The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1400
1
1
gregorian
2021
4
1
29
2
online
1
fulltext
fa
بررسی تاثیر انواع روشهای تنآرامی در بارداری و زایمان:مرور سیستماتیک
Effect of Different Relaxation Methods on Pregnancy and Childbirth: a Systematic Review
زنان و زایمان
Obstetrics
مروری
Review article
<div style="text-align: justify;"><strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تنآرامی مجموعهای از تمرینهای عصبی و عضلانی است که به مادر کمک میکند تا دوران بارداری و مراحل مختلف زایمان را با کمترین عوارض سپری نماید.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متفاوتی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمینه تاثیر انواع روشهای تنآرامی بر مشکلات و اختلالات در بارداری و زایمان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">است</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">حاضر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">هدف</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرور سیستماتیک</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مورد تاثیرات انواع روشهای تنآرامی در بارداری و زایمان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ایران</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و جهان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شد</span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">.</span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مروری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">سیستماتیک</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اطلاعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مورد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نظر</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پایگاههای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اطلاعاتی</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;"> Science Direct </span></span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;"> Scopus </span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">،</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Pubmed </span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">،</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SID </span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">، </span></span> <span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Google Scholar </span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرکز</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ثبت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کارآزماییهای بالینی</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">IRCT </span></span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> و کلمات کلیدی تنآرامی،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بارداری،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زایمان و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مادر</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> در بازه زمانی2020-2000 </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جستجو</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شد</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">. </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نهایت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">40</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کارآزمایی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شامل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">21</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقاله</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فارسی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و 19</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقاله</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">لاتین که</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دارای</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">معیار</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ورود</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بودند،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند. </span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درمورد انجام تنآرامی در دوره بارداری 21 مطالعه و در روند زایمان و پس از زایمان 19 مطالعه مورد بررسی قرار گرفت. بررسیها نشان داده است که تعداد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمینه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تنآرامی غیرفعال (در بارداری-زایمان)</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">محدود</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اما در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">زمینه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">تنآرامی فعال و استفاده همزمان از چند نوع تنآرامی (در بارداری-زایمان)</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">متعدد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بود</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span><br>
<strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> نتایج</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نشان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">داد</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">که استفاده از تنآرامی فعال پیشرونده عضلانی به علت آسان و قابل فهم بودن میتواند به عنوان روش کاربردی در کاهش مشکلات و اختلالات دوران بارداری و زایمان مورد استفاده قرارگیرد. همچنین استفاده هم زمان از چند نوع تنآرامی (فعال-غیر فعال) به علت افزایش اثرات مثبت تنآرامی نیز میتواند درگام بعدی مورداستفاده قرار گیرد.</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"></span></span></div>
<div class="text-wrap tlid-copy-target" style="text-align: justify;"><strong>Introduction:</strong> Relaxation is a set of neuromuscular exercises that helps the mothers to go through pregnancy and different stages of labor with minimal complications. Various studies have been performed on the effect of different relaxation methods on problems and disorders in pregnancy and childbirth. The aim of this study was to systematically review the studies on the effects of various methods of relaxation in pregnancy and childbirth in Iran and the world. The IRCT Clinical Trial Registration Center and Keywords for Relaxation, Pregnancy, Childbirth, and Maternity were searched from 2000 to 2020. Finally, 40 trials including 21 Persian articles and 19 Latin articles that met the inclusion criteria were reviewed. There were 21 studies on relaxation during pregnancy and 19 studies on labor and postpartum. Studies have shown that the number of studies performed in the field of passive rest (in pregnancy-childbirth) was limited, but in the field of active rest and the simultaneous use of several types of rest (in pregnancy-childbirth) was numerous.<br>
<strong>Conclusion: </strong>The results showed that the use of progressive active muscle relaxation alone, due to its ease and comprehensibility can be used as a practical method in reducing problems and disorders during pregnancy and childbirth. therefore, the simultaneous use of several types of relaxation (active-inactive) due to the increase of positive effects of relaxation can be used in the next step.</div>
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تنآرامی, بارداری, زایمان, مرور سیستماتیک
Relaxation, Pregnancy, Delivery, Systematic review.
3462
3478
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4325-1&slc_lang=fa&sid=1
Farzaneh
Rahimi
فرزانه
رحیمی
rahimi.farz@yahoo.com