Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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تاثیر طب فشاری بر شدت کمردرد و خستگی بیماران بعد از آنژیوپلاستی عروق کرونر از طریق شریان فمورال:
یک کارآزمایی بالینی کنترل شده تصادفی
Effect of Acupressure on Low Back Pain and Fatigue after Coronary Artery Angioplasty through Femoral Artery: A Randomized Controlled Clinical Trial
طب سنتی
Traditional medicine
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">سابقه</span></span><span lang="AR-SA" style="font-family:"B Koodak""><span style="letter-spacing:-.1pt"> و هدف:</span></span> <span lang="AR-SA" style="font-family:"B Zar"">شکایت کمردرد و خستگی ناشی از دراز کشیدن طولانی به پشت، از عوارض بعد از آنژیوپلاستی است. هدف این پژوهش، بررسی تاثیر طب فشاری بر شدت کمردرد و خستگی بیماران بعدآنژیوپلاستی عروق کرونر از طریق شریان فمورال بود.</span><span lang="FA" style="font-family:"B Zar""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">مواد و روش</span></span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">ها:</span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">این مطالعه کارآزمایی بالینی کنترل شده تصادفی</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""> ساده</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""> در سه گروه طب فشاری،</span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">مداخله کاذب و کنترل در 75 بیمار بیمارستان فاطمهالزهرای دانشگاه علوم پزشکی مازندران</span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">در سال 1400 انجام شد. در گروه مداخله، طب <span style="letter-spacing:-.1pt">فشاری در چهار نقطه</span></span></span> <span dir="LTR" lang="EN-CA" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">ST36</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">، </span></span></span><span dir="LTR" lang="EN-CA" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">GV26</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">، </span></span></span><span dir="LTR" lang="EN-CA" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">SI3</span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">و </span></span></span><span dir="LTR" lang="EN-CA" style="font-size:10.0pt"><span style="line-height:80%"><span style="letter-spacing:-.1pt">BL60</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt">، هریک بهمدت 2دقیقه به فواصل 2، 4، 6 و8 ساعت بعد از آنژیوپلاستی</span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""> انجام شد. در گروه مداخله کاذب، همه اقدامات گروه مداخله بهصورت ماساژ آرام اعمال شد. در گروه کنترل مداخله</span></span><span lang="AR-BH" style="line-height:80%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">ای انجام نشد. شدت کمردرد با مقیاس معیاری- دیداری سنجش درد و شدت خستگی با مقیاس معیاری- دیداری سنجش خستگی قبل و پس از مداخله اندازگیری شد. دادهها با روشهای آماری توصیفی و استنباطی تجزیه و تحلیل شدند.</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">یافته</span></span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">ها:</span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">شدت کمردرد در 4ساعت (0/001=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">)، 6 ساعت (0/001</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"B Zar"">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">) و 8 ساعت (0/01=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">) بعد از آنژیوپلاستی در گروه طب فشاری کاهش بیش</span></span><span lang="AR-BH" style="line-height:80%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">تری نسبت به دو گروه دیگر داشت. شدت خستگی در 4 ساعت(0/001</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"B Zar"">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">) و 6 ساعت (0/001</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"B Zar"">></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:80%">P</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">) بعد از آنژیوپلاستی در گروه طب فشاری کاهش بیش</span></span><span lang="AR-BH" style="line-height:80%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">تری نسبت به دو گروه دیگر داشت.</span></span><span lang="FA" style="line-height:80%"><span style="font-family:"B Zar""></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">استنتاج:</span></span></span> <span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">طب فشاری در کاهش شدت کمردرد و خستگی آنژیوپلاستی در گروه مداخله موثر بود. میتوان این روش را به</span></span><span lang="AR-BH" style="line-height:80%"><span style="font-family:"B Zar"">‎</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar"">عنوان روشی غیرتهاجمی وکمککننده در کاهش شدت کمردرد و خستگی بیماران تحت آنژیوپلاستی، معرفی نمود.</span></span><span lang="AR-SA" style="line-height:80%"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span dir="LTR" style="font-size:6.0pt"><span style="line-height:80%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:80%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"B Zar"">شماره ثبت کارآزمایی بالینی : 7</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:80%">N</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"B Zar"">20151004024342</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:80%">IRCT</span></span><b><i><span lang="FA" style="font-size:10.0pt"><span style="line-height:80%"><span style="font-family:"2 Davat""></span></span></span></i></b></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:105%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:105%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:105%"><span style="letter-spacing:-.2pt">Complaints of low back pain and fatigue caused by prolonged lying on</span></span></span><span style="font-size:10.0pt"><span style="line-height:105%"> <span style="letter-spacing:-.1pt">the back are complications of angioplasty. The aim of this study was to evaluate the effect of acupressure on</span> severity of low back pain and fatigue in patients after coronary artery angioplasty through femoral artery.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:105%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:105%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.1pt">Materials and methods:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:105%"><span style="letter-spacing:-.1pt">A simple randomized controlled clinical trial was carried out in three groups of patients (n= 75); experimental group, pseudo-intervention group, and control group. The study was performed in Sari Fatemeh Al-Zahra Hospital affiliated with Mazandaran University Medical Sciences, 2021. In experimental group, acupressure was applied to four points, including ST36, GV26, SI3, and BL60, each for two minutes, at two, four, six, and eight hours after angioplasty. In pseudo-intervention group, all measures performed in the experimental group were done without putting pressure. The control group received no intervention. The severity of low back pain was measured using Visual Analogue Scale and the severity of fatigue was measured using Visual Analog Fatigue Scale before and after the intervention. Data were analyzed applying descriptive and inferential statistics.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:105%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:105%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:105%">Severity of back pain significantly decreased in experimental group after four hours (P=0.001), six hours (P<0.001), and eight hours (P=0.01) following angioplasty compared with other groups. Also, in this group, severity of fatigue significantly decreased after four hours (P<0.001) and six hours (P<0.001) following angioplasty when compared to other two groups.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:105%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:105%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:105%">Acupressure was effective in reducing the severity of low back pain and fatigue in patients undergoing angioplasty. Therefore, this method can be introduced as an easy, non-invasive and helpful method in reducing the severity of low back pain and fatigue in these patients.</span></span><i><span style="font-size:10.0pt"><span style="line-height:105%"></span></span></i></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:7.0pt"><span style="letter-spacing:-.1pt"></span></span></b></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">(Clinical Trials Registry Number: </span></span><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">IRCT20151004024342N7</span></span><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt">)</span></span><b><i><span style="font-size:8.0pt"><span style="letter-spacing:-.1pt"></span></span></i></b></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman","serif""><b><span dir="RTL" lang="AR-SA" style="font-size:7.0pt"><span style="font-family:"B Zar""><span style="letter-spacing:-.1pt"></span></span></span></b></span></span>
طب فشاری, آنژیوپلاستی, کمردرد, خستگی, فمورال
acupressure, angioplasty, back pain, fatigue, femoral
1
3
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-3185-10&slc_lang=fa&sid=1
Fatemeh
Rezvani
فاطمه
رضوانی
cont@yahoo.com
1003194753284600150219
1003194753284600150219
No
MSc Student in Intensive Care Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
دانشجوی کارشناسی ارشدپرستاری ویژه، دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی درمانی مازندران، ساری، ایران
Vida
Shafipour
ویدا
شفیع پور
contact1997@yahoo.com
1003194753284600150220
1003194753284600150220
Yes
Associate Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran 3 Department of Nursing, Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، مرکز تحقیقات طب سنتی و مکمل، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران . گروه پرستاری، دانشکده پرستاری و مامایی نسیبه، دانشگاه علوم پزشکی مازندران، ساری، ایران
Masoumeh
Bagheri Nesami
معصومه
باقری نسامی
ctac@yahoo.com
1003194753284600150221
1003194753284600150221
No
Professor, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran 5 World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China
استاد، مرکز تحقیقات طب سنتی و مکمل، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران . عضو فدراسیون جهانی انجمن های طب سوزنی و موکسا درمانی(WFAS)، پکن، چین
Nadali
Esmaeili Ahangarkolai
نادعلی
اسماعیلی آهنگرکلایی
1003194753284600150223
1003194753284600150223
No
Acupuncturist, World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China
متخصص طب سوزنی، عضو فدراسیون جهانی انجمن های طب سوزنی و موکسا درمانی(WFAS)، پکن، چین
Ali Asghar
Farsavian
علی اصغر
فرسویان
1003194753284600150224
1003194753284600150224
No
Acupuncturist, World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China
استادیار، مرکز تحقیقات قلب و عروق، دانشکده پزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران
Seyed Nouraddin
Mousavinasab
سید نورالدین
موسوینسب
cnt7@yahoo.com
1003194753284600150222
1003194753284600150222
No
Associate Professor, Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
دانشیار، گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی مازندران، ساری، ایران