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基于夫妻治疗程序的心理咨询和穴位按压对减轻伊朗孕妇呕吐和恶心的效果。

The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country.

机构信息

Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Midwifery, Maternity and Child Care Research Center, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

J Complement Integr Med. 2021 May 7;19(2):423-427. doi: 10.1515/jcim-2020-0308. eCollection 2022 Jun 1.

Abstract

OBJECTIVES

Nausea and vomiting have psychological negative effects on some pregnant women during gestation. Different strategies have been used for the treatment of nausea and vomiting during pregnancy, such as acupressure and psychological interventions. This study was conducted to evaluate the effects of psychological counseling and acupressure based on couple therapy procedures on vomiting and nausea in pregnant women in Iran.

METHODS

Two hundred and eight women were divided into four groups (n=52): 1) they did not any intervention (control group), 2) they received the psychological intervention, 3) they received acupressure intervention, and 4) they received a combination of psychological + acupressure interventions. To investigate the effects of interventions on nausea and vomiting, the Rhodes index of nausea, vomiting and retching were used. The counseling period has lasted for 4 weeks. The pressure intervention on the site was conducted in clockwise form for 1 min and anticlockwise form for another 1 min.

RESULTS

Groups did not have a significant difference for abortion and income (p>0.05). The effects of counseling, and acupressure interventions on severity and period of vomiting and nausea were not significant (p>0.05), but the intervention based on counseling and acupressure decreased severity of vomiting and nausea (p<0.05).

CONCLUSIONS

The intervention based on counseling and acupressure could not reduce nausea and vomiting during the gestation, but the intervention based on a combination of both decreased nausea and vomiting. It can be suggested to apply an intervention based on a combination of counseling and acupressure in short-time period for decreasing nausea and vomiting in women during pregnancy.

摘要

目的

恶心和呕吐会对一些孕妇在孕期产生心理负面影响。针对孕期恶心和呕吐,已经采用了不同的策略进行治疗,如穴位按压和心理干预。本研究旨在评估基于夫妻治疗程序的心理咨询和穴位按压对伊朗孕妇呕吐和恶心的影响。

方法

将 208 名孕妇分为四组(n=52):1)不接受任何干预(对照组),2)接受心理干预,3)接受穴位按压干预,4)接受心理+穴位按压联合干预。为了研究干预措施对恶心和呕吐的影响,采用了 Rhodes 恶心、呕吐和干呕指数。咨询期持续了 4 周。穴位按压在顺时针方向进行 1 分钟,逆时针方向进行 1 分钟。

结果

各组在堕胎和收入方面没有显著差异(p>0.05)。心理咨询和穴位按压干预对呕吐和恶心的严重程度和持续时间没有显著影响(p>0.05),但基于心理咨询和穴位按压的干预降低了呕吐和恶心的严重程度(p<0.05)。

结论

基于心理咨询和穴位按压的干预措施不能减轻孕期恶心和呕吐,但两者结合的干预措施可以减轻恶心和呕吐。可以建议在短时间内应用基于心理咨询和穴位按压的干预措施,以减轻孕妇的恶心和呕吐。

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