مقایسه تأثیر ماکسیباسشن و طب فشاری در نقطه SP6 بر شدت علائم سیستمیک همراه با دیسمنوره

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، شعبه بین الملل، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استاد گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 متخصص طب سوزنی، انجمن طب سوزنی ایران، تهران، ایران.

چکیده

مقدمه: با توجه به اینکه دیسمنوره اولیه یکی از اختلالات ژنیکولوژیک شایع در سنین باروری زنان می­باشد که گاهی با یک یا چند علائم سیستمیک همراه می باشد، مطالعه حاضر با هدف مقایسه تأثیر ماکسیباسشن و طب فشاری در نقطه SP6 بر شدت علائم سیستمیک همراه دیسمنوره انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده در سال 1394 بر روی 100 نفر از دانشجویان ساکن خوابگاه­های دانشگاه آزاد اسلامی سبزوار انجام شد. افراد در دو گروه 50 نفری ماکسیباسشن و طب فشاری قرار گرفتند. در گروه ماکسیباسشن چوب موکسای استیک به مدت 10 دقیقه به نقطه SP6 چسبانده می‌شد و در گروه طب فشاری با انگشت شست و به‌طور عمود فشار بر نقطه SP6 فشار وارد می‌شد (10 دقیقه برای هر پا). این مداخلات 2 بار در طی هفته آخر سیکل و روز اول و دوم خونریزی قاعدگی صورت می­گرفت. شدت علائم سیستمیک با استفاده از سیستم معیار چند بُعدی کلامی، قبل از مداخله و در طی دو سیکل مداخله پیگیری و مقایسه گردید. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS‌ (نسخه 16) و آزمون­های من ویتنی و فریدمن انجام شد. میزان p‌ کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: در هر دو گروه تمام علائم نسبت به قبل از مداخله کاهش معنی‌داری داشت (05/0˂p)، ولی در مقایسه علائم سیستمیک بین دو گروه، تمامی علائم به‌جز تهوع، استفراغ و غش در گروه ماکسیباسشن نسبت به گروه طب فشاری بعد از مداخله کاهش معناداری داشت (05/0˂p).
نتیجه‌گیری: هر دو روش ماکسیباسشن و طب فشاری منجر به کاهش علائم سیستمیک می­شوند، ولی تکنیک ماکسیباسشن نسبت به طب فشاری مؤثرتر است.
 

کلیدواژه‌ها

عنوان مقاله [English]

The effect of SP6 moxibustion and acupressure on the severity of systemic symptoms associated with dysmenorrhea

نویسندگان [English]

  • Azam Yaghobinejad 1
  • Sedigheh Amir Ali Akbari 2
  • Hamid Alavimajd 3
  • Reza Heshmat 4
1 M.Sc. in Midwifery, School of Nursing and Midwifery, International Branch, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Professor, Department of Biostatics, School of Paramedicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Acupressure specialist, Iran Acupressure Institute, Tehran, Iran.
چکیده [English]

Introduction: Since primary dysmenorrhea is one of the common gynecological disorder in women of reproductive which is sometimes associated with one or more systemic symptoms, this study was performed with aim to compare the effect of SP6 moxibustion and acupressure on the severity of systemic symptoms associated with dysmenorrhea.
Methods: This randomized clinical trial study was conducted on 100 students living in dormitories of Sabzevar Islamic Azad University in 2015. The subjects were randomly assigned into two groups of 50 cases in moxibustion and acupressure groups. The SP6 moxibustion group was asked to hold a burning moxa stick to the SP6 point, and the acupressure group was asked to press their thumb perpendicularly on the SP6 point (10 minutes of for each leg). The intervention was performed twice during the last week of cycle and the first and second day of menstrual bleeding. Severity of the systemic symptoms associated with dysmenorrhea was assessed with a verbal multidimensional scoring system before and during two cycles of the intervention. Data were analyzed using SPSS software (version 16), and using Mann-Whitney and Friedman test. P<0.05 was considered significant.
Results: In both groups, all symptoms were significantly reduced compared with before the intervention (P<0.05), but when compare the systemic symptoms between two groups, all symptoms except nausea, vomiting and faint were significantly reduced in moxibustion group compared to acupressure group after the intervention (P<0.05).
Conclusion: Both moxibustion and acupressure methods reduce the severity of the systemic symptoms; however, moxibustion is more effective than acupressure.

کلیدواژه‌ها [English]

  • Acupressure
  • Dysmenorrhea
  • Moxibustion
  • SP6 point

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مجله زنان، مامایی و نازایی ایران
دوره 20، شماره 3
خرداد 1396
صفحه 57-67

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