بررسی تأثیر اوریکولوتراپی بر اضطراب پس از سزارین

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات مراقبت مبتنی بر شواهد، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه طب سنتی و مکمل، دانشکده طب سنتی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 استاد گروه زنان و مامایی، مرکز تحقیقات سلامت زنان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: اضطراب پس ­از­ سزارین با افزایش درد، میزان استفاده از آنالژزیک­ها و افزایش مدت بستری در بیمارستان همراه است. اوریکولوتراپی ممکن است به‌عنوان یک روش طب ­مکمل جهت کاهش اضطراب مفید باشد، لذا مطالعه حاضر با هدف تعیین تأثیر اوریکولوتراپی بر اضطراب بیماران بعد از سزارین انجام شد.
روش­کار:این مطالعه کارآزمایی ­بالینی تصادفی دوگروهه در سال 1394 بر روی 66 زن باردار مراجعه­کننده جهت سزارین به بیمارستان ام­البنین (س) مشهد انجام ‌شد. در گروه مداخله 3-2 ساعت بعد از عمل، به مدت 20 دقیقه اوریکولوتراپی (در نقاط شن من، ساب کورتکس، رحم، لگن و شکم) انجام ­شد. میزان اضطراب با استفاده از پرسشنامه اضطراب اشپیل­برگر و میزان فشارخون و نبض قبل، 1 و 2 ساعت بعد از مداخله ارزیابی شد. تجزیه ­و تحلیل داده­ها با استفاده از نرم­افزار آماری SPSS (نسخه 16) و آزمون­های آماری تی­مستقل، تی­زوجی، کای­اسکوئر و فیشر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ها: دو گروه از نظر مشخصات جمعیت‌شناختی، میانگین اضطراب­ پنهان و آشکار قبل از سزاین و اضطراب آشکار قبل از مداخله (بعد از سزارین) تفاوت معناداری نداشتند (05/0<p). 1 ساعت بعد از مداخله در میزان اضطراب بین دو گروه تفاوت معناداری مشاهده ­نشد (332/0=p). 2 ساعت بعد از مداخله میزان اضطراب در گروه­ اوریکولوتراپی کاهش و در گروه­ کنترل افزایش یافت، اگرچه این تفاوت از نظر آماری معنادار نبود (876/0=p). همچنین بین دو از جهت نبض و فشارخون سیستول و دیاستول گروه تفاوت معناداری مشاهده نشد (05/0<p).
نتیجه‌گیری: استفاده از اوریکولوتراپی در کاهش اضطراب مادران پس از سزارین تا 2 ساعت بعد از مداخله تأثیری ندارد، بنابراین توصیه می­شود مطالعات بیشتر در ارتباط با اثر اوریکولوتراپی بر اضطراب پس از سزارین با پیگیری در زمان طولانی­تر انجام شود.

کلیدواژه‌ها

عنوان مقاله [English]

Effects of auriculotherapy on post cesarean anxiety

نویسندگان [English]

  • Fatemeh Sadat Mousavi 1
  • Nahid Golmakani 2
  • Hamid Reza Bahrami Taghanaki 3
  • Azadeh Saki 4
  • Farideh Akhlaghi 5
1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant professor, Department of Midwifery, Evidence-Based Health Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Assistant professor, Department of Traditional and Complementary Medicine, School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Assistant professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
5 Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Post-cesarean anxiety is associated with increased pain, using analgesics and increased hospitalization time. Auriculotherapy may be useful as a complementary medicine to reduce anxiety. So, this study was performed with aim to evaluate the effects of auriculotherapy on anxiety in patients after cesarean section.
Methods: This two-group randomized clinical trial study was performed on 66 pregnant women who referred to Mashhad Omolbanin hospital for caesarean section in 2015. In the intervention group, 2-3 hours after the operation, Auriculotherapy (in shenmen, subcortex, uterus, pelvic and abdominal points) was performed for 20 minutes. Before, one and two hours after the intervention, anxiety was measured by Spielberger anxiety questionnaire and blood pressure and pulse rate were evaluated. Data were analyzed by SPSS software (version 16) and statistical tests of independent t-test, paired t-test, Chi-square and Fisher test. P<0.05 was considered significant.
Results: There were no significant differences between two groups in terms of demographic characteristics, mean of state and trait anxiety before cesarean and state anxiety before the intervention (after cesarean) (P>0.05). No significant difference was observed between two groups in terms of mean anxiety one hour after the intervention (P=0.332). Two hours after the intervention, anxiety reduced in auriculotherapy group, but increased in control group, although the difference was not significant (P=0.876). Also, no significant difference was found between two groups in terms of systolic and diastolic blood pressure and pulse rate (P>0.05).
Conclusion: The use of auriculotherapy has no effect on reducing maternal anxiety after cesarean up to two hours after the intervention; therefore, it is recommended to perform further studies regarding the effects of auriculotherapy on anxiety after cesarean for longer time follow-up.

کلیدواژه‌ها [English]

  • Anxiety
  • Auriculotherapy
  • Cesarean
  • Complementary Medicine

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مجله زنان، مامایی و نازایی ایران
دوره 20، شماره 6
شهریور 1396
صفحه 50-60

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