بررسي تأثير اوريكولوتراپي بر اضطراب پس از سزارين

Effects of auriculotherapy on post cesarean anxiety

مقدمه: اضطراب پس ­از­ سزارين با افزايش درد، ميزان استفاده از آنالژزيك­ها و افزايش مدت بستري در بيمارستان همراه است. اوريكولوتراپي ممكن است به‌عنوان يك روش طب ­مكمل جهت كاهش اضطراب مفيد باشد، لذا مطالعه حاضر با هدف تعيين تأثير اوريكولوتراپي بر اضطراب بيماران بعد از سزارين انجام شد. روش­كار:اين مطالعه كارآزمايي ­باليني تصادفي دوگروهه در سال 1394 بر روي 66 زن باردار مراجعه­كننده جهت سزارين به بيمارستان ام­البنين (س) مشهد انجام ‌شد. در گروه مداخله 3-2 ساعت بعد از عمل، به مدت 20 دقيقه اوريكولوتراپي (در نقاط شن من، ساب كورتكس، رحم، لگن و شكم) انجام ­شد. ميزان اضطراب با استفاده از پرسشنامه اضطراب اشپيل­برگر و ميزان فشارخون و نبض قبل، 1 و 2 ساعت بعد از مداخله ارزيابي شد. تجزيه ­و تحليل داده­ها با استفاده از نرم­افزار آماري SPSS (نسخه 16) و آزمون­هاي آماري تي­مستقل، تي­زوجي، كاي­اسكوئر و فيشر انجام شد. ميزان p كمتر از 05/0 معني‌دار در نظر گرفته شد. يافته­ها: دو گروه از نظر مشخصات جمعيت‌شناختي، ميانگين اضطراب­ پنهان و آشكار قبل از سزاين و اضطراب آشكار قبل از مداخله (بعد از سزارين) تفاوت معناداري نداشتند (05/0

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.