تأثیر ماساژ توأم با تکنیک‌های تنفسی بر رضایتمندی زایمان زنان نخست‌زا

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران.

2 مربی گروه مامایی، واحد مرند، دانشگاه آزاد اسلامی، مرند، ایران.

چکیده

مقدمه: در زمانی که تلاش­های جهانی برای کاهش سزارین و افزایش زایمان طبیعی صورت یافته است، رضایت مادران و ابعاد آن نیز باید توسط کشورهای در حال توسعه مورد توجه قرار گیرد. مطالعه حاضر با هدف بررسی تأثیر ماساژ شکم توأم با تکنیک‌های تنفسی بر رضایت­مندی زایمان زنان نخست‌زا انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1389 بر روی 64 زن باردار نخست‌زا که در بخش زایمان بیمارستان لولاگر شهر تهران بستری شدند، انجام گردید. افراد به روش تخصیص تصادفی ساده در دو گروه آزمون و کنترل قرار گرفتند. گروه آزمون، ماساژ شکمی افلورج به‌همراه تکنیک‌های تنفسی لاماز را طی 30 دقیقه ابتدایی فازهای فعال و انتقالی دریافت کردند، در حالی‌که گروه کنترل هیچ مداخله­ای دریافت ننمودند. میزان رضایت­مندی از زایمان با استفاده از ابزار رضایت­مندی مکی بررسی شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 17) و آزمون­های آماری تی مستقل و من ویتنی انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: میانگین رضایت­مندی کلی از زایمان پس از مداخله در گروه آزمون (68/5±08/64) به‌طور معناداری بیشتر از گروه کنترل (09/7±87/42) بود (001/0>p). ابعاد مختلف رضایت­مندی شامل رضایت کلی (01/0=p)، رضایت از خود (001/0>p)، رضایت از ماما (001/0=p) و رضایت از وضعیت نوزاد (001/0>p)، به‌جز بٌعد رضایت از حمایت همسر (606/0=p)، بین دو گروه تفاوت آماری معناداری داشت.
نتیجه‌گیری: ماساژ شکمی افلورج توأم با تکنیک‌های تنفسی موجب افزایش رضایت­مندی از زایمان می­شود، لذا پیشنهاد می­شود استفاده از این روش غیردارویی طی لیبر جهت خوشایندسازی زایمان مورد توجه قرار گیرد.

کلیدواژه‌ها


عنوان مقاله [English]

Impact of Massage Therapy and Breathing Techniques on the Satisfaction of Primiparous Women with Childbirth

نویسندگان [English]

  • Arezoo Haseli 1
  • Farideh Eghdampour 2
  • Ashraf Ghiasi 1
1 PhD Candidate in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
2 Instructor, Department of Midwifery, Marand Branch, Islamic Azad University, Marand, Iran.
چکیده [English]

Introduction: In the modern era, global endeavors are made to reduce the rate of cesarean section and encourage natural childbirth, and maternal satisfaction and its dimensions should also be addressed by the governments of developing country. The present study aimed to investigate the impact of massage therapy combined with breathing techniques on the satisfaction of primiparous women with childbirth.
Methods: This clinical trial was conducted on 64 primiparous, pregnant women admitted to the obstetrics ward of Lolagar Hospital in Tehran, Iran in 2010. The subjects were divided into two groups of experimental and control via simple random allocation. The experimental group (n=32) received effleurage abdominal massage combined with Lamaze breathing techniques within the first 30 minutes in the active and transition phases of labor. The control group (n=32) received no intervention. Satisfaction with childbirth was measured using Mackey’s childbirth satisfaction rating scale. Data analysis was performed in SPSS version 17 using Mann-Whitney U test and independent t-test at the significance of P<0.05.
Results: Mean total score of childbirth satisfaction was significantly higher in the experimental group (64.08±5.68) compared to the control group (42.87±7.09) (P<0.001). With the exception of satisfaction with spouse support (P=0.606), significant differences were observed in all the dimensions of childbirth satisfaction between the study groups, including general satisfaction (P=0.01), self-satisfaction (P<0.001), satisfaction with the midwife (P=0.001), and satisfaction with the condition of the neonates (P<0.001).
Conclusion: According to the results, abdominal massage therapy with breathing techniques increased the satisfaction of primiparous women with childbirth. Therefore, it is recommended that this non-therapeutic approach be incorporated into labor for desirable delivery.

کلیدواژه‌ها [English]

  • Effleurage Massage
  • Breathing Techniques
  • Satisfaction
  • Desirable Childbirth
  • Primiparous Women
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