COMPLEMENTARY AND INTEGRATIVE THERAPY PRACTICES ON PAIN MANAGEMENT IN PRIMARY DYSMENORRHEA

Yıl 2019, Cilt: 1 Sayı: 2, 70 - 80, 26.01.2020

Şeyma Kilci , Zeynep Daşıkan , Ayşegül Muslu

Öz

Primary
dysmenorrhea is women’ most common gynecological problem It is a painful period
that disrupts the lifestyle of women, prevents their social life and daily
activities. The use of complementary and integrative ready to provide menstrual
pain; herbal treatments (ginger, chocolate, fish oil, etc.), exercise,
subcutaneous (transcutaneous) electrical nerve stimulation (TENS), connective
tissue malipulation, massage therapy water injection, vitamins and elements. This
function, reduces pain and also increases the quality of life experienced.
Menstuel of these methods in structured studies. Health professionals should
use complementary and integrative health practices that are effective in coping
with menstrual pain, and provide training and counseling to women. A
customer-oriented service and the quality of the service will increase in the
evidence of its history. 

Anahtar Kelimeler

Primary dysmenorrhea, Complementary Therapies, Integrative medicine, Nursing care

PRİMER DİSMENORE AĞRI YÖNETİMİNDE KULLANILAN TAMAMLAYICI VE BÜTÜNLEŞTİRİCİ TERAPİ UYGULAMALARI

Öz

Primer dismenenore kadınların en sık yaşadığı jinekolojik problemlerden
biridir. Kadınların yaşam kalitesini bozan, sosyal yaşamını ve günlük
aktivitelerini engelleyen ağrılı bir periyoddur. Menstruel ağrıyı azaltmak için
birçok tamamlayıcı ve bütünleştirici terapi uygulamaları kullanılmaktadır. Bu
yöntemler; bitkisel tedaviler (zencefil, çikolata, balık yağı vs.), egzersiz,
deri altı (transkütanöz) elektriksel sinir stimülasyonu (TENS), konnektif doku
malipülasyonu, masaj terapisi, aromaterapi, topikal ısı (termoterapi),
akupunktur, yoga, refleksoloji, instradermal steril su enjeksiyonu, vitamin ve
elementlerdir. Primer dismenorede kullanılan bu uygulamalar, ağrıyı azaltmakta
ve aynı zamanda kadınların yaşam kalitesinde artış sağlamaktadır. Yapılan
çalışmalarda bu yöntemlerin menstuel ağrıyı azaltmada etkili olduğuna dair
kanıtlar yer almıştır. Sağlık profesyonelleri menstrüel ağrı ile baş etmede
etkili olan tamamlayıcı ve bütünleştirici sağlık uygulamalarını kullanması,
kadınlara eğitim ve danışmanlık yapması gerekir. Böylece kanıta dayalı
uygulamalar ışığında verilen bakım ve hizmetin kalitesi artacaktır. 

Anahtar Kelimeler

Primer Dismenore, Tamamlayıcı terapiler, Bütünleştirici tıp, Hemşirelik bakımı

Kaynakça

• Abbaspour, Z., Rostami, M., & Najjar, S. (2006). The effect of exercise on primary dysmenorrhea. Journal of Research Health Sciences, (1), 26–31.
• Akduman Topçu, A., & Budur Çimen, O. (2016). Primer dismenorede tedavi yaklaşımları. Anadolu Kliniği, 21(3), 236-242.
• Akin, M.D., Weingand, K.W. Hengehold, D.A. Goodale, M.B. Hinkle, R.T., & Smith, R.P. (2001). Continuous low-level topical heat in the treatment of dysmenorrhea. Obstet Gynecol, 97(3), 343-9.
• Alp Yılmaz, F., & Başer, M. (2016). Dismenorenin okul performansına etkisi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 5(3), 29-33.
• Alp Yılmaz, F. (2014). Ayak refleksolojinin dismenore ve okul performansına etkisi. Erciyes Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora tezi. Kayseri.
• American College of Obstetricians and Gynecologists (ACOG). (2019). https://www.acog.org/Patients/FAQs/Dysmenorrhea-Painful-Periods(accessed 25 July 2019).
• Apay, S.E., Arslan, S., Akpinar, R.E., & Celebioglu, A. (2012). Effect of aromatherapy massage on dysmenorrhea in turkish students. Pain Manag Nurs, (13), 236-240.
• Arfailasufandi, R., & Andiarna, F. (2018). The ınfluence of dark chocolate to reduce menstrual pain in primary dysmenorhea. Journal of Health Science and Prevention. 2018;2 (1):27-35.
• Aval Shahr, S.H., Saadat, M., Kheirkhah, M., & Saadat, E. (2015). The effect of self-aromatherapy massage of the abdomen on the primary dysmenorrhoea. Journal of Obstetrics and Gynaecology, 35(4), 382-385.
• Avcıbay, B., & Alan, S. (2011). Doğum ağrısının kontrolünde nonfarmakolojik yöntemler. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 4(3), 18- 24.
• Azima, S., Bakhshayesh, H.R., Kaviani, M., Abbasnia, K., & Sayadi, M. (2015). Comparison of the effect of massage therapy and ısometric exercises on primary dysmenorrhea: A randomized controlled clinical trial. J Pediatr Adolesc Gynecol, 28(6), 486-91.
• Bai, H.Y., & Yang, Z.Q. (2017). Effect of transcutaneous electrical nerve stimulation therapy for the treatment of primary dysmenorrhea. Medicine (Baltimore), 96(36), 7959.
• Bakhtshirin, F., Abedi, S., YusefiZoj, P., & Razmjooee, D. (2015). The effect of aromatherapy massage with lavender oil on severity of primary dysmenorrhea in Arsanjan students. Iran. J. Nurs. Midwifery Res, 20(1), 156-160.
• Bolsoy, N. (2008). Perimenstrüel distresin hafifletilmesinde refleksolojinin etkinliğinin incelenmesi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü,Kadın Sağlığı ve Hastalıkları Hemşireliği AD, Doktora Tezi. İzmir.
• Brown, J., & Brown, S. (2010). Exercise for dysmenorrhoea. Cochrane Database Systematic Review, 17(2), 4142.
• Chantler, I., Mitchell, D., & Fuller, A. (2009). Diclofenac potassium attenuates dysmenorrhea and restores exercise performance in women with primary dysmenorrhea. J Pain, 10(2), 191-200.
• Chen, Y., Shang, G.D., & Fu, G. B. (2011). Effect of massage on hemodynamics parameters of uterine artery and serum prostaglandin in treating patients with primary dysmenorrhea. Zhongguo Zhong Xi Yi Jie He Za Zhit, 31(10), 1355-8.
• Cheng, S.H., Shih, C.C., Yang, Y.K., Chen, K.T., Chang, Y.H., & Yang, Y.C. (2013). Factors associated with premenstrual syndrome- A survey of new female university students. Kaohsiung Journal of Medical Sciences, 29(2), 100-105.
• Çalık, K.Y., & Kömürcü, N. (2010). SP6 noktasına akupresür uygulanan gebelerin doğum eylemine ve akupresür uygulamasına ilişkin görüşleri. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 4(1), 29-38.
• Davaneghi, S., Tarighat-Esfanjani, A., Safaiyan, A., & Fardiazar, Z. (2017). Effective reduction of primary dysmenorrheal symptoms through concurrent use of n-3 fatty acids and rosa damascena extract (RDE). Preventive Care in Nursing & Midwifery Journal, 7(2), 33-40.
• Daşıkan, Z., Taş, G.Ç., & Sözen, G. (2014). Ödemiş bölgesindeki kadınlarda yaşanan perimenstrual şikâyetler ve etkileyen faktörler. J Turk Soc Obstet Gynecol, 98-104.
• Demirci, D. (2017). Dismenore ile baş etmede kullanılan tamamlayıcı ve alternatif tedavi yöntemleri. Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü, Yüksek lisans tezi. Aydın.
• De Sanctis, V., Soliman, A., Bernasconi, S., Bianchin, L., Bona, G., Bozzola, M., Buzi, F., De Sanctis, C., Tonini, G., Rigon, F., & Perissinotto, E. (2015). Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev, 13(2), 512-20.
• Doty, E., & Attaran, M. (2006). Managing primary dysmenorrhea. J Pediatr Adolesc Gynecol, 19(5), 341-4
• Fogarty, V. (2008). Intradermal sterile water ınjections for the relief of low back pain in labour: A systematic review of the literature. Women and Birth, 21(4), 157-163.
• Gigi, F. (2019). TENS for menstrual cramps (Dysmenorrhea). https://fleurtynaturelle.wordpress.com/2016/12/19/tens-for-menstrual-cramps-dysmenorrhea/,2016. (Last accessed 25 July 2019).
• Hosseinlou, A., Alinejad, V., Alinejad, M., & Aghakhani, N. (2014). The effects of fish oil capsules and vitamin b1 tablets on duration and severity of dysmenorrhea in students of high school in urmia-Iran. Glob J Health Sci, 18(6), 124-9.
• Hudson, T. (2007). Using nutrition to relieve primary dysmenorrhea. Alternative and Complementary Therapie,13(3), 125-8.
• Jenabi, E (2013). The effect of ginger for relieving of primary dysmenorrhoea. J Pak Med Assoc, 63(1), 8-10.
• Kashanian, M., Lakeh, M.M., Ghasemi, A., & Noori, S. (2013). Evaluation of the effect of vitamin E on pelvic pain reduction in women suffering from primary dysmenorrhea. J Reprod Med, 58(1-2), 34-8.
• Karacin, O., Mutlu, I., Kose, M., Çelik, F., Kanat-Pektas, M., & Yilmazer, M. (2018). Serum vitamin D concentrations in young turkish women with primary dysmenorrhea: A randomized controlled study. Taiwan J Obstet Gynecol, 57(1), 58-63.
• Kashefi, F., Khajehei, M., Tabatabaeichehr, M., Alavinia, M., & Asili, J. (2014). Comparison of the effect of ginger and zinc sulfate on primary dysmenorrhea: a placebo-controlled randomized trial. Pain Manag Nurs, 15(4), 826-33.
• Khan, K.S. (2012). Champaneria R, Latthe PM. How effective are non-drug, non-surgical treatments for primary dysmenorrhoea?. British Medical Journal, 14(344), 3011.
• Kim, J.S., Jo, Y.J., & Hwang, S.K. (2005). The Effects of abdominal meridian massage on menstrual cramps and dysmenorrhea in full-time employed women. Taehan Kanho Hakhoe Chi, 35(7), 1325-32.
• Kuşaslan Avcı, D., & Sarı E. (2018). Üniversite öğrencilerinde dismenoreye yaklaşım ve dismenorenin sosyal yaşam ve okul performansına etkisi. Van Tıp Derg, 25(2), 188-193.
• Lee, N., Coxeter, P., Beckmann, M., Webster, J., Wright, V., Smith, T., & Kildea, S.A. (2011). Randomised non-inferiority controlled trial of a single versus a four ıntradermal sterile water ınjection technique for relief of continuous lower back pain during labour. Pregnancy and Childbirth, 11(21), 1-9.
• Lee, H., Choi, T.Y., Myung, C.S., Lee, J.A., & Lee, M.S. (2016). Herbal medicine (shaofu zhuyu decoction) for treating primary dysmenorrhea: a systematic review of randomized clinical trials. Maturitas, 86, 64-73.
• Lee, M.S., Lee, H.W., Khalil, M., & Lim, H.S. (2018). Aromatherapy for managing pain in primary dysmenorrhea: a systematic review of randomized placebo-controlled trials. Journal of Clinical Medicine, 7(11), 434.
• Lefebvre, G., Pinsonneault, O., Antao, V., Black, A., Burnett, M., Feldman, K., Lea, R., & Robert, M. (2005). Primary dysmenorrhea consensus guideline. Journal of Obstetric Gynaecology, 27(12), 1117–1146.
• Leiser, B. (2013). Sterile water ınjections for relief of low back pain in labour. (Son Erişim: 10.10.2018).
• Lin, L.L., Liu, C.Z., & Huang, B.Y. (2008). Clinical observation on treatment of primary dysmenorrhea with acupuncture and massage. Zhongguo Zhong Xi Yi Jie He Za Zhi, 28(5), 418-420.
• Mamuk, R. (2017). Lumbosakral bölgeye uygulanan intradermal steril su enjeksiyonunun doğumda ağrı algısına etkisi. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora Tezi. İstanbul.
• Martensson, L. (2010). The patient observer: sterile water ınjections for labor pain. BIRTH, 37(4), 335-6.
• Moghadamnia, A.A., Mirhosseini, N., Abadi, M.H., Omranirad, A., & Omidvar, S. (2010). Effect of Clupeonella grimmi (anchovy/kilka) fish oil on dysmenorrhoea. Eastern Mediterranean Health Journal, 16(4), 408-413.
• Melchart, D., & Eustachi, A. (2011). Is acupressure an effective and low-cost self-administered treatment for dysmenorrhoea?. Focus on Alternative and Complementary Therapies, 16(4), 295–296.
• Motahari-Tabari, N., Shirvani, M.A., & Alipour, A. (2017). Comparison of the effect of stretching exercises and mefenamic acid on the reduction of pain and menstruation characteristics in primary dysmenorrhea: a randomized clinical trial. Oman Medical Journa,. 32(1), 47-53.
• Nag, U., & Kodali, M. (2013). Effect of yoga on primary dysmenorrhea and stress in medical students. IOSR Journal of Dental and Medical Sciences, 4(1), 69-73.
• Navvabi Rigi, S., Kermansaravi, F., Navidian, A., Safabakhsh, L., Safarzadeh, A., Khazaian, S., Shafie, S., & Salehian, T. (2012). Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: A randomized controlled trial. BMC Womens Health, 22(12), 25.
• Nikjou, R., Kazemzadeh, R., Rostamnegad, M., Moshfegi, S., Karimollahi, M., & Salehi, H. (2016). The effect of lavender aromatherapy on the pain severity of primary dysmenorrhea: A triple-blind randomized clinical trial. Ann Med Health Sci Res, 6, 211-215.
• Noorbakhsh, M., Eidy, A., Mehdi, K., & Tourzani, Z.M. (2012). The effect of physical activity on primary dysmenorrhea of female university students. World Applied Sciences Journal,17(10), 1246-1252.
• Pech, J. (2010). The Chocolate Therapist: A User’s Guide to The Extraordinary Health Benefits of Chocolate Wiley. Canada.
• Potur, D.C., & Kömürcü, N. (2014). The effects of local low-dose heat application on dysmenorrhea. J Pediatr Adolesc Gynecol, 27(4), 216-21.
• Proctor, M.L., & Murphy, P.A. (2001). Herbal and dietary therapies for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev, (3):CD002124.
• Rahnama, P., Montazeri, A., Huseini, H.F., Kianbakht, S., & Naseri, M. (2012). Effect of zinger officinale r. rhizomes (ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial. BMC Complementary and Alternative Medicine, 12, 92.
• Raisi Dehkordi, Z., Hosseini Baharanchi, F.S., & Bekhradi, R. (2014). Effect of lavender inhalation on the symptoms of primary dysmenorrhea and the amount of menstrual bleeding: a randomized clinical trial. Complement. Ther. Med, 22, 212-219.
• Rakhshaee, Z. (2011). Effect of three yoga poses (cobra, cat and fish poses) in women with primary dysmenorrhea: A randomized clinical trial. J Pediatr Adolesc Gynecol, 24(4), 192-6.
• Saxena, K.N., Nischal, H., & Batra, S. (2009). ıntracutaneous ınjections of sterile water over the secrum for labour analgesia. Indian Journal of Anaesthesia, 53 (2), 169-173.
• Simkin, P., & Klein, M.C. (2007). Non pharmacological approaches to management of labor pain. Part 1 and 2. In: Basow DS, eds. UpToDate, Rose, ed. Waltham, MA: UpToDate; 1-7.
• Smith, C.A., Crowther, C.A., Petrucco, O., Beilby, J., & Dent, H. (2011). Acupuncture to treat primary dysmenorrhea in women: A randomized controlled trial. Evidence Based Complement Alternative Medicine, Article ID 612464:1-11.
• Smith, C.A., Armour, M., Zhu, X. Li, X., Lu, Z.Y., & Song, J. (2016). Acupuncture for dysmenorrhoea. Cochrane Database of Systematic Reviews, 4:CD007854.
• Sönmezer, E. (2014). Primer dismenorede konnektif doku masajı ve kinezyobantlama uygulamalarının ağrı ve yaşam kalitesi üzerine etkilerinin karşılaştırılması. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora tezi. Ankara.
• Sun, L.H., Ge, J.J., Yang, J.J., She, Y.F. , Li, W.L., Li, X.H., Yuan, J., Li, Z.B., Lu, Y.J., Bi, X.X., Li, M., Geng, Y.H., & Wang, T. (2009). Randomized controlled clinical study on ginger-partitioned moxibustion for patients with cold-damp stagnation type primary dysmenorrhea. Zhen Ci Yan Jiu, 34(6), 398-402.
• Sut, N., & Kahyaoğlu Sut, H. (2017). Effect of aromatherapy massage on pain in primary dysmenorrhea: A meta-analysis. Complementary Therapies in Clinical Practice, 27, 5-10.
• The National Center for Complementary and Integrative Health (Last Updated: July 2018). Complementary, Alternative, or Integrative Health: What’s In a Name? https://nccih.nih.gov/health/integrative-health (Accessed: 26 July 2019).
• The National Center for Complementary and Integrative Health (2017). Aromatherapy. https://nccih.nih.gov/health/aromatherapy. (Accessed: 26 July 2019).
• Uysal, M., Yılmaz Doğru, H., Sapmaz, E., Tas, U., Çakmak, B., Ozsoy, A.Z., Sahin, F., Ayan, S., & Esen, M. (2016). Investigating the effect of rose essential oil in patients with primary dysmenorrhea. Complementary Therapies in Clinical Practice, 24, 45-49.
• Vaziri, F., Hoseini, A., Kamali, F., Abdali, K., Hadianfard, M., & Sayadi, M. (2015). Comparing the effects of aerobic and stretching exercises on the ıntensity of primary dysmenorrhea in the students of universities of bushehr. J Family Reprod Health, 9(1), 23-28.
• Yang, J.J., Sun, L.H., She, Y.F., Ge, J.J., Li, X.H., & Zhang, R.J. (2008). Influence of ginger-partitioned moxibustion on serum no and plasma endothelin-1 contents in patients with primary dysmenorrhea of cold-damp stagnation type. Zhen Ci Yan Jiu, 33(6), 409-412.
• Yu, A. (2014). Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract, 39, 1-12.
• Yürekdeler Şahin, N. (2017). Yüksek frekanslı TENS ile konnektif doku manipulasyonunun primer dismenore üzerine etkilerinin karşılaştırılması. Pamukkale Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora tezi. Denizli.
• Yonglitthipagon, P., Muansiangsai, S., Wongkhumngern, W., Donpunha, W., Chanavirut, R., Siritaratiwat W., Mato, L., Eungpinichpong, W., & Janyacharoen, T. (2017). Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. J Bodyw Mov Ther, 21(4), 840-846.