Jahdi Fereshteh, Mehrabadi Maryam, Mortazavi Forough, Haghani Hamid
Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, IR Iran.
Education Development Center, Sabzevar University of Medical Sciences, Sabzevar, IR Iran.
Iran Red Crescent Med J. 2016 Jun 7;18(8):e34270. doi: 10.5812/ircmj.34270. eCollection 2016 Aug.
Anxiety disorder is common during the postpartum period. Back massage relaxation techniques are one of the most important nonpharmacological interventions to prevent and control postpartum-related anxiety.
To determine the effectiveness of slow-stroke back massage on the anxiety levels of primiparous mothers in the first days after delivery.
This single-blind controlled clinical trial consisted of 100 primiparous mothers with normal deliveries. The mothers were randomly allocated to interventional (n = 50) or control (n = 50) groups using binary blocks. Both groups were followed up just before, immediately after, and the morning after the intervention. Data were collected using a demographic questionnaire and Spielberger's state anxiety inventory (STAI) questionnaire.
The mean age of the mothers was 22 years. There were no significant between-group differences in age (P = 0.333), education (P = 0.427), and medication during labor and the postpartum period (P = 0.412). There was no statistically significant difference between the mean anxiety scores of the experimental (6.66 ± 35.48) and control groups (9.05 ± 37.42) before the intervention (P = 0.268). Immediately after the massage and the next morning, there was a significant between-group difference in the anxiety scores (P < 0.001).
The findings demonstrate that slow-stroke back massage is a simple, inexpensive, noninvasive, and effective method to reduce the anxiety levels of primiparous women during the first postpartum day.
焦虑症在产后时期很常见。背部按摩放松技巧是预防和控制产后相关焦虑的最重要的非药物干预措施之一。
确定慢推背部按摩对初产妇产后首日焦虑水平的影响。
这项单盲对照临床试验纳入了100例正常分娩的初产妇。采用二元区组法将产妇随机分为干预组（n = 50）和对照组（n = 50）。两组在干预前、干预后即刻及干预后次日上午均进行随访。使用人口统计学问卷和斯皮尔伯格状态焦虑量表（STAI）问卷收集数据。
产妇的平均年龄为22岁。两组在年龄（P = 0.333）、教育程度（P = 0.427）以及分娩期和产后期用药情况（P = 0.412）方面无显著组间差异。干预前，试验组（6.66 ± 35.48）和对照组（9.05 ± 37.42）的平均焦虑评分无统计学显著差异（P = 0.268）。按摩后即刻及次日上午，两组焦虑评分存在显著组间差异（P < 0.001）。
研究结果表明，慢推背部按摩是一种简单、廉价、无创且有效的方法，可降低初产妇产后首日的焦虑水平。
