بررسی میزان رضایت‌مندی مادران از تحریک الکتریکی اعصاب از طریق پوست در تسکین درد بعد از اپی‌زیاتومی: یک مطالعه کارآزمایی بالینی تصادفی شده یک‌سوکور

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

2 مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

3 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

4 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

چکیده

مقدمه: هدف از توسعه علم مامایی و مراقبت از مادر، ایجاد زایمان ایمن و افزایش رضایت­ مندی مادر از روند تولد است. مطالعه حاضر با هدف بررسی میزان رضایت­ مندی مادران از تحریک الکتریکی اعصاب از طریق پوست در تسکین درد بعد از اپی‌زیاتومی انجام شد.
روشکار: این مطالعه کارآزمایی بالینی تصادفی شده در سال 1397 بر روی 80 مادر نخست­زا در بیمارستان بعثت سنندج انجام شد. افراد به‌صورت تصادفی در دو گروه مداخله (تنس روشن) و دارونما (تنس خاموش) قرار گرفتند. الکترودهای تنس در محل اعصاب ژنیتوفمورال و پودندال قرار داده شد. میزان رضایت­ مندی از تنس با استفاده از پرسشنامه محقق­ ساخته بررسی شد. تجزیه و تحلیل داده‌ها با استفاده از نرم ­افزار آماری SPSS (نسخه 20) و آزمون­ های همبستگی پیرسون، تی مستقل، کروسکال والیس، آنالیز واریانس و من‌ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: هر دو گروه مداخله و دارونما از سطح رضایت­ مندی بالایی برخوردار بودند. با این وجود، میانگین رضایت­ مندی در گروه در گروه مداخله (96/1±35/17) به‌طور معنی ­داری بیشتر از گروه دارونما (02/2±45/13) بود (001/0>p). بین هیچ‌کدام از مشخصات دموگرافیک و میزان رضایت­ مندی مادران ارتباط معنی­ داری یافت نشد (05/0˃p).
نتیجه ­گیری: استفاده از تنس می­ تواند اثرات قابل توجهی بر افزایش رضایت­ مندی مادران داشته باشد، لذا پیشنهاد می‌شود جهت افزایش میزان رضایت مددجویان و ارتقای سطح بهداشت روانی مادران، استفاده از تنس جهت کاهش درد بعد از اپی ­زیاتومی در تمامی واحدهای زایمانی به مرحله اجرا گذاشته شود.

کلیدواژه‌ها


عنوان مقاله [English]

Mothers’ satisfaction with transcutaneous electrical nerve stimulation (TENS) in relieving post-episiotomy pain: A clinical trial study

نویسندگان [English]

  • Roonak Shahoei 1
  • Shahnaz Salavati Ghasemi 2
  • Neda Sheikh zakaryaee 3
  • Seyedeh Soma Zakariaee 4
1 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2 Instructor, Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4 Instructor, Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
چکیده [English]

Introduction: The goal of developing midwifery and maternal care is to create a safe delivery and increase maternal satisfaction from birth process. The present study was conducted aimed to evaluate mothers’ satisfaction with transcutaneous electrical nerve stimulation (TENS) in relieving post-episiotomy pain.
Methods: This randomized clinical trial was performed on 80 primiparous women referred to Sanandaj Besat Hospital in 2018. Patients were randomly divided into two groups: intervention (TENS-On) and placebo (TENS-Off) groups. TENS electrodes were located in the genitofemoral and pudendal nerves. The satisfaction from TENS was assessed by a researcher-made questionnaire. Data were analyzed using SPSS (version 20.0) and Pearson correlation, Independent t-test, Kruskal-Wallis, variance analysis, and Mann-Whitney tests. P<0.05 was considered statistically significant.
Results: The intervention and placebo groups had a high level of satisfaction. However, the mean satisfaction in the intervention group (17.35±1.96) was significantly higher than the placebo group (13.45±2.02) (p<0.001). There was no significant relationship between demographic variable and satisfaction level (p˃0.05).
Conclusion: TENS can have a noticeable effect on the level of maternal satisfaction. Therefore, it is suggested to implement TENS to reduce post-episiotomy pain in all maternity units in order to increase the level of satisfaction of patients and improve the level of mental health of mothers.

کلیدواژه‌ها [English]

  • Episiotomy
  • Pain
  • Satisfaction
  • Transcutaneous Electrical Nerve Stimulation
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