بررسی اثر بخشی ماساژ بر روی درد زایمان و مدت لیبر: مرور سیستماتیک

نوع مقاله: مروری

نویسندگان

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

2 دانشجوی کارشناسی ارشد پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی تهران، تهران، ایران.

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

چکیده

مقدمه: ماساژ به عنوان یکی از روش‌های غیردارویی تسکین درد مطرح می باشد، ولی اثربخشی ماساژ در مداخلات مامایی مشخص نیست. مطالعه مرور سیستماتیک حاضر با هدف بررسی اثربخشی ماساژ در کاهش درد زایمان و مدت لیبر بر اساس مرور نظام‌مند مطالعات کارآزمایی بالینی انجام شد.
روش کار: در این مطالعه مرور سیستماتیک تمام مطالعات کارآزمایی و پایلوت منتشر شده در دنیا به زبان فارسی و انگلیسی و تمام مقالات منتشر شده از سال 1990 تا 15 ژوئن 2015 مورد بررسی قرار گرفتند. در جستجوی مقالات از منابع اطلاعاتی PubMed، Cochrane، Google scholar، Scopus، Iran Medex، Sid، Sciencedirect استفاده شد. کلید واژه‌های مورد استفاده شامل ماساژ و درد زایمان، ماساژ و بارداری، لمس و درد زایمان، طب مکمل و درد زایمان بود. برای استخراج داده‌ها دو پژوهشگر به طور همزمان جستجوی مقالات را انجام دادند. جهت افزایش اعتبار و پایایی مطالعه، دو نفر کیفیت مقالات را به طور جداگانه مورد ارزیابی قرار دادند و جهت ارزیابی مقالات از معیار جداد استفاده شد.
یافته ها: در این مطالعه 18 کارآزمایی بالینی بررسی شدند. بعد از بررسی 7 مطالعه براساس معیار جداد نمره 3 و بیشتر گرفتند و بقیه از مطالعه خارج شدند. در این مطالعه شدت درد در گروه مداخله کمتر از گروه کنترل بود و در دو مطالعه نیز مدت لیبر کمتر از گروه کنترل بود.
نتیجه‌گیری: این مطالعه شواهد قابل اعتباری را برای ماساژ در کاهش درد زایمان نشان داد. بنابراین جهت کاهش درد زایمان در لیبر می‌توان از ماساژ استفاده کرد، ولی برای استفاده از این روش به منظور کاهش مدت لیبر مطالعات به تعداد کافی و با کیفیت بالا وجود نداشت و مطالعات انجام شده از نظر تورش در حد متوسط و بالایی قرار داشت. بنابراین ماساژ برای استفاده در بالین جهت کاهش مدت لیبر در این زمینه توصیه نمی‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of massage on labor pain and duration of labor: Systematic Review

نویسندگان [English]

  • Jila Ganji 1
  • Zahra jafari 2
  • Afsaneh Keramat 3
1 PhD student in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
2 M.Sc. student of Nursing, School of Nursing and Midwifery, Shahid Bahshti University of Medical Sciences, Tehran, Iran.
3 Associate Professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
چکیده [English]

Introduction: Massage is proposed as a non-pharmacological methods of pain relief, but the effectiveness of massage in obstetric interventions is not clear. This systematic review was performed with aim to evaluate the effectiveness of massage for pain relief and duration of labor based on systematic review of clinical trials.
Methods: In this study, a systematic review of all published trials and pilot studies as Persian and English in the world and all the articles published from 1990 to June 15 of 2015 were studied. Cochrane, Science direct, PubMed, Scopus, Sid, Iran medex, Iran doc, Magiran, Google scholar database were used to search the studies. The keywords were as follows: massage AND labor pain, pregnancy AND massage, touch AND labor pain, complementary medicine AND labor pain. Two researchers simultaneously performed the studies searching. To increase the validity and reliability of the study, two persons separately evaluated the quality of articles and Jadad   scale was used to evaluate the papers.
Results: in this study, 18 clinical trials were evaluated. After evaluation by Jadad scale, 7 studies with score of ≥ 3 were enrolled and others were excluded. In this studies, the intensity of pain in the intervention group was less than the control group, and in two studies, duration of labor was less than the control group.
Conclusion: This study slowed credible evidence for massage in labor pain relief. The massage can be used to reduce labor pain, however, to use this method in order to reduce the duration of labor, there were no sufficient studies with high quality, and the performed studies were moderate to high in terms of bias. Therefore, massage is not recommended to reduce the duration of labor in this area.

کلیدواژه‌ها [English]

  • Clinical trial
  • duration of Labor
  • Labor pain
  • Massage
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