مقایسه رایحه اسانس میخک و نعناع فلفلی بر شدت درد و اضطراب مرحله اول زایمان

نوع مقاله : اصیل پژوهشی

نویسندگان

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

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

3 دانشجوی دکترای آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

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

5 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی البرز، کرج، ایران.

چکیده

مقدمه: امروزه استفاده از روش‌های غیر دارویی و طب مکمل به منظور کاهش درد و اضطراب زایمان رو به افزایش است، لذا مطالعه حاضر با هدف مقایسه رایحه اسانس میخک و نعناع فلفلی بر شدت درد و اضطراب مرحله اول زایمان انجام شد.
روش‌کار: این کارآزمایی بالینی در سال 1393 بر روی 126 نفر از زنان نخست‌زای مراجعه کننده به بیمارستان کمالی کرج به تفکیک در دو گروه میخک (63 نفر) و نعناع فلفلی (63 نفر) انجام گردید. رایحه درمانی از دیلاتاسیون 4-3 سانتی‌متر آغاز شد. در گروه اول 2/0 میلی‌لیتر اسانس نعناع فلفلی و در گروه دوم 2/0 میلی‌لیتر اسانس میخک به گاز آغشته و به یقه لباس نمونه‌ها متصل شد و هر نیم ساعت تجویز اسانس مربوطه تکرار شد. شدت درد در دیلاتاسیون‌های 4-3، 7-5 و 10-8 سانتی متر و شدت اضطراب در دیلاتاسیون‌های 4-3 و 10-8 سانتی‌متر اندازه‌گیری شد. ابزار گردآوری داده‌ها شامل پرسشنامه فردی و مامایی، اضطراب اسپیل برگر، چک لیست مشاهده معاینه و خط‌کش درد مک‌گیل بود. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های تی مستقل، کای دو و من ویتنی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بعد از مداخله در گروه میخک در مقایسه با نعناع فلفلی در دو متغیر شدت درد و میزان اضطراب، تفاوت آماری معنی‌داری مشاهده شد (001/0>p). لازم به ذکر است که در هر دو گروه شدت درد در دیلاتاسیون‌های 4-3، 7-5 و 10-8 کاهش یافت، ولی میزان کاهش شدت درد در گروه رایحه درمانی با میخک نسبت به اسانس نعناع فلفلی بیشتر بود. همچنین میزان اضطراب آشکار نیز در دیلاتاسیون‌های 4-3 و 10-8 در هر دو گروه کاهش یافت، ولی میزان کاهش اضطراب در گروه رایحه درمانی با میخک نسبت به اسانس نعناع فلفلی بیشتر بود.
نتیجه‌گیری: رایحه درمانی با اسانس میخک در مقایسه با نعناع فلفلی به میزان بیشتری باعث کاهش درد و سطح اضطراب هنگام زایمان می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of Peppermint and Clove essential oil aroma on pain intensity and anxiety at first stage of labor

نویسندگان [English]

  • Gity Ozgoli 1
  • Shokofeh Torkashvand 2
  • Fatemeh Salehi Moghaddam 2
  • Nasrin Borumandnia 3
  • Faraz Mojab 4
  • Sonia Minooee 5
1 Assistant professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 MSc. in Midwifery, Students Research and Technology Office, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 PhD Student of Biostatistics, Paramedical Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 MSc. in Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
چکیده [English]

Introduction: Nowadays, use of non-pharmacological methods and complementary medicine to reduce pain intensity and anxiety during labor is increasing. Therefore, this study was performed with aim to compare the effects of Peppermint and Clove essential oil aroma on pain intensity and anxiety at first stage of labor.
Methods: This clinical trial study was performed on 126 nulliparous women referred to Kamali hospital in Karaj, respectively divided into two groups of Peppermint and Clove (63 in each group) in 2014. Aromatherapy started from 3-4cm of cervix dilatation. In first group, 0.2 ml of essential oil of Peppermint and in second group, 0.2 ml of essential oil of Clove was stained to gas and attached to dresses collar of women and aromatherapy was repeated every half hour. Intensity of labor pain was measured in 3,4cm, 5,7cm and 8,10cm of cervix dilatation and anxiety was measured in 3,4cm and 8,10cm of cervix dilatation. The data were collected through demographic-obstetric questionnaire, observation-examination checklist, Spielberger anxiety questionnaire and McGill Pain Ruler. The data were analyzed by statistical software (version 18), independent t-test, Chi-square and Mann-Whitney. PResults: After the intervention, there was a significant statistical difference between two groups of Peppermint and Clove in pain intensity and anxiety (P<0.001). It should be mentioned that in both groups, pain intensity decreased in cervical dilatations of 3,4cm, 5,7cm and 8,10cm; but pain reduction in Clove aromatherapy group was more than Peppermint group. Also, obvious anxiety decreased in both groups in 3,4cm and 8,10cm cervical dilatations, but anxiety reduction in Clove aromatherapy group was more Peppermint group. 
Conclusion: Aromatherapy with essential oils of Clove compared to Peppermint leads to more reduction of pain and anxiety level during labor.

کلیدواژه‌ها [English]

  • Anxiety
  • Aromatherapy
  • Clove
  • First stage of labor
  • Labor pain
  • Peppermint

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مجله زنان، مامایی و نازایی ایران
دوره 19، شماره 21
هفته اول شهریور ماه 1395
شهریور 1395
صفحه 1-11

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