مقایسه تأثیر کمربند مادون قرمز و کیسه آب گرم بر طول مدت مرحله اول زایمان در زنان نخست‌زا، یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات مراقبت‌های ویژه پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استاد گروه فیزیک پزشکی، مرکز تحقیقات فیزیک پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

6 استاد گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: طولانی شدن زایمان، منجر به پیامدهای نامطلوب زایمانی می‌شود. گرمادرمانی به‌عنوان یک روش غیردارویی نوین برای کاهش طول مدت زایمان مطرح می‌باشد. کیسه آب گرم و مادون قرمز از روش‌های گرمادرمانی هستند. با توجه به مکانیسم متفاوت این دو روش و عدم مطالعه‌ای مبنی بر مقایسه آنها، مطالعه حاضر با هدف مقایسه تأثیر کمربند مادون قرمز و کیسه آب گرم بر روی طول مدت مرحله اول زایمان زنان نخست‌زا انجام شد.
روشکار: این مطالعه کارآزمایی بالینی تصادفی شده موازی سه‌گروهه در سال 1398 بر روی 150 زن نخست‌زای مراجعه‌کننده به بیمارستان ام‌البنین (س) مشهد انجام شد. در مرحله اول زایمان دو سیکل 20 دقیقه‌ای گرمادرمانی در گروه‌های مداخله توسط کمربند مادون قرمز و کیسه آب گرم در اتساع 5-4 و 7-6 سانتی‌متری دهانه رحم انجام شد. گروه کنترل مراقبت‌های روتین را دریافت کردند. طول مدت مرحله اول از ابتدای اتساع 5-4 سانتی‌متری به دقیقه اندازه‌گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 25) و آزمون‌های آماری کروسکال والیس و واریانس یک‌طرفه انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافتهها: میانگین طول مدت مرحله اول زایمان در سه گروه اختلاف آماری معنی‌داری داشت (001/0>p). میانگین طول مدت مرحله اول زایمان در گروه کمربند مادون قرمز به‌طور معنی‌داری کمتر از کیسه آب گرم بود (001/0>p). کمربند مادون قرمز و کیسه آب گرم اثر نامطلوب روی FHR جنین، نمره آپگار و خونریزی پس از زایمان نداشت.
نتیجهگیری: استفاده از کمربند مادون قرمز روش مؤثری برای کاهش طول مدت مرحله اول زایمان می‌باشد. این روش می‌تواند به‌عنوان یک روش مکمل و به‌عنوان یک اقدام درمانی غیر‌دارویی برای اداره زایمان به‌کار گرفته شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial

نویسندگان [English]

  • Fatemeh Dastjerd 1
  • Fatemeh Erfanian 2
  • Ameneh Sazegarnia 3
  • Farideh Akhlaghi 4
  • Masoumeh Kordi 5
  • Habibollah Esmaeili 6
1 M.Sc. Student in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Professor, Department of Medical Physics, Medical Physics Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Prolonged labor leads to adverse birth outcomes. Thermotherapy is a new non-pharmacological method to reduce duration of labor. Hot water bags and infrared are the methods of thermotherapy. Due to the different mechanism of these two methods and lack of study regarding their comparison, this study was conducted with aim to compare the effect of infrared belt and hot water bag on the duration of the first stage of labor in primiparous women.
Methods: This parallel three-group randomized clinical trial was conducted on 150 primiparous women referred to Mashhad Um Al-Benin Hospital in 2019. At first stage of labor, two 20-minute cycles of thermotherapy was performed in the intervention groups by the infrared belt and hot water bag at dilation of 4-5 cm and of 6-7 cm of the cervix. The control group received routine care. Duration of the first stage was assessed from the beginning of 4-5 cm dilation per minute. Data were analyzed by SPSS software (version 25) and Kruskal-Wallis test and one-way analysis of variance. p < 0.05 was considered statistically significant.
Results: Mean duration of the first stage of labor was significantly different in the three groups (p <0.001). Mean duration of the first stage of delivery was significantly less in the infrared belt group than the hot water bag group (p <0.001). The infrared belt and hot water bag had no adverse effect on FHR, Apgar score and PPH.
Conclusion: The use of infrared belt is an effective way to reduce the duration of the first stage of labor. This method can be used as a complementary method and a non-pharmaceutical treatment method for management of labor.

کلیدواژه‌ها [English]

  • duration of Labor
  • Hot pack
  • Infrared
  • Thermotherapy
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