Sakral bölgeye uygulanan soğuk uygulamanın doğum ağrısı ve sürecine etkisinin belirlenmesi: Randomize kontrollü bir çalışma

Yıl 2022, , 96 - 105, 30.08.2022

Emine Yıldırım , Sevil İnal

https://doi.org/10.30569/adiyamansaglik.1032309

Cited By: 1

Öz

Amaç: Bu çalışmada sakral bölgeye uygulanan soğuk uygulamanın doğum ağrısı ve sürecine etkisinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Araştırma randomize kontrollü deneysel bir çalışma olarak gerçekleştirildi. Deney grubundaki gebelere, 4 cm servikal açıklıktan sonra 20 dakika arayla 10 dakika süre ile soğuk uygulama yapılırken, kontrol grubundaki gebelere ünitenin rutin bakım protokolü uygulandı.
Bulgular: Soğuk uygulama sonrası deney grubu gebelerin, kontrol grubuna göre, 40. dakikada (p=0,041), 100. dakikada (p<0,001) ve 160. dakikada (p=0,014) ağrı skorlarının, istatistiksel olarak anlamlı ölçüde düşük olduğu, doğum eyleminin, kontrol grubuna göre istatistiksel düzeyde anlamlı ölçüde daha kısa sürede gerçekleştiği belirlendi (p<0,001). Ayrıca, deney grubundaki gebelerde dilatasyon ve efasmanın istatistiksel düzeyde anlamlı ölçüde daha kısa sürede gerçekleştiği görüldü (p<0,05).
Sonuç: Doğum eyleminin birinci evresinde sakral bölgeye yapılan soğuk uygulama, kadınların doğum ağrısını azaltmakta, doğum süresini kısaltmakta, efasman ve dilatasyonun daha hızlı gerçekleşmesine katkı sağlamaktadır.

Anahtar Kelimeler

Ağrı yönetimi, Dilatasyon, Doğum ağrısı, Soğuk uygulama, Sakral bölge

Destekleyen Kurum

yok

Proje Numarası

yok

The effect of cold application to the sacral area on labor pain and labor process: A randomized controlled trial

Öz

Aim: This study aims to determine the effect of cold application to the sacral area in the first stage of labor on labor pain and process.
Materials and Methods: The study was done as a randomized controlled experimental study. While the women in the experimental group received cold application for 10 minutes every 20 minutes after 4 cm of cervical dilatation, the women in control group received routine care protocol of the unit.
Results: The pregnant women in experimental group showed statistically significantly low score of pain on the 40th (p=0.041), 100th (p<0.001), and 160th (p=0.014) minutes and had statistically significantly shorter delivery time (p<0.001) in comparison to the control group. It was also found that dilatation and effacement happened in statistically significantly shorter time in the experimental group (p<0.05).
Conclusion: Cold application to the sacral area of pregnant women in the first stage of labor reduces labor pain, shortens labor time, and shortens dilatation and effacement time.

Anahtar Kelimeler

Pain management, Dilation, Labor pain, Cold application, Sacral area

Proje Numarası

yok

Kaynakça

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