Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
admin
1735-9260
1735-9279
fa
jalali
1402
2
1
gregorian
2023
5
1
33
221
online
1
fulltext
fa
تاثیر بلندمدت ماساژ پا بر درد بیماران در دوران نقاهت پس از هیسترکتومی
Long-term Effect of Foot Massage on Postoperative
Pain after Hysterecxtomy
زنان و زایمان و نازایی
Gynecology and Infertility
گزارش کوتاه
Brief Report
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> </span></span></span></b></span></span></span></span></span><span style="font-size:12pt"><span style="line-height:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">درد از شایع</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">ترین مشکلات بیماران، پس از جراحی هیسترکتومی می</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">باشد، که باعث عوارض طولانی مدت در دوران نقاهت بعد از عمل و تاخیر در بهبود بیمار می</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">گردد. امروزه برای کاهش عوارض دارویی ضددرد، گرایش زیادی به سمت طب مکمل از جمله ماساژ پیدا شده است. لذا این پژوهش با هدف تعیین تاثیر ماساژ پا بر درد بیماران در دوران نقاهت پس از هیسترکتومی انجام شد.</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:#0e101a"></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:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">این پژوهش یک مطالعه کارآزمایی بالینی کنترل شده تصادفی است. تعداد 60 بیمار تحت هیسترکتومی</span></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"> <span style="letter-spacing:-.2pt">(هر گروه 30 نفر) واجد شرایط، با نمونه</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">گیری در دسترس در سال 1396 از بیمارستان</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">های شریعتی و ولیعصر تهران <a name="_Hlk129847321">با تخصیص</a></span></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"> <span style="letter-spacing:-.2pt">تصادفی ساده به دو گروه تقسیم شدند</span></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">. در گروه مداخله ماساژ پا به</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">مدت 20 دقیقه یک بار در روز به مدت دو روز متوالی بعد از عمل انجام گرفت و گروه کنترل مراقبت</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">های روتین را دریافت کردند. قبل از مداخله، 24 ساعت بعد از اتمام دوجلسه مداخله و هم</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">چنین 5 روز پس ازجراحی در هرگروه شدت درد با استفاده از مقیاس استاندارد دیداری درد</span></span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:95%"><span style="color:black">(visual analoge pain scale)</span></span></span><span style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"> اندازه</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">گیری شد. داده</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">ها با آمارهای توصیفی،آزمون</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">های تی مستقل، کای اسکوئر وتست دقیق فیشر تجزیه وتحلیل شد.</span></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:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">مقایسه اختلاف میانگین نمره درد قبل از ماساژ و 24 ساعت بعد از ماساژ در گروه ماساژ پا (0/41</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:95%"><span style="color:black">±</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">2/01</span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">)</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"> و کنترل (</span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">0/21</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:95%"><span style="color:black">±</span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">0/47) بود که</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"> اختلاف آماری معنی</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">داری نشان داد(0/001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:95%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">). این اختلاف 5 روز پس از ترخیص معنی</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">دار نبود (0/3</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:95%"><span style="color:black">P=</span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black">).</span></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:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">ماساژ پا پس از هیسترکتومی بر روی درد در دوران نقاهت موثر است. با توجه به این</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">که این نوع مداخله ارزان و ساده است، می</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">توان از این مداخلات طب مکمل به</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">عنوان روش</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">های غیردارویی در کنار سایر درمان</span></span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span><span lang="FA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt">های معمول استفاده شود.</span></span></span></span><span lang="AR-SA" style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:95%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:6.0pt"><span style="line-height:95%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:95%"><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:95%"><span style="font-family:"B Zar"">شماره ثبت کارآزمایی بالینی : 5</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:95%">N</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:95%"><span style="font-family:"B Zar"">201301196284</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:95%">IRCT</span></span><b><i><span lang="FA" style="font-size:10.0pt"><span style="line-height:95%"><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:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><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:150%">Pain is one of the most common problems after hysterectomy which causes long-term complications in postoperative recovery or delayed recovery. Today, there is a lot of tendency toward complementary medicine, including massage, to reduce the side effects of drugs. The aim of this study was to determine the effect of foot massage on postoperative pain after hysterecxtomy.</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:150%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">A randomized controlled clinical trial was performed in</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%"> 60 eligible hysterectomy patients. They were selected by convenience sampling at Tehran Shariati Hospital and Tehran Valiasr Hospital and divided into two groups using simple random allocation (n=30 per group) in 2017.</span></span> <span style="font-size:10.0pt"><span style="line-height:150%">In intervention group, foot massage was given for 20 minutes daily on two consecutive days after the operation, while the control group received routine care. </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">Visual analog scale was used to measure pain </span></span><span style="font-size:10.0pt"><span style="line-height:150%">intensity before the intervention and 24 hr after the intervention and also five days after the surgery</span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">.</span></span><span style="font-size:10.0pt"><span style="line-height:150%"> Data were analyzed by </span></span><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">descriptive statistics,</span></span><span style="font-size:10.0pt"><span style="line-height:150%"> independent t-test, Chi-square, and Fisher's exact test.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">We observed significant differences in the mean scores for pain intensity before the intervention and 24 hr after the intervention between the intervention group (2.01±0.41) and the control group (0.47±0.21) (P<0.001). But, this difference was not significant five days after the surgery (P=0.3).</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%">Foot massage after hysterectomy is effective on reducing pain. This complementary method is easy and can be used as a low cost intervention along side other common treatments. </span></span><i><span style="font-size:10.0pt"><span style="line-height:150%"></span></span></i></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:7.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt"></span></span></span></b></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">(Clinical Trials Registry Number: </span></span></span><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">IRCT201301196284N5</span></span></span><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">)</span></span></span><b><i><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt"></span></span></span></i></b></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b> </b></span></span></span></span></span>
ماساژ پا, درد, نقاهت, هیسترکتومی
foot massage, pain, recovery, hysterectomy
166
172
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-13840-4&slc_lang=fa&sid=1
Soraya
Soheili
ثریا
سهیلی
soraya.soheili@yahoo.com
1003194753284600154936
1003194753284600154936
No
Nursing Instructor, Department of Nursing, Islamic Azad University Marand Branch, Marand, Iran
مربی، گروه پرستاری، دانشگاه آزاد اسلامی واحد مرند، مرند، ایران
Zohreh
Maryami
زهره
مریمی
zohre.maryami@yahoo.com
1003194753284600154937
1003194753284600154937
Yes
Midwifery Instructor, Department of Midwifery, Islamic Azad University Marand Branch, Marand, Iran
مربی، گروه مامایی، دانشگاه آزاد اسلامی واحد مرند، مرند، ایران
Maryam
, Modarres
مریم
مدرس
maryam.modarres@yahoo.com
1003194753284600154938
1003194753284600154938
No
Assistant Professor, Department of Fertility Health, Pregnancy and Delivery, Faculty of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
استادیار، گروه بهداشت باروری، بارداری و زایمان، دانشکده پرستاری و مامایی، مرکز تحقیقات مراقبتهای پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران