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压力袜对不安腿综合征孕妇的不适症状、幸福感和睡眠质量的影响:一项随机对照研究。

The effect of compression stockings on the complaints well-being and sleep quality of pregnant women with restless legs syndrome: a randomized controlled study.

机构信息

Erciyes University, Faculty of Health Sciences, Department of Obstetrics and Gynecology - Kayseri, Turkey.

Erciyes University, Faculty of Medicine, Department of Obstetrics and Gynecology - Kayseri, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2024 Aug 16;70(7):e20240145. doi: 10.1590/1806-9282.20240145. eCollection 2024.

Abstract

OBJECTIVE

The aim of this study was to determine the effect of compression stockings on complaints, well-being, and sleep quality in pregnant women with restless legs syndrome.

METHODS

This randomized placebo-controlled study was conducted on 63 pregnant women (placebo group [PG]=31; experimental group [EG]=32) at the Perinatology Outpatient Clinic of a Health Research and Application Centre in Turkey. Pregnant women in the experimental group wore compression stockings when they got up in the morning for 3 weeks and took them off at bedtime. Placebo group women wore a placebo stocking. Data were collected using the restless legs syndrome Severity Rating Scale, the Pittsburgh Sleep Quality Index, the World Health Organization-5 Well-Being Index, and the Application Satisfaction Form on the 22nd day of the first interview. Statistical significance was accepted as p<0.05.

RESULTS

Post-test mean scores of both the experimental group and placebo group in the restless legs syndrome Severity Rating Scale (post-test:;8.87±5.27, 12.19±5.60; pre-test:;21.28±5.63, 21.0±5.61; p<0.05), the Pittsburgh Sleep Quality Index (post-test:;5.34±3.28, 6.12±3.12; pre-test:;10.15±4.23, 9.61±4.59; p<0.05), and Well-Being Index (post-test:;18.06±4.59, 19.00±4.47; pre-test:;12.71±5.85, 15.09±5.62; p<0.05) showed recovery according to the pre-tests. However, the post-test restless legs syndrome Severity Rating Scale of the experimental group was lower than that of the placebo group (p<0.05). The effect of their application started in 3.93±1.74 days on average in the experimental group, while it started in 5.09±1.55 days in the placebo group (p<0.05).

CONCLUSION

Both applications reduced the severity of restless legs syndrome in pregnant women and increased sleep quality and well-being. However, compression stockings were more effective in reducing restless legs syndrome severity. Nurses can use compression and placebo stockings in the care of pregnant women with restless legs syndrome.

CLINICAL TRIAL REGISTRATION NUMBER

NCT05795868.

摘要

目的

本研究旨在确定压缩袜对不安腿综合征孕妇的不适、幸福感和睡眠质量的影响。

方法

这项随机安慰剂对照研究在土耳其的一个健康研究与应用中心的围产门诊对 63 名孕妇(安慰剂组[PG]=31;实验组[EG]=32)进行。实验组孕妇在早上起床时穿压缩袜,持续 3 周,晚上睡觉时脱下。安慰剂组的女性则穿着安慰剂袜。在第一次访谈的第 22 天,使用不安腿综合征严重程度评分量表、匹兹堡睡眠质量指数、世界卫生组织-5 幸福感指数和应用满意度量表收集数据。统计显著性接受为 p<0.05。

结果

实验组和安慰剂组在不安腿综合征严重程度评分量表(后测:;8.87±5.27,12.19±5.60;前测:;21.28±5.63,21.0±5.61;p<0.05)、匹兹堡睡眠质量指数(后测:;5.34±3.28,6.12±3.12;前测:;10.15±4.23,9.61±4.59;p<0.05)和幸福感指数(后测:;18.06±4.59,19.00±4.47;前测:;12.71±5.85,15.09±5.62;p<0.05)的后测分数均较前测有所恢复。然而,实验组的后测不安腿综合征严重程度评分量表低于安慰剂组(p<0.05)。实验组应用的效果平均在 3.93±1.74 天后开始显现,而安慰剂组则在 5.09±1.55 天后开始显现(p<0.05)。

结论

两种应用都能减轻孕妇不安腿综合征的严重程度,提高睡眠质量和幸福感。然而,压缩袜在减轻不安腿综合征严重程度方面更有效。护士可以在护理不安腿综合征孕妇时使用压缩袜和安慰剂袜。

临床试验注册号

NCT05795868。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6373/11329251/71bba515c29e/1806-9282-ramb-70-07-e20240145-gf01.jpg

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