Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1401
7
1
gregorian
2022
10
1
28
3
online
1
fulltext
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مقایسه تأثیر مصرف پروبیوتیک و ماساژ بر کولیک شیرخوارگی؛ یک کارآزمایی بالینی تصادفی شده
Comparison of the effect of massage and probiotic consumption on infantile colic: A randomized clinical trial
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">کولیک شیرخوارگی یک موقعیت استرسزا برای نوزاد و والدین است که علت و درمان قطعی آن هنوز مشخص نیست. لذا این مطالعه با هدف مقایسه اثربخشی ماساژ و مصرف پروبیوتیک بر کولیک شیرخوارگی انجام گرفته است</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">.</span></span></span></i><i><span dir="LTR" lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">این کارآزمایی بالینی در مرکز طبی کودکان تهران در سال ۴۰۰-۱۳۹۹ انجام یافت و ۷۵ شیرخوار کولیکی براساس معیارهای روم 4 (</span></span></i><i><span dir="LTR" lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">ROM IV</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">) وارد مطالعه شدند و به دو گروه ماساژ و پروبیوتیک تخصیص یافتند</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> تعداد ۶۴ شیرخوار (۳۴ نفر گروه ماساژ و ۳۰ نفر گروه پروبیوتیک) مطالعه را کامل کردند. مدت مداخله ۱۴ روز در نظر گرفته شد. گروه اول ماساژ شکمی با روغن زیتون به صورت دو بار در روز و گروه دوم قطره پروبیوتیک به صورت ۵ قطره یک بار در روز دریافت کردند. ابزار مطالعه مقیاس سنجش روزانه کودک </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Barr</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> بود. اطلاعات مربوط به سنجش کولیک شامل میانگین زمان گریه کولیکی، خواب و دفعات دفع شبانه</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">روزی، در روزهای ۱و۷و۱۴ به صورت درون گروهی و بین گروهی مورد بررسی قرار گرفت</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.3pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ماساژ شکمی و مصرف پروبیوتیک هر دو موجب کاهش کولیک شیرخوارگی شدند (05/0></span></span></i><i><span dir="LTR" lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)، اما گروه ماساژ نسبت به گروه پروبیوتیک کاهش بیشتری داشت (05/0></span></span></i><i><span dir="LTR" lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">p</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">)</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">با توجه به این که روش ماساژ در کنترل کولیک مؤثرتر بود، لذا توصیه میشود که در مراقبت از شیرخوار مبتلا به کولیک از ماساژ استفاده شود که روشی غیردارویی، ایمن و ساده است و به راحتی میتواند توسط پرستاران به والدین آموزش داده شود.</span></span></i></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ثبت کارآزمایی بالینی: </span></span></i><i><span dir="LTR" lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">IRCT20200903048602N1</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">Background & Aim:</span></span></span></span></b> <span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Infantile colic is a stressful tension for the baby and parents, whose cause and certain treatment are still unknown. Therefore, this study was conducted with the aim of comparing the effect of massage and probiotic consumption on infantile colic</span></span><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.4pt">Methods & Materials:</span></span></span></span></b> <span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">This clinical trial was conducted in Tehran’s Children Medical Center in 2020-2021, and 75 colicky infants were included in the study based on ROM IV criteria and assigned into two groups of massage and probiotics. A total of 64 infants (34 in the massage group) and 30 in the probiotics group) completed the study. The duration of the intervention was 14 days. The first group received abdominal massage with olive oil twice a day, and the second group received probiotic drops, five drops a day. The study tool was the Barr Child Daily Measurement Scale. The information related to colic measurement, including the average time of colic crying, sleep, and frequency of defecation was analyzed within and between groups on days 1, 7, and 14</span></span><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="letter-spacing:-.4pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,"sans-serif""><b><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Abdominal massage and probiotic consumption both reduced infantile colic (<i>P</i><0.05), but the massage group had more reduction than the probiotics group (<i>P</i><0.05)</span></span><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt">Considering that the massage method was more effective in controlling colic, using massage is recommended for the care of infants with colic, which is a non-drug, safe and simple method and can be easily taught to parents by nurses.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Clinical trial registry:</span></span></b><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""> IRCT20200903048602N1</span></span><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><span lang="DE" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
کولیک شیرخوارگی, پروبیوتیک, ماساژ
infantile colic, probiotics, massage
322
334
http://hayat.tums.ac.ir/browse.php?a_code=A-10-3912-2&slc_lang=fa&sid=1
Masoumeh
Hajilo
معصومه
حاجیلو