نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد مامایی، مرکز بهداشتی ـ درمانی همت‌آباد سبزوار، سبزوار، ایران

2 مربی گروه مامایی، دانشکدة پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 مرکز تحقیقات فارماکولوژیک گیاهان دارویی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

4 دکترای تخصصی آمار زیستی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

زمینه و هدف: سندرم پیش از قاعدگی مجموعه ای از علائم عاطفی، رفتاری و جسمی است. این سندرم باعث کاهش کیفیت زندگی می شود. کیفیت زندگی یک نتیجه مقیاسی مهم در پزشکی و مراقبت های بهداشتی است. مطالعه حاضر با هدف تعیین تأثیر کپسول سیاه دانه بر کیفیت زندگی دانشجویان دارای سندرم پیش از قاعدگی انجام شد.
مواد و روش‌ ها: این مطالعه کارآزمایی بالینی تصادفی دوسوکور در سال 1396 بر روی 84 نفر از دانشجویان دارای علائم سندرم پیش از قاعدگی ساکن در خوابگاه های دانشجویی دخترانه دانشگاه علوم پزشکی مشهد انجام شد. افراد به صورت تصادفی به دو گروه مداخله و کنترل تقسیم شدند. گروه مداخله روزانه ۱500 میلی گرم سیاه دانه از 7 روز قبل از شروع خونریزی قاعدگی تا 3 روز اول خونریزی قاعدگی به مدت 2 سیکل و گروه دارونما کپسولهای مشابه حاوی مخلوطی با نسبت یکسان لاکتوز و نشاسته را با همان شرایط دریافت کردند. کیفیت زندگی توسط پرسشنامه SF-12 و شدت علائم سندرم پیش از قاعدگی با پرسشنامه COPE در پایان ماه دوم مداخله با قبل از مداخله مقایسه شد. تجزیه و تحلیل داده ها توسط نرم افزار SPSS نسخه 23 و آزمون های من ویتنی، ویلکاکسون، تی مستقل و تی زوجی انجام شد. سطح معنی دار آماری 05/0>P در نظر گرفته شد.
یافته ‌ها: در این مطالعه بهبود کیفیت زندگی دانشجویان دارای سندرم پیش از قاعدگی در تمام ابعاد به خصوص در عملکرد فیزیکی، درد جسمانی و سلامت روان در پایان ماه دوم مصرف کپسول سیاه دانه در گروه مداخله نسبت به گروه دارونما افزایش معناداری داشت(001/0>P).
نتیجه گیری: کپسول سیاه دانه در بهبود کیفیت زندگی دانشجویان دارای سندرم پیش از قاعدگی مؤثر است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of Nigella sativa seeds capsules on the quality of life in students with Premenstrual Syndrome: A randomized clinical trial

نویسندگان [English]

  • Samaneh Maskani 1
  • Mahin Tafazoli 2
  • Hasan Rakhshandeh 3
  • Habibollah Esmaily 4

1 Master of Midwifery, Hemmat abad Health Center Sabzevar, Sabzevar, Iran

2 Instructor, Faculty member of Midwifery Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Pharmacological Research Center of Medicinal Plants, Mashhad University of Medical Sciences, Mashhad, Iran

4 Ph.D. in Biostatistics, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده [English]

Background: Premenstrual syndrome is a collection of emotional, behavioral, and physical symptoms. This syndrome reduces the quality of life. Quality of life is a major measure in medical and health care. The aim of this study was to determine the effect of Nigella sativa seeds on the quality of life of students with premenstrual syndrome.
Materials and Methods: Double blind randomized clinical trial study was performed on 84 students with symptoms of premenstrual syndrome in Mashhad University of Medical Sciences in 1396. The subjects were randomly divided into intervention and control groups. The intervention group received 1500 mg of Nigella sativa seeds daily from 7 days before the onset of menstrual bleeding to the first 3 days of menstrual bleeding for 2 cycles, and the placebo received similar capsules containing the same ratio of lactose and starch in the same conditions. Quality of life and severity of symptoms of premenstrual syndrome were compared to the end of the second month of interventiontwo with before intervention. Data were analyzed by SPSS version 23 and Mann-Whitney, Wilcoxon, Independent T-test and paired T-test. The significance level was considered as P

کلیدواژه‌ها [English]

  • Nigella sativa
  • Premenstrual Syndrome
  • Quality of life
  • Clinical trial
[1]. Camara R, Köhler C, Frey B, Hyphantis T, Carvalho A. Validation of the brazilian portuguese version of the premenstrual symptoms screening tool (PSST) and association of PSST scores with health-related quality of life. Revista Brasileira de Psiquiatria. 2017; 3-9: 146-9.
[2]. Marc A, Speroff L.Clinical gynecologic endocrinilogy and infertility. 8th ed. USA: Williams & Wilkins; c2011. 567-78.
[3]. Miyaoka YAY, Ueda K, Ujiie Y, Kametani M, Uchiide Y, et al. Fulfillment of the premenstrual dysphoric disorder criteria confirmed using a self-rating questionnaire among Japanese women with depressive disorders. Biopsychosoc Med. 2011; 5: 5.
[4]. Khayat S, Kheirkhah M, Behboodi Moghadam Z, Fanaei H, Kasaeiyan A. The effect of ginger on symptoms of premenstrual syndrome in university students. Medical Surgical Nursing Journal. 2014; 3(1): 10-16. (persian)
[5]. Study protocol for the world health organization project todevelop a quality of life assessment instrument (WHOQOL).Qual Life Res 2 1993: 153-9.
[6]. Sahin SOK, Unsal A. Evaluation of premenstrual syndrome and quality of life in university students. JPMA. 2014; 64: 915-22.
[7]. Zarei Z, Bazzazian S. The relationship between premenstrual syndrome disorder, stress and quality of life in female students. Iranian Journal of Psychiatric Nursing. 2015; 2(4): 49-58. (persian)
[8]. Borenstein JE, Dean BB, Endicott J, et al. Health and economic impact of the premenstrual syndrome. Journal of Reproductive Medicine, 2003; 48: 515-24.
[9]. Hylan TR, Sundell K, Judge R. The impact of premenstrual symptomatology on functioning and treatment-seeking behaviour: Experience from the United States, United Kingdom and France. Journal of Women’s Health and Gender-Based Medicine. 1999; 8: 1043-52.
[10]. Rapkin AJ, Winer SA. Premenstrual syndrome and premenstrual dysphoric disorder: quality of Life and burden of illness. Expert Review of Pharmacoeconomics & Outcomes Research. 2009; 9: 157-70.
[11]. Borenstein JE, Dean BB, Endicott J, Wong J, Brown C, Dickerson V, Yonkers KA. Health and economic impact of the premenstrual syndrome. J Reprod Med 2003, 48: 515-24.
[12]. Delara et al. Health related quality of life among adolescents with premenstrual disorders: a cross sectional studyHealth and Quality of Life Outcomes. 2012; 10:1.
[13]. Thu M, Diaz EO. Sawh S. Premenstural syndrome among female univesity student in thailand. AU J T 2006; 9(3): 158-62.
[14]. Bertone J. Vitamin D and the occurance of depression: Causal association or circumstantial evidence? Nutr Rev. 2009; 67(8): 481-92.
[15]. Salehi L, Salehi F. Comparative study of vitamin B6 versus placebo in premenstrual syndrome. Scietific Journal of Kurdistan University of Medical Sciences 2007; 12(3): 42-49. (persian)
[16]. Freeman EW. Therapeutic management of premenstrual syndrome. Expert Opin Pharmacother 2010; 11: 2879-89.
[17]. Fallah H, Mohtashami R. A review of the pharmacological effects of Nigella sativa. Journal of Medicinal Plants. 2011: 10(2): 1-14. (persian)
[18]. Ahmad AHA, Mujeeb M. A review on therapeutic potential of Nigella sativa: A miracle herb. Asian Pac J Trop Biomed. 2013; 3(5): 337-5.
[19]. Tangyuenyongwatana P, Kowapradit J, Opanasopit P, Gritsanapan W. Cellular transport of anti-inflammatory pro-drugs originated from a herbal formulation of Zingiber cassumunar and Nigella sativa. Chinese medicine. 2009; 4(1): 19.
[20]. Maskani STM, Rakhshandeh H, Esmaily H, Dadgar S. The effect of nigella sativa seeds capsules on the severity of physical symptoms in people with premenstrual syndrome. JMP. 2018; 1 (69): 164-74.
[21].Ziae TMN, Hosenzadeh H. The effect pharmacologic of nigella sativa seeds. 2013; 11(2): 16-42. (persian)
[22].Dollah M, Rahman S. Assessing estrogenic activity of nigella sativa in ovariectomized rats using vaginal cornification assay. African Journal of Pharmacy and Pharmacology. 2011; 5(2): 137-42.
[23].Baliga MSH, D'Souza JJ, Pallaty PL, Bhat HP, et al. Update on the chemopreventive effects of ginger and its phytochemicals. Crit Rev Food Sci Nutr. 2011; 51(6): 499-523.
[24].Yang DK, Rahman M, Lee SJ, Kim SJ. Nigella sativa seed extract attenuates the fatigue induced by exhaustive swimming in rats. Biomedical Reports. 2017; 6(4): 468-74.
[25].Al-Majed AA, Al-Omar FA, Nagi MN. Neuroprotective effects of thymoquinone against transient forebrain ischemia in the rat hippocampus. European Journal of pharmacology. 2006; 543(1).
[26].Bin Sayeed MS, Shams T, Fahim Hossain S, Rahman MR, Mostofa AG, Kadir MF, Mahmood S, Asaduzzaman M. Nigella sativa L. seeds modulate mood, anxiety and cognition in healthy adolescent males. Journal of ethnopharmacology. 2014; 152(1): 156-62.
[27]. [27] Mohanazadeh F. Comparison of the influence nigella sativa with mefenamic acid on primary dysmenorrhea. [dissertation]. Iran. Mashhad University of Medical Sciences; 2015. 151p. (persian)
[28].Dadi Givshad R. Investigating the impact of life skills education on students’ premenstrual syndrome symptom severity , residing in dormitories of Ferdowsi University of Mashhad in the school year 2012-2013. [dissertation]. Iran. Mashhad University of Medical Sciences; 2015. 56p. (persian)
[29]. Mohebbi Z. The Comparison of aerobic exercise program in warm and cool temperamenton on severity of symptoms of premenstrual syndrome. [dissertation]. Iran. Mashhad University of Medical Sciences; 2016. 56p. (persian)
[30]. Girman ALR, Kligler B. An integrative medicine approach to premenstrual syndrome. American journal of obstetrics and gynecology. 2003; 188(5): S56-65.
[31]. Bin Sayeed MS, Shams T, Fahim Hossain S. Nigella sativa L. seeds modulate mood, anxiety and cognition in healthy adolescent males. J Ethnopharmacol. 2014; 152(1): 156-62.
[32]. Khanzode SD, Dakhale GN, Khanzode SS, Saoji A, Palasodkar R. Oxidative damage and major depression: the potential antioxidant action of selective serotonin re-uptake inhibitors. Redox Report. 2003; 8: 365-70.
[33]. Duvan CI, Cumaoglu A, Turhan NO, Karasu C, Kafali H. Oxidant/antioxidant status in premenstrual syndrome. Arch Gynecol Obstet. 2011; 283: 299-304.
[34]. Ghodake SR, Suryakar AN, Kulhalli PM, Padalkar RK, Shaikh AK. A study of oxidative stress and influence of antioxidant vitamins supplementation in patients with major depression. Curr Neurobiol. 2012; 3: 107-11.
[35]. Hariri F, Moghaddam Banaem L. Omega-3 consumption in premenstrual syndrome: measuring its effects on the quality of life using the Premenstrual Symptoms Screening Tool (PSST) and SF12 questionnaire. [dissertation]. Iran. Tarbiat Modares University; 2010. 110p. (persian)
[36].Siahbazi S, Behboudi-Gandevani S, Moghaddam-Banaem L and Montazeri A. Effect of zinc sulfate supplementation on premenstrual syndrome and health-related quality of life: Clinical randomized controlled trial. J. Obstet. Gynaecol. Res. 2017: 1-8