تأثیر پماد حاوی عصاره گیاه پنیرک بر شدّت درد زخم اپی‌زیاتومی در زنان نخست‌زا: کارآزمایی بالینی سه‌سوکور

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استاد، گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استاد گروه فارماکوگنوزی، مرکز تحقیقات علوم دارویی، دانشکده داروسازی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 کارشناس ارشد سلامت و رفاه اجتماعی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: یکی از مداخلات پزشکی در زایمان، اپی‌زیاتومی می‌باشد که برای وسیع‌تر کردن دهانه خروجی لگن به‌کار می‌رود. درد ناشی از اپی‌زیاتومی کیفیت زندگی مادر را تحت تأثیر قرار می‌دهد. پنیرک یکی از قدیمی‌ترین گیاهان دارویی است که به‌دلیل دارا بودن فلاونوئیدها و ترکیبات فنولی، دارای خاصیت بهبود درد می‌باشد. مطالعه حاضر با هدف تعیین تأثیر پماد گیاه پنیرک بر شدّت درد زخم اپی‌زیاتومی در زنان نخست‌زا انجام گرفت.
روش‌کار: این پژوهش کارآزمایی بالینی دارای گروه کنترل تصادفی سه‌سوکور، بر روی 92 زن نخست‌زای (43 نفر در گروه گیاه پنیرک و 49 نفر در گروه دارونما) مراجعه کننده به بیمارستان مهدیه شهر تهران در سال 1402-1401 انجام گرفت. پس از زایمان، به‌مدّت 10 شب و هر روز 2 مرتبه از پماد جهت استعمال موضعی بر روی برش اپی‌زیاتومی به اندازه یک بند انگشت برای هر دو گروه مطالعه تجویز شد. ابزارهای گردآوری داده‌ها شامل پرسشنامه دموگرافیک، چک‌لیست مشخصات مامایی و مقیاس عددی دیداری درد بود. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 27) و آزمون­های کای اسکوئر، تی مستقل و دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: هر دو گروه گیاه پنیرک و دارونما از نظر ویژگی‌های دموگرافیک، مامایی و وضعیت بهداشتی قبل از مداخله اختلاف آماری معناداری نداشتند (05/0p>). نمره شدّت درد در دو گروه قبل از مداخله اختلاف آماری معناداری نداشت (809/0=p). میانگین نمره درد در گروه پنیرک روز پنجم و روز دهم در مقایسه با گروه دارونما اختلاف آماری معناداری داشت (001/0p<).
نتیجه ­گیری: پماد حاوی عصاره گیاه پنیرک باعث کاهش درد زخم اپی‌زیاتومی در زنان نخست‌زا می‌گردد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of ointment containing Malva sylvestris extract on the pain intensity of episiotomy wound in primiparous women: triple-blind clinical trial

نویسندگان [English]

  • Zohreh Jafari 1
  • Mahrokh Dolatian 2
  • Faraz Mojab 3
  • Sepideh Ashravifand 4
  • Farima Mohamadi 5
1 M.Sc. Student of Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
2 Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 M.Sc. of Health and Social Welfare, Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: One of the medical interventions in childbirth is episiotomy which is used to widen the pelvic outlet. The pain resulting from episiotomy affects mother's quality of life. Malva sylvestris L is one of the oldest medicinal plants that have pain relief properties due to its flavonoids and phenolic compounds. The present study was performed with aim to determine the effect of Malva sylvestris L ointment on intensity of pain episiotomy wound in primiparous women.
Methods: This triple-blind randomized clinical trial study with a control group was conducted on 92 primiparous women (43 in Malva sylvestris L group and 49 in placebo group) referred to Mahdieh Hospital in Tehran in 2022-2023. After delivery, a fingertip-sized amount of ointment was prescribed for local application to the episiotomy incision twice daily for 10 nights for both study groups. Data collection tools included the demographic questionnaire, midwifery characteristics checklist, and visual pain assessment scale (VAS). Data analysis was performed using SPSS statistical software (version 27) and chi-square, independent t and Fisher's exact tests. P<0.05 was considered statistically significant.
Results: No statistically significant differences were found between the Malva sylvestris L and placebo groups regarding demographic characteristics, obstetric and health status prior to the intervention (P>0.005). There was no statistically significant difference between the two groups regarding the intensity of pain scores before the intervention (P=0.809). The mean pain score in the Malva sylvestris L group on the fifth day and the tenth day had a statistically significant difference with the placebo group (P<0.001).
Conclusion: Malva sylvestris L extract ointment reduces the pain of episiotomy wound in primiparous women.

کلیدواژه‌ها [English]

  • Episiotomy
  • Malva sylvestris L
  • Pain

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 7
مهر 1403
صفحه 28-40

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