Primiparous Mothers Who Gave Birth by Cesarean Section
Conditions
Keywords
hand massage, cesarean delivery, ache, comfort, gas outlet, midwife
Brief summary
H1-1 Hypothesis: Hand massage applied after cesarean delivery has an effect on reducing the level of pain in the cesarean section incision area of women. H1-2 Hypothesis: Hand massage applied after cesarean delivery has an effect on increasing the comfort scale score of women. H1-3 Hypothesis: Hand massage applied after cesarean delivery has an effect on reducing the time of gas production in women.
Interventions
Hand massage will be applied to primiparous mothers who gave birth by cesarean section and its effect on pain, comfort and gas release times will be evaluated.
Sponsors
Study design
Intervention model description
Single Group Assignment Women who had cesarean section in the institution were evaluated in terms of sample. They were divided into two groups as criteria and random sampling. be an order obtained a random number table, capable of random sampling automatically by means of programs on websites by specifying a number. samples. Selection of intervention and control groups determined by tossing a coin. The sample number was determined as 83 women who had a total of 166 cesarean section in each of the intervention and control groups. Considering the data losses, 10% more was calculated and it was planned to conduct the research with a total of 182 women (91 women in the intervention group, 91 women in the control group).
Eligibility
Inclusion criteria
Having primiparous pregnancy, * 18 years old and over, * Able to speak Turkish and express himself in Turkish, * Does not have any disability (such as vision, hearing) * Having completed the 6th hour after cesarean delivery, hospitalized in the gynecology service, * Having undergone cesarean section with spinal anesthesia, * Having no findings such as wounds, nerve problems, history of surgery or amputation on their hands, * Single pregnancy, * Women who are open to communication and who are mentally and physically healty
Exclusion criteria
Not accepting to work, * Having a gas outlet before starting the application, * Presence of findings such as wounds on hands, nerve problems, history of surgery or amputation, * Having postpartum hemorrhage, * With uterine subinvolution, * Having a cesarean section with another type of anesthesia other than spinal anesthesia (such as general, epidural combined) * Having twin babies, * Having a premature baby (the baby needs more attention and care) * Women whose babies are hospitalized in the neonatal intensive care unit.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| inclusion of women in the study and filling out the introductory information form | maximum one hour | Women are included in the study by filling out the introductory information form. The information obtained will be recorded in the SPSS 20.0 package program. |
| ensuring the randomization of the women included in the study into the intervention and control groups | Five min | Distributions are made to women included in the study and to control and intervention groups. |
| practicing and observing hand massage | an average of 12-13 hours | Mothers assigned to the intervention group receive 2 sessions of hand massage. The first session is applied at the 6th hour after the cesarean section, and the second session is applied at the 12th hour after the cesarean section. Routine care is applied to the control group and hand massage is not applied. |
| assessment of pain | five min | Women in the intervention and control groups are assessed for pain with the Visual Analog Scale (VAS). |
| comfort assessment | ten min | Women in the intervention and control groups will be evaluated with the Postpartum Comfort Scale. |
| Evaluation of gas exit time | five min | The effectiveness of hand massage will be evaluated by looking at the time between cesarean section hours and gas release times of women in the intervention and control groups. |
Countries
Turkey (Türkiye)