Volume 8, Issue 2 (12-2022)                   SJNMP 2022, 8(2): 48-63 | Back to browse issues page

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1- Lecture, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Associate Professor, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Msc, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Lecture, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran , ss.zakaryaee@gmail.com
Abstract:   (608 Views)
Background & Aim: Considering that gestational diabetes can cause maternal and fetal problems, this study was conducted with the aim of determining the effect of superficial back stroke massage on the physiological indicators of diabetic pregnant women admitted to Ba'ath Hospital, Sanandaj.
Materials & methods: This research was a randomized clinical trial study. The study population consisted of all pregnant women with gestational diabetes admitted to the high-risk pregnancy department of Besat Sanandaj Hospital. The total sample size was estimated to be 92 people and the samples were selected based on the purpose and then randomly divided to two groups of 46 people, intervention and control. The data collection tool included demographic and clinical characteristics questionnaire, physiological index registration form. For the intervention group, in addition to routine interventions, superficial back stroke massage was performed for 4 days and every day for 10 minutes at 4-6 in the evening. The control group received only routine care. Data analysis was done using SPSS version 22 software and chi-square, independent t-test, analysis of variance. p<0.05 was considered significant.
Results: Before the intervention, the two groups were homogeneous in terms of demographic, clinical and physiological indicators (P<0.05). After the intervention, physiological indicators including pulse (p=0.001), systolic blood pressure (p=0.001), diastolic blood pressure (p=0.024) and breathing (p=0.001) in the intervention group had a significant decrease compared to the control group. But after the intervention, there was no significant difference in body temperature between the two groups (p=0.285).
Conclusion: In women with gestational diabetes, superficial back stroke massage can be effectively used to improve physiological indicators. 
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Type of Study: Research | Subject: Special
Received: 2022/08/16 | Revised: 2022/12/7 | Accepted: 2022/12/7 | Published: 2022/12/7 | ePublished: 2022/12/7

1. Kleinwechter H, Schäfer-Graf U, Bührer C, Hoesli I, Kainer F, Kautzky-Willer A, et al. Gestational diabetes mellitus (GDM) diagnosis, theraPy and follow-uP care. ExP Clin Endocrinol Diabetes. 2014;122(07):395-405. [DOI:10.1055/s-0034-1366412]
2. Erratum. Classification and diagnosis of diabetes. In Standards of Medical Care in Diabetes. Diabetes Care. 2016; 39(1):13-22. [DOI:10.2337/dc16-S005]
3. Cho NH, Shaw JE, Karuranga S, et al. IDF Diabetes Atlas: global estimates of diabetes Prevalence for 2017 and Projections for 2045. Diabetes Res Clin Pract. 2018;138(1):271-81 [DOI:10.1016/j.diabres.2018.02.023]
4. Nguyen CL, Pham NM, Binns CW, et al. Prevalence of gestational diabetes mellitus in eastern and southeastern Asia: a systematic review and meta-analysis. J Diabetes Res. 2018; 2018(1):e6536974 [DOI:10.1155/2018/6536974]
5. American Diabetes A. Standards of medical care in diabetes-2011. Diabetes care. 2011;34(SuPPl 1):11-61. [DOI:10.2337/dc11-S011]
6. Etminan-Bakhsh M, Tadi S, Hatami M, Darabi R. Prevalence of Gestational Diabetes Mellitus and Its Associated Risk Factors in Boo-Ali Hospital, Tehran. Galen Medical Journal 2020; 9(1): e1642.[Persian] [DOI:10.31661/gmj.v9i0.1642]
7. Tutino G, Tam W, Yang X, Chan J, Lao T, Ma C. Diabetes and Pregnancy: PersPectives from Asia. BMC Pregnancy and Childbirth. 2014; 31(1): 302-18. [DOI:10.1111/dme.12396]
8. Osorio-Yáñez C, Gelaye B, Qiu C, Bao W, Cardenas A, Enquobahrie DA, et al. Maternal intake of fried foods and risk of gestational diabetes mellitus. Annals of epidemiology 2017; 27(6): 384-90. [DOI:10.1016/j.annepidem.2017.05.006]
9. Cunningham FG, Leveno KJ, Bloom S, Hauth J, Rouse D, SPong C. Williams obstetrics. 24th ed. New York: McGraw Hill; 2018.
10. Villar J, Ismail L, Victora C, Ohuma E, Bertino E, Altman D et al. International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-Sectional Study of the INTERGROWTH-21st Project. The Lancet. 2014; 384(9946):857-868. [DOI:10.1016/S0140-6736(14)60932-6]
11. Nguyen C, Lee A, Minh Pham N, Hoang Nguyen P, Ha A, Khac Chu T ,et al. Prevalence and Pregnancy outcomes of gestational diabetes mellitus by different international diagnostic criteria: a ProsPective cohort study in Vietnam. J Matern Fetal Neonatal Med. 2019;33(21):3706-12. [DOI:10.1080/14767058.2019.1583733]
12. Sayehmiri F, Bakhtiyari S, Darvishi P, Sayehmiri K. Prevalence of gestational diabetes mellitus in Iran: a systematic review and meta-analysis study. Iran J Obstet Gynecol Infertil. 2013; 15(40):16-23. [Persian] [DOI:10.5812/ircmj.12581]
13. Smith KJ, Deschênes SS, Schmitz N. Investigating the longitudinal association between diabetes and anxiety: a systematic review and meta‐analysis. Diabet Med. 2018 ;35(6):677-93. [DOI:10.1111/dme.13606]
14. Smith MC, Stallings MA, Mariner S, Burrall M. Benefits of massage theraPy for hosPitalized Patients. A descriPtive and qualitative evaluation. Altern Ther Health Medi. 1999; 5(4): 64-71.
15. Taghizadeh P, HekmatPou D, Rahzani K, Kazerani H, Rafiei M. ComParing of the effect of reflexive and stroke massages on Physiologic indices in Patients with MI. J Clin Res in Paramed Sci .2013; 2(4):279-90.[Persian]
16. Abdelaziz S, Mohammed H. Effect of foot massage on PostoPerative Pain and vital signs in breast cancer Patient. J Nurs Edu Pract. 2014; 4(8):115-24.[Persian] [DOI:10.5430/jnep.v4n8p115]
17. Esteghamati A, Etemad K, KoohPayehzadeh J, Abbasi M, Meysamie A, Noshad S, et al. Trends in the Prevalence of diabetes and imPaired fasting glucose in association with obesity in Iran: 2005-2011. Diabetes res clin Pract. 2014;103(2):319-27.[In persian] [DOI:10.1016/j.diabres.2013.12.034]
18. Abbasi Z, Abedian Z, Fadayi A, Esmaeil H. Effect of massage on physiologic responses on primiparous women. Horizon Med Sci. 2007; 13(1): 28-33.[Persian]
19. IDF Diabetes Atlas GrouP. UPdate of mortality attributable to diabetes for the IDF Diabetes Atlas: Estimates for the year 2013. Diabetes Res Clin Pract. 2015; 109(3):461-65. [DOI:10.1016/j.diabres.2015.05.037]
20. Saeedi P, Petersohn I, SalPea P, Malanda B, Karuranga S, Unwin N et al. Global and regional diabetes Prevalence estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019; 157(1): e107843. [Persian] [DOI:10.1016/j.diabres.2019.107843]
21. Guan L, Collet JP, Yuskiv N, SkiPPen P, Brant R, Kissoon N. The effect of massage theraPy on autonomic activity in critically ill children. Evide Based ComPlement Alternat Med. 2014; (2014):1-8. [DOI:10.1155/2014/656750]
22. Zhong H, Wang C, Wan Z, Lei J. The Possible mechanisms of massage theraPy. Biomed Res. 2019; 30(6).917-26.
23. Bazrafshan MR, Ghorbani Z. Effect of massage stroke technique on anxiety level back Primigravid women. Hayat. 2010; 16(1): 34-40. [Persian]
24. Padayachee C, Coombes JS. Exercise guidelines for gestational diabetes mellitus. World J Diabetes. 2015 25; 6(8):1033-44. [DOI:10.4239/wjd.v6.i8.1033]
25. Field T, Diego M, Hernandez-Reif M, Medina L, Delgado J, Hernandez A. Yoga and massage theraPy reduce Prenatal dePression and Prematurity. J Bodyw Mov Ther. 2012; 16(2): 204-9. [DOI:10.1016/j.jbmt.2011.08.002]
26. Hasanvand SH, Najafi S, Forozy M, Mohammad Alizade S, Haghdoost A. The effect of back massage on blood Pressure and radial Pulse in Patients with Primary hyPertensive referred to specialty and subspecialty cardiac clinic of Khoramabad Shohada Ashayer hosPital. Yafte. 2011; 12(3):63-69. [Persian].
27. Mok E, Woo CP. The effects of slow-stroke back massage on anxiety and shoulder Pain in elderly stroke Patients. ComPlement Ther Nurs Midwifery. 2004; 10(4):209-16. [DOI:10.1016/j.ctnm.2004.05.006]
28. Nikmah U, Machmudah M. MgSO4 and slow stroke back massage theraPy on blood Pressure of severe Pre EeclamPsia Pregnant women. Asian Nurs Res. 2019; 1(1):37-42. [DOI:10.26714/seanr.1.1.2019.37-42]
29. WeeraPong P, Hume P, Kolt G. The mechanisms of massage and effects on Performance, muscle recovery and Injury Prevention. SPorts Med. 2005; 35(3):235-56. [DOI:10.2165/00007256-200535030-00004]

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