Moradi Zahra, Akbarzadeh Marzieh, Moradi Parvin, Toosi Monieh, Hadianfard Mohammad Javad
Department of Midwifery, School of Nursing and Midwifery, Fasa University of Medical Sciences, Fasa, IR Iran.
Community based Psychiatric Care Research Center, Department of Midwifery, Fatemeh (P.B.U.H) School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Nurs Midwifery Stud. 2014 Sep;3(3):e19948. doi: 10.17795/nmsjournal19948. Epub 2014 Sep 20.
Delivery is one of the most stressful events in women's life. Excessive anxiety, in turn, increases delivery and pregnancy complications. Mother's positive experience of delivery leads to more effective maternal-fetal attachment in the first few hours of birth.
The present study aimed to compare the effects of acupressure at two different acupoints on anxiety level and maternal-fetal attachment in primiparous women.
In this study, 150 primiparous women were allocated to acupressure at GB-21 acupoint, acupressure at SP-6 acupoint, and control group. The women in their active phase of delivery were enrolled in the study and pressure was applied to the acupoints for 20 minutes. Mother's anxiety level was assessed using Spielberger's questionnaire before and one hour after the intervention. In addition, maternal-fetal attachment behaviors were evaluated using Avant's questionnaire during the first breastfeeding. Then the data were introduced to the SPSS (v. 13) and were analyzed using t test and one way ANOVA.
The results revealed no significant difference among the three groups regarding the anxiety level before the intervention (P > 0.05). One hour after the intervention, this measure was significantly lower in the intervention groups in comparison to the control group (P < 0.001). However, no significant difference was found between the two intervention groups in this regard (P > 0.05). Moreover, maternal-fetal attachment was higher in the intervention groups in comparison with the control group (P < 0.001).
Acupressure at both acupoints reduced anxiety level and increased maternal-fetal attachment. This method can be easily used in the delivery room.
分娩是女性生活中压力最大的事件之一。反过来，过度焦虑会增加分娩和妊娠并发症。母亲积极的分娩体验会在分娩后的头几个小时内促进更有效的母婴依恋。
本研究旨在比较两个不同穴位的指压对初产妇焦虑水平和母婴依恋的影响。
在本研究中，150名初产妇被分配到胆经21穴指压组、脾经6穴指压组和对照组。处于分娩活跃期的女性被纳入研究，并在穴位上施压20分钟。在干预前和干预后1小时，使用斯皮尔伯格问卷评估母亲的焦虑水平。此外，在首次母乳喂养期间，使用阿凡特问卷评估母婴依恋行为。然后将数据导入SPSS（第13版），并使用t检验和单因素方差分析进行分析。
结果显示，干预前三组的焦虑水平无显著差异（P>0.05）。干预后1小时，与对照组相比，干预组的这一指标显著降低（P<0.001）。然而，在这方面，两个干预组之间没有发现显著差异（P>0.05）。此外，与对照组相比，干预组的母婴依恋程度更高（P<0.001）。
两个穴位的指压均可降低焦虑水平并增加母婴依恋。这种方法可在产房轻松使用。
