تأثیر پماد روغن نارگیل بر علائم یبوست در زنان باردار مبتلا به هموروئید: کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

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

3 مربی گروه پرستاری، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران. مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 مرکز تحقیقات فارماکولوژیک گیاهان دارویی، دانشگاه علوم پزشکی مشهد، مشهد، ایران. استادیار گروه فارماکولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: یبوست یکی از رایج‌ترین مشکلات گوارشی در زنان باردار است که عموماً در همراهی با هموروئید مشاهده می­شود. عدم تبعیت بیماران از توصیه­های اصلاح سبک زندگی، درمان به‌وسیله این روش را با شکست مواجه می­کند. اگرچه خواص درمانی روغن نارگیل بر یبوست مطرح شده، اما مستندات علمی آن گزارش نشده است، لذا مطالعه حاضر با هدف تعیین تأثیر پماد روغن نارگیل بر علائم یبوست در زنان باردار مبتلا به هموروئید انجام شد.
روش‌کار: این مطالعهکارآزمایی بالینی در سال 98-1397 بر روی 60 زن باردار که به مراکز خدمات جامع سلامت مشهد مراجعه کردند، انجام شد. افراد واجد شرایط به دو گروه تقسیم شدند. گروه کنترل فقط توصیه­های اصلاح سبک زندگی را دریافت کردند، در‌حالی‌که گروه مداخله علاوه بر این توصیه­ها، یک اپلیکاتور از پماد روغن نارگیل را روزی 2 بار به‌مدت 2 هفته استفاده کردند. سنجش بهبود علائم یبوست شامل نیاز به زور زدن هنگام دفع، دفع مدفوع سفت و سخت و اجابت مزاج کمتر از 3-2 بار در هفته، با استفاده از پرسشنامه یبوست در بارداری گردآوری شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون­های آماری کای اسکوئر، دقیق فیشر و کوکران انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: فراوانی نیاز به زور زدن هنگام دفع در روز چهاردهم پس از مداخله در زنان باردار در گروه پماد روغن نارگیل به‌صورت معنی‌داری کمتر از گروه کنترل بود (05/0>p). در مقایسه درون‌گروهی، در گروه پماد روغن نارگیل تفاوت نیاز به زور زدن هنگام دفع و دفع مدفوع سفت و سخت برحسب روز سنجش، تفاوت معنی‌داری داشت (001/0>p)، در‌حالی‌که در گروه کنترل تفاوت نیاز به زور زدن هنگام دفع و دفع مدفوع سفت و سخت برحسب روز سنجش معنادار نبود (05/0>p). در بررسی درون‌گروهی، اجابت مزاج کمتر از 3-2 بار در هفته اگرچه از لحاظ بالینی در گروه پماد روغن نارگیل با کاهش همراه بود، اما این کاهش از نظر آماری معنی­دار نبود (050/0=p).
نتیجه‌گیری: پماد روغن نارگیل بر بهبود علائم یبوست در زنان باردار مبتلا به هموروئید مؤثر است، لذااستفاده از آن در این افراد پیشنهاد می­گردد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of Coconut oil ointment on constipation symptoms in pregnant women with hemorrhoids: A randomized clinical trial

نویسندگان [English]

  • Elahe Jesmani 1
  • Samira Ebrahimzadeh Zagami 2
  • Seyed Reza Mazloum 3
  • Hassan Rakhshandeh 4
1 M.Sc. of Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Ph.D. in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical
3 Instructor, Department of Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Instructor, Department of Nursing, School of Nursing and Midwifery, Mashhad University of Medical
4 Medicinal Plants Pharmacology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, Department of Pharmacology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Constipation is one of the most common digestive problems in pregnant women which is commonly associated with hemorrhoids. Patients' non-compliance with lifestyle modification recommendations leads to failure of treatment with this method. Although therapeutic properties of coconut oil on constipation are discussed, but its scientific documentation has not been reported; therefore, this study was performed with aim to determine the effect of coconut oil ointment on the symptoms of constipation in pregnant women with hemorrhoids.
Methods: This randomized clinical trial study was performed on 60 pregnant women who referred to Mashhad Comprehensive Health Service Centers in 2018-2019. Eligible individuals were divided into two groups. The control group received only lifestyle modification recommendations, while the intervention group in addition to these recommendations used an applicator of coconut oil ointment twice a day for two weeks. The improvement of constipation symptoms including need for straining during defecation, hard stools and defecation less than 2 to 3 times a week was assessed using the Constipation Questionnaire in Pregnancy. Data were analyzed using SPSS software (version 16) and Chi-square, Fisher exact and Cochran tests. P< 0.05 was considered statistically significant.
Results: The frequency of need for straining during defecation on the fourteenth day after the intervention in pregnant women in the coconut oil ointment group was significantly lower than the control group (p <0.05). In the intragroup comparison, it was found that in the group of coconut oil ointment, the difference in the need for straining during defecation and hard stools according to the day of measurement was significantly different (P <0.001), while in the control group, the difference in the need for straining during defecation and hard stools according to the day of measurement was not significant (p <0.05). In the intragroup comparison, defecation less than 2 to 3 times a week, although clinically was associated with a decrease in the coconut oil ointment group, but this decrease was not statistically significant (p=0.050).
Conclusion: Coconut oil ointment is effective in improving the symptoms of constipation in pregnant women with hemorrhoids, so its use is recommended in these people.

کلیدواژه‌ها [English]

  • Constipation
  • Coconut oil
  • Hemorrhoids
  • pregnancy
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