The effect of Benson relaxation technique on anxiety and aggression in patients with thalassemia major

INTERVENTION: Intervention 1: Intervention description:Prior to his intervention, the researcher will undergo theoretical and practical training in relaxation techniques in several stages under the full supervision of a psychologist. First, the researcher will provide patients with a questionnaire, which includes a questionnaire of demographic characteristics, anxiety and aggression, and after completing the questionnaire; Benson relaxation technique is taught individually by the researcher in 2 face‐to‐face sessions of 30 to 45 minutes with an interval of 2 to 3 days in Ali Asghar Clinic, the time of which is determined in coordination with the patient. The first session is training in the technique and the second session is training with questions from the patient and answers to questions that arise for him during the practice of the Benson technique at home. A CD containing Benson's step‐by‐step relaxation instruction is provided to the intervention group. The intervention group is asked to do relaxation exercises twice a day for 6 weeks according to the schedule set at home. Take about 15 to 20 minutes at a time. The technique is performed as follows: first before performing the relaxation technique; The patient removes all additional items such as watches, bracelets, rings and all items that can be detached and puts them next to him, and then Benson relaxation steps are taught to patients as follows: 1) Gently in position Comfortable. 2) Close your eyes slowly. 3) Relax all the muscles of the body deeply. Start from the soles of your feet and gradually move towards the face. This will keep people calm. 4) At the same time, Breathe through the nose. Be aware of your breathing and while exhaling slowly, repeat soothing words such as (God, love, rain, rainbow and the like) under y CONDITION: D56.1 The effect of Benson relaxation technique on anxiety and aggression in patients with thalassemia major. ; Beta thalassemia INCLUSION CRITERIA: Age over 18 years Ability to communicate in Persian No hearing / heart or lung problems Lack of known neurological problems such as multiple sclerosis and Parkinson's (due to lack of technical ability) No substance abuse No history of participating in training courses and not attending similar courses (before and during research) No disorders of the musculoskeletal system Do not take anti‐anxiety drugs Ability to access and control the patient during 6 weeks Having a cell phone in person or in the family or having a landline at home Have a minimum literacy level of reading and writing Resident of Zahedan Anxiety score above 43 and aggression score above 48 PRIMARY OUTCOME: Anger score that is measured by Bass and Perry Aggression Questionnaire and its score range is 7‐35. Timepoint: It is before the intervention and two months after the end of the. Method of measurement: The Bass and Perry Aggression Questionnaire is a 29‐item questionnaire that includes 4 areas, the anger area includes questions (3‐7‐11‐15‐19‐22‐29) and its score range is 7‐35. Physical aggression score that is measured by Bass and Perry aggression questionnaire and its score range is 9‐45. Timepoint: It is before the intervention and two months after the end of the. Method of measurement: The Bass and Perry Aggression Questionnaire is a 29‐item questionnaire that includes 4 domains. The domain of physical aggression includes questions (1‐5‐9‐13‐17‐21‐24‐26‐28) and its score range is 9‐45. The hostility score is measured by the Bass and Perry Aggression Questionnaire and its score range is 8‐40. Timepoint: It is before the intervention and two months after the end of the. Method of measurement: Bass and Perry Aggression Questionnaire is a 29‐item questionnaire that includes 4 areas, the area of hostility includes questions (4‐8‐12‐16‐20‐23‐25‐27) and its score range is 8‐40. The patient scores on the Spielberger Anxiety Inventory in the range of 160‐40. Timepoint: It is before the intervention and two months after the end of the intervention. Method of measurement: The questionnaire has 40 items with the lowest and highest scores equal to 40 and 160, respectively. At the Anxiety Scale, the main goal is to measure anxiety from low to high. That is, low scores indicate calmness, moderate scores indicate moderate levels of stress and anxiety, and high scores reflect intense fear, close to panic. In response to these substances, subjects show the intensity of their emotion on a 4‐point scale (basically, somewhat, moderately, and very much) at a specific time. In response to the anxiety trait, subjects on a 4‐point scale (never, sometimes, often, and always) show how they generally feel. The patient scores the Bass and Perry Aggression Questionnaire in the range of 145‐29. Timepoint: It is before the intervention and two months after the end of the intervention. Method of measurement: This questionnaire has 29 questions and evaluates four aspects of aggression. Questions 1,5,9,13,17,21,24,26,28 related to physical aggression and questions 6,2,10,14,18 related to verbal aggression, questions 3, 7,11,15,19,22, 29 related They show hostility to anger and questions 4,8,12,16,20,23,25,27. Scoring: For each question, there are five options to answer as follows: It is completely contrary to my characteristics (score 1); Is somewhat contrary to my characteristics (score 2); Only slightly expresses my characteristics (score 3); It is somewhat indicative of my characteristics (score 4); It is quite telling of my characteristics (score 5) that the score of questions 24 and 29 is inverse. The scores of the subscales are obtained by summing the scores of the questions of that subscale. The total score is the sum of the total scores of the questions and its range is from 29 to 145. Higher scores are a sign of more aggression. Verbal aggression score that is measured by the Bass and Perry Aggression Questionnaire and its score range is 5‐25. Timepoint: It is before the intervention and two months after the end of the. Method of measurement: The Bass and Perry Aggression Questionnaire is a 29‐item questionnaire that includes 4 areas. The area of verbal aggression includes questions (2‐6‐10‐14‐18) and its score range is 5‐25.