مقایسه تأثیر گیاه دارویی گل ساعتی و کپسول مفنامیک اسید بر درد در دختران مبتلا به دیسمنورة اولیه

نوع مقاله : اصیل پژوهشی

نویسندگان

1 مربی گروه پرستاری، دانشکده علوم پزشکی خمین، خمین، ایران.

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

3 استادیار گروه روانشناسی، دانشکده علوم انسانی، دانشگاه پیام نور، تهران، ایران.

4 دکترای آموزش پرستاری، دانشکده پرستاری، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

5 کارشناس ارشد معارف اسلامی، دانشکده پرستاری، دانشگاه علوم پزشکی اراک، اراک، ایران.

6 مربی گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران.

چکیده

مقدمه: دیسمنوره معمولاً ماهیت کرامپی دارد و در قسمت پایین شکم متمرکز می­شود و اختلال شایعی است که طی سیکل قاعدگی فرد تظاهر می­کند و با فعالیت‌­های روزمره افراد تداخل می­کند. مطالعه حاضر با هدف مقایسه تأثیر گیاه دارویی گل ساعتی و مفنامیک اسید بر درد مبتلایان به دیسمنوره اولیه انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده با گروه کنترل در سال 1397 بر روی 80 دختر 25-18 ساله که به مراکز بهداشتی درمانی خمین مراجعه کردند، انجام شد. افراد در دو گروه 40 نفره مداخله (دریافت‌کننده قطره گل ساعتی) و کنترل (دریافت‌کننده کپسول مفنامیک اسید) قرار گرفتند و به‌مدت 2 ماه داروها مصرف شد. قبل از مداخله و در طی 2 ماه، نمره درد دیسمنوره اولیه توسط معیار بصری درد شامل خط‌کش درد و فرم توصیفی درد ارزیابی و سپس با هم مورد مقایسه قرار ­گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم­افزار آماری SPSS (نسخه 19) و آزمون ­های تی مستقل، تی زوجی و ویلکاکسون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: بر اساس نتایج آزمون ویلکاکسون، نمره شدت درد قبل از مطالعه و پس از گذشت 1 و 2 ماه از مصرف در هر دو گروه معنی‌دار بود (001/0≥p). بر اساس نتایج آزمون­ های تی مستقل و تی زوجی در مقایسه میانگین تعداد روزهای درد (مدت درد) قبل و بعد از مداخله در دو گروه تفاوت معناداری وجود داشت (001/0≥p) و در گروه آزمون طی ماه اول و دوم پس از مداخله، مدت درد کاهش یافته بود.
نتیجه­ گیری: گیاه دارویی گل ساعتی و مفنامیک اسید، مدت درد دیسمنوره را نسبت به قبل از درمان کاهش دادند، لذا استفاده از گیاه دارویی گل ساعتی به‌عنوان جایگزین داروی مفنامیک اسید در درمان دیسمنوره پیشنهاد می­ گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The effects of the medicinal plant of marigold and mefenamic acid capsules on pain in girls with primary dysmenorrhea

نویسندگان [English]

  • Azam Kerami 1
  • Hamid Momeni 1
  • Mansoureh Mahmoudi 2
  • Azadeh Nasiri 1
  • Zahra Shokhmgar 3
  • Akram Sanagoo 4
  • Hasan Jafaripour 5
  • Leila Mirshekari 6
  • Ashraf Salehi 1
1 Instructor, Department of Nursing, Khomein University of Medical Sciences, Khomein, Iran.
2 Instructor, Department of Nursing, school of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
3 Assistant professor, Department of Psychology, School of Humanities Sciences, Payam Noor University, Tehran, Iran.
4 PhD in Nursing Education, School of Nursing, Golestan University of Medical Sciences, Gorgan, Iran.
5 M.Sc. of Islamic Studies, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
6 Instructor, Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Dysmenorrhea is usually cramped in nature and focuses on the lower abdomen and is a common disorder that manifests during the menstrual cycle and interferes with a person's daily activities. The present study was performed with aim to compare the effect of the medicinal plant of marigold and mefenamic acid on the pain of patients with primary dysmenorrhea.
Methods: This randomized clinical trial study with a control group was conducted in 2018 on 80 girls aged 18-25 years who referred to Khomein health centers. The subjects were divided into two groups: intervention (recipient of amaranth drops) and control (recipient of mefenamic acid capsule) (n=40 in each group) and drugs were taken for 2 months. Before the intervention and during 2 months, the primary dysmenorrhea pain score was evaluated by a visual pain measure including a pain ruler and a pain descriptive form and then were compared. Data were analyzed using SPSS software (version 19) and independent t, paired t and Wilcoxon tests. P<0.05 was considered statistically significant.
Results: Based on the results of Wilcoxon test, the pain intensity score before the intervention and after 1 and 2 months of consumption was significant in both groups (p≤0.001). Based on the results of independent t-tests and paired t-tests, there was a significant difference in the mean number of pain days (pain duration) before and after the intervention in the two groups (p≤0.001), and the duration of pain had decreased in the test group during the first and second month after the intervention.
Conclusion: Marigold medicinal plant and mefenamic acid reduced the duration of dysmenorrhea pain compared to before treatment, therefore, the use of marigold along with mefenamic acid is recommended in the treatment of dysmenorrhea.

کلیدواژه‌ها [English]

  • Marigold
  • Mefenamic acid
  • Pain
  • Primary dysmenorrhea

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 2
اردیبهشت 1402
صفحه 56-64

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