مقایسه تأثیر رایحه بهارنارنج و مریم گلی بر درد پس از سزارین

نوع مقاله : اصیل پژوهشی

نویسندگان

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

2 دانشجوی دکترای آسیب و بلایای طبیعی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

3 دانشجوی دکترای بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: تسکین درد پس از سزارین به طور مؤثر و بی‌خطر که با توانایی مادر برای مراقبت از نوزادش اختلال ایجاد نکند ضروری است. درد پس از سزارین با کاهش توانایی مقاومت در برابر عفونت، افزایش میزان استفاده از مسکن‌ها، تأخیر در بهبودی زخم و ... همراه است. مطالعه حاضر با هدف مقایسه تأثیر رایحه بهارنارنج و مریم گلی بر درد پس از سزارین انجام شد.
روش‌‌کار: این مطالعه کارآزمایی بالینی تصادفی سه گروهه در سال 1393 بر روی 120 زن باردار که جهت سزارین به بیمارستان معتضدی کرمانشاه مراجعه کرده بودند، انجام شد. در دو گروه مداخله بلافاصله بعد از شروع درد، 4، 8 و 12 ساعت پس از آن، آروماتراپی با 3 قطره از اسانس انجام شد و در گروه کنترل آروماتراپی با نرمال سالین به روش مشابه انجام شد. هر سه گروه از نظر میزان دریافت مسکن یکسان بودند. شدت درد با استفاده از مقیاس درجه‌بندی عددی قبل از مداخله و نیم ساعت بعد از هر چهار مداخله ارزیابی شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون­های آنالیز واریانس، کروسکال والیس، کای دو، فریدمن و من ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین درد قبل از مداخله در سه گروه اختلاف معنی‌داری نداشت (15/0=p). پس از مداخله، در گروه مداخله با بهارنارنج و مریم گلی میانگین درد در مرحله اول، دوم، سوم و چهارم مداخله در مقایسه با گروه کنترل کاهش معنی‌داری یافت (001/0p<). همچنین در هر چهار مرحله مداخله میانگین شدت درد بین گروه رایحه مریم گلی و بهارنارنج اختلاف آماری معنی‌داری وجود نداشت (05/0<p) و هر دو رایحه تأثیر یکسانی بر کاهش درد پس از سزارین داشتند.
نتیجه‌گیری: بین رایحه بهارنارنج و رایحه مریم گلی در کاهش درد بعد از عمل جراحی سزارین تفاوت معناداری وجود ندارد، بنابراین استفاده از هر دو رایحه به عنوان تکنیک ساده، غیرتهاجمی و ارزان جهت کاهش درد بعد از سزارین توصیه می­شود.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effect of Citrus arantium and Salvia officinalis aroma on post-cesarean section pain

نویسندگان [English]

  • Forouzan Sharifipour 1
  • Mandana Mirmohammad Ali 2
  • Mozhgan Hashemzadeh 3
1 M.Sc. in Midwifery, Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2 PhD student of Damage and Natural Disasters, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3 PhD student of Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Post-cesarean pain relief in an effective way without danger so that not to disturb mother’s ability to take care of her child is required. Post-cesarean pain is associated with reduced resistance against infections, increased use of analgesics and delayed wound healing. This study was performed with aim to compare the effect of Citrus arantium and Salvia officinalis aroma on post-cesarean section pain.
Methods: This three-group randomized clinical trial was performed on 120 pregnant women who had referred to Kermanshah Motazedi Hospital for cesarean in 2014. Aromatherapy with 3 drops of essence was fulfilled on two intervention groups immediately after the onset of pain, 4, 8 and 12 hours after it. Aromatherapy using normal saline was fulfilled on the control group in the same way. Severity of pain was evaluated using Visual Analogue Scale before and half an hour after each four interventions. Data was analyzed using SPSS software (version 18) and Chi-square, ANOVA, Kruskal-Wallis, Friedman and Mann Whitney tests. PResults: Mean of pain severity before the intervention was not significantly different between the three groups (P=0.15). After the intervention, mean of pain in the intervention groups of Citrus arantium and Salvia officinalis was significantly reduced in the first, second, third and fourth stage of intervention compared with control group (P<0.001). Also, in each four stage of the intervention, mean of pain severity was not significantly different between Citrus arantium aroma and Salvia officinalis aroma groups and both had similar effects on relief of post-cesarean section pain.
Conclusion: There was no significant difference between Citrus arantium aroma and Salvia officinalis aroma groups in reducing post-cesarean section pain, therefore, the use of both aromas is recommended as simple, noninvasive and inexpensive technique to reduce post-cesarean pain.

کلیدواژه‌ها [English]

  • Aroma
  • Cesarean section
  • Citrus aurantium
  • Pain
  • Salvia officinalis
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