مجله زنان، مامایی و نازایی ایران

مجله زنان، مامایی و نازایی ایران

تأثیر ماندالا درمانی بر اضطراب، شدت درد و دیسترس در دیسمنوره اولیه: یک مطالعه کارآزمایی بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان
مهسا حسینی 1
زهرا برزآبادی فراهانی 2
دکتر اعظم مسلمی 3
فاطمه بداقی 1
دکتر فرشته فرازان‌آذر 4
1 کارشناس پرستاری، مرکز تحقیقات دانشجویی، دانشکده پرستاری، دانشگاه علوم پزشکی اراک، اراک، ایران.
2 مربی گروه پرستاری روان، دانشکده پرستاری، دانشگاه علوم پزشکی اراک، اراک، ایران.
3 استادیار گروه آمار زیستی، دانشکده پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.
4 استادیار گروه مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی اراک، اراک، ایران.
10.22038/ijogi.2023.23245
چکیده
مقدمه: دیسمنوره مشکلی شایع، دردناک و تضعیف کننده عملکرد فردی، همراه علائم روانشناختی اضطراب و دیسترس است. مطالعه حاضر با هدف بررسی تأثیر ماندلا درمانی بر اضطراب، شدت درد و دیسترس در دیسمنوره اولیه انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده در سال 1401 بر روی 80 نفر از دانشجویان دانشگاه­ های شهر اراک که دارای نمره شدت درد بین 4 و 8 بودند، انجام شد. افراد در دو گروه کنترل و مداخله قرار گرفتند. گروه مداخله به‌مدت 5 روز رنگ ­آمیزی ماندالا را در دو سیکل قاعدگی انجام دادند. پرسش‌نامه­ های اضطراب اشپیل برگر، دیسترس قاعدگی موس و معیار عددی درد قبل و بعد از دو دوره مداخله توسط هر دو گروه تکمیل شد. تجزیه و تحلیل با استفاده از نرم‌افزار آماری SPSS (نسخه 28) و آزمون‌های آماری دقیق فیشر، تی مستقل، تی زوجی، من‌ویتنی و ویلکاکسون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: اگرچه میانگین نمره پس از مداخله دیسترس دیسمنوره در گروه مداخله (18/8 ±76/35) نسبت به گروه کنترل (93/7±40) از کاهش معنادار، برخوردار بود (645/0=d، 01/0=p)، اما کاهش میانگین شدت درد در گروه مداخله (08/2±82/5) نسبت به گروه کنترل (96/1±45/6) تفاوت معناداری نداشت (05/0˃p). همچنین میانگین اضطراب آشکار و پنهان در دو گروه بعد از مداخله تفاوت معناداری نداشت (05/0˃p).
نتیجه­ گیری: ماندالا درمانی می­ تواند در کاهش دیسترس ناشی از دیسمنوره اولیه مؤثر واقع گردد.
کلیدواژه‌ها
دیسمنوره
دیسمنوره اولیه
رنگ­ آمیزی ماندالا
کارآزمایی بالینی
هنر درمانی

عنوان مقاله English

The effect of mandala therapy on anxiety, pain severity and distress of primary dysmenorrhea: A randomized clinical trial

نویسندگان English

Mahsa Hosseini 1
Zahra Borzabadi Farahani 2
Azam Moslemi 3
Fatemeh Bodaghi 1
Fereshteh Farzan Azar 4
1 B.Sc. of Nursing, Student Research Committee Center, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
2 Instructor, Department of Psychiatric Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
3 Assistant Professor, Department of Biostatistics, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
4 Assistant Professor, Department of Midwifery, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
چکیده English

Introduction: Dysmenorrhea is a common, painful, and debilitating problem of personal activity with psychological symptoms of anxiety and distress. The present study was performed with aim to investigate the effect of Mandela therapy on anxiety, pain intensity, and distress in primary dysmenorrhea.
Methods: This randomized clinical trial study was conducted in 2022 on 80 university students in Arak city who had a pain intensity score of 4 to 8. People were placed in the intervention and control groups. The intervention group painted the mandala for five days in two menstrual cycles. The questionnaires of Spielberger's anxiety, Moos menstrual distress, and numerical pain measure were completed by two groups before and after two intervention periods. Data were analyzed using SPSS statistical software (version 28) and Fisher's exact, independent t and paired t, and Mann-Whitney and Wilcoxon tests. P<0.05 was considered statistically significant.
Results: Although the mean score of dysmenorrhea distress after the intervention had a significant decrease in the intervention group (35.76±8.18) compared to the control group (40±7.93) (d=0.645, p=0.01), but the reduction in mean pain intensity in the intervention group (5.82±2.08) was not significantly different compared to the control group (6.45±1.96) (p>0.05). Also, there was no significant difference between the mean of trait and state anxiety in the two groups after the intervention (p>0.05).
Conclusion: Mandala therapy can be effective in reducing the distress caused by primary dysmenorrhea.

کلیدواژه‌ها English

Art therapy
Clinical trial
Dysmenorrhea
Mandala coloring
Primary dysmenorrhea
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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 6
شهریور 1402
صفحه 83-93