بررسی تأثیر رفلکسولوژی پا بر خستگی پس از زایمان در زنان نخست‌زا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه بهداشت باروری و بارداری زایمان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران.

3 استاد گروه فیزیوتراپی، دانشکده توان‌بخشی، دانشگاه علوم پزشکی تهران، تهران، ایران.

4 کارشناس ارشد آمار زیستی، مرکز تحقیقات مراقبت‌های پرستاری، دانشکده پرستاری و مامایی،‌ دانشگاه علوم پزشکی ایران، تهران، ایران.

چکیده

مقدمه: در دوره پس از زایمان تغییرات زیادی در جسم و روح مادران رخ می‌دهد که ممکن است مادران احساس خستگی کنند. استفاده از رفلکسولوژی به‌عنوان شاخه‌ای از طب مکمل در ارتقاء مراقبت‌های بهداشتی به‌ویژه در حوزه بهداشت مادر و کودک به‌خوبی مشخص شده است، لذا مطالعه حاضر با هدف تعیین بررسی تأثیر رفلکسولوژی پا بر خستگی پس از زایمان در زنان نخست‌زا انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1397 بر روی 70 زن نخست‌زا مراجعه‌کننده به مراکز بهداشت و درمان جنوب تهران انجام شد. افراد به دو گروه کنترل و رفلکسولوژی تقسیم شدند. مادران گروه کنترل مراقبت‌های معمول پس از زایمان و گروه رفلکسولوژی 3 روز متوالی به‌مدت 30 دقیقه (15 دقیقه هر پا) ماساژ دریافت کردند. هر دو گروه پرسشنامه ارزیابی- دیداری خستگی را قبل و بعد از مداخله (بلافاصله و یک هفته بعد از اتمام) تکمیل کردند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های کای دو، دقیق فیشر، تی مستقل، آنالیز کواریانس و آنالیز واریانس با اندازه‌های تکراری انجام شد. میزان p کمتر از 05/0 معنی‌‌دار در نظر گرفته شد.
یافته‌ها: مشخصات دموگرافیک و شدت خستگی قبل از مداخله در هر دو گروه رفلکسولوژی و کنترل یکسان بود. بلافاصله بعد از مداخله (001/0>p) و یک هفته بعد از مداخله، شدت خستگی بین دو گروه رفلکسولوژی و کنترل تفاوت آماری معناداری را نشان داد (001/0>p).
نتیجه‌گیری: اقدامات حمایتی و توان‌بخشی همچون رفلکسولوژی پا می‌تواند در کاهش خستگی مادران نخست‌زا پس از زایمان طبیعی مؤثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of foot reflexology on postpartum fatigue in primiparous women

نویسندگان [English]

  • Maryam Modares 1
  • Shekoufeh Maleki 2
  • Azadeh Shadmehr 3
  • Shima Haghani 4
1 Assistant Professor, Department of Reproductive Health and Delivery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2 M.Sc. of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
3 Professor, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
4 M.Sc. in Biostatistics, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Many changes occur in postpartum period in the body and soul of mothers that may lead to mothers' feeling fatigue. The use of reflexology has been well established as a branch of complementary medicine in the promotion of health care, especially in the field of maternal and neonatal health. Therefore, this study was performed with aim to investigate the effect of foot reflexology on postpartum fatigue in primiparous women.
Methods: This clinical trial study was performed on 70 primiparous women referred to the healthcare centers in the south of Tehran in 2018. The subjects were divided into two groups of control and reflexology. The mothers of the control group received postpartum routine care and the reflexology group received massage for 3 consecutive days for 30 minutes (15 minutes per leg). Both groups completed the fatigue assessment-visual questionnaire before and after the intervention (immediately and one week after completion). Data were analyzed by SPSS statistical software (version 21) and parametric inferential statistical tests such as analysis of variance with repeated measures and non-parametric measures (Chi-square). Also, independent t-test was used to determine the significant difference between the mean of some social demographic characteristics with the treatment outcome. p < 0.05 was considered statistically significant.
Results: Demographic characteristics and severity of fatigue before the intervention were the same in both reflexology and control groups. Immediately after the intervention (p <0.001) and one week after the intervention, the severity of fatigue between the two groups of reflexology and control showed a statistically significant difference (p <0.001).
Conclusion: Supportive and rehabilitation measures such as foot reflexology can be effective in reducing fatigue of primiparous mothers after normal delivery.

کلیدواژه‌ها [English]

  • Complementary Medicine
  • Fatigue
  • Massage
  • normal delivery
  • Postpartum Care
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