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International Journal for Research Trends and Innovation
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| Paper Title: | Effect of aerobic exercise on withdrawal symptoms among alcohol dependent patient |
| Authors Name: | Amritanshu Chanchal |
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| Author Reg. ID: |
IJRTI_184995
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| Published Paper Id: | IJRTI2212103 |
| Published In: | Volume 7 Issue 12, December-2022 |
| DOI: | |
| Abstract: | A QUASI EXPERIMENTAL STUDY TO EVALUATE THE EFFECTIVENESS OF AEROBIC EXERCISE ON WITHDRAWAL SYMPTOMS AMONG ALCOHOL DEPENDENT PATIENT IN SELECTED DE-ADDICTION CENTER MEERUT Amritanshu chanchal M.sc Nursing 2nd Year Student, Department of Mental Health Nursing, Panna Dhai Maa Subharti Nursing College, Meerut, Uttar Pradesh ABSTRACT Background: Alcoholism is an illness characterized by significant impairment in physiological, psychological or social functioning of the individual. There have always been people who were unable to restrict their use of mind and body altering substances to culturally prescribed limits, and who have fallen into the trap we know today as addiction. People who become addicted to alcohol gradually introduced and desensitized to them over a period of time. Aim: To assess the effectiveness of aerobic exercise on selected alcohol withdrawal symptoms of alcoholic dependents. Methodology: The research design used in this study was Pretest posttest control group design. Total 40 AWS patients randomly selected (20 experimental, 20 control group) by purposive sampling. The tools used were CIWA (clinical institute withdrawal assessment) scale and baseline performa. Aerobic exercise was administered for 20 minutes daily; post test was conducted on the 5th day for both groups. Results: There was significant decrease in AWS (alcohol withdrawal symptoms) of alcohol dependents before and after aerobic exercise program. The computed t(19)=11.9, p=0.001 was greater than table value which shows a significant difference in pre and post interventional level of AWS in experimental group. Computed value (t(38) =3.87), p =0.001 was higher than table value, indicated a difference in the CIWA score between experimental and control group. Interpretation and Conclusion: The study concluded that there was significant reduction in AWS after the aerobic exercise programme. Keywords: Aerobic Exercise; Alcohol Dependents; Alcohol Withdrawal Symptoms INTRODUCTION Objectives of the study: 1. To assess the level of withdrawal symptoms among alcohol dependent in control group and experimental group. 2. To evaluate the effectiveness of aerobic exercise on withdrawal symptoms among alcohol dependent patient in experimental group. 3. To compare the post test score of effectiveness of aerobic exercise on withdrawal symptoms among alcohol dependent patient in experimental group and control group. 4. To find out association between the pre-test and post test score on level of withdrawal symptoms among alcohol dependent in experimental group with their selected demographic variable. Hypotheses: • H1- There will be significant difference in the withdrawal symptoms among alcohol dependent before and after administration of aerobic exercise at 0.05 level of significance as evidenced by CIWA scale. • H2- There will be significant difference in comparison of mean post test score of aerobic exercise among alcohol dependent patient in experimental and control group at 0.05 level of significance. • H3- There will be significant association between the pre test and post test level of aerobic exercise among alcohol dependent and selected demographic variable at 0.05 level of significance. MATERIALS AND METHODS: The main study was conducted from 28/02/18 to24/02/18 in de-addiction centre of the Father Muller Medical College Hospital and Mangalore. Formal permission was obtained from the concerned authority prior to the data collection. The quantitative approach & Pre-Experimental two group pretest-posttest control design was used. A total of 40 alcohol withdrawal patients were selected randomly by purposive sampling technique. The tools used for study were baseline performa and CIWA scale. Baseline performa consists 11 questions related to socio demographic variables such as age, gender, marital status, employment, education, residence, type of family, duration of alcohol consumption, type and amount of alcohol consumed, last drink before admission. Content validity was done by 11 experts which includes experts in the field of psychiatry, psychiatric nursing, and counseling. The reliability coefficient of CIWA scale was found to be 0.80; hence, the tool was reliable. Procedure: The patients with AWS who fulfilled the sampling criteria were identified. The investigator introduced herself to the subjects and the purpose of the study was explained to them and written consent was obtained. Patients with AWS who admitted in the de-addiction centre were selected by purposive sampling and were assigned to experimental and control group. Baseline characteristics of these subjects were obtained and the subjects were assessed for AWS by the researcher for their level of AWS. The pre-test was introduced to assess the pre interventional AWS among both the groups. 5 days of aerobic exercise programme was conducted only for experimental group. A brief introduction about exercise was given orally (Informal discussions) by their mother tongue to the subjects. The investigator encouraged, motivated and guided the participants for exercise. The structured exercise program intervention was administered to each subject in the experimental group for 5 days for 15- 20 minutes in the morning. The investigator had taken each exercise. The post test was conducted on the 5thday again for both the groups and the results were evaluated through the CIWA scale score. The data was analyzed using a paired t test to find out the significant difference between levels of pre-interventional AWS and post interventional AWS in the experimental group and unpaired t test to find out the significant difference between the posttest scores of experimental and control group. Inferential statistic method fisher’s exact test applied to evaluate the association between the pre intervention level of alcohol withdrawal symptoms and selected demographic variables in experimental and control group. RESULTS: This proved that after administration of aerobic exercise, there was improvement in AWS of subjects from moderate AWS to no AWS which proves effectiveness of aerobic exercise. During the study it was observed that, all the subjects were very conscious and interested to learn an o aerobic exercise. The results of pretest of the study revealed that all the subjects were present with AWS and in post-test there was significant decrease in AWS was observed. The results indicated the positive response to the aerobic exercise for improvement of AWS .The subjects expressed that they were expecting more of such kind of programs with more duration of days, pictures, videos, demonstration and more number of instructors. Section I: Description of baseline characteristics - Frequency and percentage distribution of subjects according to baseline characteristics in the experimental group and control group. Section II Level of alcohol withdrawal symptoms before and after the intervention using CIWA scale both in experimental and control group. Section III Effectiveness of aerobic exercise on the alcohol withdrawal symptoms based on CIWA scale in experimental group Section V Association between the pre intervention level of alcohol withdrawal symptoms and selected demographic variables in experimental and control group DISCUSSION: The findings of the study shows that the computed t=11.9, p=0.001 is significantly greater than the tabled value t=2.093, p<0.05which shows that there is a significant difference in the pre and post interventional level of alcohol withdrawal symptoms in the experimental group. Hence inferred that aerobic exercise is effective in reducing alcohol withdrawal symptoms. Also the findings of the study shows that the computed value (t =3.87),p =0.001 is significantly higher than the tabled value(t=2.021), p <0.05 indicating there is difference in the CIWA score between the experimental and control group. These findings are consistent with the findings of study conducted to explore the acute effects of exercise on alcohol urge, withdrawal symptoms and mood disturbance in a counterbalanced cross-over design .The results showed that participants in the experimental group had a significantly reduced alcohol urge and withdrawal symptoms(by 19.7%) compared to the ‘control’ group during exercise. It found to be significantly decreased in the experimental group compared to control group. [8] Similar studies which were conducted in the different settings all over the world were supporting that the majority of the alcoholic addicts affected with alcohol withdrawal symptoms. CONCLUSION The overall findings of the study clearly showed that AWS was decreased in the group after aerobic exercise programme. Hence there is a need for conducting aerobic exercise programme among patients with AWS so that their symptoms can be relieved. The effectiveness of aerobic exercise was proved through this study. ACKNOWLEDGEMENT: Author is thankful to Management and faculty of Father Muller College of Nursing, Kankanady, Mangalore also the patients and staff of the de-addiction center of Father Muller Medical College Hospital for their helping hands to carry this research project. REFERENCES: 1. Polit & Beck, “Nursing Research; Principal and Method, (11th Edition), J.B. Lipincott Company; (2011) 2. Fontaine & Fletcher. (2009). Mental Health Nursing. (5th Edition). New Delhi: Dorling Kindersley India Pvt. Ltd. 3. Sreevani, R. (2009). A guide to Psychiatric and Mental Health Nursing, (3rd edition) New Delhi: Jaypee Publisher 4. Gail.W.Stuart,Michele T. Laraia, Principles An Imprint Of Elsevier 11830, Westline Industrial Drive St. Louis, Missourie 63146, 2005. 5. Bhatia, M.S. Text Book of Psychiatry, (3rd Edition). New Delhi: C.B.S Publishers and Distributors (2007). 6. Megan S. Patterson, Mandy N. Spandine, Katie M. Heinrich et al. Exercise in the treatment of Addiction: A systematic literature review.2022.April.29 7. Filipe Rogrigues Mendocna, Waynne, Ferreira De Faria, Jadson Marcio Da Salva et al. Effects of aerobic exercise combined with resistance training on health related physical fitness in adolescent: A randomized controlled trial.2022.April.2.182-189 8. Katherine A.Collins, Liezel B.Fos, Leanna M.Ross et al.Aerobic resistance and combination training on health related quality of life:the strode- AT/RT Randomized Trial.2021.february. 9. Mats Hallgren, Matthew P. Herrings, Davy Vancamfart et al. changes in cravings following acute aerobic exercise in adults with alcohol use disorder.2021.October.8.243-249. 10. Mats Hallgren, Victoria Anderson, Orjan Ekblom et al. Physical Activity as treatment for alcohol use disorders: Study protocol for a randomized controlled trial.2017.September.26. |
| Keywords: | withdrawal symptoms alcohol dependence |
| Cite Article: | "Effect of aerobic exercise on withdrawal symptoms among alcohol dependent patient", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2455-2631, Vol.7, Issue 12, page no.679 - 679, December-2022, Available :http://www.ijrti.org/papers/IJRTI2212103.pdf |
| Downloads: | 000205504 |
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016 An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator |
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Published Paper ID: IJRTI2212103
Registration ID:184995
Published In: Volume 7 Issue 12, December-2022
DOI (Digital Object Identifier):
Page No: 679 - 679 Country: meerut, uttar pradesh, India Research Area: Health Science Publisher : IJ Publication Published Paper URL : https://www.ijrti.org/viewpaperforall?paper=IJRTI2212103 Published Paper PDF: https://www.ijrti.org/papers/IJRTI2212103 |
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