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[[alternative]]The Effects of Warm-water Footbath on Dysmenorrhea

By 吳適儒 and Shih-Ju Wu

Abstract

[[abstract]]本研究的目的是在探討痛經者其經期疼痛不適程度,及有無接受熱水足浴對自主神經的影響、與血管硬化程度變化的差異。此為類實驗研究(quasi-experimental designed),以方便取樣於東北部護理專科學校68名學生(年齡16-20歲),收案分為實驗組35名及對照組33名。實驗組在經期第1天,第2天給予具有機械刺激氣泡和振動之足浴機介入熱水足浴,溫度42±0.5℃。成效評量採用簡明麥基爾疼痛問卷表(SF-MPQ)得分狀況及自律神經反應是由心率變異儀(QHRV)評估。研究結果顯示:(1)痛經者經期生理不適症狀高分依次為: 腹痛(89.7%)和腰部酸痛(61.8%)是兩種最常見的症狀;(2)熱水足浴與自律神經中測得的反應顯著的變化,顯示在1天,副交感神經和交感神經的比值參數下降及副交感神經參數上升; (3)血管僵硬程度於第2日達統計學上意義。研究顯示出,熱水足浴是有效緩解女性痛經的經期不適困擾。熱水足浴為簡單方便保健活動,不具侵入性及副作用。由於這些生理上的變化都可能是有利於健康,改善月經症狀,我們的研究結果支持在臨床護理實務中使用的熱水足浴。[[abstract]]The purpose of this study was to investigate the effects of foot bath on autonomic nerve for women with dysmenorrhea. Quasi-experimental design was adopted in this study. Sixty-eight female volunteers (aged 16–20 years) from the northeast nursing college in Taiwan undertook footbaths at 42 °C for 20 min during menstruation day1-day 2, with additional mechanical stimulation (air bubbles and vibration). The experiment used convenience sampling and Quasi-experimental design assignment to experimental or control group. A Short-Form was used for pain evaluation McGill Pain Questionnaire (SF-MPQ) and Autonomic responses were evaluated by spectral analysis of heart rate variability. Our results showed that the experimental group on Sort-form MPQ scales showed significant difference (p <0.01) in the experimental group before and after the treatment.;However, that the effect of foot bath on significant changes in the measured autonomic responses, indicating decreased in parasympathetic and sympathetic ratio at day 1; Parasympathetic activity tended to increase at day 1 and significant decreases stiffness index. In conclusion, warm water footbath is effective in relieving the menstrual distress of women with dysmenorrhea. It can be performed by a self-treating way, and shows no specific side-effect .Because these physiological changes are likely to be of benefit to health and improving menstrual symptoms, our findings support the use of footbath in nursing practice

Topics: 簡明麥基爾疼痛問卷表;足浴;痛經, McGill Pain Questionnaire Short Form;Foot bath;Dysmenorrhea, [[classification]]7
Publisher: 國立台北護理健康大學中西醫結合護理研究所
Year: 2014
OAI identifier: oai:NTUNHSIR:987654321/3381
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