Federal State-Funded Educational Institution of Higher Professional Education “Chelyabinsk State Pedagogical University” (FSFEIHPE “CSPU”), Prophylaxis and Sanitation Medical Centre, Chelyabinsk, Russia, e-mail: firstname.lastname@example.org
Objective: To evaluate the effectiveness of the influence of the combined physical factors (FF) “Alfamassage-33” on the psycho-vegetative status and the level of the stress hormone – cortisol in case of smoking tobacco at a young age.
Materials and methods: there have been examined 180 young smokers at the age of 18-22 years old (the average age is 20,7+ 0, 47). The degree of the nicotine addiction was calculated by the test of Fagerstrom, the assessment of the state of anxiety was carried out by the hospital scale of Hamilton (HARS), the identification of the stress hormone cortisol in the saliva was carried out by the method of IFA. The unit “Alfamassage-33” has been used for the correction of the vegetative dysfunction , which included massage vibrations of medium intensity – 50 Hz on supine, lumbar muscles, limbs, thermo effect (dry air bath) with medium heating - 60°C, aromatherapy (oil – fir tree, pine, eucalyptus).
Procedures were carried out for 30 minutes daily, the course of treatment – 6 procedures. There haven’t been observed any side-effects. The statistics analysis has been carried out with the use of the Statistical Package of SPSS (V.12) with the calculation of the universal median (Me), p<0,05.
Results: the analysis of the smokers’ questionnaires has shown, that the registered anxiety according to Hamilton’s scale (HARS) scored 12,95+ 0,16 points, in comparison with the control (5,17+0,19) in case of anxiety absence. The duration of anxiety symptom varied from a month to 4 months. Anxiety was revealed regardless of the level of nicotine addiction. There have been observed a double rise of cortisol in the young smokers’ saliva and it amounted to: Me(Q25%-Q75%) – 70(131-194), control 64(40-90) nM/l, p<0,01, that testified the role of the stress-induced mechanisms in forming nicotine addiction and psycho-emotional status in case of tobacco smoking. In the process of examination there have been revealed vegetative-vascular symptoms: fatigability (92%), irritability (85,3%), depression (78,6%). After having carried out the impact of the combined FF “Alfamassage-33”, there have been found out true-to-fact anxiety reduction and almost half reduction of cortisol and it amounted to - Me(Q25%-Q75%). The decrease of irritability and fatigability - 53,0 %-70,0%.
Conclusions: The complex programme of young people, smoking tobacco with the assistance of the unit “Alfamassage-33” helps to reduce the degree of the change of the psycho-emotional status: that of the anxiety, fatigability, irritability and depression.