بررسی تأثیر رایحه‌درمانی با شمعدانی عطری (ژرانیوم) بر اضطراب زایمان زنان نخست‌زا

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 بهداشت باروری، مرکز تحقیقات عوامل اجتماعی سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

3 استاد گروه پزشکی اجتماعی، مرکز تحقیقات عوامل اجتماعی سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

10.22038/ijogi.2025.86983.6390

چکیده

مقدمه: با توجه به اضطراب ناشی از زایمان که می‌تواند سبب عوارضی چون طولانی شدن مراحل زایمان و افزایش احتمال سزارین شود؛ مطالعه حاضر با هدف تعیین تأثیر رایحه‌درمانی با شمعدانی عطری (ژرانیوم) بر اضطراب زنان نخست‌زا صورت گرفت.
روش‌کار: این مطالعه کارآزمایی بالینی کنترل شده تصادفی در سال 1403-1402 بر روی 100 زن نخست‌زای ایرانی با سن حاملگی 42-37 هفته و مراجعه‌کننده به بیمارستان امام جعفر صادق (ع) شهرستان الیگودرز استان لرستان انجام شد. زنان به روش تخصیص تصادفی در دو گروه مساوی 50 نفره شامل گروه آزمایش (اسانس شمعدانی) و کنترل (دارونما) قرار گرفتند. میزان اضطراب قبل و بعد از مداخله در دیلاتاسیون‌های 5-4 و 10-8 سانتی‌متر با استفاده از پرسشنامه اشپیل برگر اندازه‌گیری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و آزمون‌های آماری تی مستقل و آزمون تحلیل واریانس داده‌های تکراری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: میانگین نمره اضطراب قبل از مداخله در گروه آزمایش 8±06/62 و در گروه کنترل 6/5±66/62 بود که این اختلاف به لحاظ آماری معنادار نبود (745/0=p). پس از شروع رایحه‌درمانی، تفاوت در میانگین نمره اضطراب در طول زمان و بین دو گروه معنادار بود و نمره اضطراب در طول زمان در گروه آزمایش نسبت به گروه کنترل کاهش یافته بود (001/0>p).
نتیجه­ گیری: با توجه به نتایج مطالعه حاضر، رایحه‌درمانی با اسانس شمعدانی عطری (ژرانیوم) می‌تواند به‌طور مؤثری اضطراب زایمان زنان نخست‌زا را کاهش دهد؛ بنابراین پیشنهاد می‌شود به‌عنوان یک روش غیردارویی، بی‌خطر و مؤثر در بخش‌های زایمانی جهت خوشایندسازی زایمان به‌کار رود. 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Aromatherapy with Geranium on Anxiety in Nulliparous Women

نویسندگان [English]

  • Hanieh Hafizi 1
  • Soheila Pirdadeh Beiranvand 2
  • Mozhgan Masoudi 2
  • Khatereh Anbari 3
1 M.Sc. Student in Midwifery, Student Research Committee, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
2 Assistant Professor, Department of Reproductive Health, Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
3 Professor, Department of Social Medicine, Social Determinants of Health Research Center, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
چکیده [English]

Introduction: Considering anxiety caused by childbirth, which can cause complications such as prolonged labor and increased risk of cesarean section, the present study was conducted with aim to determine the effect of aromatherapy with geranium on anxiety in nulliparous women.
Methods: This randomized controlled clinical trial study was conducted in 2023-2024 on 100 Iranian nulliparous women with a gestational age of 37 to 42 weeks referred to Imam Jafar Sadeq (AS) Hospital in Aligudarz city, Lorestan province. Women were randomly assigned to two equal groups of 50, including the experimental group (geranium essential oil) and the control group (placebo). Anxiety levels before and after the intervention was measured at dilations of 4-5 and 8-10 cm using the Spielberger questionnaire. Data analysis was performed using SPSS software (version 26) and independent t-tests and repeated measures analysis of variance. P<0.05 was considered significant.
Results: The mean anxiety score before the intervention was 62.06±8 in the experimental group and 62.66±5.6 in the control group, which was not statistically significant (P=0.745). After the start of aromatherapy, the difference in the mean anxiety score over time and between the two groups was significant, and the anxiety score over time decreased in the experimental group compared to the control group (P<0.001).
Conclusion: According to the results of the present study, aromatherapy with geranium essential oil can effectively reduce labor anxiety in nulliparous women; therefore, it is suggested that be used as a non-pharmacological, safe, and effective method in labor wards to make labor more pleasant.

کلیدواژه‌ها [English]

  • Anxiety
  • Aromatherapy
  • Geranium
  • Nulliparous women

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 4
تیر 1404
صفحه 53-63

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