Comparison of the effect of teaching coping skills and acupressure on premenstrual stress: a randomized controlled trial.

Mojgan Mirghafourvand, Somayeh Abdolalipour, Amjad Mohamadi Bolbanabad, Behnaz Manouchehri
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引用次数: 0

Abstract

Background: Premenstrual syndrome (PMS) refers to significant clinical physical and psychological manifestations during the luteal phase of the menstrual cycle, leading to significant distress and impaired functional capacity. Given the side effects caused by pharmacotherapy, it seems logical to use non-pharmacological methods that can reduce symptoms such as menstrual stress. Thus, this study has been conducted to compare the effect of teaching coping skills and acupressure on premenstrual stress in undergraduate students of the Medical School of Azad University of Sanandaj-Iran.

Method: This study is an experimental study that was designed in the form of three groups (two acupressure and coping strategy groups and one control group). The participants by moderate or severe degree based on the Symptoms Premenstrual Screening Tool entered the study. Students in the coping skills training group received intervention for 5 weeks and every week for 60 min. The second intervention group received acupressure intervention for 3 months and twice a day for 60 s each time, in a sitting position, with pressure on the 6th spleen point (SP6). Data collection tools included socio-demographic and obstetric characteristics questionnaire, as well as premenstrual stress questionnaire and stress coping styles questionnaire, which were completed before and 3 months after the intervention. ANCOVA test was used for comparing the variables of premenstrual stress and coping strategy between the investigated groups, controlling the scores of premenstrual stress and coping strategy before the intervention, as well as controlling those socio-demographic variables that had a significant difference between the two groups.

Results: Based on the ANCOVA test adjusted based on the age of first menstruation and pre-intervention premenstrual stress scores, the mean post-intervention premenstrual stress scores in the acupressure group [adjusted mean difference (AMD): - 20.6; 95% Confidence Interval (95% CI): - 23.1 to - 17.1; P < 0.001] and coping strategy group [AMD: - 20.5; 95% CI - 23.4 to - 16.7; P < 0.001] were significantly lower than that of the control group. Also, based on the post-hoc test, there was no statistically significant difference in terms of the mean post-intervention PMS scores between the two acupressure and the coping strategy groups [AMD: - 0.1; 95% CI - 3.5-2.9; P = 0.995]. Also, the mean post-intervention scores of task-oriented coping subscale [AMD: 30.8; 95% CI 25.6-36.1; P < 0.001] as well as avoidance-oriented coping subscale [AMD: 18.2; 95% CI 14.6-21.8; P < 0.001] were significantly higher than those of the control group, yet in terms of the emotion-oriented coping subscale [AMD: - 26.9; 95% CI - 31.1 to - 22.7; P < 0.001], the scores were significantly lower than those of the control group.

Conclusion: Considering the effect of learning coping strategies and applying acupressure in reducing the symptoms of premenstrual stress, it seems that equipping people with coping skills allows them to cope with stressful situations such as premenstrual syndrome and show a better and more logical response and feel less anxiety, depression, physical problems, and social problems. Furthermore, acupressure can also be used as a non-invasive method alone or as a complementary medicine in reducing the symptoms of premenstrual stress in young girls.

Trial registration: Iranian Registry of Clinical Trials (IRCT): IRCT20230618058517N1. Date of registration: 26/06/2023. URL: https://irct.behdasht.gov.ir/search/result?query=IRCT20230618058517N1.

应对技巧教学与穴位按压对经前应激的影响比较:一项随机对照试验。
背景:经前综合征(PMS)是指在月经周期的黄体期出现明显的临床生理和心理表现,导致明显的痛苦和功能受损。考虑到药物治疗引起的副作用,使用可以减轻月经压力等症状的非药物方法似乎合乎逻辑。因此,本研究比较了应对技巧教学和穴位按压对伊朗萨南达吉阿扎德大学医学院本科生经前应激的影响。方法:本研究采用实验性研究设计,分为三组(2个指压及应对策略组和1个对照组)。根据经前症状筛查工具分为中度或重度的参与者进入研究。应对技能训练组干预5周,每周干预60 min。第二干预组采用穴位按摩干预,持续干预3个月,每天2次,每次60 s,采用坐位,按压脾6穴(SP6)。数据收集工具包括社会人口学和产科特征问卷、经前压力问卷和压力应对方式问卷,分别于干预前和干预后3个月完成。采用ANCOVA检验比较两组间经前应激和应对策略变量,控制干预前经前应激和应对策略得分,并控制两组间有显著差异的社会人口统计学变量。结果:基于第一次月经年龄和干预前经前应激评分调整的ANCOVA检验,穴位按压组干预后经前应激评分均值[调整平均差值(AMD): - 20.6;95%置信区间(95% CI): - 23.1至- 17.1;P结论:从学习应对策略和穴位按压对减轻经前压力症状的效果来看,掌握应对技巧可以使患者更好地应对经前综合症等压力情况,反应更合理,焦虑、抑郁、身体问题和社会问题减少。此外,穴位按压也可以作为一种非侵入性的方法单独使用,或作为一种补充药物,以减轻年轻女孩的经前压力症状。试验注册:伊朗临床试验注册中心(IRCT): IRCT20230618058517N1。注册日期:2023年6月26日。URL: https://irct.behdasht.gov.ir/search/result?query=IRCT20230618058517N1。
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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