Effect of Auriculotherapy with Vaccaria Seeds on the Anxiety of Female Colposcopy Candidates

Document Type : Original Article

Authors

1 M.Sc. Student in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Assistant Professor, Department of Midwifery, Evidence-Based Healthcare Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Instructor, Department of Nursing, Evidence-Based Healthcare Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant Professor, Department of Chinese Traditional Medicine, School of Complementary and Iranian Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Anxiety before colposcopy causes pain and discomfort during the procedure. Auriculotherapy could be an effective approach to reduce anxiety. The present study aimed to evaluate the effect of auriculotherapy with vaccaria seeds on the anxiety in female colposcopy candidates.
Methods: This single-blind clinical trial was conducted on 61 women referring to Ghaem Hospital in Mashhad, Iran for colposcopy in 2017. The research units were selected via random allocation and classified into two groups of intervention and placebo. In the intervention group, vaccaria seeds were attached to the acupoints (shenmen, relaxation, tranquilizer, and endocrine) of the patients three days before colposcopy. The patients were asked to press each point for one minute three times a day. In the placebo group, labels without seeds were attached to unrelated points to anxiety. Anxiety levels were measured before and after the intervention (immediately before colposcopy) using Spielberger's state-trait anxiety inventory. Data analysis was performed in SPSS version 22 using independent and paired t-test, Mann-Whitney U test, and Wilcoxon test at the significance level of P<0.05.
Results: After the intervention, mean scores of state anxiety were 44.5±9.9 and 49.2±7.8 in the intervention and placebo groups, respectively, and a significant difference was observed between the groups in this regard (P=0.041). In addition, mean score of trait anxiety were 43.80±8.77 and 47.9±8.35 in the intervention and placebo groups, respectively, showing a significant difference between the groups (P=0.049).
Conclusion: According to the results, auriculotherapy could effectively reduce the anxiety of the subjects after the intervention. Therefore, auriculotherapy is recommended as a beneficial approach to decrease anxiety in colposcopy candidates.

Keywords


  1. Novak E. Berek & Novak's gynecology. Philadelphia: Lippincott Williams & Wilkins; 2007. P. 1179-81, 1883-957.
  2. Mortazavi S, Zali M, Raoufi M, Nadji M, Kowsarian P, Nowroozi A. The prevalence of human papillomavirus in cervical cancer in Iran. Asian Pac J Cancer Prev 2002; 3(1):69-72.
  3. Galaal K, Deane K, Sangal S, Lopes AD. Interventions for reducing anxiety in women undergoing colposcopy. Cochrane Database Syst Rev 2007; 3:CD006013.
  4. Howells RE, Dunn PD, Isasi T, Chenoy R, Calvert E, Jones P, et al. Is the provision of information leaflets before colposcopy beneficial? A prospective randomised study. BJOG 1999; 106(6):528-34.
  5. Jones M, Singer A, Jenkins D. The mildly abnormal cervical smear: patient anxiety and choice of management. J Royal Soc Med 1996; 89(5):257-60.
  6. Nazari-Vanani R, Rahimi-Madiseh M, Drees F. Evaluation of preoperative anxiety and stress, and ways to modify it, the patients in Kashani hospital operating room in 2013. J Clin Nurs Midwifery 2014; 2(4):53-60.
  7. Shahinfar J, Zeraati H, Nasimi F, Shojaei S. Effect of medicinal plants on anxiety. J Islamic Iran Tradit Med 2017; 8(2):209-22.
  8. Chan Y, Lee PW, Ng T, Ngan HY, Wong L. The use of music to reduce anxiety for patients undergoing colposcopy: a randomized trial. Gynecol Oncol 2003; 91(1):213-7.
  9. Mousavi FS, Golmakani N, Saki A. The relationship between postoperative pain after cesarean section with pre and postoperative anxiety. Iran J Obstet Gynecol Infertil 2016; 19(24):1-10. (Persian).
  10. Nikbakht Nasrabadi AR, Bakhshayeshi O, Parsayekta Z, Hoseyni M, Taghavi T, Rezvani H. The effectiveness of implementing nursing consultation on the anxiety of patients undergoing GI endoscopy. Iran J Nurs 2012; 25(79):54-62.
  11. Farmahini Farahani M, Shamsikhani S, Norouzi Zamenjani M, Pourfarzad Z, Qolami M. The Effect of of hand massage on anxiety and physiological indicators before surgery. Complement Med J Facul Nurs Midwifery 2017; 7(1):1758-66.
  12. Rajai N, Choopani N, Pishgouyi SA, Sharififar S. The effect of acupressure on anxiety of patients candidate for coronary angiography. Milit Car Sci 2015; 2(1):6-13. (Persian).
  13. Wang SM, Peloquin C, Kain ZN. The use of auricular acupuncture to reduce preoperative anxiety. Anesth Analg 2001; 93(5):1178-80.
  14. Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture. 3rd ed. New York: Elsevier Health Sciences; 2014.
  15. Seyyedzadeh Aghdam N, Vakilian K, Masoomeh D. Effect of BL32 and GB21 acupressure on labor pain in the first stage of labor. Complement Med J Facul Nurs Midwifery 2012; 2(1):104-10.
  16. Rastegarzade H, Abedi P, Valiani M. The effect of auriculotherapy on labor pain intensity in nulliparous women. Anesthesiol Pain 2015; 6(1):54-63. (Persian).
  17. El-Deeb AM, Ahmady MS. Effect of acupuncture on nausea and/or vomiting during and after cesarean section in comparison with ondansetron. J Anesth 2011; 25(5):698-703.
  18. Qu F, Zhang D, Chen LT, Wang FF, Pan JX, Zhu YM, et al. Auricular acupressure reduces anxiety levels and improves outcomes of in vitro fertilization: a prospective, randomized and controlled study. Sci Rep 2014; 4:5028.
  19. Navidi AA, Gasemi KH, Khedmat H. Encyclopedia of holistic medicine: the methods of traditional and modern medicine. 1st ed. Tehran: Nashre Tabib; 2002. (Persian).
  20. Kober A, Scheck T, Schubert B, Strasser H, Gustorff B, Bertalanffy P, et al. Auricular acupressure as a treatment for anxiety in prehospital transport settings. Anesthesiology 2003; 98(6):1328-32.
  21. Mousavi FS, Golmakani N, Bahrami H, Saki A, Akhlaghi F. Effects of auriculotherapy on post cesarean anxiety. Iran J Obstet Gynecol Infertil 2017; 20(6):50-60. (Persian).
  22. Black S, Carey E, Webber A, Neish N, Gilbert R. Determining the efficacy of auricular acupuncture for reducing anxiety in patients withdrawing from psychoactive drugs. J Subst Abuse Treat 2011; 41(3):279-87.
  23. Pilkington K, Kirkwood G, Rampes H, Cummings M, Richardson J. Acupuncture for anxiety and anxiety disorders–a systematic literature review. Acupunct Med 2007; 25(1-2):1-10.
  24. Kuo SY, Tsai SH, Chen SL, Tzeng YL. Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: a single-blind, randomised controlled study. Int J Nurs Stud 2016; 53:17-26.
  25. Karst M, Winterhalter M, Münte S, Francki B, Hondronikos A, Eckardt A, et al. Auricular acupuncture for dental anxiety: a randomized controlled trial. Anesth Analg 2007; 104(2):295-300.
  26. Hashemy S, Zakerimoghadam M. Comparative study of the effect of muscle relaxation and music therapy on anxiety level in patients waiting for cardiac catheterization. Iran J Cardiovasc Nurs 2013; 1(4):22-30.