تأثیر طب فشاری بر تسکین درد زایمان: مرور سیستماتیک کارآزمایی های بالینی

نوع مقاله: مروری

نویسندگان

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

2 دانشیار گروه بهداشت باروری، دانشکده پرستاری مامایی، دانشگاه علوم پزشکی شاهرود، شاهرود، ایران.

3 مربی گروه مامایی، دانشکده پرستاری مامایی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

چکیده

مقدمه: تسکین درد زایمان، یکی از مراقبت های نوین مامایی است. امروزه روش های غیر دارویی تسکین درد زایمان ازجمله طب فشاری به دلیل اثرات جانبی کم، مورد توجه می باشند. مطالعه حاضر با هدف مروری بر مطالعات انجام شده در زمینه تأثیر طب فشاری بر تسکین درد زایمان انجام شد.
روش کار: تمام مقالات چاپ شده تا سال 2013 در پایگاه های اطلاعاتی SID، Iranmedex، Irandoc، Magiran، Google scholar، Pubmed، Medline، Embase، CINHAL، Cochrane و IRCT که بر روی زنان باردار گروه سنی 35-18 سال، بارداری 41-37 هفته، تک ‌قلو، سفالیک و آغاز فاز فعال زایمان انجام شده بود، بر اساس معیار جداد بررسی شدند. مطالعاتی که نمره مساوی یا بیشتر از 3 را گرفتند، انتخاب شدند. در نهایت نتایج به صورت کمی و کیفی گزارش شدند.
یافته ها: 18 کارآزمایی بالینی بررسی شد که 12 مقاله بر اساس معیار جداد نمره مساوی یا بیشتر از 3 را کسب کردند. نقاط استفاده شده در 7 مقاله 6 طحالی، 2 مقاله هوگو، 1 مقاله 21 کیسه صفرا و 6 طحالی، 1 مقاله هوگو و 67 مثانه ای و 1 مقاله هوگو و 6 طحالی بود. اکثر مطالعات مؤید اثربخشی مثبت طب فشاری بر کاهش درد زایمان بودند، اما عوارضی جانبی گزارش نشده بود.
نتیجه گیری: با توجه به اینکه مطالعات متعددی با اعتبار بالا در زمینه تأثیر طب فشاری صورت گرفته است، می توان این روش را برای کاهش درد زایمان پیشنهاد کرد. از نقاط 6 طحالی و هوگو در مقایسه با سایر نقاط (21 کیسه صفرا،32 مثانه،67 مثانه) با اطمینان بیشتری جهت کاهش درد زایمان می توان استفاده کرد، زیرا در بیشتر مطالعات دارای اعتبار قابل قبول، از این نقاط استفاده شده بود.  

کلیدواژه‌ها


عنوان مقاله [English]

Effect of acupressure on labor pain relief: a systematic review of clinical trials

نویسندگان [English]

  • Ghila Ganji 1
  • Afsaneh Keramat 2
  • Marjan Ahmad Shiravani 3
1 PhD student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
2 Associated Professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
3 Lecturer of Midwifery, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
چکیده [English]

Introduction: Relief of labor pain is one of midwifery the new cares. Nowadays, non-pharmacological pain relief methods such as acupressure are considered due to their low side effects. This study was performed with the aim to review the studies which evaluated the effect of acupressure on labor pain relief.
Methods: All of the published articles up to 2013 in SID, Iranmedex, Irandoc, Magiran, Googlescholar, Pubmed, Medline, Embase, CINHAL, Cochran and IRCT which were performed on pregnant women with age 18-35 years, 37-41 gestational week, single-pregnancy, cephalic, and onset of active phase were assessed by Jadad scale. The articles with score ≥3 were selected. Finally, the results were reported as qualitative and quantitative.
Results: 18 clinical trials were assessed that 12 articles obtained score≥ 3 based on Jadad scale. Acupressure points used were SP6 in 7 articles, L14 in 2 articles, GB21 and SP6 in 1 article, L14 and BL67 in 1 article and L14 and SP6 in 1 article. Most of the studies showed the positive effect of acupressure on labor pain relief, but the side effects were not reported.
Conclusion: Since many articles have been performed with high validity about the effect of acupressure, thus it can be suggested for labor pain relief. Since in the most of the high quality studies, SP6 and L14 were more used for labor pain relief compared to other points(GB21, L32, L67) thus this point can be suggested with more coefficient for labor pain relief.

کلیدواژه‌ها [English]

  • Acupressure
  • Clinical trial
  • Labor pain
  • Systematic review
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