Kafaei-Atrian Mahboobeh, Mirbagher-Ajorpaz Neda, Sarvieh Malihe, Sadat Zohre, Asghari-Jafarabadi Mohammad, Solhi Mahnaz
Department of Midwifery, Kashan University of Medical Sciences, Kashan, Iran, and PHD Candidate,School of Health (Campus), Iran University of Medical Sciences, Tehran, Iran.
Department of Nursing, Kashan University of Medical Sciences, Kashan, Iran.
Iran J Nurs Midwifery Res. 2016 Mar-Apr;21(2):142-6. doi: 10.4103/1735-9066.178233.
Primary dysmenorrhea may lead to severe anxiety and pain relief during menstruation may reduce the anxiety levels. This study was aimed to determine the effect of acupressure at third liver and placebo points on the anxiety level in patients with primary dysmenorrhea.
This clinical trial was conducted in parallel in the control and treatment groups for three menstrual periods at the dormitory of Kashan University of Medical Sciences between March and June 2012. Students with pain score equal to or greater than 4 were selected and divided into groups based on severity of pain using a randomized block design with the allocation ratio of 1:1. Acupressure was applied in two acupoints including third Liver point (Liv3) and placebo points. Spielberg (STAI) anxiety questionnaire was completed before and after intervention. Randomization, subjects, and data analyzer were blinded to the analysis. Chi-square tests, t-test, Mann-Whitney, paired sample t-test, and univariate analysis of variance were used for statistical analysis. P values <0.05 were considered statistically significant.
Mean [standard deviation (SD)] values of apparent anxiety levels before and after intervention for liv3 were 45.100 (9.769) and 38.100 (10.608), respectively. For the control group, they were 41.200 (9.795) and 38.900(10.140), respectively. Difference was significant only in the intervention group (P < 0.001). Hidden anxiety did not show a significant change before and after intervention. There was no difference between groups in apparent or hidden anxiety after intervention.
Pressure on liv3 point reduces anxiety. As there are no previous studies on this topic, further studies with more samples are recommended.
原发性痛经可能导致严重焦虑，而经期疼痛缓解可能会降低焦虑水平。本研究旨在确定在肝经第三穴位和安慰剂穴位进行指压对原发性痛经患者焦虑水平的影响。
本临床试验于2012年3月至6月在库姆医科大学宿舍对对照组和治疗组进行了三个月经周期的平行研究。选择疼痛评分等于或大于4的学生，并采用随机区组设计，按1:1的分配比例根据疼痛严重程度分组。在两个穴位进行指压，包括肝经第三穴位（太冲穴）和安慰剂穴位。在干预前后完成斯皮尔伯格（STAI）焦虑问卷。随机化、受试者和数据分析人员对分析过程不知情。采用卡方检验、t检验、曼-惠特尼检验、配对样本t检验和单因素方差分析进行统计分析。P值<0.05被认为具有统计学意义。
太冲穴干预前后明显焦虑水平的平均[标准差（SD）]值分别为45.100（9.769）和38.100（10.608）。对照组分别为41.200（9.795）和38.900（10.140）。差异仅在干预组显著（P<0.001）。隐匿性焦虑在干预前后未显示出显著变化。干预后两组在明显或隐匿性焦虑方面无差异。
按压太冲穴可降低焦虑。由于此前尚无关于该主题的研究，建议进行更多样本的进一步研究。
