بررسی ارتباط تهوع و استفراغ بارداری و درد کمربند لگنی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته پژوهشی دانشجویان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

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

چکیده

مقدمه: تهوع و استفراغ بارداری و درد کمربند لگنی، از شایع‌ترین شکایات دوران بارداری با علل ناشناخته و عوامل خطر مشابه هستند. مطالعه‌ در این زمینه ممکن است ویژگی‌های مشترکی را نشان دهد که درک درستی از طبیعت آنها را بیان کند، لذا مطالعه حاضر با هدف بررسی ارتباط تهوع و استفراغ بارداری و درد کمربند لگنی انجام شد.
روش کار: این مطالعه توصیفی در سال 1398 بر روی 148 زن باردار مراجعه کننده به کلینیک و درمانگاه­های تحت پوشش دانشگاه شهید بهشتی در مناطق شمال، شرق و شمیرانات تهران انجام شد. ابزار جمع‌آوری داده‌ها شامل فرم مشخصات دموگرافیک، پرسشنامه درد کمربند لگنی و پرسشنامه سنجش تهوع و استفراغ بارداری (PUQE) بود. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 24) و آزمون­های آماری توصیفی و آنالیز واریانس یک‌طرفه و تی تست انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد. 
یافته‌ها: میانگین نمره درد کمربند لگنی 30/13±86/26 بود که بر اساس نتایج آزمون آنالیز واریانس یک‌طرفه ارتباط آماری معنی‌داری در میانگین نمرات درد کمربند لگنی در شدت­های مختلف تهوع و استفراغ (خفیف، متوسط و شدید) وجود داشت (003/0p<).
نتیجه‌گیری: شدت تهوع و استفراغ با تغییر شدت دردکمربند لگنی تغییر می‌کند و با افزایش شدت تهوع و استفراغ، نمره درد کمربند لگنی افزایش می­یابد؛ به‌طوری‌که یک رابطه هم‌افزایی بین این دو متغیر وجود دارد. پیشنهاد ﻣﯽ‌ﮔﺮدد ﮐﻪ در ﺑﺮﻧﺎﻣﻪ‌رﯾﺰی برای پیشگیری، درﻣﺎن و ارائه‌ خدمات در ﻣﺮاﻗﺒﺖ‌ﻫﺎی دوران بارداری به این اثر هم‌افزایی با هدف ﺑﻬﺒﻮد ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ، توجه ﮔﺮدد.

کلیدواژه‌ها

عنوان مقاله [English]

Relationship between nausea and vomiting with pelvic girdle pain

نویسندگان [English]

  • Farzaneh Rashidi Fakari 1
  • Fatemeh Jalali Chimeh 2
  • Fatemeh Alsadat Rahnemaei 2
  • Fahimeh Rashidi Fakari 1
  • Nourossadat Kariman 3
1 PhD candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 M.Sc. in Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Associated 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.
چکیده [English]

Introduction: Nausea and vomiting and pelvic girdle pain are the most common complaints during pregnancy with unknown causes and similar risk factors. The study in this filed may indicate common features which express their understanding of nature. Therefore, this study was performed with aim to investigate the relationship between nausea and vomiting with pelvic girdle pain during pregnancy.
Methods: This descriptive study was performed on 148 pregnant women who referred to the clinics covered by Shahid Beheshti University in the northern, eastern and Shemiranat areas of Tehran in 2019. Data collection tools included demographic characteristics form, pelvic girdle pain questionnaire, and Pregnancy-Unique Quantification of Emesis and nausea questionnaire. Data were analyzed by SPSS software (version 24) and descriptive statistical tests and one-way analysis and t-test. P<0.05 was considered statistically significant.
Results: Mean score of pelvic girdle pain was 26.86 ± 13.30. The results of one-way ANOVA test showed a significant relationship between mean pelvic pain scores at different severity of nausea and vomiting (mild, moderate and severe) (P <0.003).
Conclusion: The severity of nausea and vomiting varies with the severity of pelvic girdle pain and as the severity of nausea and vomiting increases, the pelvic pain score increases; there is a synergistic relationship between these two variables. It is recommended that attention be given to this synergistic effect with aim of life quality improvement in planning for prevention, treatment and providing services in prenatal care.

کلیدواژه‌ها [English]

  • Nausea
  • Pelvic Girdle Pain
  • Pregnancy
  • Vomiting

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 23، شماره 5
مرداد 1399
صفحه 35-41

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