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The effect of massage therapy and breathing techniques on severe pain in women during labor

تأثير العلاج بالمساج و تقنيات التنفس على الألم الشديد عند المرأة أثناء المخاض

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 Publication date 2018
  fields Nursing
and research's language is العربية
 Created by Shamra Editor




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Natural birth is a unique experience in the mother's life, but it is associated with severe pain due to uterine contractions during labor, so the control of this pain is an important requirement for them. The massage and breathing techniques during labor are considered Non-pharmacological methods that can help mothers cope with this Pain, for that reason this semi-experimental study aimed to know the effect of massage therapy and breathing techniques on severe pain in (30) women during the first stage of labor chosen by in the obstetrics and children's hospital and university Tishreen Hospital in Lattakia, where they randomly assigned to three groups: (10) were treated with massage therapy, (10) were treated with breathing techniques, and (10) were treated with massage and breathing techniques together. The researcher used tools to collect demographic data and to measure the pain intensity as determined by the women verbally, and the intensity of the pain as it appears on the face of the women. The study found a decrease in the intensity of pain in the women in the sample when applying both massage and breathing techniques on their own and when applied together during the first stage of labor. The current study recommended massage and breathing techniques during the first stage of labor to reduce labor pain, educate midwives on the importance of massage and breathing techniques in the alleviation of labor pains and train them to apply it, and to conduct research on the effectiveness of participation between the use of other methods of non-pharmacological pain relief and non-participation Among them.


Artificial intelligence review:
Research summary
تُعَبر الولادة الطبيعية تجربة مميزة في حياة الأم، لكنها تترافق بحدوث الألم الشديد نتيجة تقلصات الرحم خلال المخاض. تهدف هذه الدراسة شبه التجريبية إلى معرفة تأثير العلاج بالمساج وتقنيات التنفس على الألم الشديد عند 30 امرأة أثناء المرحلة الأولى من المخاض. تم اختيار العينة من مشفى التوليد والأطفال ومشفى تشرين الجامعي في محافظة اللاذقية، وقُسّمت إلى ثلاث مجموعات: مجموعة خضعت للعلاج بالمساج، مجموعة خضعت للعلاج بتقنيات التنفس، ومجموعة خضعت للعلاج بالمساج وتقنيات التنفس معاً. استخدم الباحث أدوات لجمع البيانات الديموغرافية وقياس شدة الألم. أظهرت النتائج انخفاضاً في شدة الألم عند السيدات في جميع المجموعات عند تطبيق المساج وتقنيات التنفس سواء منفردة أو مجتمعة. أوصت الدراسة بتطبيق المساج وتقنيات التنفس خلال المرحلة الأولى من المخاض للتخفيف من الألم، وتثقيف القابلات حول أهميتهما، وإجراء أبحاث حول فعالية المشاركة بين طرق تخفيف الألم غير الدوائية.
Critical review
دراسة نقدية: تعتبر هذه الدراسة خطوة مهمة في مجال تخفيف الألم أثناء المخاض باستخدام طرق غير دوائية. ومع ذلك، يمكن توجيه بعض الانتقادات البناءة لتحسين الدراسة. أولاً، حجم العينة كان صغيراً نسبياً (30 امرأة فقط)، مما قد يؤثر على تعميم النتائج. ثانياً، لم تتضمن الدراسة مجموعة ضابطة لمقارنة النتائج بشكل أكثر دقة. ثالثاً، كان من الممكن توسيع نطاق الدراسة لتشمل مراحل مختلفة من المخاض وليس فقط المرحلة الأولى. وأخيراً، لم يتم ذكر أي تفاصيل حول التأثيرات الجانبية المحتملة لتقنيات المساج والتنفس، وهو جانب مهم يجب مراعاته في الدراسات المستقبلية.
Questions related to the research
  1. ما هو الهدف الرئيسي من هذه الدراسة؟

    الهدف الرئيسي هو معرفة تأثير العلاج بالمساج وتقنيات التنفس على الألم الشديد عند المرأة أثناء المرحلة الأولى من المخاض.

  2. كيف تم تقسيم العينة في الدراسة؟

    تم تقسيم العينة إلى ثلاث مجموعات: مجموعة خضعت للعلاج بالمساج، مجموعة خضعت للعلاج بتقنيات التنفس، ومجموعة خضعت للعلاج بالمساج وتقنيات التنفس معاً.

  3. ما هي التوصيات التي خرجت بها الدراسة؟

    أوصت الدراسة بتطبيق المساج وتقنيات التنفس خلال المرحلة الأولى من المخاض للتخفيف من الألم، وتثقيف القابلات حول أهميتهما، وإجراء أبحاث حول فعالية المشاركة بين طرق تخفيف الألم غير الدوائية.

  4. ما هي الأدوات المستخدمة لقياس شدة الألم في الدراسة؟

    استخدم الباحث مقياس الألم Visual Analogue Scale (VAS) ومقياس Facial Rating Scale (FRS) لقياس شدة الألم.


References used
World Health Organization. Making pregnancy safer: the critical role of the skilled attendant. A joint statement by WHO, ICM and FIGO. Geneva, 2004
KARAMI, K; SAFARZADEH, A; FATHIZADEH, N. Effect of Massage Therapy on Severity of Pain and Outcome of Labor in Primipara. Iranian Journal of Nursing and Midwifery Research, Vol. 12, No. 1, 2007, 6-9
International Association for the Study of Pain, Annual Report, USA, 2007. Available at: http://www.iasppain.org
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