The Effects of Acupressure and Massage on Pain, Menstrual Symptoms, and Quality of Life in Primary Dysmenorrhea: A Randomized Controlled Trial.

IF 1.7 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Seda Eryılmaz, Tuba Uçar
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Abstract

Objective: 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. Materials and Methods: 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. Results: 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 (p > 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 (p < 0.05). After the intervention, it was determined that there was no significant difference in all subscales of the Quality of Life Scale (p > 0.05). In the acupressure + massage group, three participants reported having adverse reactions, including pain at the acupoints (n = 1) and shift in menstruation cycle (n = 2); in the massage-only group, four participants reported having adverse reactions, including redness (n = 3) and tingling in a finger (n = 1). Conclusion: 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. Clinical Trials Number: A Clinical trials number was received from ClinicalTrials.gov (NCT04942288).

穴位按压和按摩对原发性痛经疼痛、月经症状和生活质量的影响:一项随机对照试验。
目的:研究穴位按压和按摩对原发性痛经患者疼痛程度、月经症状和生活质量的影响。材料和方法:该随机对照试验于2021年1月至2021年5月进行。这项研究最初招募了309名在土耳其中部安纳托利亚地区一所大学学习的原发性痛经女生。在排除(由于继发性痛经诊断、研究中止或药物使用)后,共有267名学生完成了研究。将学生分为三组:(1)指压+按摩组,(2)单纯按摩组,(3)对照组。穴位按压+按摩组和仅按摩组在连续三个月经周期的前3天进行计时。研究的主要结果是原发性痛经的平均疼痛评分。数据采用视觉模拟量表、每日月经症状评定量表和短表12健康调查收集。结果:在干预前测量的第一个周期和第一天,三组患者的生理和心理健康水平(疼痛严重程度、月经症状强度、生活质量亚量表)差异无统计学意义(p < 0.05)。在三个周期内的其他测量中,穴位按压+按摩组和单纯按摩组的疼痛程度和月经症状强度均低于对照组(p < 0.05)。干预后确定两组生活质量量表各分量表无显著差异(p < 0.05)。在穴位按压+按摩组,3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,4名参与者报告了不良反应,包括发红(n = 3)和手指刺痛(n = 1)。结论:确定穴位按压和按摩对原发性痛经患者是减轻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。临床试验编号:从ClinicalTrials.gov (NCT04942288)收到临床试验编号。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
4.30
自引率
0.00%
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