تأثیر طب فشاری بر کیفیت خواب زنان باردار در سه ماهه سوم بارداری؛ یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مشاوره در مامایی، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

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

3 دانشجوی دکتری پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

4 کارشناس ارشد مامایی، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

5 استاد گروه پرستاری داخلی جراحی، مرکز تحقیقات مراقبت‌های مادر و کودک، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی همدان، همدان، ایران.

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

چکیده

مقدمه: اختلال خواب، از اختلالات شایع در دوران بارداری می‌باشد و شناسایی مداخلات مؤثر بر بهبود سلامت زنان باردار حائز اهمیت است. مطالعه حاضر با هدف تعیین تأثیر طب فشاری بر کیفیت خواب زنان باردار در سه ماهه سوم بارداری انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1397 بر روی 60 نفر از زنان باردار مراجعه‌کننده به مراکز بهداشتی درمانی شهر همدان، در سه ماهه سوم بارداری اجرا شد. ابزار مطالعه، پرسشنامه شاخص کیفیت خواب پیتزبورگ و پرسشنامه مقیاس درد خطی بصری بود. افراد در دو گروه آزمون و گروه کنترل قرار گرفتند. در گروه آزمون اعمال طب فشاری در نقاط حقیقی به‌مدت 3 هفته و در گروه کنترل نیز اعمال طب فشاری در نقاط کاذب به‌مدت 3 هفته صورت گرفت. هر دو گروه قبل و بعد از مداخله پرسشنامه مقیاس درد خطی بصری را تکمیل نمودند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های آماری من‌ویتنی، دقیق فیشر و تحلیل اندازه‌گیری مکرر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: افراد دو گروه قبل از مداخله از نظر کیفیت خواب و نیز سایر متغیرهای مورد بررسی، تفاوت معنی‌داری با‌ هم نداشتند (691/0=p). تأثیر مداخله با گذشت زمان در بهبود کیفیت خواب شبانه و روزانه بین دو گروه معنادار بود (001/0p<)، اما تأثیر متقابل مداخله در بین دو گروه در مدت زمان خواب روزانه تفاوتی نشان نداد (534/0=p).
نتیجه‌گیری: طب فشاری می‌تواند موجب بهبود کیفیت خواب شبانه و روزانه در افراد باردار در سه ماهه سوم بارداری شود، لذا می‌توان از این روش به‌عنوان یک روش کمکی در بهبود اختلال خواب افراد باردار استفاده کرد. 

کلیدواژه‌ها

عنوان مقاله [English]

The effect of acupressure on sleep quality in pregnant women in the third trimester of pregnancy: A randomized clinical trial

نویسندگان [English]

  • Azadeh Azadi Moghtader 1
  • Seyedeh Zahra Masoumi 2
  • Mohammad Reza Razavi 3
  • Samereh Ghelichkhani 4
  • Khodayar Oshvandi 5
  • Zahra Maghsoudi 3
  • Arezoo Shayan 6
1 M.Sc. of Consulting in Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
2 Associate Professor, Department of Midwifery and Reproductive Health, Maternal and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamedan, Iran.
3 PhD Candidate in Nursing, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran.
4 M.Sc. in Midwifery, Maternal and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
5 Professor, Department of Internal Surgery Nursing, Maternal and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
6 Instructor, Department of Midwifery and Reproductive Health, Maternal and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
چکیده [English]

Introduction: Sleep disorder is one of the common disorders during pregnancy and it is important to identify effective interventions to improve the health of pregnant women. The present study was conducted aimed to determine the effect of acupressure on the sleep quality of pregnant women in the third trimester of pregnancy.
Methods: This clinical trial study was conducted in 2018 on 60 pregnant women in the third trimester of pregnancy referring to the health centers in Hamedan city. The study tools were Pittsburgh Sleep Quality Index Questionnaire and Visual Linear Pain Scale Questionnaire. The subjects were placed in two groups of test and control. In the test group, acupressure was applied to real points for 3 weeks, and in the control group, acupressure was applied to false points for 3 weeks. Both groups completed the visual linear pain scale questionnaire before and after the intervention. Data were analyzed by SPSS statistical software (version 18) and Mann-Whitney, Fisher's exact and repeated measurement analysis. P<0.05 was considered as a significant level.
Results: There was no significant difference between the two groups before the intervention in terms of sleep quality and other investigated variables (p=0.691). The effect of the intervention over time in improving the quality of night and daytime sleep was significant between the two groups (p<0.001), but the mutual effect of the intervention between the two groups did not show a difference in the duration of daytime sleep (p=0.534).
Conclusion: Acupressure can improve the quality of night and day sleep in pregnant women in the third trimester of pregnancy, so this method can be used as an auxiliary method in improving the sleep disorder of pregnant women.

کلیدواژه‌ها [English]

  • Acupressure
  • Pregnancy
  • Sleep quality

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 7
مهر 1401
صفحه 79-90

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