Eryılmaz Seda, Uçar Tuba
Faculty of Health Sciences, Department of Midwifery, Kirsehir Ahi Evran University, Kirsehir, Türkiye.
Faculty of Health Sciences, Department of Midwifery, İnönü University, Malatya, Türkiye.
J Integr Complement Med. 2025 Apr;31(4):378-387. doi: 10.1089/jicm.2023.0721. Epub 2024 Dec 20.
The study was carried out to determine the effects of acupressure and massage on pain severity, menstrual symptoms, and quality of life in patients with primary dysmenorrhea. This randomized controlled trial was conducted between January 2021 and May 2021. The study initially enrolled 309 female students with primary dysmenorrhea studying at a university in the Central Anatolia Region of Türkiye. After exclusions (due to secondary dysmenorrhea diagnosis, study discontinuation, or drug use), the study was completed with a total of 267 students. The students were divided into three groups as follows: (1) the acupressure+massage group, (2) the massage-only group, and (3) the control group. Acupressure + massage and massage-only groups were timed for the first 3 days of three consecutive menstrual cycles. The primary outcome of the study was the mean pain score for primary dysmenorrhea. Data were collected with the Visual Analog Scale, Daily Menstrual Symptom Rating Scale, and Short Form 12 Health Survey. In the first cycle and first day of preintervention measurement, the physical and mental health levels, which are the subscales of pain severity, menstrual symptom intensity, and quality of life, were similar in the three groups ( > 0.05). In other measurements during the three cycles, it was determined that the pain severity and menstrual symptom intensity in the acupressure + massage and massage-only group were lower than the control group ( < 0.05). After the intervention, it was determined that there was no significant difference in all subscales of the Quality of Life Scale ( > 0.05). In the acupressure + massage group, three participants reported having adverse reactions, including pain at the acupoints ( = 1) and shift in menstruation cycle ( = 2); in the massage-only group, four participants reported having adverse reactions, including redness ( = 3) and tingling in a finger ( = 1). It was determined that acupressure and massage applied to those with primary dysmenorrhea were effective methods to reduce the pain level and menstrual symptom intensity, but did not affect their quality of life. A Clinical trials number was received from ClinicalTrials.gov (NCT04942288).
本研究旨在确定指压按摩对原发性痛经患者疼痛严重程度、月经症状及生活质量的影响。本随机对照试验于2021年1月至2021年5月进行。该研究最初纳入了309名在土耳其安纳托利亚中部地区一所大学就读的原发性痛经女学生。在排除（因继发性痛经诊断、研究中断或药物使用）后，共有267名学生完成了研究。学生们被分为三组：（1）指压按摩组，（2）单纯按摩组，（3）对照组。指压按摩组和单纯按摩组在连续三个月经周期的前3天进行定时干预。本研究的主要结局是原发性痛经的平均疼痛评分。数据通过视觉模拟量表、每日月经症状评分量表和简短健康调查问卷12收集。在干预前测量的第一个周期和第一天，疼痛严重程度、月经症状强度和生活质量的子量表——身心健康水平在三组中相似（P>0.05）。在三个周期的其他测量中，确定指压按摩组和单纯按摩组的疼痛严重程度和月经症状强度低于对照组（P<0.05）。干预后，确定生活质量量表的所有子量表均无显著差异（P>0.05）。在指压按摩组中，三名参与者报告有不良反应，包括穴位疼痛（n=1）和月经周期改变（n=2）；在单纯按摩组中，四名参与者报告有不良反应，包括发红（n=3）和手指刺痛（n=1）。确定对原发性痛经患者进行指压按摩是降低疼痛水平和月经症状强度的有效方法，但不影响其生活质量。从美国国立医学图书馆临床试验注册库（ClinicalTrials.gov）获得了临床试验编号（NCT04942288）。
