مقایسه تأثیر طب فشاری در نقاط LI4 و SP6 بر شدت درد پس از سزارین

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه پرستاری سلامت جامعه، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

2 مربی گروه روان پرستاری و سلامت روان، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

3 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

4 دانشجوی کارشناسی ارشد پرستاری داخلی جراحی، مرکز تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

چکیده

مقدمه: نقاط فشاری LI4 و SP6، رایج‌ترین نقاط برای تسکین درد پس از سزارین در ایران می‌باشند، اما در زمینه نقطه فشاری ارجح، اتفاق نظری وجود ندارد،لذا مطالعه حاضر با هدف مقایسه تأثیر طب فشاری در نقاط LI4 و SP6 بر درد پس از سزارین انجام گرفت.
روش‌کار: این مطالعه کارآزمایی بالینی دوسوکور در سال 1396 بر روی 90 نفر از زنان مراجعه‌کننده به زایشگاه‌های شهر رفسنجان انجام شد. افراد به روش تصادفی در سه گروه مداخله LI4، مداخله SP6 و گروه کنترل قرار گرفتند. مداخله در نقاط فشاری به‌صورت دوطرفه، در دوره‌های 10 ثانیه فشار و 2 ثانیه استراحت به‌مدت 20 دقیقه به‌طور متوالی اعمال گردید. در گروه کنترل، نقاط فوق با الگوی مشابه بدون فشار، لمس می‌شد. شدت درد، قبل، بلافاصله و یک ساعت بعد از مداخله در سه گروه توسط مقیاس آنالوگ دیداری تعیین شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون‌های ANOVA و آنالیز واریانس برای اندازه‌گیری‌های تکراری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در مطالعه حاضرمیانگین نمرات درد در بین سه مرحله اندازه‌گیری متوالی تفاوت آماری معنی‌داری داشت (033/0=p‌)، اما مقایسه میانگین سه نمره درد در هر گروه با گروه‌های دیگر تفاوت معنی‌داری نشان نداد (428/0=p). نتایج نشان‌دهنده روند کاهش نمره درد در گروه مداخله در نقطه Li4 در طول اندازه‌گیری‌های متوالی و همچنین کاهش نمره درد در گروه Li4 در مقایسه با گروه کنترل در زمان یک ساعت پس از مداخله بود (001/0=p).
نتیجه‌گیری: عملکردطب فشاری در نقطه LI4 در تسکین درد سزارین بهتر از نقطه فشاری SP6 می‌باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effect of Acupressure at LI4 and SP6 points on the intensity of Post Cesarean Pain

نویسندگان [English]

  • Tayebeh Negahban Bonabi 1
  • Ali Ansari Jaberi 2
  • Shayesteh Esmaeilzadeh 3
  • Afsaneh Hasanshahi Ravizi 4
1 Assistant professor, Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran.
2 Instructor, Department of Psychiatric and Mental Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran.
3 Instructor, Department of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran.
4 M.Sc. student in Internal Surgery Nursing, Student Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical sciences, Rafsanjan, Iran
چکیده [English]

Introduction The LI4 and SP6 acupressure points are the most common points to relieve post cesarean pain, but there is no consensus on the preferred point of pressure. Therefore, this study was performed with aim to compare the effect of acupressure at LI4 and SP6 points on the intensity of post cesarean pain.
Methods: This double-blind clinical trial study was performed on 90 women referred to the maternity hospitals of Rafsanjan in 2017. They were randomly allocated into three groups: LI4 point, SP6 point and control group. Intervention was performed bilaterally, in 10 seconds of pressure and 2 seconds of rest for 20 minutes sequentially. In the control group, the points were touched with the same pattern without pressure. The intensity of post cesarean pain before, immediately and one hour after intervention was determined by visual analogue Scale in three groups. Data was analyzed by SPSS software (version 16) and ANOVA and repeated measurement variance analysis. P< 0.05 was considered significant.
Results: In this study, the mean score of pain at three times of measurement (the time effect) was significant different (p=0.33), but comparison of the mean of three pain score in each group was not significantly different with other groups (p=0.428). The result showed a decrease in pain score trend in the Li4 group during three time  measurements and a decrease in pain score of in the Li4 group compared to the control group in 1 hour after the intervention (p=0.001).
Conclusion: The acupressure function at the LI4 point in relieving post cesarean pain is better than the SP6 compression point.

کلیدواژه‌ها [English]

  • Acupressure
  • Complementary and Alternative Medicine
  • Pain Relieving
  • Post-cesarean Pain
  • Postpartum Pain
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