Navaee Maryam, Rakhshkhorshid Marzieh
Midwifery Department, Pregnancy Health Research Centre, Zahedan University of Medical Sciences, Zahedan, Iran.
Evid Based Complement Alternat Med. 2020 Jan 13;2020:6835814. doi: 10.1155/2020/6835814. eCollection 2020.
Leg edema is a prevalent problem in pregnancy causing activity restrictions for pregnant women. This study was performed to compare the effect of foot massage using grape seed oil and sweet almond oil on physiological leg edema.
A randomized clinical trial was conducted on 90 primigravidae referred to public health centres of Zahedan, Iran. The participants' gestational age was 30-40 weeks. The study was conducted from August 2016 to November 2017. The participants were randomly assigned to three groups (massage with grape seed oil, massage with sweet almond oil, and without intervention). After determining the extent of leg edema, foot massages were done for 20 minutes within 5 days in the two intervention groups. Then, foot circumferences were measured on day 5 after the intervention. Foot circumferences for the control group were measured on days 1 and 5. A nonelastic tape measure was used to measure the circumferences. To analyse the data, SPSS 21 software and statistical tests including one-way ANOVA, Tukey's test, and paired -test were used.
The results from this study showed a significant difference in the mean score change of foot circumferences between groups (=0.001). According to the results of Tukey's test, mean score changes of foot circumferences of both intervention groups were significantly different those of the control group. However, this difference was not significant between the two intervention groups (=0.865).
The findings of this study confirmed the effectiveness of foot massage using grape seed and sweet almond oils to reduce pregnancy physiological edema. Therefore, foot massage with appropriate oils can be used as a useful technique by trained midwives in prenatal care centres or at pregnant women houses. This trial is registered with IRCT2015072723370N1.
腿部水肿是孕期常见问题,会限制孕妇活动。本研究旨在比较使用葡萄籽油和甜杏仁油进行足部按摩对生理性腿部水肿的影响。
对90例转诊至伊朗扎黑丹公共卫生中心的初产妇进行随机临床试验。参与者的孕周为30 - 40周。研究于2016年8月至2017年11月进行。参与者被随机分为三组(葡萄籽油按摩组、甜杏仁油按摩组和无干预组)。确定腿部水肿程度后,两个干预组在5天内进行20分钟的足部按摩。然后,在干预后第5天测量足部周长。对照组在第1天和第5天测量足部周长。使用无弹性卷尺测量周长。为分析数据,使用了SPSS 21软件以及包括单因素方差分析、Tukey检验和配对检验在内的统计检验。
本研究结果显示,各组足部周长平均得分变化存在显著差异(=0.001)。根据Tukey检验结果,两个干预组的足部周长平均得分变化与对照组均有显著差异。然而,两个干预组之间的差异不显著(=0.865)。
本研究结果证实了使用葡萄籽油和甜杏仁油进行足部按摩对减轻孕期生理性水肿的有效性。因此,经过培训的助产士可在产前护理中心或孕妇家中将使用适当精油进行足部按摩作为一种有用的技术。本试验已在IRCT2015072723370N1注册。