Volume 35, Issue 1 (3-2024)
Studies in Medical Sciences 2024, 35(1): 30-42 |
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Research code: 940018
Ethics code: IR.MUMS.REC.1394. 261
Clinical trials code: IRCT2014122920475N1
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Mousavi F S, Golmakani N, Rahmanian S A. COMPARISON OF THE EFFECT OF AURICULOTHERAPY AND FOOT REFLEXOLOGY ON THE SENSORY AND EMOTIONAL ASPECTS OF PAIN AND THE USE OF PAINKILLERS AFTER ELECTIVE CAESAREAN SECTION. Studies in Medical Sciences 2024; 35 (1) :30-42
URL: http://umj.umsu.ac.ir/article-1-6136-en.html
URL: http://umj.umsu.ac.ir/article-1-6136-en.html
Master of Midwifery, Shirvan School of Nursing, North Khorasan University of Medical Sciences, Shirvan, Iran (Corresponding Author) , ADELEH.RAHMANIAN@GMAIL.COM
Abstract: (1584 Views)
Background & Aims: Foot reflexology and auriculotherapy are two complementary treatments for pain relief. Considering that it is necessary to evaluate the efficiency and priorities in the use of complementary medicine methods. Therefore, this study was conducted in the aim of comparing the effect of auriculotherapy and foot reflexology on the sensory and emotional dimensions of pain and the use of painkillers after elective cesarean delivery.
Materials & Methods: This three-group randomized clinical-trial study was conducted on 101 pregnant women eligible for the study who had referred to Om al-Banin hospital in Mashhad for elective cesarean section using convenient sampling method. After selecting research units and randomly assigning women into 21 blocks of 6 using randomized block method, research units were divided into three groups of auriculotherapy, foot reflexology, and control. There were 36 people in each group. In the intervention groups, 2 to 3 hours after the operation, auriculotherapy was performed in one group and foot reflexology was performed for 20 minutes in the other group. In the control group, routine ward care was performed. In all three groups, if needed, the research units received painkillers (diclofenac suppository 100 mg) according to the hospital routine, and the number of painkillers consumed by the researcher was recorded up to 24 hours after the operation. Pain was assessed with the short form of the McGill Pain Questionnaire, one and two hours after the intervention. Finally, the data was analyzed using SPSS version 16 software and chi-square tests, Fisher's exact test, one-way analysis of variance and analysis of variance with variable sizes. The significance level of P is less than 0.05 was considered significant.
Results: The results showed that in the groups that the interventions were done after one and two hours, sensory dimension of pain was significantly lower than control group just in auriculotherapy group (p values respectively p=0.004 and P<0.001). Moreover, two hours after the interventions, affective dimension of pain was significantly lower than control group just in auriculotherapy group (p=0.008) But no significant difference was observed between the Foot reflexology and control group (P>0.05). The consumption of rectal diclofenac was statistically lower in the both intervention groups compared with control group (P<0.001). Postpartum hemorrhage for 2 hours after interventions were no difference in the three groups (P > 0.05).
Conclusion: Auriculotherapy and foot reflexology both can reduce consumption of analgesic. However, auriculotherapy is more effective in reducing sensory and affective dimensions of pain.
Materials & Methods: This three-group randomized clinical-trial study was conducted on 101 pregnant women eligible for the study who had referred to Om al-Banin hospital in Mashhad for elective cesarean section using convenient sampling method. After selecting research units and randomly assigning women into 21 blocks of 6 using randomized block method, research units were divided into three groups of auriculotherapy, foot reflexology, and control. There were 36 people in each group. In the intervention groups, 2 to 3 hours after the operation, auriculotherapy was performed in one group and foot reflexology was performed for 20 minutes in the other group. In the control group, routine ward care was performed. In all three groups, if needed, the research units received painkillers (diclofenac suppository 100 mg) according to the hospital routine, and the number of painkillers consumed by the researcher was recorded up to 24 hours after the operation. Pain was assessed with the short form of the McGill Pain Questionnaire, one and two hours after the intervention. Finally, the data was analyzed using SPSS version 16 software and chi-square tests, Fisher's exact test, one-way analysis of variance and analysis of variance with variable sizes. The significance level of P is less than 0.05 was considered significant.
Results: The results showed that in the groups that the interventions were done after one and two hours, sensory dimension of pain was significantly lower than control group just in auriculotherapy group (p values respectively p=0.004 and P<0.001). Moreover, two hours after the interventions, affective dimension of pain was significantly lower than control group just in auriculotherapy group (p=0.008) But no significant difference was observed between the Foot reflexology and control group (P>0.05). The consumption of rectal diclofenac was statistically lower in the both intervention groups compared with control group (P<0.001). Postpartum hemorrhage for 2 hours after interventions were no difference in the three groups (P > 0.05).
Conclusion: Auriculotherapy and foot reflexology both can reduce consumption of analgesic. However, auriculotherapy is more effective in reducing sensory and affective dimensions of pain.
Type of Study: Research |
Subject:
زنان و زایمان
References
1. Greenberg M, Glick M. Burket's oral medicine. 10th ed., BC Decker Inc: 2003; 307-316. [URL]
2. Rezaei R, Saatsaz S, Alipour A and Beheshti Z. Massage-therapy and post cesarean pain control. IJOGI 2017;20(4):34-43 [Google Scholar]
3. Mansour GM, Khoshrang H, Taherzadeh AS. Comparing the effects of local infiltration of lidocaine 2% and marcaine 0.25% on the severity of pain in patients after cesarean section. J Guilan Univ Med Sci 2012;21(83):86-94. (Persian) [Google Scholar]
4. Bamigboye AA, Hofmeyr GJ. Caesarean section wound infiltration with local anaesthetic for postoperative pain relief-any benefit? S Afr Med J 2010;100(5):313-9 [DOI:10.7196/SAMJ.3716] [PMID]
5. Adibi P, Kalani N, Razavi BM, Mehrpour S, Tayyebeh Zarei T, Malekshoar M, et al. Pharmacological and non-pharmacological methods of pain control in women undergoing caesarean section: a narrative review. IJOGI 2022;25(7):91-112 [Google Scholar]
6. Rahmanian S.A, Morvarid Irani M, Aradmehr M. The Effect of Medicinal Plants on Gynecological and Obstetric Hemorrhages: A Systematic Review of Clinical Trials. IJOGI 2022;25(7):113-27 [Google Scholar]
7. Chung K-F, Yeung W-F, Yu BY-M, Leung FC-Y, Zhang S-P, Zhang Z-J et al. Acupuncture with or without combined auricular acupuncture for insomnia: a randomised, waitlist-controlled trial. Acupunct Med 2018:36(1):2-13. [DOI:10.1136/acupmed-2017-011371] [PMID]
8. Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma MJCDo SR. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev 2018(3). [DOI:10.1002/14651858.CD009290.pub3] [PMID]
9. Rahmanian, S. A., Kiani Mask, M., Abbaspour, S., Irani, M. The Effect of Auriculotherapy on Climacteric, Menopause and Old Age: A Systematic Review. JMRH 2022;10(4): 3418-3431. [Google Scholar]
10. Yeh C, Morone N, Chien L, Cao Y, Lu H, Shen J, et al. Auricular Point Acupressure to Manage Chronic Low Back Pain in Older Adults: A Randomized Controlled Pilot Study. Evidence-Based Complementary and Alternative Medicine 2014; Article ID 375173: 11 [DOI:10.1155/2014/375173] [PMID] []
11. Chang LH, Hsu CH, Jong GP, Ho S, Tsay SL, Lin KC. Auricular acupressure for managing postoperative pain and knee motion in patients with total knee replacement: a randomized sham control study. Evid based complementary and alternative med: eCAM. 2012;2012:528452. [DOI:10.1155/2012/528452] [PMID] []
12. Chandrababu R, Rathinasamy EL, Suresh C, Ramesh JJJoan. Effectiveness of reflexology on anxiety of patients undergoing cardiovascular interventional procedures: A systematic review and meta‐analysis of randomized controlled trials. J Adv Nurs 2019;75(1):43-53. [DOI:10.1111/jan.13822] [PMID]
13. Whatley J, Perkins J and Samuel C. Reflexology: Exploring the mechanism of action. Complementary Therapies in Clinical Practice 2022; 48. [DOI:10.1016/j.ctcp.2022.101606] [PMID]
14. Ernst E, Posadzki P, Lee M. Reflexology: an update of a systematic review of randomised clinical trials. Maturitas 2011;68(2):116-20. [DOI:10.1016/j.maturitas.2010.10.011] [PMID]
15. Rodriguez-Mansilla J, Gonzalez Lopez-Arza MV, Varela-Donoso E, Montanero-Fernandez J, Gonzalez Sanchez B, Garrido-Ardila EM. The effects of ear acupressure, massage therapy and no therapy on symptoms of dementia: a randomized controlled trial. Clin. Rehabil 2015; 29(7):683-93. [DOI:10.1177/0269215514554240] [PMID]
16. Khloobagheri E, Kazemi M, Loripoor M, Bakhtar B. Effect of foot reflexology with auriculotherapy on pain after elective cesarean section: A Randomized Clinical Trial. IJOGI 2020; 23(5): 67-78. [Google Scholar]
17. Yeh CH, Chiang YC, Hoffman SL, Liang Z, Klem ML, Tam WW, et al. Efficacy of auricular therapy for pain management: a systematic review and meta-analysis. Evid Based Complement Alternat Med 2014. [DOI:10.1155/2014/934670] [PMID] []
18. Kuo S-Y, Tsai S-H, Chen S-L, Tzeng Y-L. Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: A single-blind, randomised controlled study. Int J Nurs Stud 2016;53:17-26. [DOI:10.1016/j.ijnurstu.2015.10.006] [PMID]
19. Chang L-h, Hsu C-H, Jong G-P, Ho S, Tsay S-l, Lin K-CJE-BC et al. Auricular acupressure for managing postoperative pain and knee motion in patients with total knee replacement: a randomized sham control study. Evid Based Complement Alternat Med 2012. [DOI:10.1155/2012/528452] [PMID] []
20. Kwan WS, Li WW. Effect of ear acupressure on acute postpartum perineal pain: a randomised controlled study. J Clin Nurs 2014; 23(7-8):1153-64. [DOI:10.1111/jocn.12281] [PMID]
21. Razmjoo N, Yousefi F, Esmaeeli H, Azizi H, Lotfalizadeh. Effect of foot reflexology on pain and anxiety in women following elective cesarean section. IJOGI 2012;15(1):8-16 [Google Scholar]
22. Asher GN, Jonas DE, Coeytaux RR, Reilly AC, Loh YL, Motsinger-Reif AA et al. Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials. J Altern Complement Med 2010; 16(10):1097-108. [DOI:10.1089/acm.2009.0451] [PMID] []
23. Khoshtarash M, Ghanbari A, Yeganeh M, Kazemnajad A, Rezasoltani P. Survey the effect of foot reflexology on pain and phisiological parameters after cesarean section in patients reffering to Alzahra Educational Center in rasht. JHNM 2011;20:27-30 (Persian) [Google Scholar]
24. Golmakani N. Comparison and correlation between visual analogue scale and different dimensions of the short form of McGill pain questionnaire in post cesarean pain evaluation. Nurs Midwifery J 2018;16(9):622-30. [Google Scholar]
25. Hajighasemali S, Ali Akbari SA, Baghban AA, Heshmat R. Comparison between Effect Acupressure on SP6 Point and Reflexology on the Severity of First-Stage Labor Pain Jahrom Med J 2014;12(4). [DOI:10.29252/jmj.12.4.3]
26. Kesselring A, Spichiger E, Muller M. Foot reflexology: an intervention study. Pflege. 1998; 11(4):213-8. [Google Scholar]
27. Lee J, Han M, Chung Y, Kim J, Choi J. Effects of foot reflexology on fatigue, sleep and pain: a systematic review and meta-analysis. JKAN 2011; 41(6):821-33. [DOI:10.4040/jkan.2011.41.6.821] [PMID]
28. Wan L, Li W, Li W, Li G. Observation on the anesthesia effect of general anesthesia assisted by auricular-plaster therapy in gynecological surgery. Zhongguo zhen Jiu 2013;33(3):237-40. [Google Scholar]
29. Valiani M, Shiran E, Kianpour M, Hasanpour M. Reviewing the effect of reflexology on the pain and certain features and outcomes of the labor on the primiparous women. IJNMR 2010;15(1):301-10. [PMID]
30. Li JZ, Li XZ, Wang MS, Li JP, Shi F, Yu HF. Effects of transcutaneous electrical stimulation of auricular Shenmen point on postoperative nausea and vomiting and patient-controlled epidural analgesia in cesarean section. Zhonghua Yi Xue Za Zhi. 2012;92(27):1892-5. [Google Scholar]
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