مقایسه تأثیر اسانس مریم‌گلی به دو روش ماساژ و رایحه‌درمانی بر شدت درد زایمان در زنان نخستزا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد آموزش مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

2 مربی گروه مامایی، مرکز تحقیقات مراقبت بالینی، پژوهشکده توسعه سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

3 استادیار گروه آمار حیاتی و اپیدمیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی زنجان، زنجان، ایران.

4 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

5 استادیار گروه مامایی، مرکز تحقیقات مراقبت بالینی، پژوهشکده توسعه سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

10.22038/ijogi.2022.20104

چکیده

مقدمه: علی­رغم پیشرفت­های فراوان در علم مامایی، اداره مناسب درد زایمان، همچنان یکی از معضلات مهم مرتبط با سلامت زنان است. مطالعه حاضر با هدف مقایسه تأثیر اسانس مریم‌گلی به دو روش ماساژ و رایحه‌درمانی بر شدت درد زایمان در زنان نخست‌زا انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی شاهددار تصادفی‌شده موازی یک‌سوکور در سال 1398 بر روی 96 زن باردار نخست‌زای مراجعه‌کننده به بخش زایمان بیمارستان بعثت سنندج انجام شد. افراد به­صورت تصادفی در سه گروه رایحه‌درمانی و ماساژدرمانی با اسانس مریم‌گلی و کنترل قرار گرفتند. ابزار گردآوری اطلاعات، پرسشنامه‌ محقق‌ساخته و ابزار عددی سنجش درد بود. با شروع دیلاتاسیون‌های 5-4، 7-6 و 10-8 سانتی­متری سرویکس و در حین انقباضات، در گروه رایحه‌درمانی از پارچه آغشته به 10 قطره اسانس مریم‌گلی استفاده و در گروه دوم، ماساژ با این اسانس به‌مدت 20 دقیقه داده شد. در گروه کنترل مداخله­ای انجام نشد. شدت درد در شروع دیلاتاسیون­ها و 20 دقیقه بعد از آن در سه گروه سنجیده شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار SPSS (نسخه 22) و آزمون­های کای دو و تحلیل واریانس برای اندازه‌های تکراری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بر اساس نتایج، میانگین نمره شدت درد بعد از مداخله در دو گروه مداخله در دیلاتاسیون­های مختلف سرویکس، تفاوت معنی­دار با قبل از مداخله داشت (001/0=p)، اما در گروه کنترل، این تفاوت معنی­دار نبود (05/0<p). میانگین نمره شدت درد قبل از مداخله بین دو گروه مداخله در دیلاتاسیون 5-4 (131/0=p)، 7-6 (05/0=p) و 10-8 سانتی‌متری سرویکس (243/0=p) با گروه کنترل بدون تفاوت معنی­دار و در مرحله بعد از مداخله  دارای تفاوت معنی‌دار بود (001/0=p)؛ ضمن آن­که این تفاوت بین دو گروه مداخله معنی­دار نبود (917/0=p).
نتیجه­گیری: روش‌های ماساژ و رایحه‌درمانی با اسانس مریم‌گلی موجب کاهش معنی­دار میانگین شدت درد زایمان در دیلاتاسیون­های مختلف شد و به­عنوان یک روش غیردارویی کاهش درد زایمان قابل توصیه به زنان نخست­زا با معیارهای ورود این مطالعه می­باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of the two methods of massage and aromatherapy with salvia essence on labor pain severity in nulliparous women

نویسندگان [English]

  • Bahareh Nourimonfared 1
  • Serveh Parang 2
  • Kamyar Mansoori 3
  • Fariba Farhadifar 4
  • Farzaneh Zaheri 5
1 M.Sc. student in Midwifery Education, Student Research Committee, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2 Instructor, Department of midwifery, Clinical Care Research Center, Research Institute for Health Development, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3 Assistant Professor, Department of Biostatistics and Epidemiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
4 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5 Assistant Professor, Department of Midwifery, Clinical Care Research Center, Research Institute for Health Development, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
چکیده [English]

Introduction: Despite many advances in midwifery, proper management of labor pain is still one of the major problems related to women's health. This study was performed with aim to compare the effect of the two methods of massage and aromatherapy with salvia essence on labor pain severity in nulliparous women.
Methods: This single-blind parallel randomized controlled clinical trial study was done in 2019 on 96 nulliparous pregnant women referred to the delivery ward of Besat hospital in Sanandaj. The subjects were randomly divided into three groups: aromatherapy and massage therapy with salvia essence and control. Data collection tools were a researcher made questionnaire and Numeric pain raiting scale. With the onset of dilatations of 4-5, 7-6 and 8-10 cm of the cervix and during contractions, in the aromatherapy group, a cloth soaked in 10 drops of salvia essence was used and massage with this essence was used in massage group for 20 minutes. Control group did not receive any intervention. Pain intensity was measured at the onset of dilatations and 20 minutes later in three groups. Data were analyzed using SPSS software (version 22) and Chi-square and analysis of variance for repeated measures tests. P<0.05 was considered statistically significant. 
Results: Mean pain intensity scores after the intervention in intervention groups in different dilatations of the cervix showed a significant difference with before intervention (P=0.001), but in the control group, this difference was not significant (P>0.05). Before intervention, there was no significant difference between two intervention groups with the control group in terms of the mean pain intensity scores in dilatations of 4-5 (P = 0.131), 6-7 (P = 0.05) and 8-10 cm of cervix (P= 0.243), but the difference was significant after the intervention (P=0.001) and this difference was not significant between the two intervention groups (P=0.917).
Conclusion: Massage and aromatherapy methods with saliva essence significantly reduced the mean severity of labor pain in various dilatations and as a nonpharmacological method of reducing labor pain is recommended to nulliparous women with the inclusion criteria of this study.

کلیدواژه‌ها [English]

  • Aromatherapy
  • Massage
  • Labor pain
  • Salvia
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