Journal of Hayat
حیات
Hayat
Medical Sciences
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1735-2215
2008-188X
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1402
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2023
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تأثیر اوریکولوتراپی بر دلبستگی مادر و نوزاد: یک کارآزمایی بالینی
The effect of auriculotherapy on mother-infant attachment: A clinical trial
مراقبتهاي مامايي
Midwifery 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"><span style="letter-spacing:-.1pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">برقراری ارتباط و دلبستگی با نوزاد تازه متولد شده از اولین و مهمترین چالش­های دوران پس از زایمان است. از آن جا که دلبستگی مادر و نوزاد بر سلامت نوزاد و حتی بر سلامت مادر تأثیر به سزایی دارد، مطالعه حاضر با هدف تعیین تأثیر اوریکولوتراپی بر دلبستگی مادر و نوزاد انجام گرفته است</span></span></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><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"></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="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">این مطالعه کارآزمایی بالینی شاهددار تصادفی شده در فاصله اسفند 1400 تا شهریور 1401 در مورد 106 زن باردار مراجعهکننده به زایشگاه بیمارستان شهید صدوقی شهر اصفهان جهت انجام زایمان طبیعی، انجام گرفته است. نمونه­ها به روش در دسترس انتخاب و به طور تصادفی به گروه مداخله (اوریکولوتراپی و مراقبت­های معمول) و کنترل (مراقبت­های معمول) تقسیم شدند. اوریکولوتراپی در نقاط اکسی­توسین، رحم و شن من، تالامیک، لانگ یک و دو انجام یافت. گردآوری داده­ها از طریق چک لیست مشخصات جمعیت</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شناختی و پرسشنامه استاندارد دلبستگی پس از تولد انجام گرفت. برای تجزیه و تحلیل داده­ها از نرم­افزار آماری </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">SPSS</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> نسخه 26 و آزمون­های آماری تی­مستقل، تی</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">­زوجی، دقیق و کای</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">دو استفاده شد. مقدار 05/0></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> معنادار در نظر گرفته شد</span></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:-.2pt">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:-.2pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتایج نشان داد که از نظر کلیه متغیرهای جمعیت</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شناختی، بین گروه مداخله و کنترل تفاوت معناداری وجود نداشته است (05/0<</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">). همچنین میانگین نمره دلبستگی بعد از زایمان، در گروه اوریکولوتراپی به طور معناداری بیشتر از گروه کنترل بود (004/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p</span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">)</span></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:-.2pt">.</span></span></span></span></i></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="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:-.2pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">با توجه به نتایج پژوهش، اوریکولوتراپی موجب افزایش میزان دلبستگی مادر به نوزاد می</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">شود. با توجه به آسان و غیر­تهاجمی بودن این روش، استفاده از آن جهت ارتقای دلبستگی مادر و نوزاد در دوران پس از زایمان توصیه می­شود</span></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:-.2pt">.</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="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"">ثبت کارآزمایی بالینی: </span></span></i></b><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">IRCT20091219002889N12</span></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:-.2pt"></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="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 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="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Establishing effective communication and forming a strong attachment with a newborn baby are crucial tasks during the postpartum period. The bond between mother and baby has a profound impact on the child's well-being, as well as the mother's health. The aim of the present study was to investigate the effect of auriculotherapy on the mother-infant attachment</span></span></span><span 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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.1pt">Methods & Materials:</span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">This randomized controlled clinical trial was conducted between March 2021 and September </span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">2022</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"> on a sample of 106 pregnant women who referred to the maternity ward of Shahid Sadou</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">gh</span></span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">i Hospital in Isfahan for normal vaginal delivery. The participants were randomly assigned to either the intervention group, which received auriculotherapy in addition to routine care, or the control group, which received only routine care. Auriculotherapy involved the stimulation of specific acupuncture points including oxytocin, uterus, Shen Men, thalamic, lung 1, and lung 2. Data collection was carried out using a checklist of demographic characteristics and the Maternal Postnatal Attachment Scale. Statistical analysis was performed using SPSS software version 26, employing independent <i>t</i>-test, paired <i>t</i>-test, exact Fisher's test, and chi-square test. A significance level of <i>P</i><0.05 was considered statistically significant</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.1pt">.</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 style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">The results showed that there was no statistically significant differences observed in demographic variables between the intervention and control groups (<i>P</i>>0.05). However, the mean score of attachment after delivery in the auriculotherapy group was significantly higher compared to the control group (<i>P</i>=0.004)</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Based on the findings of this study, it has been determined that auriculotherapy exhibits the potential to enhance maternal attachment to the baby. Given its ease of use and non-invasive nature, it is strongly recommended to consider incorporating auriculotherapy as an intervention to improve mother-baby attachment during the postpartum period</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</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"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Clinical trial registry: </span></span></b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">IRCT20091219002889N12</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.3pt"></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="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
دلبستگی, اوریکولوتراپی, دوران پس از زایمان
attachment, auriculotherapy, postpartum period
114
127
http://hayat.tums.ac.ir/browse.php?a_code=A-10-4388-2&slc_lang=fa&sid=1
Fatemeh
Torkian
فاطمه
ترکیان