تأثیر کرم لاوندر با یا بدون حمام پا بر استرس، اضطراب و افسردگی زنان پس از زایمان: یک کارآزمایی بالینی تصادفی کنترلشده

نوع مقاله: اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ارومیه، ارومیه، ایران.

2 دانشیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

3 کارشناس ارشد مامایی، بیمارستان حضرت زهرا (س)، دانشگاه علوم پزشکی قم، قم، ایران.

4 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشکده علوم پزشکی ساوه، ساوه، ایران.

5 دانشیار گروه مامایی، مرکز تعیین‌کننده‌های اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: دوران پس از زایمان، یک دوران آسیب­پذیر از نظر مشکلات روانی می­باشد. طب گیاهی ممکن است یک مداخله مؤثر جهت بهبود وضعیت روانی مادران باشد. مطالعه حاضر با هدف تعیین تأثیر کرم لاوندر با یا بدون حمام پا بر استرس، افسردگی و اضطراب انجام شد.
روش‌کار:این مطالعه کارآزمایی تصادفی کنترل شده در سال 93-1392 بر روی 141 زن 40-18 ساله با بارداری اول تا سوم با سن بارداری 28-25 هفته در تبریز انجام شد. افراد در سه گروه دریافت­کننده کرم لاوندر و حمام پا، کرم لاوندر به تنهایی و پلاسبو قرار گرفتند. زنان از بلافاصله پس از زایمان به مدت 6 هفته، 5/1 ساعت قبل از خواب حدوداً 2 گرم (2 بند انگشت) از کرم (لاوندر یا پلاسبو) را به‌طور موضعی به پاها می­مالیدند. گروه حمام پا بعد از مصرف کرم پاهای خود را در آب گرم غوطه­ور می­کردند. اضطراب، افسردگی و استرس قبل از مداخله و 6 هفته پس از زایمان با استفاده از پرسشنامه افسردگی، اضطراب و استرس (DASS-21) مورد ارزیابی قرار گرفت. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 14) و آزمون‌های آنالیز واریانس یک‌طرفه، کروسکال والیس و من­ویتنی­یو استفاده شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: قبل از مداخله بین سه گروه از نظر نمره اضطراب، افسردگی و استرس تفاوت آماری معنی­داری وجود نداشت. 6 هفته پس از زایمان تفاوت آماری معنی­داری بین سه گروه از نظر اضطراب (001/0>p)، استرس (001/0>p) و افسردگی (001/0>p) وجود داشت که بر اساس آزمون من­ویتنی‌یو، تفاوت دو گروه مداخله با گروه پلاسبو از نظر آماری معنی­دار بود (05/0p<)، اما بین دو گروه مداخله تفاوت آماری معنی­داری وجود نداشت.
نتیجه­گیری: کرم لاوندر با یا بدون حمام پا می­تواند اضطراب، افسردگی و استرس زنان را در دوره پس از زایمان کاهش دهد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Lavender cream with or without footbath on anxiety, stress and depression of women in postpartum: A clinical randomized controlled trial

نویسندگان [English]

  • Fatemeh Effati Daryani 1
  • Sakineh Mohammad Alizadeh Charandabi 2
  • Somayeh Zarei 3
  • Azam Mohammadi 4
  • Mojgan Mirghafourvand 5
1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Science, Urmia, Iran.
2 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz, Iran.
3 M.Sc. in Midwifery, Hazrat_e Zahra Hospital, Qom University of Medical Science, Qom, Iran.
4 Instructor, Department of Midwifery, School of Nursing and Midwifery, Saveh University of Medical Science, Saveh, Iran.
5 Associate Professor, Department of Midwifery, Social Determinants of Health Research Center, School of Nursing and Midwifery, Tabriz University of Medical Science, Tabriz, Iran.
چکیده [English]

Introduction: Postpartum is a vulnerable period in terms of mental problems. Herbal medicine may be an effective intervention for improving the mothers’ mental health.This study was performed with aim to determine the effect of Lavender cream with or without footbath on anxiety, stress and depression.
Methods: This randomized clinical controlled trial was conducted on 141 women aged 18-40 years with first to three pregnancies at 25-28 weeks of pregnancy in Tabriz-Iran during 2013-2014. The subjects were placed in three groups; receiving Lavender cream and footbath, Lavender cream, and placebo. Immediately after delivery, women applied locally 2 gr (two segments of hand finger) cream (Lavender or placebo) to the legs, 1.5 hours before sleep, for 6 weeks. The group of footbath immersed their legs in warm water. Depression, anxiety and stress were assessed at baseline and 6 weeks after delivery using DASS-21 (Depression, Anxiety, stress scales-21). Data were analyzed by SPSS software (version 14) and One-way ANOVA, Kruskal-Wallis and Mann-Whitney U tests. P<0.05 was considered significant.
Results: There was no significant difference between the three groups in terms of anxiety, depression and stress before intervention. There was significant difference between the three groups in terms of anxiety (P<0.001), stress (P<0.001) and depression (P<0.001) at 6th week postpartum; Mann-Whitney U test showed statistically significant difference between two intervention groups with the placebo group (P<0.05), but no significant difference was found between two intervention groups (P>0.05).
Conclusion: Lavender cream with or without footbath can decrease stress, anxiety and depression of women at postpartum period.

کلیدواژه‌ها [English]

  • Anxiety
  • Depression
  • Footbath
  • Lavender
  • stress
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