Armand Maryam, Ozgoli Gity, Giti Reza Heshmat, Majd Hamid Alavi
MSc Midwifery, Graduate Shahid Beheshti University of Medical Sciences, International Branch, Tehran, Iran.
Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2017 May-Jun;22(3):237-242. doi: 10.4103/1735-9066.208165.
Menopausal period is accompanied by numerous disorders and complications. Nowadays, hormone therapy is the most effective existing method to treat these complications, but many women cannot undergo that due to the known potentiality of risk. So, the present study aimed to investigate the effect of acupressure on early complications of menopause.
This is a blind random clinical trial conducted on 70 menopaused women referring to selected health care centers in Tehran who were qualified to enter the study. The subjects were randomly assigned to study (wearing a special acupressure wrist brace, three times a week for 15 min, in both bands on Shenmen and Sanyinjiao acupoints, in addition to receiving conventional menopausal care) and placebo (wearing a special acupressure wrist brace, three times a week for 15 min, but in a counter wise way, in addition to receiving conventional menopausal care) groups. Length of intervention was 4 weeks. Early complications of menopause were evaluated before intervention and 2 and 4 weeks after intervention in both groups. Data were analyzed by descriptive and inferential statistical methods.
The findings revealed a significant reduction in the number and severity of hot flashes, the number of night sweats, and state-trait anxiety severity ( < 0.001), but with regard to the severity of night sweats and trait anxiety, there was no significant difference between groups.
With regard to the obtained results on the effect of acupressure on reduction of early menopausal complications, acupressure along with conventional menopausal care is suggested as one of the complementary medicine methods to improve the complications of this period.
更年期会伴随多种紊乱和并发症。如今，激素疗法是治疗这些并发症最有效的现有方法，但由于已知的潜在风险，许多女性无法接受该疗法。因此，本研究旨在探讨指压疗法对更年期早期并发症的影响。
这是一项盲法随机临床试验，对70名前往德黑兰选定医疗保健中心就诊且符合研究条件的绝经女性进行。受试者被随机分为研究组（佩戴特殊指压腕带，每周三次，每次15分钟，在神门穴和三阴交穴双侧佩戴，同时接受常规更年期护理）和安慰剂组（佩戴特殊指压腕带，每周三次，每次15分钟，但方式相反，同时接受常规更年期护理）。干预时长为4周。在两组干预前、干预后2周和4周对更年期早期并发症进行评估。数据采用描述性和推断性统计方法进行分析。
研究结果显示潮热的数量和严重程度、盗汗次数以及状态-特质焦虑严重程度均显著降低（<0.001），但在盗汗严重程度和特质焦虑方面，两组之间无显著差异。
鉴于指压疗法对减轻更年期早期并发症的效果，建议将指压疗法与常规更年期护理相结合，作为改善这一时期并发症的补充医学方法之一。
