بررسی تأثیر پماد کندر بر شدت درد و بهبود زخم اپی‌زیاتومی در زنان نخست‌زا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استاد گروه فارماکوگنوزی، دانشکده داروسازی، مرکز تحقیقات علوم دارویی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 کارشناس ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی سمنان، سمنان، ایران.

چکیده

مقدمه:اپی­زیاتومی، یکی از اعمال رایج مامایی است که علی‌رغم سایزکوچک آن، ممکن است مانند هر زخم دیگری دچار عوارضی مانند التهاب، عفونت و یا درد شود. گیاه کندر به علت خاصیت ضدالتهابی که دارد، به‌صورت تجربی برای مصارف متعددی از جمله تسکین درد و بهبود زخم­ها استفاده می‌شود. مطالعه حاضر با هدف بررسی تأثیر پماد کندر بر شدت درد و بهبود زخم اپی­زیاتومی در زنان نخست زا انجام شد.
روش‌کار: این مطالعه تجربی و سه‌سوکور در سال‌های 97-1396 بر روی 95 زن نخست‌زا که زایمان واژینال با برش اپی­زیاتومی میانی طرفی داشتند، در بیمارستان مهدیه تهران انجام شد. افراد در دو گروه مداخله (پماد حاوی کندر) و کنترل (دارونما) قرار گرفتند. برای ارزیابی افراد از پرسشنامه‌های اطلاعات فردی و مامایی، ارزیابی وضعیت بهداشتی، مقیاس درد (VAS)، ارزیابی بهبود پرینه (ریدا) و جدول عوارض دارویی استفاده شد. پمادها هر 12 ساعت و به مدت 10 روز از روز اول بعد از زایمان استفاده و ارزیابی شدت درد، بهبود پرینه و عوارض دارویی در روزهای اول، پنجم و دهم بعد از زایمان انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های من‌‌ویتنی، کای دو و فیشر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها:افراد دو گروه از نظر میانگین نمره ریدا (752/0=p) و شدت درد (50/0=p) در روز نخست پس از زایمان تفاوت آماری معناداری نداشتند. میانگین نمره ریدا در گروه مداخله در روزهای پنجم و دهم به‌ترتیب 62/1±2 و 99/0±59/0 و در گروه کنترل به‌ترتیب 38/2±04/4 و 05/2±52/2 بود که تفاوت­ها در هر دو نوبت معنادار بود (026/0=p، 001/0>p). میانگین شدت درد در روزهای پنجم و دهم در گروه مداخله به‌ترتیب 23/1±2 و 50/0±95/0 و در گروه کنترل 57/1±16/3 و 17/1±97/1 بود که تفاوت بین دو گروه از نظر آماری معنی‌دار بود (030/0=p، 001/0>p).
نتیجه‌گیری: پماد کندر با دارا بودن خواص ضدالتهابی، در بهبود زخم اپی­زیاتومی و کاهش درد آن می­تواند مؤثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect Frankincense Ointment on Pain Intensity and Episiotomy Wound Healing in Primiparous Women

نویسندگان [English]

  • Elham Laki 1
  • Shahnaz Torkzahrani 2
  • Faraz Mojab 3
  • Arezoo Heydari 4
  • Mojtaba Soltani Kermanshahi 5
1 M.Sc. student of Midwifery, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Instructor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Professor, Department of Pharmacognozy, School of Pharmacology, Pharmaceutical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 M.Sc. in Midwifery, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 Social Determinants of Health Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
چکیده [English]

Introduction: Episiotomy is one of the common surgeries in midwifery that despite its small size may cause complications such as inflammation, infection or pain like any other wound. Frankincense due to anti-inflammatory effects is used in many cases, including pain relief and wound healing. This study was performed with aim to evaluate the effect of Frankincense ointment on pain intensity and episiotomy wound healing in primiparous women.
Methods: This experimental and three-blinded-study was performed on 95 primiparous women with vaginal delivery and mid lateral episiotomy in Mahdieh hospital of Tehran in 2017-2018. The subjects were divided into two groups of Frankincense ointment (intervention group) and placebo (control group). Demographic and obstetric questionnaire, health status forms, pain scale (VAS), perineal evaluation Index (REEDA) and drug complications questionnaire were used to evaluate the subjects. The ointments were used every 12 hours and for 10 days from the first day after delivery. Evaluation of pain intensity, perineal repair and drug complications were performed on days 1,5, and 10 after delivery. Data were analyzed using SPSS software (version 21) and Mann-Whitney, Chi-square and Fischer tests. P<0.05 was considered statistically significant.
Results:  On the first day after birth, no significant differences were observed between two groups in terms of mean score of REEDA (P=0.752) and pain intensity (P=0.50). The mean score of REEDA in the intervention group on fifth and tenth days were 2± 1.62 and 0.95 ± 0.99, respectively, and in the control group were 4.04 ± 2.38 and 2.52 ± 2.05, respectively; these differences were significant (P=0.026, P<0.001). The mean of pain intensity on the fifth and tenth days in the intervention group were 2 ± 1.23 and 0.95 ± 0.50, respectively, and in the control group were 3.16± 1.57 and 1.97 ± 1.17, respectively. In both groups these differences were statistically significant (P=0.030, P<0.001).
Conclusion: Frankincense ointment with anti-inflammatory properties is effective in the episiotomy wound healing and pain reduction.

کلیدواژه‌ها [English]

  • Boswellia
  • Episiotomy
  • Frankincense
  • Pain
  • Primiparous
  • Wound healing

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مجله زنان، مامایی و نازایی ایران
دوره 22، شماره 2
اردیبهشت 1398
صفحه 42-51

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