ماساژ درمانی و کنترل درد بعد از سزارین

نوع مقاله: اصیل پژوهشی

نویسندگان

1 مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

3 PhD گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

چکیده

مقدمه: عمل سزارین از اعمال جراحی رایج زنان است و درد و اضطراب بعد از آن از مسائل مهمی است که زنان جوان مشتاق مراقبت از نوزادشان، با آن روبرو می‌باشند. مدیریت درد پس از عمل از ناراحتی بیمار کاسته، باعث راه رفتن سریع‌تر، کاهش مدت بستری در بیمارستان و افزایش رضایت بیمار می‌شود، لذا مطالعه حاضر با هدف بررسی تأثیر ماساژ بر درد پس از سزارین انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی یک سوکور، از مرداد ماه سال 1393 تا تیر ماه سال 1394 بر روی 156 زن نخست‌زا که جهت سزارین الکتیو به بیمارستان امام علی (ع) آمل مراجعه کرده بودند، انجام شد. نمونه‌ها به صورت تخصیص تصادفی در سه گروه 52 نفره ماساژ دست و پا، ماساژ پا و کنترل قرار گرفتند. سپس 4 ساعت پس از دریافت مسکن، شدت درد و علائم حیاتی بیمار قبل، بلافاصله و 90 دقیقه بعد از ماساژ اندازه‌گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و STATA (نسخه 12) انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: نتایج مطالعه حاضر، نشان‌دهنده کاهش معنی‌دار درد بلافاصله و 90 دقیقه بعد از ماساژ در گروه‌های مداخله بود (001/0p<)، اما بین دو گروه مداخله کاهش شدت درد اختلاف آماری معنی‌داری وجود نداشت (98/0=p). همچنین روند تغییرات مربوط به برخی متغیر‌های فیزیولوژیک (فشار‌خون و تنفس) بعد از ماساژ معنی‌دار بود (001/0p<)، اما این تغییر برای ضربان نبض معنی‌دار نبود. همچنین به‌دنبال ماساژ کاهش سطح اضطراب (001/0p<) نیز مشاهده شد.
نتیجه‌گیری: ماساژ دست و پا می‌تواند به عنوان یک مداخله مؤثر و بدون عارضه پرستاری در مراقبت و کنترل درد پس از عمل جراحی بیماران کمک‌کننده باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Massage-therapy and post cesarean pain control

نویسندگان [English]

  • Rozita Rezaei 1
  • Susan Saatsaz 2
  • Abbas Alipour 3
  • Zahra Beheshti 1
1 Instructor, Department of Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
3 PhD, Department of Social Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
چکیده [English]

Introduction: Cesarean section is a common surgical surgery in women, and post-cesarean pain and stress are the problems which are faced by young women keen to care of their newborns. Post-operative pain management reduces patient's discomfort, enables quicker walking, reduces hospital stay, and increases patient's satisfaction. This study was performed with aim to determine the effect of massage on post-cesarean pain.
Methods: This single-blind clinical trial was conducted on 156 primiparous women referred to Amol Emam Ali hospital for elective cesarean section from 2014 to 2015. The samples were randomly divided into three groups including hands and foot massage, foot massage, and control groups (n=52 in each group). The, four hours after receiving analgesics, patients' pain intensity and vital signs were measured before, immediately after, and 90 minutes after the massage. Data were analyzed using SPSS software (version 22) and STATA software (version 12). P<0.05 was considered significant.
Results: A significant reduction was observed in pain intensity immediately and 90 minutes after massage in intervention groups (P<0.001), but the difference between two intervention groups was not statistically significant (P=0.98). Moreover, changes in physiological parameters (blood pressure and respiration) were also significant after massage (P<0.001). However, changes in pulse rate were not significant. Also, a significant reduction in level of anxiety was observed after massage (P<0.001).
Conclusion: Massage of hands and feet as an effective intervention with no nursing side-effect can be helpful in care and control of postoperative pain in patients.

کلیدواژه‌ها [English]

  • Cesarean
  • Massage
  • Pain
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