كليدواژه :
پزشكي , درد ناحيه اپي زياتومي , RT تكنيك آرامش عضلاني , پريمي بار
چكيده لاتين :
Pain is an everlasting problem present right from birth till the death bed . It not only exerts high physical and psychological pressures, but is also responsible for the high annual expenditure incured by society. Pain due to surgical operations is one of those acute reasons which endangers the patients health and balance. One of the most common surgical procedures in women is episiotomy. In the present era, there are two approaches for a post- operative painfree period . We can either use pharmacological drugs for the relief of pain or use non pharmacological methods like muscle relaxation techniques. This present study which was an experimental one wws intended to determine the effect of muscle relaxation techniques on reduction of pain at the site of episiotomy in primiparas admitted in two hospitals (one public and the other private) of Yazd city. This study was carried out on 120 primiparous women who had undergone mediolateral episiotomies. The subjects were selected randomly and divided into two groups (case and control) . On admission and prior to delivery , all subjects were taught how to measure and record the intensity of their pain on a scale of I to 10. Just after delivery , the subjects in the experimental group were taught the necessary muscle relaxation techniques. The intensity of pain in both the groups was measured and recorded on 5 occassions (2,6,12,18 and 24 hours after delivery ). A questionnaire which included personal details, a scale for recording the intensity of pain (140) , and a record of the amount of pain killer intake was used . In the experimental group, an additional form recording the frequency of use of muscle relaxation techniques was also used . The results showed no significant difference between the intensities of pain at the episiotomy site in the two groups on the first four occassions (2,6,12,18 hours post delivery) , but a significant difference was observed on the fifth occassion (24 hours post delivery) (p=0.01).such that the intensity of pain was greater in the control group who had used a pain killer(Mefanamic acid ) for relief of pain . The results of the pearsonʹs test pointed out to the fact that with an increase in the frequency of the number of muscle relaxation exercises, there was a decrease in the intensity of pain at the episiotony site ( p= 0.855, r= 0.024). Taking into consideration the results of the above study, we can say that repetitive muscle relaxation exercises are effective in reducing perennial pain and therefore the researchers propose the use of muscle relaxation techniques as an effective non - invasive measure for reduction of post episiotomical pain .
