بررسی تأثیر تحریک الکتریکی نقاط فشاری LI4 و LI11 بر شدت درد و ناتوانی در زنان مبتلا به درد کمر و لگن در دوران بارداری: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مشاوره در مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

2 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

3 استادیار گروه آمار زیستی، مرکز تحقیقات متابولیک، پژوهشکده پیشگیری از بیماری‌های غیرواگیر، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

4 مربی گروه مامایی، مرکز تحقیقات رشد کودکان، پژوهشکده پیشگیری از بیماری‌های غیرواگیر، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

چکیده

مقدمه: درد کمر و لگن، یکی از مشکلات شایع دوران بارداری می‌باشند. طب فشاری یکی از راهبردهای درمانی است، لذا مطالعه حاضر با هدف تعیین تأثیر تحریک الکتریکی نقاط فشاری LI4 و LI11 بر شدت درد و ناتوانی در زنان مبتلا به درد کمر و لگن در دوران بارداری انجام شد.
روشکار: این مطالعه کارآزمایی بالینی- تصادفی از فروردین تا آبان 1399 بر روی 101 زن باردار با درد کمر و لگن مراجعه‌کننده به مراکز سلامت شهرستان بویین زهرا انجام شد. نمونه‌ها با استفاده از تخصیص تصادفی بلوکی به دو گروه مداخله و کنترل تقسیم شدند. گروه مداخله در 12 جلسه تحریک الکتریکی نقاط فشاری هوگو و کوچی از هفته 32-26 بارداری شرکت کردند. گروه کنترل مراقبت‌های استاندارد دوران بارداری را دریافت کردند. پرسشنامه ناتوانی رولند موریس و آنالوگ بصری درد قبل، 2 و 4 هفته بعد از مداخله در دو گروه تکمیل شد. تجزیه و تحلیل داده‌ها با نرم‌افزار R و آزمون‌های مدل اثرات آمیخته و تعقیبی انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافتهها: بر اساس نتایج مطالعه، 4 هفته مداخله تأثیر معناداری بر کاهش میانگین نمره شدت درد (83/0±42/6، 04/1±00/3) و میزان ناتوانی (29/1±62/14، 22/2±90/7) در گروه مداخله نسبت به گروه کنترل داشت (001/0>p).
نتیجهگیری: تحریک الکتریکی نقاط فشاری هوگو و کوچی در بارداری می‌تواند شدت ناتوانی و درد کمر و لگن را بهبود بخشیده، لذا به‌عنوان یک روش غیر‌دارویی برای زنان باردار کم‌خطر توصیه می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of LI4 and LI11 electro- acupressure on pain intensity and disability in pregnant women with low‐back and pelvic pain: A randomized controlled trial

نویسندگان [English]

  • Parvaneh Alirezaei 1
  • Hamideh Pakniat 2
  • Ahad Alizadeh 3
  • Fatemeh Ranjkesh 4
1 M.Sc. Student in Midwifery Consoling, Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
3 Assistant Professor, Department of Biostatistics, Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
4 Instructor, Department of Midwifery, Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
چکیده [English]

Introduction: Back and pelvic pain is one of the most common problems during pregnancy. Acupressure is one of the treatment strategies. Therefore, this study was performed with aim to determine the effect of electro-acupressure of LI4 and LI11 on the severity and disability of in pregnant women with low back and pelvic pain.
Methods: This randomized clinical trial study was performed on 101 pregnant women with low back and pelvic pain referred to Booeinzahra health centers from April to November 2020. The subjects were divided into intervention and control groups using block random allocation. The intervention group participated in 12 sessions of electro-acupressure on Heogu and Quchi from 26 to 32 weeks of pregnancy. The control group received standard prenatal care. The Roland Morris Disability Questionnaire and Visual Analogue of Pain were completed in both groups before, 2 and 4 weeks after the intervention. Data were analyzed using R software and mixed effects model tests and post hoc test. P< 0.05 was considered statistically significant.
Results: The results of the study showed that 4 weeks intervention significantly reduced pain intensity (6.42 ± 0.83, 3.00 ±1.04) and disability (14.62 ± 1.29, 7.9±2.22) in the intervention group compared to the control group (P <0.001).
Conclusion: Electrical stimulation of Hugo and Kochi needles during pregnancy can improve the severity of pelvic and low back pain and disability; it is recommended as a non-pharmacological method for low-risk pregnant women.

کلیدواژه‌ها [English]

  • Acupressure
  • Electrical Stimulation
  • Low back pain
  • Pelvic Pain
  • pregnancy
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