Samadi Parisa, Alipour Zahra, Lamyian Minoor
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Iran J Nurs Midwifery Res. 2018 Mar-Apr;23(2):87-92. doi: 10.4103/ijnmr.IJNMR_199_16.
Labor pain is the most severe pain women would experience, which could lead to loss of emotional control that plays a key role in creating a traumatic delivery experience and psychological disorders. The goal of this study was to evaluate the effect of acupressure on anxiety level and sedative and analgesics consumption in women during labor.
This study was a randomized, single-blind clinical trial performed at Maryam Hospital in Tehran, Iran. One hundred and thirty-one pregnant women in Labor Ward were selected by convenience sampling. Subjects were randomly allocated to three groups, namely experimental group (pressure group), control group 1(touh group) and, control group 2 (routine care group). The study data were gathered using demographic information form, and assessed with Faces Anxiety Scale (FAS). For participants belonging to the experimental group, pressure was applied to the Spleen 6 acupoint for 30 min, and for those with only light touch was applied to the Spleen 6 acupoint for 30 min. The collected data were analyzed using Statistical Package for the Social Sciences 16 and descriptive statistics.
There was a significant difference between the three groups in terms of the mean of anxiety after 30 min of starting the intervention and 30 min after termination of the intervention; the anxiety of the experimental group was significantly decreased ( = 0.03). Sedative and analgesics consumption was significantly lower in the experimental group compared to the other groups ( = 0.006).
This study showed that compression of the Spleen 6 acupoint was an effective complementary method to decrease maternal anxiety and analgesic consumption, especially pethidine.
分娩疼痛是女性所经历的最剧烈的疼痛，可导致情绪失控，这在造成创伤性分娩体验和心理障碍方面起着关键作用。本研究的目的是评估穴位按压对分娩期间女性焦虑水平以及镇静剂和镇痛药消耗量的影响。
本研究是在伊朗德黑兰的玛丽安医院进行的一项随机、单盲临床试验。通过便利抽样选择了131名产房中的孕妇。受试者被随机分为三组，即实验组（按压组）、对照组1（触摸组）和对照组2（常规护理组）。研究数据通过人口统计学信息表收集，并使用面部焦虑量表（FAS）进行评估。对于实验组的参与者，在三阴交穴位施加按压30分钟，而对于仅进行轻触的参与者，在三阴交穴位轻触30分钟。使用社会科学统计软件包16和描述性统计对收集的数据进行分析。
在开始干预30分钟后以及干预结束后30分钟，三组在焦虑平均值方面存在显著差异；实验组的焦虑显著降低（P = 0.03）。与其他组相比，实验组的镇静剂和镇痛药消耗量显著更低（P = 0.006）。
本研究表明，按压三阴交穴位是降低产妇焦虑和镇痛药消耗量，尤其是哌替啶消耗量的一种有效辅助方法。
