PRİMER DİSMENORE İLE BAŞ ETMEDE KULLANILAN TAMAMLAYICI VE DESTEKLEYİCİ YÖNTEMLERE İLİŞKİN KANIT TEMELLİ UYGULAMALAR: SİSTEMATİK DERLEME

Year 2022, Volume: 19 Issue: 1, 1192 - 1221, 25.03.2022

Emine Karacan , Semra Akköz Çevik , Ayşegül Kılıçlı

https://doi.org/10.38136/jgon.874831

Abstract

Amaç: Üreme çağındaki kadınlarda en sık karşılaşılan jinekolojik problemlerden biri de primer dismenoredir. Dismenore, kadınlarda fizyolojik ve psikolojik etkilerinin yanı sıra günlük yaşam aktiviteleri ve yaşam kalitesi üzerine de olumsuz etkileri olan jinekolojik bir sorundur. Bu nedenle bu çalışmanın amacı primer dismenore semptomlarıyla baş edebilmek için kullanılan tamamlayıcı ve destekleyici yöntemlere ilişkin kanıta dayalı uygulamaların sistematik analizini yapmaktır.
Gereç ve Yöntemler: Bu sistematik derleme PRISMA (2009) sistematik derleme yöntemi kullanılarak, Cochrane, Pubmed, Medline, ScienceDirect, CiteSeerx, EBSCOhost, Scopus, CINAHL ve ULAKBİM veri tabanlarının incelenmesiyle oluşturuldu. Derlemeye 2010-2020 yılları arasında, yayın dili Türkçe ve İngilizce olan, orijinal, tam metni bulunan ve PDF formatındaki randomize kontrollü deneysel 32 araştırma dahil edildi. Literatür tarama sonucu 2944 çalışmaya ulaşıldı. Tarama 16 anahtar sözcük kullanılarak gerçekleştirildi.
Bulgular: Literatür taraması sonucunda primer dismenore ile baş etmede kullanılan tamamlayıcı ve destekleyici yöntemlere ilişkin çalışmaların en fazla İran'da olduğu ve en çok da zencefil ve aromaterapi uygulamalarının primer dismenoreye olan etkilerinin araştırıldığı bulundu. Ayrıca aeorobik egzersiz, aromaterapi, yoga, akupressur, lokal ısı uygulaması, transkutanöz elektriksel sinir stimülasyonu, balık yağı, D vitamini ve E vitamini kullanımının en fazla kullanılan ve kanıt düzeyi yüksek olan tamamlayıcı ve destekleyici yöntemler olduğu; esneme egzersizi, akupunktor, zencefil, hipnoz, refleksoloji uygulamalarına ilişkin daha fazla randomize kontrollü deneysel çalışmalara ihtiyaç olduğu bulunmuştur.
Sonuç: Primer dismenoresi olan kadınların, dismenore semptomları ile baş edilebilmeleri ve analjezik kullanımının azaltılabilmesi için farmakolojik yöntemlere göre yan etkileri daha az olan hem ucuz hem de güvenilir tamamlayıcı ve destekleyici yöntemlere ilişkin geniş örneklem üzerinde çalışılmış daha fazla randomize kontrollü deneysel çalışmalara ihtiyaç vardır.

Keywords

Primer dismenore, nonfarmakolojik yöntemler, kanıta dayalı yöntemler, tamamlayıcı ve destekleyici yöntemler, alternatif tıp

EVIDENCE-BASED APPLICATIONS OF ON THE METHODS COMPLEMENTARY AND SUPPORTING USED IN COPING WITH PRIMARY DISMENORE: SYSTEMATIC REVIEW

Abstract

Aim: Primary dysmenorrhea is the most common gynecological problems among women of reproductive age. Dysmenorrhea is a gynecological problem with negative effects on daily life activities and quality of life as well as physiological and psychological effects in women. Therefore, the aim of this study is to systematically analyze the evidence-based practices regarding complementary and supportive methods used to cope with symptoms of primary dysmenorrhea.
Materials and Methods: This systematic review was created using the PRISMA (2009) systematic review method.The study was conducted by scanning Cochrane, Pubmed, Medline, ScienceDirect, CiteSeerx, EBSCOhost, Scopus, CINAHL ve ULAKBİM databases. In this systematic review, was included between 2010-2020 in Turkish and English languages, original, with full texts and in PDF format 32 randomized controlled experimental studies . A total of 2944 articles were reached. The scanning was carried out using 16 key words.
Results: As a result of the literature search, it has been found that the majority of studies on complementary and supportive methods used in coping with primary dysmenorrhea are in Iran and mostly, the effects of ginger and aromatherapy applications were investigated on primary dysmenorrheaIn the study has been found that aerobic exercise, aromatherapy, yoga, acupressure, local heat application, transcutaneous electrical nerve stimulation, fish oil, vitamin D and vitamin E are used the most and the level of evidence is high.In addition, it has been determined that there is a need on randomized controlled experimental studies in stretching exercises, acupunctor, ginger, hypnosis and reflexology applications.
Conclusion: Women with primary dysmenorrhea in order to cope with the symptoms of dysmenorrhea and reduce the use of analgesics , there is a need for randomized controlled experimental studies that have been studied with a larger number of samples intended for complementary and supportive methods on both cheap and reliable.

Keywords

primary dysmenorrhea, non-pharmacological methods, evidence-based methods, complementary and supportive methods, alternative medicine

References

• 1. Jones AE. Managing the pain of primary and secondary dysmenorrhoea. Nurs Times 2004; 100(10):40–3.
• 2. Taşkın L. Anormal uterus kanamaları: Doğum ve kadın sağlığı hemşireliği. 8. Baskı. Ankara: Sistem Ofset Maatbacılık, 2012:597-606.
• 3. Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM. Primary dysmenorrhea in young Western Australian women: Prevalence, impact, and knowledge of treatment. J Adolesc Health 1999; 25(1):40–5.
• 4. Atasü T, Şahmay S. Dismenore ve premenstrual sendrom. 2. Baskı. İstanbul: Nobel Tıp Kitabevi, 2001: 521-6.
• 5. Harlow S, Campbell O. Epidemiology of menstrual disorders in developing countries: a systematic review. J. Br J Obstet Gynaecol 2004; 16(6):111-6.
• 6. Zondervan K, Yudkin PL. The prevalence of chronic pelvic pain in women in the United Kingdom: A systematic review. J. Br J Obstet Gynaecol 1998; 105:93–9.
• 6. Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics 1981; 68(5):661–4.
• 7 . Dorn LD, Negriff S, Huang B, Pabst S, Hillman J, Braverman P, Susman EJ. Menstrual symptoms in adolescent girls: association with smoking, depressive symptoms and anxiety. J Adolesc Health 2009; 44:237-43.
• 8. Wong CL, Farquhar C, Roberts H, Proctor M. Oral contraceptive pill for primary dysmenorrhoea. Cochrane Database Syst Rev 2009. doi: 10.1002/14651858.
• 9 . Johnson N. Management of dysmenorrhea. Gynaecol Perinat Pract 2006; 6:57-62.
• 10. Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K, et al. Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can 2005; 27(12):1117- 46.
• 11. Çakır M, Mungan I, Karakaş T, Girişken I, Okten A. Menstrual patatern and common menstrual disorders among university students in Turkey. Pediatr Int 2007; 49(6):938-42.
• 12. Durain D. Primary Dysmenorrhea: Assessment and management update . J Midwifery Womens Health 2004; 49:520–8.
• 13. Khorshid L, Yapucu Ü. Tamamlayıcı tedavilerde hemşirenin rolü. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi 2005; 8(2):124-30.
• 14. Özcebe H, Sevencan F. Çocuklarda tamamlayıcı ve alternatif tıbbı konu alan araştırmaların değerlendirilmesi. CSHD 2009; 52:183-194.
• 15. Kav S, Hanoğlu Z, Algıer L. Türkiye’de kanserli hastalarda tamamlayıcı ve alternatif tedavi yöntemlerinin kullanımı: Literatür taraması. UHOD 2008;18(1):32-7.
• 16. Turan N, Öztürk A, Kaya N, Hemşirelikte yeni bir sorumluluk alanı: Tamamlayıcı terapi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2010; 3(1):93-8.
• 17. Berghella V. Doğum Bilgisi Kanıta Dayalı Klinik Kılavuzlar. 1. Baskı. İstanbul: Medikal Yayıncılık, 2009:11-6.
• 18. Kocaman G. Hemşirelikte kanıta dayalı uygulama. Hemşirelik araştırma dergisi 2003; 5(2):61-9.
• 19. Willamson KM, Almaskar M, Lester Z, Magure D. Utilizaton of evidence-based practice knowledge, attitude and skill of clinical nurses in the planning of professional development programming. J Nurses Prof Dev 2015; 31(2),73-80.
• 20. Mohamed HES, Salem SM, Al-Agamy ZGA. Effect of using femi-band acupressure on primary dysmenorrhea: Randomized controlled trial. JNEP 2015;12(5):49-55.
• 21. Behmanesh F, Zafari M, Zeinalzadeh M, Aghamohammadi A, Akbarpoor S. Comparing the effectiveness of acupressure and fish oil capsules and ıbuprofen on pain severity of primarydysmenorrhea. Indian J Sci Technol 2012; 7(5):3059-63.
• 22. Kannana P, Chapplea CM, Millerb D, Claydon Muellerc L, Baxter GD. Effectiveness of a treadmill-based aerobic exercise intervention on pain,daily functioning, and quality of life in women with primary dysmenorrhea: A randomized controlled trial. Contemp Clin Trials 2019; 81:80–6.
• 23. Çay B, Saka S. The effect of short term aerobic exercise on dysmenorrhea in young adults. JHPR 2020; 2(3):94-101.
• 24. Dehnavi ZM, Jafarnejad F, Kamali Z. The effect of aerobic exercise on primary dysmenorrhea: A clinical trial study. J Educ Health Promot 2018; 7(3):77-84.
• 25. Vaziri F, Hoseini A, Farahnaz Kamali F, Abdali K, Hadianfard M, Mehrab Sayadi M. 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 2011; 9(1):23-7.
• 26. Azima S, Hajar SA, Bakhshayesh R, Maasumeh K, Abbasnia K, Sayadi M. Comparison of the effect of massage therapy and ısometric exercises on primary dysmenorrhea: A randomized controlled clinical trial. J Pediatr Adolesc Gynecol 2015; 28(6):486-91.
• 27. Bakhtshirin F, Abedi S, YusefiZoj P, Razmjooee D. The effect of aromatherapy massage with lavender oil on severity of primary dysmenorrhea in Arsanjan students. Iran J Nurs Midwifery Res 2015; 20(1):156–60.
• 28. Nikjou R, Kazemzadeh R, Rostamnegad M, Moshfegi S, Karimollahi M, Salehi H. The effect of lavender aromatherapy on the pain severity of primary dysmenorrhea: A triple-blind randomized clinical trial. Ann Med Health Sci Res 2016; 6(4):211–5.
• 29. Uysal M, Yılmaz Doğru H, Sapmaz E, Taş U, Çakmak B, Ozsoy AZ, ve ark. Investigating the effect of rose essential oil in patients with primary dysmenorrhea. Complement Ther Clin Pract 2016; 24:45-9.
• 30. Davaneghi S, Tarighat-Esfanjani A, Safaiyan A, Fardiazar Z. Effective reduction of primary dysmenorrheal symptoms through concurrent use of n-3fatty acids and rosa damascena extract. PCNM 2017; 7(2):33-40.
• 31. Bani S, Hasanpour S, Mousavi Z, Garehbaghi PM, Gojazadeh M. The effect of rosa damascena extract on primary dysmenorrhea: A double-blind cross-over clinical trial. Iran Red Crescent Med J 2014; 16(1):3-5.
• 32. Sadeghi Aval Shahr H, Saadat M, Kheirkhah M, Saadat E. The effect of self-aromatherapy massage of theabdomen on the primary dysmenorrhoea. J Obstet Gynaecol 2015; 35:382–5.
• 33. Zafari M, Behmanesh F, Mohammadi AA. Comparison of the effect of fish oil and ibuprofen on treatment of severe pain in primary dysmenorrhea. Caspian J Intern Med 2011; 2(3):279-282.
• 34. Sadeghi N, Paknezhad F, Nooshabadi MR, Kavianpour M, Rad SJ, Haghighian HK. Vitamin E and fish oil, separately or in combination, on treatment of primary dysmenorrhea: A double-blind, randomized clinical trial. Gynecological Endocrinology. 2018; 34(9):804–8.
• 35. Shirvani MA, Tabari NM, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: A randomized clinical trial. Arch Gynecol Obstet 2015; 291:1277–81.
• 36. Shirooye P, Hashem Dabaghian F, Hamzeloo Moghadam M, Afrakhteh M, Bioos S, and et al. A clinical comparative study of oral and topical ginger on severity and duration of primary dysmenorrhea. RJP 2017; 4(1):23-32.
• 37. Kashefi F, Khajehei M, Tabatabaeichehr M, Alavinia M, Asili J. Comparison of the effect of ginger and zinc sulfate on primary dysmenorrhea: A placebo-controlled randomized trial. Pain Manag Nurs 2014; 15(4):826-33.
• 38. Jenabi E. The effect of ginger for relieving of primary dysmenorrhoea. J Pak Med Assoc 2013; 63(1):8-10.
• 39. Pakniat H, Chegini V, Ranjkesh F, Hosseini MA. Comparison of the effect of vitamin E, vitamin D and ginger on the severity of primary dysmenorrhea: A single-blind clinical trial. Obstet Gynecol Sci 2019; 62(6):462-8.
• 40. Shah M, Monga A, Patel S, Shah M, Bakshi H. The effect of hypnosis on dysmenorrhea. Int J Clin Exp Hypn 2014; 62(2):164–78.
• 41. Wetwet HA, Fahmy NM, Ramadan S, Sayed HS. Effect of local heat application on relieving primary dysmenorrhea among nursing students. J Pediatr Adolesc Gynecol 2016; 21:10-8.
• 42. Hayam Fathey AE, Ashour ES. The impact of heat application versus stretching andcore strengthening exercises on relieving pain of primary dysmenorrhea among young females. JRNM 2017; 6(3):47-55.
• 43. Abd Elmoniem SO, Abd-Elhakam EM, Abd El Aliem RS. Effect of heat application versus stretching exercises on Relieving Discomforts of Primary Dysmenorrhea among University Student Girls. IOSR-JNHS 2020; 9(4):20-32.
• 44. Azima S, Bakhshayesh HR, Mousavi S, Ashrafizaveh A. Comparison of the effects of reflexology and massage therapy on primarydysmenorrheal. Biomedical Research. 2015;26(3):471-6.
• 45. Alp Yılmaz F, Başer M. Effects of foot reflexology on dysmenorrhea: A randomized controlled trial. Cukurova Med J 2019; 44(1):54-60.
• 46. Bai HY, Bai HY, Yang ZQ. Effect of transcutaneous electrical nerve stimulation therapy for the treatment of primary dysmenorrheal. Medicine (Baltimore) 2017; 96(36):1-3.
• 47. Lauretti GR, Oliveira R, Parada F, Mattos AL. The new portable transcutaneous electricalnerve stimulation device was efficacious in the control of primary dysmenorrhea cramp pain. Neuromodulation 2015; 18(6):522-7.
• 48. Parsa P, Bashirian S. Effect of transcutaneous electrıcal nerve stımulatıon (tens) on prımary dysmenorrhea ın adolescent gırls. J Postgrad Med Inst 2013; 27(3):326-30.
• 49. Nag U, Kodali M. Effect of Yoga on Primary Dysmenorrhea and Stress in Medical Students. IOSR-JDMS 2013; 4(1):69-73.
• 50. Rakhshaee Z. Effect of three yoga poses (cobra, cat and fish poses) in women with primary dysmenorrhea: A randomized clinical trial. J Pediatr Adolesc Gynecol 2011; 24(4):192-6.
• 51. Yonglitthipagon P, Muansiangsai S, Wongkhumngern W, Donpunha W, Chanavirut R, Siritaratiwat W, and et al. Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. J Bodyw Mov Ther 2017; 21:840-6.