伴侣按摩对分娩过程中疼痛、焦虑和分娩过程的影响

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-01-30 DOI:10.1016/j.aimed.2025.01.008

Ayşe Nur Ataş , Nebahat Özerdoğan

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引用次数: 0

摘要

目的本研究旨在评估伴侣按摩对分娩过程中疼痛、焦虑和分娩过程的影响。这是一项随机对照实验研究。该实验于2022年8月1日至2023年8月1日在某医学院附属医院进行。方法选取伴揉组、助产士按摩组、对照组三组患者在按摩前宫颈扩张4 cm时、按摩后宫颈扩张5 ~ 6 cm时、按摩后宫颈扩张8 ~ 9 cm时的数据。数据收集共涉及135名孕妇，每组随机抽取45名。应用组孕妇在扩张5-6 cm和8-9 cm时进行背部和骶部按摩。数据收集工具包括妊娠信息表、分娩监测表、分娩剖面图、视觉模拟量表、状态焦虑量表、满意度评估量表。结果两组患者的社会人口学及产科特征比较，差异无统计学意义（p >； 0.05）。按摩应用后，确定三组的平均疼痛评分有统计学差异（p <； 0.001），对照组疼痛评分最高，伴侣按摩组疼痛评分最低。三组患者状态焦虑得分差异有统计学意义（p <； 0.001），对照组得分最高，伴侣按摩组得分最低。对照组活跃期持续时间明显长于伴侣按摩组。结论准妈妈在分娩过程中由伴侣按摩可有效减轻疼痛和焦虑。

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The effect of partner massage on pain, anxiety, and the birth process in labor

Objectives

This study aimed to assess the impact of partner massage on pain, anxiety, and the birth process during labor. This is a randomized controlled experimental study. It was conducted between August 1, 2022 and August 1, 2023 in a medical faculty hospital.

Methods

The data of the study were collected from three groups, namely the partner massage group, midwife massage group, and control group at three different times (at cervical dilation of 4 cm before massage application, at cervical dilation of 5–6 cm following the application, and at cervical dilation of 8–9 cm following the application). Data collection was completed with a total of 135 pregnant women, by randomising 45 in each group. Back and sacral massage were applied to the pregnant women in the application groups when dilation was 5–6 cm and 8–9 cm. Data collection tools included a Pregnant Information Form, a Labor Monitoring Form, the Partograph, a Visual Analogue Scale, the State Anxiety Inventory, Assessment of Satisfaction Scale.

Results

There was no statistically significant difference between the groups in terms of participants’ sociodemographic and obstetric characteristics (p > 0.05). Following the massage application, it was determined that the three groups had statistically different mean pain scores (p < 0.001), with the control group having the highest pain score and the partner massage group the lowest. The three groups had statistically different state anxiety scores (p < 0.001), with the highest score in the control group and the lowest in the partner massage group. The duration of the active phase was significantly longer in the control group than in the partner massage group.

Conclusion

Massage applied to the expectant mother by the partner during labor was effective in reducing pain and anxiety levels.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.