بررسی تأثیر آروماتراپی با اسانس بهارنارنج بر اضطراب زنان در معرض خطر زایمان زودرس

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات مراقبتهای 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.

4 استادیار گروه فارماکولوژی، دانشکده طب سنتی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 دکترای روان پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

6 استادیار، گروه زنان و مامایی، مرکز تحقیقات مراقبت های پرستاری و مامایی، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران.

چکیده

مقدمه: اختلالات روانی مانند اضطراب با تحریکات هورمونی می‌توانند باعث افزایش زایمان زودرس شوند، لذا مطالعه حاضر با هدف تعیین تأثیر آروماتراپی با اسانس بهارنارنج بر اضطراب زنان در معرض خطر زایمان زودرس انجام شد.
روشکار: این مطالعه مداخله‌ای از نوع نیمه‌تجربی و دو گروهه در سال 1399 بر روی 65 زن باردار در معرض خطر زایمان زودرس مراجعه‌کننده به مراکز بهداشتی درمانی شهر جیرفت انجام شد. زنان واجد شرایط ورود به مطالعه که از پرسشنامه غربالگری زایمان زودرس هولبروک نمره 10 و بیشتر را کسب کردند و سایر معیارهای ورود را داشتند، به‌مدت 2 هفته روزی 2 بار و هر بار 20 دقیقه اسانس بهارنارنج یا دارونما را دریافت می‌کردند. بررسی اضطراب قبل و بعد از مداخله (پایان هفته اول و پایان هفته دوم) با پرسشنامه اضطراب اشپیل‌برگر انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماریSPSS  (نسخه21) و آزمون‌های آماری تی مستقل و تی زوجی، آنالیز واریانس و آزمون فریدمن انجام گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافتهها: در گروه مداخله تغییرات نمره اضطراب آشکار و پنهان مراحل (قبل، 1 هفته و 2 هفته بعد از مداخله) معنی‌دار بود (001/0=p)، اما در گروه دارونما در دو گروه اضطراب آشکار (836/0=p) و پنهان (575/0=p) بر اساس نتایج آزمون اندازه‌های تکراری، تفاوت این تغییرات بین مراحل معنی‌دار نبود.
نتیجهگیری: استفاده از آروماتراپی با بهارنارنج منجر به کاهش نمره اضطراب در زنان باردار در معرض خطر زایمان زودرس شد، بنابراین می‌تواند به‌عنوان مداخله‌ای آسان، ارزان و غیرتهاجمی در کاهش اضطراب زنان در معرض خطر زایمان زودرس مؤثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of aromatherapy with Citrus aurantium essential Oil on anxiety in women at risk of preterm labor

نویسندگان [English]

  • Fereshteh Mohammadi Payandar 1
  • Mahin Tafazoli 2
  • Seyed Reza Mazloum 3
  • Roshanak Salari 4
  • Saeed Vagheie 5
  • Tayebeh Sedighi 6
1 M.Sc. student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Instructor, Department of Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Pharmacology, School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 PhD in Psychologic Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Assistant Professor, Department of Obstetrics and Gynecology, Nursing and Midwifery Care Research Center, Jiroft University of Medical Sciences, Jiroft, Iran.
چکیده [English]

Introduction: Psychological disorders such as anxiety can increase preterm labor by hormonal stimulation, so this study was performed with aim to determine the effect of aromatherapy with Citrus aurantium essential oil on anxiety in women at risk of preterm labor.
Methods: This two-group semi-experimental interventional study was conducted in 2020 on 65 pregnant women at risk of preterm delivery referred to the health centers in Jiroft. Eligible women who received a score of ≥10 in the Holbrook Pregnancy Screening Questionnaire and met other inclusion criteria received Citrus aurantium essential oil or placebo twice daily for two weeks. Anxiety was assessed before and after the intervention (end of the first week and end of the second week) with the Spielberger Anxiety Inventory. Data were analyzed using SPSS software (version 21) and independent t-test and paired t-test, analysis of variance and Friedman test. P<0.05 was considered statistically significant.
Results: In the intervention group, changes in overt and covert anxiety scores of the stages (before, 1 week and 2 weeks after the intervention) were significant (p = 0.001), but in the placebo group, based on the results of repeated measures test, the difference between these changes between stages was not significant in the two groups of overt anxiety (p = 0.836) and covert anxiety (P = 0.575).
Conclusion: The use of aromatherapy with Citrus aurantium led to a decrease in anxiety scores in pregnant women at risk of preterm labor. Therefore, it can be effective as an easy, cheap and non-invasive intervention in reducing the anxiety of women at risk of preterm labor.

کلیدواژه‌ها [English]

  • Anxiety in pregnancy
  • Aromatherapy
  • Citrus aurantium
  • Preterm Labor
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