بررسی تأثیر پماد کتان بر شدت درد زخم سزارین: کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

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

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

3 دانشیار گروه علوم دارویی در طب ایرانی، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: سزارین، یکی از رایج‌ترین اعمال جراحی است و به‌طور شایع درد را به‌دنبال دارد. طبق برخی مطالعات، روغن کتان ممکن است در کاهش شدت درد مؤثر باشد. مطالعه حاضر با هدف تعیین تأثیر پماد روغن کتان بر شدت درد زخم سزارین انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده سه‌‌سوکور در سال 1397 با مشارکت ١٢٠ زن سزارین شده در بیمارستان‌های آموزشی امام رضا (ع) و شهید هاشمی‌نژاد مشهد انجام شد. افراد با تخصیص تصادفی در سه گروه (پماد کتان، دارونما، کنترل) قرار گرفتند. در دو گروه پماد کتان و دارونما، پماد روی زخم استعمال شد. شدت درد زخم 24 ساعت بعد از عمل، روز 4 و 8 پس از سزارین به‌وسیله مقیاس شدت درد سنجیده شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 25) و آزمون کای اسکوئر و کروسکال والیس انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: بر اساس نتایج آزمون‌های آماری، بین گروه کتان با دارونما و کتان با کنترل از نظر شدت درد زخم سزارین در روز‌های 4 و 8 پس از مداخله اختلاف آماری معنی‌داری وجود داشت (001/0>p). همچنین بر اساس نتایج آزمون فریدمن در مقایسه درون‌گروهی، در هر سه گروه، تغییرات مقیاس شدت درد در روزهای مختلف اختلاف معنی‌داری داشت (001/0>p).
نتیجه ­گیری: با توجه به کاهش نمره شدت درد زخم سزارین پس از مداخله، روغن کتان به‌دلیل داشتن ترکیبات مؤثر، می‌تواند شدت درد زخم ناحیه سزارین را به میزان بالایی کاهش دهد.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of flaxseed ointment on intensity of cesarean wound pain: randomized clinical trial

نویسندگان [English]

  • Maryam Soleimani 1
  • Sedigheh Yousefzadeh 2
  • Roshanak Salari 3
  • Seyede Houra Mousavi Vahed 4
  • Seyed Reza Mazloum 5
1 M.SC. Student of Midwifery, School of Nursing and Midwifery, Mashhad university of medical sciences, Mashhad, Iran.
2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associate professor, Department of Pharmaceutical Sciences in Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Instructor, Department of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Cesarean section is one of the most common surgeries and is usually followed by pain. According to some studies, flaxseed oil may reduce pain. The present study was performed with aim to evaluate the effect of flaxseed oil ointment on the severity of cesarean section wound pain.
Methods: This triple-blind randomized clinical trial study was performed in 2018 with participation of 120 women who had cesarean section in Imam Reza and Shahid Hasheminejad hospitals in Mashhad. Individuals were randomly assigned into to three groups (flaxseed ointment, placebo, control). In two groups of flaxseed ointment and placebo, the ointment was applied on cesarean section wound. The intensity of wound pain was measured 24 hours after surgery, 4th and 8th day after cesarean section by pain intensity Scale. Data were analyzed using SPSS software (version 25), and Chi-Square and Kruskal-Wallis tests. P <0.05 was considered statistically significant.
Results: According to the results of statistical tests, there was statistically significant difference between flaxseed group with control and placebo groups in terms of cesarean section wound pain intensity on days 4 and 8 after the intervention (P <0.001). In addition, in the intergroup comparison, Friedman test showed that in all three groups, the variation of pain intensity scale was significantly different in different days (P <0.001).
Conclusion: Regarding the reduction of pain intensity cesarean wound score after the intervention, flaxseed oil due to its effective ingredients can greatly reduce the severity of cesarean section wound pain.

کلیدواژه‌ها [English]

  • Cesarean section
  • Flaxseed
  • Wound pain intensity

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 11
بهمن 1401
صفحه 47-55

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