Comparison of the effect of acupressure at spleen 6 and liver 3 points on the anxiety level of patients with primary dysmenorrhea- Blind randomized controlled clinical trial

authors:

avatar Mahboobeh Kafaei Atrian 1 , avatar Azam Sameie 2 , avatar Maliheh Sarvieh 3 , avatar Neda Mirbagher Ajorpaz 4 , * , avatar Mohammad Asghari Jafarabadi 5

Dept. of Midwifery, Kashan University Of Medical Sciences, Kashan, I.R. Iran.- Dept. of Health Education and Health Promotion, Faculty of Health, Iran University of Medical Sciences (International branch), Tehran, Iran
Dept. of Laboratory Sciences, Faculty of Paramedicine, Kashan University of Medical Sciences, Kashan, Iran
Deputy of Health, Kashan University of Medical Sciences, Kashan, Iran
Dept. of Nursing, Faculty of Nursing and Midwifery, Kashan University Of Medical Sciences, Kashan, Iran.- Shahid Beheshti University of Medical Sciences (International branch), Tehran, Iran
Medical Education Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

how to cite: Kafaei Atrian M, Sameie A, Sarvieh M, Mirbagher Ajorpaz N, Asghari Jafarabadi M. Comparison of the effect of acupressure at spleen 6 and liver 3 points on the anxiety level of patients with primary dysmenorrhea- Blind randomized controlled clinical trial. J Kermanshah Univ Med Sci. 2014;18(5):e74094. doi: 10.22110/jkums.v18i5.1732.

Abstract

Background: Anxiety is a factor that is associated with dysmenorrhea. The purpose of this study was to compare the effect of acupressure at spleen 6 and liver 3 points on the anxiety level of patients with primary dysmenorrhea.
Methods: In this randomized clinical trial study, acupressure was applied on spleen 6 and liver 3 points. Sixty seven students were evaluated in three menstrual periods. They were assigned to groups using a randomized block design with allocation ratio of 1:1 based on the severity of pain. Spielberger state-trait anxiety inventory (STAI) and visual analogue scale for pain intensity were used. Analysis was performed by SPSS-16 software using chi-square, t-test, Mann–Whitney, paired sample t-test and covariance analysis.
Results: In liver 3 and spleen 6 groups, 11 and 17 students were studied, respectively. The mean ±SD values of apparent anxiety before and after intervention for liver 3 group were 45.100±9.769 and 38.100±10.608 and for spleen 6 group were 46.823±12.248 and 44.352±11.942, respectively. Reduction of apparent anxiety was only significant in the liver 3 group (p<0.001). Hidden anxiety, however, didn’t show any significant change before and after intervention (p>0.05) in both groups. There was no difference between groups before and after intervention (p>0.05).
Conclusion:  Since pressure on liver 3 point reduced apparent anxiety, pressure on liver 3 point is recommended in patients with dysmenorrhea.

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