关键词: Benson's relaxation anxiety blood pressure cesarean surgery complementary therapy foot reflexology oxygen saturation pulse rate respiratory rate

Mesh : Humans Female Adult Cesarean Section / adverse effects methods Anxiety / prevention & control Foot / surgery Relaxation Therapy / methods Iran Massage / methods Pregnancy

来  源:   DOI:10.1016/j.nwh.2024.02.008

Abstract:
To compare the efficacy of foot reflexology and Benson\'s relaxation on anxiety and physiologic parameters after cesarean surgery.
Randomized controlled trial with three parallel arms.
Gynecologic ward of the Persian Gulf Martyrs Hospital in Bushehr, Iran, in 2020.
Women undergoing cesarean surgery (n = 135) were selected by convenience sampling and divided via block randomization into three groups of foot reflexology, Benson\'s relaxation interventions, and control group (n = 45 in each group). Interventions were performed 2 hours after cesarean surgery.
Spielberger\'s State-Trait Anxiety Inventory, mercury sphygmomanometer, and pulse oximeter were used to collect the data. Anxiety was measured before and 30 minutes after the intervention. Physiologic parameters were measured before the intervention and immediately, 30 minutes, and 60 minutes after the intervention. Data were analyzed using inferential statistics.
The mean score of situational anxiety after the intervention was significantly lower than before the intervention in the reflexology (t = 6.171; 95% confidence interval [CI] [5.66, 11.14]) and Benson\'s relaxation groups (t = 7.362; 95% CI [5.91, 9.85]). However, changes in the control group were not significant (t = 1.674; 95% CI [-0.24, 2.55]). Decreases in anxiety scores were similar in the two intervention groups. After intervention, in most measurement times, respiratory rate and pulse rate decreased in the two intervention groups compared to the control group, and arterial oxygen saturation and systolic blood pressure increased.
Considering the effect of both interventions on decreasing anxiety and improving most physiologic parameters, it seems that foot reflexology and Benson\'s relaxation can be recommended after cesarean surgery.
摘要:
目的:比较足部反射疗法和Benson放松疗法对剖宫产术后焦虑和生理参数的影响。
方法:具有三个平行组的随机对照试验。
方法:布什尔波斯湾烈士医院妇科病房,伊朗,在2020年。
方法:通过方便抽样选择接受剖宫产手术的妇女(n=135),并通过区组随机分为三组足部反射疗法,本森的放松干预措施,对照组(每组45例)。剖宫产术后2小时进行干预。
方法:Spielberger的状态特质焦虑量表,水银血压计,和脉搏血氧计用于收集数据。在干预前和干预后30分钟测量焦虑。在干预前和立即测量生理参数,30分钟,干预后60分钟。使用推理统计学分析数据。
结果:在反射疗法(t=5.66,11.14;95%置信区间[CI][5.66,11.14])和Benson放松组(t=7.362;95%CI[5.91,9.85])中,干预后情境焦虑的平均得分明显低于干预前。然而,对照组的变化不显著(t=1.674;95%CI[-0.24,2.55]).两个干预组的焦虑评分下降相似。干预后,在大多数测量时间,与对照组相比,两个干预组的呼吸频率和脉搏率降低,动脉血氧饱和度和收缩压升高。
结论:考虑到两种干预措施对减轻焦虑和改善大多数生理参数的作用,似乎可以在剖宫产手术后推荐足部反射疗法和Benson放松。
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