Research Article
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Use of Integrative Medicine Practices by Pregnant Women with Restless Legs Syndrome

Year 2024, Volume: 27 Issue: 1, 29 - 37, 25.03.2024
https://doi.org/10.17049/jnursology.1457904

Abstract

Objective: To determine the use of integrative medicine practices in pregnant women with restless legs syndrome.

Methods: This cross-sectional descriptive study was conducted in the perinatology service and outpatient clinic of a university hospital between 2 February-11 May 2022. The study included 148 pregnant women with restless legs syndrome who met the inclusion criteria. Data were collected using the Restless Legs Syndrome Diagnostic Criteria Questionnaire, the Restless Legs Syndrome Severity Rating Scale, a Personal Information Form, and an Integrative Medicine Use Form.

Results: The pregnant women of the 61.4% were in their last trimester, and 75.7% had no information about restless legs syndrome. Symptoms started at an average of 20.29 ± 8.65 weeks of gestation and 81.1% of the pregnant women did not consult a physician. Of those who did consult a physician, 57.7% consulted a gynecologist and 81.0% were recommended vitamins/minerals as a treatment. For syndrome symptoms, 50.7% of pregnant women used integrative medicine practices. The four most commonly used methods were taking vitamins (55.9%), prayer (51.9%), brisk walking (45.2%) and massage (33.3%). There was no statistically significant difference between the use of integrative medicine practices and the severity of restless legs syndrome (P> .05).

Conclusion: Restless legs syndrome is a condition that is not widely recognized by pregnant women. About half of pregnant women try to manage the condition by using integrative medical practices for syndrome. Nurses and other health professionals should provide information to pregnant women to raise awareness of the disease and provide effective treatment options.

References

  • 1. Manconi M, Garcia-Borreguero D, Schormair B et al. Restless legs syndrome. Nat. Rev. Dis. Primers. 2021;7(1),80.
  • 2. Vlasie A, Trifu SC, Lupuleac C, Kohn B, Cristea MB. Restless legs syndrome: An overview of pathophysiology, comorbidities and therapeutic approaches. Experimental and therapeutic medicine. 2022;23(2),1-10.
  • 3. Gossard TR, Trotti LM, Videnovic A, St Louis, E. K. Restless legs syndrome: Contemporary diagnosis and treatment. Neurotherapeutics. 2021;18(1),140-155.
  • 4. Abdi A, Shareef OH, Dalvand S, Gheshlagh RG, Dehkordi AH. Prevalence of restless legs syndrome in pregnant women: A systematic review and meta-analysis. Prz. Epidemiol. 2021;75(3).
  • 5. Darvishi N, Daneshkhah A, Khaledi-Paveh B. et al. The prevalence of Restless Legs Syndrome/Willis-ekbom disease (RLS/WED) in the third trimester of pregnancy: A systematic review. BMC Neurol. 2020;20(1):1-7.
  • 6. Kaplan Ö, Başer M. Restless legs syndrome in pregnancy. JGEHES, 2022;5(1),88-102.
  • 7. Connor JR, Patton SM, Oexle K, Allen RP. Iron and restless legs syndrome: Treatment, genetics and pathophysiology. Sleep Med. 2017;31:61-70.
  • 8. Turan H, Aşkın Turan S, Butun Z, Kayapınar M. The prevalence, severity, and predictive factors of restless legs syndrome in pregnancy. Cureus. 2023;15(9): e44884. doi: 10.7759/cureus.44884.
  • 9. Dikmen Alan H. The effect of restless leg syndrome in pregnant women on sleep quality and anxiety level. AUHSJ. 2020;12(1),132-138.
  • 10. Steinweg K, Nippita T, Cistulli PA, Bin YS. Maternal and neonatal outcomes associated with restless legs syndrome in pregnancy: A systematic review. Sleep Med Rev. 2020;54:101359. doi: 10.1016/j.smrv.2020.101359.
  • 11. Koç Z, Sağlam Z, Topatan S. Determination of the usage of complementary and alternative medicine among pregnant women in the Northern Region of Turkey. Collegian. 2017;24(6):533-539.
  • 12. Kılavuz M, Okumus F. Use of traditional and complementary health approaches in pregnancy symptoms. JOWHEN. 2022;8(3):125-132.
  • 13. Picchietti DL, Hensley JG, Bainbridge JL, et al. Consensus clinical practice guidelines for the diagnosis and treatment of restless legs syndrome/Willis-Ekbom disease during pregnancy and lactation. Sleep Med Rev. 2015;22:64-77.
  • 14. Akbaş P, Sözbir ŞY. The effect of progressive muscle relaxation exercise on the intensity of symptoms and quality of sleep and quality of life in pregnant women with restless leg syndrome. Patient Educ Couns. 2023;113:107768.
  • 15. Kaplan Ö, Başer M, Müderris İİ. The effect of hot water application in pregnant women with restless legs syndrome: A randomized controlled study. IJCS. 2023;16(2):891-900.
  • 16. Sokunbi G, Takai IU, Nwosu IB, Balarabe R. Effects of acupressure and acupuncture-like transcutaneous electrical nerve stimulation on sleep quality among pregnant women. JAMS. 2020;13:180-186.
  • 17. Jafarimanesh H, Vakilian, Mobasseri S. Thermo-therapy and cryotherapy to decrease the symptoms of restless leg syndrome during the pregnancy: A randomized clinical trial. Complement Ther Med. 2020;50:102409.
  • 18. Hemşirelik Yönetmeliği. Accessed July 14, 2022. http://www.turkhemsirelerdernegi.org.tr/hemsirelik-yonetmeligi
  • 19. İsmailoğulları S, Öztürk A, Mazıcıoğlu MM, Serin S, Gültekin M, Aksu M. Restless legs syndrome and pregnancy in Kayseri, Turkey: A hospital-based survey. Sleep Biol Rhythms. 2010;8(2):137-143. 20. Hening WA, Allen RP. Restless legs syndrome (RLS): The continuing development of diagnostic standards and severity measures. Sleep Med. 2003;4(2):95-97.
  • 21. Walters AS, LeBrocq C, Dhar A, et al. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med. 2003;4(2):121-132.
  • 22. Ay E, Yılmaz NH, Düz ÖA, Özer FF. Validity and reliability of the Turkish version of the International Restless Legs Syndrome Study Group rating scale. Acta Medica Alanya. 2019;3(2):105-110.
  • 23. National Center for Complementary and Integrative Health (NCCIH). What is complementary and alternative medicine? Accessed July 14,2022. https://nccih.nih.gov/health/integrative-health
  • 24. Huskisson EC. Measurement of pain. J Rheumatol. 1982;9:768-769.
  • 25. Bowman RL, Davis DL, Ferguson S, Taylor J. Women's motivation, perception and experience of complementary and alternative medicine in pregnancy: A meta-synthesis. Midwifery. 2018;59:81-87.
  • 26. Öztürk G, Nazlı Ünlü Uzunkaya, Karaçam Z. The internet and social media using of pregnant women as a source of information. Journal of Adnan Menderes University Health Sciences Faculty. 2020;4(3):210-220.
  • 27. Aksu S. Prenatal care status and factors of pregnant women in Balıkesir province center. BAUN Health Sci J. 2020; 9(3):179-188.
  • 28. Song YY, Hu RJ, Diao YS, Chen L, Jiang XL. Effects of exercise training on restless legs syndrome, depression, sleep quality, and fatigue among hemodialysis patients: A systematic review and meta-analysis. JPSM. 2018;55(4),1184-1195.
  • 29. Pantaleo NP, Hening WA, Allen RP, Earley CJ. Pregnancy accounts for most of the gender difference in prevalence of familial RLS. Sleep Med. 2010;11:310-313.
  • 30. Guay A, Houle M, O'Shaughnessy J, Descarreaux M. Current evidence on diagnostic criteria, relevant outcome measures, andefficacy of nonpharmacologic therapy in the management of restless legs syndrome (RLS): A scoping review. JMPT. 2020;43(9), 930-941.
  • 31. Kaplan Ö, Başer M. A Neglected Area: Restless Leg Syndrome in Pregnancy and The Role of the Obstetrics and Gynecology Nurse. İKÇÜSBFİ, 2023;8(3),1073-1080.

Huzursuz Bacak Sendromu Olan Gebelerin Bütünleşik Tıp Uygulamalarını Kullanma Durumları

Year 2024, Volume: 27 Issue: 1, 29 - 37, 25.03.2024
https://doi.org/10.17049/jnursology.1457904

Abstract

Amaç : Huzursuz bacak sendromu olan gebelerin bütünleşik tıp uygulamalarını kullanma durumlarının belirlenmesi.

Yöntemler : Kesitsel tanımlayıcı tipte olan çalışma, bir üniversite hastanesinin perinatoloji servisi ve polikliniğinde 2 Şubat-11 Mayıs 2022 tarihleri arasında yürütülmüştür. Çalışma huzursuz bacak sendromu olan ve dahil edilme kriterlerini karşılayan 148 gebe ile yapılmıştır. Veriler Huzursuz Bacak Sendromu Tanı Kriterleri Anket Formu, Huzursuz Bacak Sendromu Şiddeti Derecelendirme Skalası, Kişisel Bilgi Formu ve Bütünleşik Tıp Uygulamaları Kullanım Formu ile toplanmıştır.

Bulgular : Gebelerin %61,4’ü son trimesterdadır, %75,7’sinin huzursuz bacak sendromu ile ilgi bilgisi bulunmamaktadır. Semptomlar ortalama olarak gebeliğin 20,29 ± 8,65 haftasında başlamakta olup gebelerin %81,1’i bunun için hekime başvurmamıştır. Hekime gidenlerin %57,7’si kadın hastalıkları ve doğum uzmanına başvurmuş ve %81.0’ine tedavi olarak vitamin/mineral önerilmiştir. Gebelerin %50,7’si sendrom semptomları nedeniyle bütünleşik tıp uygulamalarını kullanmaktadır. Gebelerin en sık kullandığı dört yöntem sırası ile vitamin kullanımı (%55,9), dua etme (%51,9), tempolu yürüyüş (%45,2) ve masajdır (%33,3). Gebelerin entegre tıp uygulamaları kullanım durumları ile huzursuz bacak sendromu şiddeti arasında istatistiksel olarak anlamlı bir farklılık bulunmamaktadır (P > .05).

Sonuç: Huzursuz bacak sendromu gebeler tarafından çok fazla tanınmayan bir hastalık olarak görülmektedir. Gebelerin yaklaşık olarak yarısı HBS için bütünleşik tıp uygulamalarını kullanarak hastalıkla baş etmeye çalışmaktadır. Hemşireler ve diğer sağlık çalışanları hastalığa ilişkin farkındalık artırmak ve etkili tedavi seçenekleri sunmak için gebeleri bilgilendirmelidir.

References

  • 1. Manconi M, Garcia-Borreguero D, Schormair B et al. Restless legs syndrome. Nat. Rev. Dis. Primers. 2021;7(1),80.
  • 2. Vlasie A, Trifu SC, Lupuleac C, Kohn B, Cristea MB. Restless legs syndrome: An overview of pathophysiology, comorbidities and therapeutic approaches. Experimental and therapeutic medicine. 2022;23(2),1-10.
  • 3. Gossard TR, Trotti LM, Videnovic A, St Louis, E. K. Restless legs syndrome: Contemporary diagnosis and treatment. Neurotherapeutics. 2021;18(1),140-155.
  • 4. Abdi A, Shareef OH, Dalvand S, Gheshlagh RG, Dehkordi AH. Prevalence of restless legs syndrome in pregnant women: A systematic review and meta-analysis. Prz. Epidemiol. 2021;75(3).
  • 5. Darvishi N, Daneshkhah A, Khaledi-Paveh B. et al. The prevalence of Restless Legs Syndrome/Willis-ekbom disease (RLS/WED) in the third trimester of pregnancy: A systematic review. BMC Neurol. 2020;20(1):1-7.
  • 6. Kaplan Ö, Başer M. Restless legs syndrome in pregnancy. JGEHES, 2022;5(1),88-102.
  • 7. Connor JR, Patton SM, Oexle K, Allen RP. Iron and restless legs syndrome: Treatment, genetics and pathophysiology. Sleep Med. 2017;31:61-70.
  • 8. Turan H, Aşkın Turan S, Butun Z, Kayapınar M. The prevalence, severity, and predictive factors of restless legs syndrome in pregnancy. Cureus. 2023;15(9): e44884. doi: 10.7759/cureus.44884.
  • 9. Dikmen Alan H. The effect of restless leg syndrome in pregnant women on sleep quality and anxiety level. AUHSJ. 2020;12(1),132-138.
  • 10. Steinweg K, Nippita T, Cistulli PA, Bin YS. Maternal and neonatal outcomes associated with restless legs syndrome in pregnancy: A systematic review. Sleep Med Rev. 2020;54:101359. doi: 10.1016/j.smrv.2020.101359.
  • 11. Koç Z, Sağlam Z, Topatan S. Determination of the usage of complementary and alternative medicine among pregnant women in the Northern Region of Turkey. Collegian. 2017;24(6):533-539.
  • 12. Kılavuz M, Okumus F. Use of traditional and complementary health approaches in pregnancy symptoms. JOWHEN. 2022;8(3):125-132.
  • 13. Picchietti DL, Hensley JG, Bainbridge JL, et al. Consensus clinical practice guidelines for the diagnosis and treatment of restless legs syndrome/Willis-Ekbom disease during pregnancy and lactation. Sleep Med Rev. 2015;22:64-77.
  • 14. Akbaş P, Sözbir ŞY. The effect of progressive muscle relaxation exercise on the intensity of symptoms and quality of sleep and quality of life in pregnant women with restless leg syndrome. Patient Educ Couns. 2023;113:107768.
  • 15. Kaplan Ö, Başer M, Müderris İİ. The effect of hot water application in pregnant women with restless legs syndrome: A randomized controlled study. IJCS. 2023;16(2):891-900.
  • 16. Sokunbi G, Takai IU, Nwosu IB, Balarabe R. Effects of acupressure and acupuncture-like transcutaneous electrical nerve stimulation on sleep quality among pregnant women. JAMS. 2020;13:180-186.
  • 17. Jafarimanesh H, Vakilian, Mobasseri S. Thermo-therapy and cryotherapy to decrease the symptoms of restless leg syndrome during the pregnancy: A randomized clinical trial. Complement Ther Med. 2020;50:102409.
  • 18. Hemşirelik Yönetmeliği. Accessed July 14, 2022. http://www.turkhemsirelerdernegi.org.tr/hemsirelik-yonetmeligi
  • 19. İsmailoğulları S, Öztürk A, Mazıcıoğlu MM, Serin S, Gültekin M, Aksu M. Restless legs syndrome and pregnancy in Kayseri, Turkey: A hospital-based survey. Sleep Biol Rhythms. 2010;8(2):137-143. 20. Hening WA, Allen RP. Restless legs syndrome (RLS): The continuing development of diagnostic standards and severity measures. Sleep Med. 2003;4(2):95-97.
  • 21. Walters AS, LeBrocq C, Dhar A, et al. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med. 2003;4(2):121-132.
  • 22. Ay E, Yılmaz NH, Düz ÖA, Özer FF. Validity and reliability of the Turkish version of the International Restless Legs Syndrome Study Group rating scale. Acta Medica Alanya. 2019;3(2):105-110.
  • 23. National Center for Complementary and Integrative Health (NCCIH). What is complementary and alternative medicine? Accessed July 14,2022. https://nccih.nih.gov/health/integrative-health
  • 24. Huskisson EC. Measurement of pain. J Rheumatol. 1982;9:768-769.
  • 25. Bowman RL, Davis DL, Ferguson S, Taylor J. Women's motivation, perception and experience of complementary and alternative medicine in pregnancy: A meta-synthesis. Midwifery. 2018;59:81-87.
  • 26. Öztürk G, Nazlı Ünlü Uzunkaya, Karaçam Z. The internet and social media using of pregnant women as a source of information. Journal of Adnan Menderes University Health Sciences Faculty. 2020;4(3):210-220.
  • 27. Aksu S. Prenatal care status and factors of pregnant women in Balıkesir province center. BAUN Health Sci J. 2020; 9(3):179-188.
  • 28. Song YY, Hu RJ, Diao YS, Chen L, Jiang XL. Effects of exercise training on restless legs syndrome, depression, sleep quality, and fatigue among hemodialysis patients: A systematic review and meta-analysis. JPSM. 2018;55(4),1184-1195.
  • 29. Pantaleo NP, Hening WA, Allen RP, Earley CJ. Pregnancy accounts for most of the gender difference in prevalence of familial RLS. Sleep Med. 2010;11:310-313.
  • 30. Guay A, Houle M, O'Shaughnessy J, Descarreaux M. Current evidence on diagnostic criteria, relevant outcome measures, andefficacy of nonpharmacologic therapy in the management of restless legs syndrome (RLS): A scoping review. JMPT. 2020;43(9), 930-941.
  • 31. Kaplan Ö, Başer M. A Neglected Area: Restless Leg Syndrome in Pregnancy and The Role of the Obstetrics and Gynecology Nurse. İKÇÜSBFİ, 2023;8(3),1073-1080.
There are 30 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Research Articles
Authors

Özlem Kaplan 0000-0003-1050-8804

Mürüvvet Başer 0000-0003-4565-2275

Fulya Çağli 0000-0002-6492-3379

Early Pub Date March 28, 2024
Publication Date March 25, 2024
Published in Issue Year 2024 Volume: 27 Issue: 1

Cite

AMA Kaplan Ö, Başer M, Çağli F. Use of Integrative Medicine Practices by Pregnant Women with Restless Legs Syndrome. Journal of Nursology. March 2024;27(1):29-37. doi:10.17049/jnursology.1457904