تأثیر اوریکولوتراپی در طی لیبر و بعد از زایمان بر افسردگی دوران پس از زایمان در زنان نخست‌زا: یک مطالعه کارآزمایی بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده‌ پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.

2 دانشیار گروه بهداشت باروری، مرکز تحقیقات طب سنتی و مکمل، دانشکده‌ پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.

3 کارشناس ارشد مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

مقدمه: حدود 26-8% زنان از افسردگی بعد از زایمان رنج می‌برند، لذا مطالعه حاضر با هدف بررسی تأثیر اوریکولوتراپی در نقاط کاهش اضطراب بر میزان افسردگی بعد از زایمان در زنان نخست‌زا انجام شد.
روشکار: این مطالعه کارآزمایی بالینی تصادفی در سال 1397 بر روی 166 زن بستری در بخش لیبر بیمارستان کامکار انجام شد. افراد به دو گروه مداخله و کنترل تخصیص یافتند. اوریکولوتراپی در نقاط فشاری کاهش استرس و اضطراب در دیلاتاسیون 6-4 و 8-6 سانتی‌متر و نهایتاً 6 ساعت پس از زایمان انجام گرفت. فشار روی گوش بین کنترکشن‌ها به‌مدت 30 ثانیه در هر دو گوش به‌فاصله 10 دقیقه انجام گرفت. مرحله دوم افسردگی بک در بین روزهای 15-10 بعد از زایمان ارزیابی شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های کای دو و تی مستقل انجام گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بر اساس نتایج مطالعه 72 نفر (96%) در گروه مداخله و 66 نفر (7/91%) در گروه اوریکولوتراپی افسردگی جزئی داشتند، ولی افسردگی خفیف و متوسط در گروه مداخله کمتر از گروه کنترل بود، ولی تفاوت آماری معنی‌داری وجود نداشت (549/0=p).
نتیجهگیری: این مطالعه کاهشی را در افسردگی مادران با طب فشاری بر روی گوش نشان نداد. پیشنهاد می‌شود سایر نقاط فشاری در گوش بررسی شود و همچنین مداخله با یک دوره طولانی‌تر از نظر انجام طب فشاری روی گوش و پیگیری بیش از یک دوره 14 روزه انجام گیرد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of auriculotherapy during labor and postpartum on postpartum depression in nulliparous women: a clinical trial study

نویسندگان [English]

  • Mehrnoosh Ghaemmaghami 1
  • Katayoun Vakilian 2
  • Narges Sheikh Ghanbari 1
  • Fatemeh Shabani 1
  • Masoomeh Vahedi 3
1 M.Sc. of Midwifery, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
2 Associate Professor, Department of Reproductive Health, Traditional and Complementary Medicine Research Center, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
3 M.Sc. of Midwifery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: About 8 to 26% of women suffer from postpartum depression. Therefore, this study was performed with aim to evaluate the effect of auriculotherapy in anxiety reduction points on postpartum depression in nulliparous women.
Methods: This randomized clinical trial study was performed on 166 women who were admitted to labor ward in Kamkar hospital in 2018. The subjects were assigned to the intervention and control groups. Auriculotherapy in stress and anxiety reduction points was performed in dilatation 4-6 cm, 6-8 cm and finally 6 hours after delivery. Thus, acupuncture on ear was done between the contractions for 30 seconds in both ears at intervals of 10 minutes. Then in the second stage, depression was assessed between 10-15 days after delivery by Beck questionnaire. Data were analyzed by SPSS software (version 21) and Chi-square and Independent t-test. P<0.05 was considered statistically significant.
Results: According to the results, 72 (96%) in the intervention group and 66 (91.7%) in the Auriculotherapy group had minor depression, but mild and moderate depression in the intervention group was less than the control group (p = 0.549).
Conclusion: This study did not show a reduction in maternal depression with acupressure on the ear. It is recommended to examine other points of pressure in the ear and also this intervention should be done for a longer period in terms of performing acupressure on the ear and following more than a period of 14 days.

کلیدواژه‌ها [English]

  • Anxiety
  • Auricular Acupuncture
  • Complementary Medicine
  • Postpartum Depression
  • Reproductive health
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