تأثیر طب فشاری گوش بر افسردگی زنان نابارور: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد پرستاری داخلی و جراحی، کمیته تحقیقات دانشجویی، دانشکده پرستاری، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

2 استاد گروه پرستاری، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

3 استادیار گروه طب چینی، دانشکده طب سنتی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استاد گروه روانشناسی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

5 استادیار گروه مامایی، مرکز تحقیقات توسعه اجتماعی و ارتقاء سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

چکیده

مقدمه: داشتن فرزند، یک نیاز اساسی در انسان است. ناباروری می‌تواند پیامدهای ناخوشایندی مانند افسردگی را به‌وجود آورد که نیازمند شناسایی و انجام مداخلات مناسب می‌باشد. از جمله روش‌های مورد استفاده در درمان افسردگی، طب فشاری می­باشد، لذا مطالعه حاضر با هدف تعیین تأثیر طب فشاری گوش بر افسردگی زنان نابارور انجام شد.
روش‌کار: این‌ مطالعه کارآزمایی بالینی تصادفی شده در سال 1396 بر روی 70 زن نابارور مراجعه‌کننده به مرکز ناباروری میلاد شهر مشهد انجام شد. افراد به‌صورت تصادفی به دو گروه آزمون و کنترل تخصیص یافتند. قبل از مداخله، افسردگی هر دو گروه با پرسشنامه بک سنجیده شد. سپس در گروه مداخله، چسب گوش در نقاط شن من، آنتی دپرسنت و قلب در یک گوش چسبانده شد و از بیمار خواسته شد که هر کدام از نقاط را 2 نوبت در روز و هر نوبت 60 مرتبه و به‌مدت یک ‌ماه فشار دهد. در گروه کنترل مداخله‌ای انجام نشد. افسردگی، بلافاصله پس از اتمام مداخله و 2 ماه پس از آن در هر دو گروه مجدداً اندازه‎گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 19) و آزمون‎های کای‎اسکوئر، تی‌مستقل و آنالیز واریانس با اندازه‌های تکراری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: نمره افسردگی قبل از شروع مطالعه در دو گروه تفاوت آماری معنی‌داری نداشت (05/0p>)، در‌حالی‌که نمره افسردگی بلافاصله و 2 ماه پس از مداخله، در گروه مداخله کمتر از گروه کنترل بود و بین دو گروه تفاوت آماری معنی‌داری وجود داشت (001/0p<).
نتیجه‎گیری: با توجه به وجود افسردگی در بیماران نابارور، طب فشاری گوش می‌تواند به ‌عنوان روش غیردارویی در کاهش افسردگی مورد استفاده قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Auriculotherapy on depression in infertile women: A Randomized Clinical Trial

نویسندگان [English]

  • Marjan Ghodrati 1
  • Ali Mohammadpour 2
  • Ali Khorsand Vakilzadeh 3
  • Jahanshir Tavakolizadeh 4
  • Fatemeh Hadizadeh Talasaz 5
1 M.Sc. in Surgery and Internal Nursing, Student Research Committee, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Professor, Department of Nursing, Social Determinants of Health Research Center, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
3 Assistant professor, Department of Chinese Medicine, School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Professor, Department of Psychology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran..
5 Assistant Professor, Department of Midwifery, Social Development and Health Promotion Research Center, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
چکیده [English]

Introduction: Having a child is a basic need in humans. Infertility can lead to unpleasant outcomes such as depression which is required to identification and appropriate interventions. Acupressure is one of the methods used in the treatment of depression. This study was performed with aim to determine the effect of auriculotherapy on depression in infertile women.
Methods: This randomized clinical trial was performed on 70 infertile women referred to Milad Infertility Centre at Mashhad in 2017. The subjects were randomly assigned to two groups of intervention and control. Before the intervention, depression in both groups was measured by Beck questionnaire. Then, in the intervention group, the ear glue was attached in one of the ears at the points of shenmen, anti- depressant and heart, and the patient was asked to press each of the points twice a day and 60 times for a period of one month. No intervention was performed in the control group. Depression was again measured immediately after the intervention and two months later in both groups. Data were analyzed by SPSS software (version 19) and independent t-test, Chi-square and ANOVA with repeated measurement. P<0.05 was considered statistically significant.
Results: Depression score had no significant difference in two groups before the intervention (p> 0.05). However, depression scores immediately and two month after the intervention were less in the intervention group than the control group and there was a significant statistical difference between two groups (p <0.001).
Conclusion: Considering the presence of depression in infertile patients, auriculotherapy can be used as a non-pharmacological method to reduce depression.

کلیدواژه‌ها [English]

  • Auriculotherapy
  • Depression
  • Infertility

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مجله زنان، مامایی و نازایی ایران
دوره 22، شماره 9
آذر 1398
صفحه 36-44

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