تأثیر کرم گل ماهور بر شدت درد اپی زیاتومی در زنان نخست زا

نوع مقاله: اصیل پژوهشی

نویسندگان

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

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

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

4 استادیار گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 کارشناس ارشد سیستماتیک گیاهی، مرکز تحقیقات گیاهان دارویی، پژوهشکده گیاهان دارویی، جهاد دانشگاهی کرج، کرج، ایران

چکیده

مقدمه: اپی زیاتومی شایع ترین جراحی در مامایی است که جهت تسهیل خروج جنین انجام می شود. درد ناشی از اپی زیاتومی کیفیت زندگی مادر را تحت تأثیر قرار می دهد. گل ماهور از زمان های قدیم برای درمان بیماری های مختلف استفاده می‌شده است. از آنجایی که تاکنون مطالعه‌ای جهت بررسی اثرات تسکین درد گل ماهور در مدل‌های انسانی انجام نشده است، لذا مطالعه حاضر با هدف بررسی تأثیر کرم گل ماهور بر شدت درد اپی زیاتومی انجام شد.
روش کار: این مطالعه کارآزمایی بالینی در سال 1394 بر روی 93 مادر نخست زا در بیمارستان فاطمه زهرا ساوه انجام شد. افراد به طور تصادفی در دو گروه گل ماهور و دارونما قرار گرفتند. زنان در گروه های آزمایشی از کرم گل ماهور و دارونما 2 بار در روز به مدت 10 روز استفاده کردند. شدت درد قبل از مداخله 1، 3 و 10 روز بعد از مداخله  با استفاده از مقیاس عددی درد مورد بررسی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری  SPSS(نسخه 16) و آزمون‌های من ویتنی، تی مستقل و کای دو انجام شد. میزان  pکمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: نمره شدت درد در دو گروه گل ماهور و دارونما قبل از مداخله از نظر آماری اختلاف معنی داری نداشت (947/0=p). این میزان در 1 روز، 3 روز و 10 روز بعد از مداخله اختلاف معناداری را بین دو گروه نشان داد (001/0>p).
نتیجه گیری: کرم گل ماهور میزان شدت درد را در طول دوره 10 روز بعد از اپی زیاتومی کاهش می دهد. از آنجایی که این مطالعه برای اولین بار تأثیر کرم گل ماهور را بر شدت درد اپی زیاتومی در انسان بررسی کرد، تحقیقات بیشتری برای روشن تر کردن اثرات سودمند کرم گل ماهور ضروری است.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Verbascum Thapsus cream on intensity of episiotomy pain in primiparous women

نویسندگان [English]

  • Sahar Taleb 1
  • Gity Ozgoli 2
  • Faraz Mojab 3
  • Malihe Nsiri 4
  • Maryam Ahvazi 5
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
2 Assistant professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
3 Professor, Department of Pharmacognosy, School of Pharmacy, Shahid Beheshti University of Medical Science, Tehran, Iran.
4 Assistant professor, Department of Biostatistics, School of Paramedics, Shahid Beheshti University of Medical Science, Tehran, Iran.
5 M.Sc. of Plant Systematic, Medicinal Plants Research Center, Institute of Medicinal Plants, ACECR, Karaj, Iran.
چکیده [English]

Introduction: Episiotomy is the most common surgery in midwifery to facilitate the expulsion of the fetus. The pain resulting from episiotomy affects mother's quality of life. Verbascum Thapsus has been used for a long time to cure different diseases. Since no study has been conducted which evaluate the effects of Verbascum on pain relief in human models, therefore, this study was performed with aim to investigate the effect of Verbascum Thapsus cream on episiotomy pain intensity.
Methods:This clinical trial study was performed on 93 primiparous mothers in Fatima Zahra Hospital, Saveh in 2015. They were randomly allocated to two groups of Verbascum cream and placebo. The women in experimental groups used Verbascum and placebo cream twice per day for 10 days. Pain intensity was assessed before intervention, 1, 3 and 10 day after intervention using NAS scale. Data were analyzed using SPSS software (version 16), and Mann-Whitney, t-test, and Chi-square tests. PResults: The score of pain intensity before intervention was not significantly difference in two groups of Verbascum cream and placebo (P=0.947).  This score showed significant difference in two groups on 1, 3 and 10 day after intervention (P<0.001).
Conclusion: Verbascum cream decreased pain intensity during 10 days after episiotomy. Since this study was the first which assessed the effects of Verbascum Thapsus cream on episiotomy pain intensity in human, further research is required to fully clarify the beneficial effects of Verbascum cream.

کلیدواژه‌ها [English]

  • Episiotomy
  • Pain
  • Verbascum Thapsus
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