بررسی تأثیر رایحه‌درمانی با اسانس میخک بر اضطراب و درد پس از سزارین: یک مطالعه کارآزمایی بالینی تصادفی شاهددار

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

3 دانشیار گروه مامایی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

4 استادیار گروه اپیدمیولوژی و آمار، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

10.22038/ijogi.2025.83036.6225

چکیده

مقدمه: زنان بعد سزارین درد شدید و غیرقابل‌ تحملی را تجربه می‌کنند که به نوبه خود موجب اضطراب بیش از حدی در مادر می‌گردد. امروزه به‌دلیل عوارض داروهای ضددرد، روش‌های غیردارویی مانند رایحه‌درمانی جهت کاهش درد مورد توجه قرار گرفته است و با این هدف تأثیر اسانس‌های مختلفی مورد ارزیابی قرار گرفته‌اند، از این‌‌رو مطالعه حاضر با هدف بررسی تأثیر رایحه‌درمانی با اسانس میخک بر اضطراب و درد پس از سزارین صورت گرفت.
روش‌کار: این مطالعه کارآزمایی بالینی شاهددار با پیش‌آزمون - پس‌آزمون در سال 1402 بر روی 72 زن متقاضی انجام عمل سزارین بستری در بیمارستان طالقانی شهر ایلام صورت گرفت. در گروه کنترل، رایحه‌درمانی با استفاده از نرمال سالین و در گروه مداخله با استفاده از رایحه میخک انجام شد. سطح اضطراب و درد با استفاده از پرسشنامه ارزیابی گردید. تجزیه‌ و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون‌های‌ تی مستقل، آنالیز واریانس با مقادیر تکراری و در صورت نیاز آنالیز کوواریانس صورت گرفت. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته­ ها: اضطراب آشکار و پنهان قبل از مداخله و 4 ساعت پس از مداخله در دو گروه تفاوت معنی­ داری نداشت (05/0<p)، اما در ساعات 8 و 12 پس از مداخله، میانگین نمره اضطراب در دو گروه دارای تفاوت معنی­ داری بود (001/0>p). در ساعات 4، 8 و 12 پس از مداخله، میانگین نمره درد در دو گروه تفاوت معنی‌داری نشان دادند (001/0>p).
نتیجه­ گیری: رایحه‌درمانی با اسانس میخک می‌تواند به‌طور مؤثری اضطراب و درد پس از سزارین را کاهش دهد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of aromatherapy with clove essential on anxiety and pain after cesarean section: A controlled randomized clinical trial

نویسندگان [English]

  • Kimiya Radmanesh 1
  • Fatemeh Janani 2
  • Farahnaz Changaee 3
  • Rasool Mohammadi 4
1 M.Sc. Student of Midwifery, Student Research Committee, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khoramabad, Iran.
2 Assistant Professor, Department of Midwifery, Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
3 Associate Professor, Department of Midwifery, Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
4 Assistant Professor, Department of Epidemiology and Statistics, Research Center for Social Determinants of Health, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.
چکیده [English]

Introduction: Women experience severe and intolerable pain following cesarean delivery, which can lead to excessive anxiety in mothers. Due to the side effects of analgesic drugs, non-pharmacological methods such as aromatherapy have recently gained attention for pain management, and the effect of various essences has been investigated for this purpose. Therefore, this study was conducted with aim to assess the effect of aromatherapy with clove essential oil on anxiety and pain after cesarean delivery.
Methods: This controlled clinical trial study with a pretest-posttest design was conducted in 2023 on 72 women cadidate for cesarean delivery at Taleghani Hospital in Ilam, Iran. Aromatherapy was performed using normal saline in the control group and clove essential oil in the intervention group. Anxiety and pain levels were assessed using questionnaire. Data were analyzed using SPSS statistical software (version 22) and independent t-tests, repeated measures analysis of variance, and, if necessary, analysis of covariance (ANCOVA). P<0.05 was considered statistically significant.
Results: The levels of state and trait anxiety before and 4 hours after the intervention showed no significant difference between the two groups (p>0.05). However, at 8 and 12 hours post-intervention, the mean anxiety scores differed significantly between the two groups (p<0.001). Additionally, the mean pain scores showed a significant difference between the groups at 4, 8, and 12 hours post-intervention (p<0.001).
Conclusion: Aromatherapy with clove essential oil can effectively reduce anxiety and pain after cesarean section.

کلیدواژه‌ها [English]

  • Anxiety
  • Aromatherapy
  • Cesarean section
  • Clove
  • Pain

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 12
اسفند 1403
صفحه 31-42

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