بررسی ارتباط شدت علائم هموروئید با کیفیت زندگی در زنان مبتلا به هموروئید داخلی درجه I و II در دوره پس از زایمان

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

2 کارشناس ارشد مامایی، مرکز تحقیقات علوم اعصاب و شفاء، بیمارستان خاتم‌الانبیاء، تهران، ایران.

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

4 دانشیار گروه زنان، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

5 استادیار گروه طب سنتی، دانشکده طب سنتی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: هموروئید به قسمت­های متسع­شده وریدهای کانال مقعدی گفته می­شود که به کنترل دفع مدفوع کمک می­کنند و یکی از شایع‌ترین بیماری­های گوارشی است. با توجه به اینکه ﻣﺸﻜﻼت پس از زایمان از جمله هموروئید ﺗﺄﺛﻴﺮ ﻣﻌﻨﺎداری، ﺑﺮ ﺳﻼﻣﺖ ﺟﺴﻤﻲ، روﺣﻲ اﺟﺘﻤﺎﻋﻲ، ﺷﻴﺮدﻫﻲ، ﻣﺮاﻗﺒﺖ از نوزاد و ارﺗﺒﺎط ﺑﺎ ﺧﺎﻧﻮاده و ﺟﺎﻣﻌﻪ دارﻧﺪ و ﺑﺮ ﺳﻼﻣﺖ ﻣﺎدران و کودکان تأثیرگذار هستند و ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻫﻤﻴﺖ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﭘﺲ از زاﻳﻤﺎن و ﺑﻪ دﻟﻴﻞ اﻧﺠﺎم ﻣﻄﺎﻟﻌﺎت ﻣﺤﺪود در اﻳﻦ زﻣﻴﻨﻪ، مطالعه حاضر با هدف تعیین ارتباط شدت علائم هموروئید با کیفیت زندگی در زنان مبتلا به هموروئید داخلی درجه I و II در دوره پس از زایمان انجام شد.
روش‌کار: این مطالعه مقطعی در سال 1396 بر روی 131 زن در دوره پس از زایمان در شهر تهران انجام گرفت. برای جمع­آوری داده­های مربوط به علائم هموروئید و کیفیت زندگی از پرسشنامه­های ارزیابی درمانی بالینی کولورکتال و کیفیت زندگی سازمان بهداشت جهانی استفاده شد. تجزیه و تحلیل داده­ها با استفاده از نرم­‌افزار آماری SPSS (نسخه 21) و آزمون‌های پیرسون و اسپیرمن انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: بیشترین و کمترین میانگین نمره کیفیت زندگی به ترتیب در زیردامنه­های سلامت محیط و سلامت جسمانی به‌دست آمد. کمترین و بیشترین میانگین نمره علائم هموروئید به‌ترتیب مربوط به علائم خارش و تأثیر منفی هموروئید بر روی حس سلامتی زنان بود. بین نمره کلی کیفیت زندگی با تمام علائم هموروئید به جز خارش، همبستگی منفی و معنی­داری وجود داشت (28/0- تا 20/0-=r؛ 05/0>p). بین علامت تورم در ناحیه مقعد و ابعاد سلامت اجتماعی (24/0=r؛ 006/0=p) و سلامت محیط (20/0=r؛ 02/0=p) کیفیت زندگی همبستگی منفی و معنی­داری وجود داشت. همچنین بین علامت احساس ناراحتی در مقعد و زیردامنه سلامت جسمانی کیفیت زندگی همبستگی منفی و معنی‌داری وجود داشت (18/0=r؛ 04/0=p). هیچ‌کدام از مشخصات فردی- اجتماعی با کیفیت زندگی ارتباط آماری معنی­داری نداشتند (05/0<p).
نتیجه­گیری: علائم هموروئید بر کیفیت زندگی زنان در دوران پس از زایمان تأثیر منفی دارد.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between severity of hemorrhoid symptoms and quality of life in Postpartum Women with Grade I and II Internal Hemorrhoid

نویسندگان [English]

  • Jamileh Malekuti 1
  • Khadijeh Samadi 2
  • Mojgan Mirghafurvand 3
  • Fatemeh Abbasalizadeh 4
  • Laleh Khodaei 5
1 M.Sc. in Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
2 M.Sc. in Midwifery, Neuroscience and Healing Research Center, Khatam Al-Anbia Hospital, Tehran, Iran.
3 Associate professor, Department of Midwifery, Health Social Determinants Center, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
4 Associate Professor, Department of Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
5 Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Introduction: The hemorrhoid is referred to dilated parts of the anal canal veins, which help to control fecal excretion and is one of the most common digestive diseases. Since postpartum problems such as hemorrhoid have significant effect on physical health and psychological well-being, lactation, baby care, and communication with family and society and affect the health of mothers and children, and considering the importance of postpartum quality of life, and due to the limited studies in this field, this study was performed with aim to determine the association between the severity of hemorrhoid symptoms and quality of life in women with grade I and II internal hemorrhoids during postpartum period.
Methods: This cross-sectional study was performed in 2017 on 131 women in postpartum period in Tehran. Clinical Therapeutic Clinical Evaluation Questionnaire and World Health Organization Quality of Life were used to collect data on hemorrhoid symptoms and quality of life. Data were analyzed using SPSS software (version 21) and Pearson and Spearman tests. P<0.05 was considered statistically significant.
Results: The highest and lowest mean score of quality of life was obtained in the sub-domains of environmental health and physical health, respectively. The lowest and the highest mean score for hemorrhoid symptoms was related to the symptoms of itching and the negative effect of hemorrhoids on the health of women. There was a significant negative correlation between the overall quality of life score with all the symptoms of hemorrhoids except pruritus (r = -0.2 to r = -0.28, p <0.05). There was also significant negative correlation between the symptoms of swelling in the anus and dimensions of social health (r = 0.24, p = 0.006) and environmental health (r = 0.20, p = 0.02) with the quality of life. There was also a negative and significant correlation between the symptom of discomfort in the anus and the subtype of physical health of the quality of life (p = 0.04, p = 0.18). None of the socio-demographic characteristics had a significant relationship with quality of life (p >0.05).
Conclusion: The symptoms of hemorrhoids have negative effect on the quality of life in postpartum period.

کلیدواژه‌ها [English]

  • Hemorrhoids
  • Postpartum Period
  • Quality of life
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