تأثیر طب فشاری در نقطه LI4 بر درد و اضطراب حین سقط: یک کارآزمایی بالینی تصادفی کنترل شده دوسوکور

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه مامایی، مرکز تحقیقات مراقبت سالمندی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

2 استادیار گروه پرستاری سلامت جامعه، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.

10.22038/ijogi.2022.20716

چکیده

مقدمه: درد و اضطراب به‌عنوان ویژگی‌های قابل پیش‌بینی فرآیند سقط، می‌توانند منجر به کاهش کیفیت مراقبت‌های بالینی شوند، لذا مطالعه حاضر با هدف تعیین تأثیر طب فشاری در نقطه LI4 بر درد و اضطراب حین سقط انجام شد.
روشکار: این مطالعه کارآزمایی بالینی تصادفی کنترل شده در سال 1400 بر روی 120 نفر از زنان در حال سقط بستری‌شده در زایشگاه نیک‌نفس رفسنجان انجام شد. افراد به‌طور مساوی در سه گروه مداخله، لمس و کنترل تخصیص یافتند. در گروه مداخله طب فشاری در نقطه LI4 به‌صورت دوطرفه در دوره‌های 10 ثانیه‌ای فشار و 2 ثانیه استراحت به‌مدت 20 دقیقه و در گروه لمس، نقطه فوق بدون فشار لمس گردید. قبل، بلافاصله و نیم ساعت بعد از مداخله نمره درد و اضطراب به‌ترتیب توسط مقیاس آنالوگ دیداری (VAS) و پرسشنامه اضطراب حالت اشپیل‌برگر سنجیده شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون‌های آماری آنالیز واریانس یک‌طرفه، کروسکال والیس و اندازه‌گیری مجدد انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بر اساس نتایج، سه گروه به‌غیر از تعداد سقط و زایمان، در سایر ویژگی‌های جمعیت‌شناختی مشابه هم بودند. بعد از تعدیل اثر تعداد سقط و زایمان، میانگین نمره درد در درون گروه‌ها (اثر زمان) (291/0=p) و بین گروه‌ها (اثر گروه) (572/0=p) و روند تغییرات نمره درد در بین گروه‌ها در زمان‌های اندازه‌گیری متوالی (تعامل بین زمان و گروه) (262/0=p) تفاوت آماری معنی‌داری نداشت. پس از تعدیل اثر تعداد سقط، تعداد زایمان و نمره اضطراب پایه، مقایسه روند تغییرات نمره اضطراب سه گروه در دو بار اندازه‌گیری‌های متوالی (اثر تعاملی زمان و گروه) نیز تفاوت آماری معنی‌داری را نشان نداد (896/0=p).
نتیجه‌گیری: بر اساس نتایج این تحقیق، مداخله طب فشاری نتوانست درد و اضطراب زنان در حال سقط را مدیریت کند.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of acupressure at LI4 point on pain and anxiety during abortion: a double-blind randomized controlled clinical trial

نویسندگان [English]

  • Zohreh Sahebi 1
  • Tayebeh Negahban Bonabi 2
1 Instructor, Department of Midwifery, Geriatric Care Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 Assistant Professor, Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
چکیده [English]

Introduction: Pain and anxiety as predictable features of abortion process can reduce the quality of clinical care. Therefore, this study was performed aimed to determine the effect of acupressure at LI4 point of pain and anxiety during abortion.
Methods: This randomized clinical controled trial studywas done in 2021 on 120 women during abortion hospitalized in Niknafs maternity hospital in Rafsanjan. The subjects were equally divided into three groups of intervention, touch and control. In the intervention group, acupressure at LI4 point was applied bilaterally during 10-second periods of pressure and 2-second rest for 20 minutes. In the touch group, the above point was touched without pressure. Before, immediately and half an hour after the intervention, pain and anxiety scores were measured by Visual Analog Scale(VAS) and Spielberger state anxiety questionnaire, respectively. Data were analyzed by SPSS software (version 22) using one-way analysis of variance (ANOVA), Kruskal-wallis, Repeated Measurement. P< 0.05 was considered statistically significant.
Results: The results showed that the three groups were similar in demographic characteristics, except for the number of abortions and deliveries. After adjusting the effect of the number of abortions and deliveries, the mean score of pain within the groups (time effect) (p = 0.291), and between the groups (group effect) (p = 0.572) and the trend of pain score changes between the groups in consecutive measurement times (p = 0.262) were not significantly different. After adjusting the effect of the number of abortion, number of delivery and baseline anxiety score, comparison of the trend of changes in anxiety scores of the three groups in two consecutive measurement (interaction effect of time and group) did not show a statistically significant difference (p = 0.896).
Conclusion: Based on the results of this study, acupressure intervention could not manage the pain and anxiety of women during abortion.

کلیدواژه‌ها [English]

  • Abortion
  • Acupressure
  • Complementary Medicine
  • Pain
  • situational anxiety
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