بررسی تأثیر روغن گلمغربی بر پیشگیری از ابتلاء به اندوه پس از زایمان در زنان نخستزا: یک کارآزمایی بالینی دوسوکور کنترل شده

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 مربی گروه آمار و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 کارشناس ارشد مامایی، دانشکده علوم پزشکی شوشتر، شوشتر، ایران.

4 دکتری تغذیه جامعه، مرکز تحقیقات یائسگی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: گل­مغربی یکی از گیاهان­ دارویی است که با اثرگذاری خوب در درمان مشکلات متعدد جسمی و روانی به‌کار رفته و تاکنون عوارضی از مصرف خوراکی آن گزارش نشده است، لذا مطالعه حاضر با هدف بررسی تأثیر روغن گل­مغربی در پیشگیری از ابتلاء به اندوه پس از زایمان زنان نخست­زای مراجعه­کننده به مراکز بهداشتی اهواز انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی دوسوکور در سال 92-1391 بر روی 132 نفر از زنان باردار نخست­زا مراجعه کننده به مراکز بهداشتی اهواز صورت گرفت. افراد به صورت تصادفی در دو گروه 66 نفری جهت دریافت روزانه یک­ گرم کپسول روغن ­گل­مغربی و کپسول ژلاتینی خوراکی مشابه از آغاز هفته 37 بارداری تا دو هفته پس از زایمان قرار گرفتند. نمونه­ها در روزهای 4، 10 و 14 پس از زایمان با آزمون استاندارد ادینبرگ بررسی شدند. تجزیه­ و ­تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های تی­مستقل، کای­اسکوئر و آنالیز مقادیر تکراری انجام شد. میزان p کمتر از 05/0 معنی­دار در نظر گرفته شد.
یافته­ها: دو گروه از نظر میزان ابتلاء به اندوه پس از زایمان اختلاف آماری معنی­داری داشتند؛ به‌طوری‌که میزان ابتلاء به اندوه پس از زایمان در گروه مداخله کمتر از گروه پلاسبو بود (0001/0=p).میانگین نمره آزمون ادینبرگ در گروه مداخله نسبت به کنترل در روز چهارم (0001/0=p)، دهم (001/0=p) و چهاردهم (08/0=p) پس از زایمان به‌طور معنی­دار‌ی کمتر بود.
نتیجه­گیری: مصرف روغن گل­مغربی در پیشگیری از ابتلاء به اندوه پس ­از زایمان مؤثر است.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of evening primrose oil on prevention of postpartum grief in primiparous women: A clinical double-blind randomized controlled trial

نویسندگان [English]

  • Soghra Nikoomazhab 1
  • Seyyed Mahmoud Latifi 2
  • Azam Honarmandpour 3
  • Parvin Abedi 4
1 M.Sc. of Midwifery, Faculty of Medicine, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
2 Instructor, Department of Statistics and Epidemiology, School of Health, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
3 M.Sc. of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
4 PhD in Community Nutrition, Menopause Research Center, School of Nursing and Midwifery, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Evening primrose is one of the medicinal herbs with good effects which has been used in the treatment of multiple physical and mental problems and no side effects of its oral consumption has not been reported so far; therefore this study was performed with aim to evaluate the effects of evening primrose oilon prevention of postpartum grief in primiparous women referred to Ahvaz health centers.
Methods: This clinical double-blind randomized trial was conducted on 132 primiparous women referred to Ahvaz health centers in 2012-2013. The subjects were randomly divided into two groups of 66 cases to receive a daily dose of 1 gr of evening primrose oil capsule or similar placebo gelatin capsule from the beginning of 37th weeks of pregnancy up to two weeks after delivery. The samples were assessed by Edinburg standard questionnaire on days of 4, 10 and 14 after delivery. Data were analyzed by SPSS software (version 20), and independent t-test, Chi-square and repeated measures analysis test. P<0.05 was considered significant.     
Results: There was statistically significant difference between the two groups regarding the risk of the postpartum grief, so that the risk of postpartum grief was lower in the intervention group than the placebo group (P=0.0001). The mean score of Edinburgh test in intervention group was significantly less compared to the control group on postpartum 4th day (p = 0.0001), 10th day (p = 0.001), and 14th day (p = 0.08).
Conclusion: The use of evening primrose oil is effective to prevent postpartum grief.

کلیدواژه‌ها [English]

  • Evening Primrose Oil
  • Postpartum
  • Primiparous
  • Women
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