تأثیر آموزش تن‌آرامی بنسون بر شدت تهوع و استفراغ در زنان باردار

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

2 دکتری تخصصی بهداشت باروری، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

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

4 استادیار گروه بهداشت مادر و کودک، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

چکیده

مقدمه: تهوع و استفراغ، از شکایات شایع زنان در دوران بارداری است. تن‌آرامی مجموعه‌ای از تمرین‌های عصبی و عضلانی است که می‌تواند به‌عنوان درمان غیردارویی تهوع و استفراغ در بارداری مورد استفاده قرار گیرد. مطالعه حاضر با هدف تعیین تأثیر تن‌آرامی بنسون بر شدت تهوع و استفراغ در زنان باردار مراجعه‌کننده به مراکز جامع سلامت شهر همدان انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی کنترل شده با طرح پیش‌آزمون- پس‌آزمون در سال 1398 بر روی 100 زن نخست باردار 10-6 هفته مراجعه‌کننده به مراکز جامع سلامت شهر همدان انجام شد. افراد به‌طور تصادفی به دو گروه 50 نفره کنترل و مداخله تقسیم شدند. قبل از مداخله پرسشنامه PUQE-24 برای هر دو گروه تکمیل شد. گروه مداخله علاوه بر دریافت مراقبت‌های معمول بارداری، تمرینات تن‌آرامی را به‌مدت 4 هفته دریافت کردند. پس از پایان 4 هفته مجدداً افراد دو گروه مداخله و کنترل پرسشنامه را تکمیل کردند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار stata (نسخه 13) و آزمون‌های آماری کای دو، تست دقیق فیشر، ویلکاکسون و من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره تهوع و استفراغ قبل از مداخله در دو گروه مداخله و کنترل تفاوت معناداری نداشت (05/0<p). میانگین نمرات شدت تهوع و استفراغ در گروه مداخله، قبل و بعد از مداخله از 60/1±30/8 به 65/2±30/5 کاهش یافت که این تفاوت از نظر آماری معنادار بود (001/0>p)، همچنین در گروه کنترل از 51/1±38/8 به 70/1±39/7 تغییر یافت و این اختلاف از نظر آماری معنادار بود (01/0=p). پس از مداخله، شدت تهوع و استفراغ در گروه مداخله به‌طور قابل توجهی کمتر از گروه کنترل بود و تفاوت از نظر آماری معنادار بود (001/0>p).
نتیجه‌گیری: با توجه به تأثیر تن‌آرامی بنسون در کاهش حالت تهوع و استفراغ در بارداری، آموزش آن برای تمام زنان باردار در سه ماهه اول بارداری توصیه می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of Benson relaxation training on the severity of nausea and vomiting in pregnant women

نویسندگان [English]

  • Zahra Jadidi 1
  • Farideh Kazemi 2
  • Arezoo Shayan 3
  • Soodabeh Aghababaei 4
1 M.Sc. student of Counseling in Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
2 PhD of Reproductive Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
3 Instructor, Department of Midwifery, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
4 Assistant Professor, Department of Mother and Child Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
چکیده [English]

Introduction: Nausea and vomiting are common complaints of women during pregnancy.Relaxation is a set of neuromuscular exercises that can be used as a non-pharmacological treatment for nausea and vomiting in pregnancy.This study was performed with aim to determine the effect of Benson relaxation on the severity of nausea and vomiting in pregnant women referred to the comprehensive health centers in Hamadan.
Methods: This controlled clinical trial with pre-test-post-test design was performed in 2019 on 100 primigravida women with 6-10 weeks of gestational age referred to the comprehensive health centers in Hamadan. The subjects were randomly divided into two groups of intervention and control (n=50 in each group). PUQE-24 questionnaire was completed for both groups before the intervention. The intervention group, in addition to routine pregnancy care, received relaxation techniques for 4 weeks. At the end of 4 weeks, the subjects in the intervention and control groups completed the questionnaire again. Data analysis was performed using stata (software 13) and Chi-square, Fisher's exact, Wilcoxon and Mann-Whitney. P<0.05 was considered statistically significant.
Results: The mean score of nausea and vomiting before the intervention was not significantly different between the intervention and control groups (P>0.05). The mean scores of nausea and vomiting in the intervention group before and after the intervention decreased from (8.30±1.60) to (5.30±2.65) which was statistically significant (P<0.001), also changed from (8.38±1.51) to (7.39±1.70) in the control group and this difference was statistically significant (P=0.01). After the intervention, the severity of nausea and vomiting in the intervention group was significantly lower than the control group and the difference was statistically significant (P<0.001).
Conclusion: Considering the effect of Benson's relaxation on reducing nausea and vomiting in pregnancy, its training is recommended for all pregnant women in the first trimester of pregnancy.

کلیدواژه‌ها [English]

  • Benson's relaxation
  • nausea and vomiting
  • pregnancy
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