared by experts and were presented as a film in DVD format. Massage program was presented to pulmonary chemical victims through multimedia training packages and implementing mentioned activities at home. Duration of implementation of this program was 6 months. Training packages was included stretching exercises and hands, legs and body massage when waking up, stretching and light exercises after draining sputum, light movements, doing exercise with athletic facilities available in parks and in case of inaccessibility to these facilities using dumbbells and meels (clubs) at home as well as using of wood for light exercises. In addition, the program included participation in collective sports such as valley ball, football, basketball, darts, etc, local native games with family members, if possible participation in gymnasium sports, shooting or archery that took20 minutes and were implemented twice a day. Condition was in a way that trained exercises to be done by victim twice a day and in severe cases family members could help in which they were trained. The aids included draining sputum in the morning, body massage of the victim and creating cheerful atmosphere by participating in exercises and competition in considered activities. Participants are trained to implement exercises at least two times individually while they are doing exercises under supervision of researcher. After the exercise program, life quality questionnaire was implemented and completed again. Collected data was evaluated in two stages before and after test. At first, data’s normality was evaluated by Shapiro-Wilk test. Then the data analyzed by using SPSS version 16 statistical software and paired t-test.
Findings by Text
The average range of participants’ age was 56.08 ± 4.28 years old. In the study the mean scores of various dimensions of life quality had significant difference after instruction than before instruction, So that after the instruction, the mean scores of life quality increased in dimensions of physical function, physical role limitations due to physical problems, playing role limitations due to mental emotional problems, energetic and vitality feeling (exhilaration), feeling of their own mental health status, social function, physical pain, and general health (Table1).
Main comparison to the similar studies
... [15-20]. Sequential exercises is effective on the life quality of chemical pulmonary victims. Hamidi Zadehe et al. in their study on 50 elderlies concluded that doing exercise has increased the mean scores of life quality among these people [21]. … [22-24].In the similar study conducted by Gumus et al. a significant relevance between doing sport activities and life quality is proven and had considerable progress in every 8 subscales of participants’ life quality [25].
Suggestions
Using the sequential exercise program in order to improve clinical status and subsequently, life quality progress in chemical pulmonary victims can play an important role in this disease as a secondary prevention component due to the low cost, applicable and having other beneficial effects.
Limitations
This study limitations can be noted that because the only way of morning exercise evaluation was self-reported in this study that can effect on accuracy of collected results. Also the other limitation of the study is the lack of sample, which is better to conduct another study with more samples to have higher rate of patients’ cooperation.
Conclusions
Sequential exercise program’s implement causes progress in dimensions of life quality of chronic chemical pulmonary victims.
Acknowledgments
Respectable colleagues at Janbazan Medical and Engineering Research Center (JMERC) and Foundation of Martyrs and victims Affairs are appreciated.
Conflict of interest
Non-declared
Ethical Permissions
Current study is confirmed in Ethics Committee of Janbazan Medical and Engineering Research Center. In addition, the informed consent has been received from participants.
Funding Sources
This article is the result of thesis entitled the Study of the Effect of Sequential Exercise Program on the Life Quality of Chronic Chemical Pulmonary Victims in Markazi Province, code No.20021404922007 in MA degree 2015 that has been conducted by support of Janbazan Medical and Engineering Research Center.

TABLES and CHARTS

Show attach file