جستجوی مقالات مرتبط با کلیدواژه "بالا نگه داشتن پا" در نشریات گروه "پزشکی"

Physiologic edema in the feet can cause discomfort such as pain, muscle cramps and fatigue in the feet when walking and as a result lack of movement and increased probability of thromboembolism in pregnant women. Many non-pharmaceutical methods have been used to improve physiologic edema in pregnancy. None of these methods have been studied in a self-care context. Therefore, the present study was performed with aim to determine and compare the effects of self-care education with effleurage massage, hydrotherapy, and leg elevation on physiologic edema in pregnancy.

The randomized controlled clinical trial study was conducted in 2022 on 129 primigravid women who visited the Mahdieh Tehran Health Center. The samples were randomly divided to four groups: hydrotherapy, massage therapy, leg elevation, and control. The data collection tools included a demographic and obstetric questionnaire, investigation of complications and satisfaction from the intervention, observation checklist and examination before and after the intervention, and a non-elastic meter. After collecting information, data analysis was done using SPSS statistical software (version 24) and parametric and non-parametric statistical tests. P<0.05 was considered statistically significant.

In the intragroup comparison, leg edema decreased significantly after the intervention compared to before the intervention (p<0.001). The results of the analysis of covariance indicated a significant difference in the mean size of foot circumferences after the intervention among the groups (p<0.001). In a side-by-side comparison of the groups after the intervention, leg elevation had the greatest effect among other interventions (p<0.001).

Self-care with effleurage massage, hydrotherapy, and leg elevation were effective in improving physiologic edema in the legs during pregnancy. Furthermore, leg elevation was found to be more effective in reducing degree of leg edema compared to other self-care interventions, and effleurage massage had the least effect in improving physiologic edema.

Objective (s): Physiological edema of pregnancy is a common finding in pregnancy and there are several interventions to control it. As such the feet elevation is one of the most common approaches. However, this approach may cause some limitations. Thus, the use of massage as a new therapy is increasing. The present study was performed to compare the effectiveness of massage and feet elevation on physiological edema of pregnancy. In this study, 180 healthy pregnant women non-randomly assigned to 3 groups: massage group, feet elevation group and control group. Massage group received 20 minutes feet massage and the feet elevation group received feet elevation for 20 minutes. The study was performed during 5 days. Edema was measured before and after interventions and was compared among three groups. There were significant differences among three groups in terms of the mean rate of change of the circumferences. However, this change was greater for the massage group. The results indicated that compared with feet elevation, massage has greater impact on pregnancy edema.