فصلنامه طب مکمل
سال چهارم شماره 2 (پیاپی 11، تابستان 1393)

Surgical incisions such as episiotomy are among common causes of pain. Herbs have a special place to promote the public health and reducing pain. This study aimed to determine the effect of aloevera gel on perineal pain and wound healing after episiotomy. This study was a randomized clinical trial. It included 84 women underwent episiotomy in 17 Shahrivar hospital in Saveh city. They were randomly assigned into two groups: Intervention group (receiving the aloevera gel) and control group (receiving Betadine sitz bath). Pain was assessed using VAS and wound healing was measured by REEDA standard tool 3 times; before intervention، 7th and 10th day after episiotomy. Data was analyzed by chi-square and independent t tests. Results showed that there was no significant difference between the two groups in terms of baseline pain and the appearance of the wound (P=0. 20 & P=0. 464 respectively). After intervention in 7th & 10th day، pain in the intervention group was lower than control group and the difference was significant (P=0. 04 & P=0. 001 respectively). Wound healing in the intervention group was more promoted than control group in 7th & 10th days and also their difference was significant (P=0. 02 & P=0. 018 respectively). Based on findings، Aloevera gel not only relieved the pain but also increased the rate of wound healing in episiotomy.

Hope is an important source of adaptation for survival in chronic patients. It is effective on patient's attitude، health and quality of life. Hopelessness is an important factor in treatment continuous and mortality of chronic renal failure therefore it is necessary implication of interventions for increase of hope. This study survey the effect of spirituality approach counseling on Hope in patients with chronic renal failure. This clinical trial was performed on 90 hemodialysis patient in 2013 that randomized to two groups. The intervention group got the spirituality approach counseling through 8 sessions and control group got only typical care. Data collected with Herth Hope Questionnaire and analyzed by descriptive and analytical statistic in SPSS version 11. 5. no significant difference found in hope score between two groups in beginning of study but significant difference found in hope score in end of study (p<0. 0001). Significant difference found between Hope scores before and after of spirituality approach counseling in intervention group and before and after in control group. counseling with spirituality approach caused hope promotion in patients with chronic renal failure. Therefore it could implicate as a complementary therapy beside other cares by nurses for this patients.

Primary dysmenorrhea (PD) is the most common gynecologic complaint. This complaint can cause problems such as lower quality of life, and sickness absenteeism from both classes and work. This study aimed to evaluate the effect of aromatherapy with rose oil massage on primary dysmenorrhea. This study is a randomized controlled trial. Subjects were 75 students from Tehran University of Medical Sciences. Three dormitories were selected randomly among dormitories of Tehran University of Medical Sciences, and students in each dormitory were also divided into three groups randomly; Rose oil massage, unscented Almond oil massage, and massage only group. The severity of pain was evaluated by visual analogue scale (VAS) before and after intervention. All three groups received massage in their first day of menstruation in two subsequent cycles. Data was analyzed using SPSS software, version 20. All three groups were matched in demographic characteristics. In the first cycle, pain was reduced. There was a significant difference between rose oil and only massage groups (p=0.01), although this reduction was not significantly different in Rose oil and Almond groups (p=0.581). In the second cycle, pain was reduced significantly in the three groups; Rose oil and Almond oil groups with p<0.05, and Rose oil and massage only groups with p=0.001. Massage with rose oil can reduce the severity of primary dysmenorrhea. So this method regarding its cost-effectiveness can be used in primary dysmenorrhea. However, this method needs additional research.

One of the most frequently used methods for the diagnosis and treatment of heart diseases is cardiac catheterization which causes anxiety and pain in patients. Relaxation techniques such as guided imagery can make patients feel more relaxed. The present study aimed to determine the effect of guided imagery on anxiety and pain levels of patients undergoing cardiac catheterization. In this randomized clinical study, 62 people undergoing coronary angiography were assigned into experimental and control groups. In the experimental group, guided imagery was applied. Data was collected using the State-Trait Anxiety Inventory (STAI) and a numerical pain scale. The collected data was analyzed using SPSS 20. The average age of participants was 57.06±8.9 years and 59.67% of them were male. Mean level of anxiety in the guided imagery group after the intervention decreased significantly (p<0.001). The mean level of pain after the intervention in the guided imagery group was lower but this difference was not statistically significant. Relaxation and guided imagery are effective in reducing anxiety in patients undergoing cardiac angiography. It is therefore recommended that this method be used before cardiac catheterization.

Dysmenorrhea is one of the most common disorders in women and causes impairment in work and social relationships. Considering dysmenorrhea adverse consequences and Considering the anti-inflammatory properties of wheat germ, this study aimed to determine the effects of wheat germ extract on the systemic symptoms of primary dysmenorrhea and menstrual bleeding. triple blind clinical trial study was conducted from June 1 to September 29, 2013 on 90 women working in hospitals affiliated to Hamadan University of Medical Sciences. The participants were matched before intervention for age, body mass index, income, menarche age, marital status and severity of systemic symptoms of primary dysmenorrhea, Then they using randomized table of numbers were randomly divided into two groups of 45 people. In wheat germ group, 400 mg capsules of wheat germ extract were used three times a day, from day 16 until the fifth day of the menstrual cycle. The data were analyzed using descriptive and inferential statistics such as the Friedman test and Man Whitney test. In the wheat germ extract group there was a statistically significant difference in systemic symptoms associated with primary dysmenorrhea fatigue, headache and mood swings (P > 0.001). The results showed that wheat germ extract reduces the severity systemic symptoms of primary dysmenorrhea but is not effect on the menstrual bleeding and can be used to reduce the severity of systemic symptoms.

Multiple sclerosis is a very complex and multi-faceted disease, without definitive treatment that often manifests with a variety of physical symptoms, therefore the present study aimed to determine the effects of Reflexology on fatigue and pain intensity in women with Multiple Sclerosis. This study is a single-blind randomized clinical trial that is done on 50 patients with multiple sclerosis referred to MS Clinic of Ayatollah Kashani Hospital (Isfahan, Iran). Participants were randomly assigned by minimization method into two groups: reflexology and control. In the experimental group, reflexology was performed within 4 weeks, twice a week for 40 minutes and the control group received medical treatment as directed by a physician. Data were collected through fatigue severity scale and numerical rating scale before, immediately after and two months after intervention in both groups. Data analysis was performed by Spss version 18 using descriptive and inferential statistic. Findings obtained from repeated measures analysis of variance showed that there was significant difference in terms of severity of fatigue and pain, at different times in experimental group (p<0.05), but this difference was not significant in the control group (p>0.05). Furthermore, t - test showed that there was no significant difference in the severity of fatigue and pain before the intervention between two groups (P>0.05), but there was significant difference immediately after and 2 months after intervention between two groups (P<0.05). The results showed that this intervention is effective in relieving fatigue and pain severity in patients with MS, so this method as an effective technique can be recommended.

Among of all cancers in Iran, brest cancer is the most common type among Iranian women. Nausea and vomiting are known as the most common complication experienced by 70% of patients belong antiemetic medications. Usage of complementary therapies are prevalent in these patients but safety and its efficacy are not well known. This research purpose is investigation Efficacy of complementary therapies in reduction of chemotherapy induced nausea and vomiting in breast cancer patients. By selected Mesh words in EMBASE. MEDLINE, Cochran library on articles were written last 10 years ago(2003-2013) on RCT(Experimental/ quasi experimental). Articles were examined and analyzed by check list. Validity and reliability of check list was checked and verified. 5 articles from 1149 total articles, were approved by check list. 4 articles were examined effect of acustimulation/acupressure and one effect of massage. Average age of patients in articles were 50/57. Effect of acupressure and acustimulation were contradictory in acute phase but they were not effective in delayed phae(nausea and vomiting). Massage were effective in acute nausea and vomiting. Anticipatory nausea were not attented. Placebo group only was used in one research. Regards of contradictory results, extensive and more divert RCT research with high level methodology(placebo group usage/ greater sample size, random alocation) is proposed.

In infertile women stress can reduce the chance of treatment success. So relieving their stress during the course of treatment is very important. This study aimed to investigate the effect of relaxation on the outcome of infertility treatment. This is a semi-experimental study. It was done on 76 infertile women between 18 to 35 years old under treatment with IVF or ICSI, referring to Isfahan Fertility and Infertility Center. They were assigned into intervention and control groups by simple randomized sampling. Relaxation technique was performed for the intervention group in 12 sessions. Data was gathered by Newton`s infertility stress questionnaire before and after the intervention (before pregnancy test). Data was analyzed by spss16 using paired t-test, chi-square and mann-whitney tests. Statistical analysis showed no significant differences in demographic – fertility characteristics in intervention and control groups. Chi-square test showed that the percentage of success (positive pregnancy test) was significantly higher in the intervention group (p=0.006). Relaxation technique can lead to increased success in outcome of pregnancy (positive pregnancy test) after IVF or ICSI.