بررسی تأثیر رایحه بهارنارنج بر میزان اضطراب پس از عمل جراحی سزارین

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

3 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: امروزه سزارین یکی از شایع ترین اعمال جراحی زنان به شمار می رود. اضطراب پس از سزارین با کاهش توانایی مقاومت در برابر عفونت، افزایش میزان استفاده از مسکن ها، تأخیر در بهبودی زخم و ... همراه است بنابراین مدیریت اضطراب پس از سزارین برای سلامتی مادر و مراقبت از نوزاد و شیردهی بسیار مهم است. مطالعه حاضر با هدف بررسی تأثیر رایحه بهارنارنج بر اضطراب پس از سزارین انجام شد.
روش کار: این مطالعه کارآزمایی بالینی تصادفی دو گروهه است که در سال 1393 بر روی 80 زن باردار مراجعه کننده جهت سزارین به بیمارستان معتضدی کرمانشاه انجام شد. در گروه مداخله بلافاصله بعد از شروع درد و 12 ساعت پس از آن، رایحه درمانی با 3 قطره از اسانس بهارنارنج و در گروه کنترل رایحه درمانی با نرمال سالین به روش مشابه انجام شد. میزان اضطراب با استفاده از مقیاس اشپیل برگر، قبل و نیم ساعت بعد از هر دو مداخله ارزیابی شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 18) و آزمون های فیشر، کای دو، تی مستقل، اندازه های تکراری و تی زوج انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: میانگین اضطراب قبل از مداخله در گروه مداخله 617/5±20/62 و در گروه کنترل 67/5±48/62 بود که از نظر آماری معنی دار نبود (74/0=p). پس از مداخله، میانگین اضطراب بلافاصله بعد از شروع درد (مرحله اول مداخله) در گروه مداخله 80/7±25/44 و 12 ساعت پس از آن (مرحله دوم مداخله) 54/5±15/29 بود که در مقایسه با گروه کنترل که در مرحله اول مداخله 37/5±23/60 و در مرحله دوم مداخله 64/4±02/49 بود، کاهش معنی داری یافت(001/0>p).
نتیجه گیری: با توجه به اثربخشی رایحه بهارنارنج بر کاهش اضطراب مادران پس از سزارین، می توان از آن به عنوان روشی بهینه در بخش های بعد از سزارین بهره برد. ضمن مقرون به صرفه بودن و دسترسی آسان این روش می تواند عوارض ناشی از اضطراب را نیز در این مادران کاهش دهد.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of Citrus aurantium aroma on post-cesarean anxiety

نویسندگان [English]

  • Forouzan Sharifipour 1
  • Azam Bakhteh 2
  • Mandana Mirmohammad Ali 3
1 MSc. of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3 Instructor, Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Today, cesarean section has been regarded as one of the most common gynecological surgeries. Post-cesarean anxiety is associated with reduced resistance against infections, increased use of analgesics, and delayed wound healing. So, management of post-cesarean anxiety is very important for maternal health and newborn care and breastfeeding. This study was performed with aim to evaluate the effect of Citrus aurantium aroma on post-cesareananxiety.
Methods: This two-group randomized clinical trial study was performed on 80 pregnant women referred to Kermanshah Motazedi Hospital for cesarean in 2014. In intervention group, aromatherapy with 3 drops of citrus aurantium essence was performed immediately after pain onset and 12 hours later, and in control group, aromatherapy using normal saline was performed in the same way. Level of anxiety was evaluated using STAI[1] scale before and half hour after the both interventions. Data was analyzed using SPSS software (Version 18), and Fisher-test, chi-square, independent t-test, Repeated Measurement-test, and paired t-test. P< 0.05 was considered statistically significant.
Results: The mean of anxiety before the intervention was 62.2± 5.617 in intervention group and 62.48±5.67 in control group that was not statistically significant. After the intervention, mean of anxiety immediately after the onset of pain (first stage of intervention) in intervention group was 44.25± 7.8 and 12 hours later (second stage of intervention) 29.15±  5.54 that compared with control group in the first stage of intervention was 60.23± 5.37 and the second stage of intervention 49.02± 4.64, was significantly reduced (P<0.001).
Conclusion: According to effectiveness of Citrus aurantium aroma in reducing anxiety in women after cesarean, it can be optimized as a method used in post-caesarean section. In addition to cost-effectiveness and easy access, the mother's complications caused by anxiety can be reduced.

کلیدواژه‌ها [English]

  • Anxiety
  • Aroma
  • Cesarean
  • Citrus aurantium
  • Complementary medicin
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