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

Yıl 2022, , 96 - 105, 30.08.2022
https://doi.org/10.30569/adiyamansaglik.1032309

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.

Destekleyen Kurum

yok

Proje Numarası

yok

Kaynakça

  • Sigurdardottir VL, Gamble J, Gudmundsdottir B, Kristjansdottir H, Sveinsdottir H and Gottfredsdottir H. The predictive role of support in the birth experience: a longitudinal cohort study. Women Birth. 2017; 30(6):450-459. DOI: 10.1016/j.wombi.2017.04.003
  • Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H. et al. Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth. 2019; 32(2):99–111. DOI: 10.1016/j.wombi.2018.07.004
  • Türkmen H and Tuna Oran N. Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study. Explore. 2021;17(5):438-445. doi: https://doi.org/10.1016/j.explore.2020.08.002
  • Karlström A, Nystedt A and Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC. 2015; 15:251. URL: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0683-0
  • Hamidzadeh A, Shahpourian F, JamshidiOrak R, Sadat Montazeri A and Khosravi A. Effects of LI4 acupressure on labor pain in the first stage of labor. J of Midwifery & Women’s Health; 2012; 57(2):133-138. DOI: 10.5001/omj.2014.113
  • Durmaz A and Kömürcü, N. Non-pharmacological methods for pain management in labour: Systematic reviews. Turkiye Klinikleri J Obst Women’s Health and Diseases Nurs. 2015; 1(3): 48-63. URL: https://www.turkiyeklinikleri.com/article/en-dogum-agrisinin-yonetiminde-non-farmakolojik-yontemler-sistematik-inceleme-74405.html.
  • Shirvani MA and Ganji J. The influence of cold pack on labour pain relief and birth outcomes: a randomised controlled trial. JNC. 2013; 23(17-18): 2473-2480. DOI: 10.1111/jocn.12413
  • Ganji Z, Sahirvani MA, Rezaei-Abhari F and Danesh M. The effect of intermittent local heat and cold on labor pain and child birth outcome. Iranian J Nurs and Midwifery Res. 2013;18(4):298-303. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872865/
  • Al-Battawi JI, Mahmoud NM and Essa RM. Effect of ice pack application on pain intensity during active phase of the first stage of labor among primiparaous. J Nurs Education and Practice. 2018; 8(2): 35-45. DOI: 10.5430/jnep.v8n2p35
  • Roscoe JA, Bushunow P, Pierre PJ, Heckler CE, Purnell JQ, Peppone LJ, et al. Acupressure bands are effective in reducing radiation therapy related nausea. J Pain and Symptom Management. 2009; 38(3):381-389. DOI: 10.1016/j.jpainsymman.2008.09.006
  • Chung UL, Hung LC, Kuo SC and Huang CL. Effects of LI 4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor. J Nurs Res. 2003; 11(4):251-260. DOI: 10.1097/01.JNR.0000347644.35251.c1
  • Adams ED. and Bianchi AL. A practical approach to labor support. J Obst, Gynecol & Neonatal Nurs. 2008;37(1):106–115. DOI: 10.1111/j.1552-6909.2007.00213.x.
  • Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane database of systematic reviews. 2012; 3(CD009234):4-5. DOI: 10.1002/14651858.CD009234
  • Yıldırım E, Alan S and Gökyıldız S. The effect of ice pressure applied on large intestinal 4 on the labor pain and labor process. Complementary Therapies in Clin Practice. 2018; 32: 25-31. DOI: 10.1016/j.ctcp.2018.02.015
  • Öztürk H and Saruhan, A. Examination of the effect of ice massage applied to the hand in reducing the pain perceived in pregnant women. J Res and Development in Nurs. 2008; 10(1):18-37. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325405/
  • Hayes MHS and Patterson DG. Experimental development of the graphic rating method. Psychological Bulletin. 1921; 18:98–99. URL: https://www.scirp.org/(S(i43dyn45teexjx455qlt3d2q))/reference/ReferencesPapers.aspx?ReferenceID=1062695
  • Price DD, McGrath PA, Rafii A and Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983; 17:45-56. DOI: 10.1016/0304-3959(83)90126-4
  • Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P and Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. The J of Rheumatology. 1990; 17(8):1022-1024. URL: https://pubmed.ncbi.nlm.nih.gov/2213777/
  • Yeung AWK and Wong NSM. The historical roots of visual analogue scale in psychology as revealed by reference publication year spectroscopy. Frontiers in Human Neuroscience. 2019; 13: 86. URL: https://doi.org/10.3389/fnhum.2019.00086
  • Ciftci B, Ekinci M, Celik EC, Tukac IC, Bayrak Y and Atalay YO. Efficacy of an ultrasound-guided erector spinae plane block for postoperative analgesia management after video-assisted thoracic surgery: A prospective randomized study. J of Cardiothoracic and Vascular Anesthesia. 2020; 34(2): 444-449. DOI: 10.1053/j.jvca.2019.04.026.
  • Agarwal MM and Elsi Sy M. Gabapentenoids in pain management in urological chronic pelvic pain syndrome: Gabapentin or pregabalin? Neurourology and Urodynamics. 2017; 36(8): 2028-2033. DOI: 10.1002/nau.23225.
  • Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P and Terwee CB. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. J Pain. 2019; 20(3): 245-263. DOI: 10.1016/j.jpain.2018.07.009
  • Ternsröm E, Hildingsson I, Haines H and Rubertsson C. Higher prevalence of childbirth related fear in foreign born pregnant women - Findings from a community sample in Sweden. Midwifery. 2015; 31(4):445-450. DOI: 10.1016/j.midw.2014.11.011
  • Rahimi-Kian F, Shahbazi S, Mohammadi S and Haghani S. Original article the effects of ice pack application on pain intensity in the active phase of labor and on birth satisfaction among primiparous women. Nurs Practice Today. 2018; 5(3): 355-362. URL: https://npt.tums.ac.ir/index.php/npt/article/view/371
  • Yazdkhasti M, Moghimi Hanjani S and Mehdizadeh Tourzani Z. The effect of localized heat and cold therapy on pain ıntensity, duration of phases of labor, and birth outcomes among primiparous females: a randomized, controlled trial. Shiraz E-Medicine J. 2018; 19(8): 2-5. DOI: 10.5812/semj.65501.

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

Yıl 2022, , 96 - 105, 30.08.2022
https://doi.org/10.30569/adiyamansaglik.1032309

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.

Proje Numarası

yok

Kaynakça

  • Sigurdardottir VL, Gamble J, Gudmundsdottir B, Kristjansdottir H, Sveinsdottir H and Gottfredsdottir H. The predictive role of support in the birth experience: a longitudinal cohort study. Women Birth. 2017; 30(6):450-459. DOI: 10.1016/j.wombi.2017.04.003
  • Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H. et al. Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth. 2019; 32(2):99–111. DOI: 10.1016/j.wombi.2018.07.004
  • Türkmen H and Tuna Oran N. Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study. Explore. 2021;17(5):438-445. doi: https://doi.org/10.1016/j.explore.2020.08.002
  • Karlström A, Nystedt A and Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC. 2015; 15:251. URL: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0683-0
  • Hamidzadeh A, Shahpourian F, JamshidiOrak R, Sadat Montazeri A and Khosravi A. Effects of LI4 acupressure on labor pain in the first stage of labor. J of Midwifery & Women’s Health; 2012; 57(2):133-138. DOI: 10.5001/omj.2014.113
  • Durmaz A and Kömürcü, N. Non-pharmacological methods for pain management in labour: Systematic reviews. Turkiye Klinikleri J Obst Women’s Health and Diseases Nurs. 2015; 1(3): 48-63. URL: https://www.turkiyeklinikleri.com/article/en-dogum-agrisinin-yonetiminde-non-farmakolojik-yontemler-sistematik-inceleme-74405.html.
  • Shirvani MA and Ganji J. The influence of cold pack on labour pain relief and birth outcomes: a randomised controlled trial. JNC. 2013; 23(17-18): 2473-2480. DOI: 10.1111/jocn.12413
  • Ganji Z, Sahirvani MA, Rezaei-Abhari F and Danesh M. The effect of intermittent local heat and cold on labor pain and child birth outcome. Iranian J Nurs and Midwifery Res. 2013;18(4):298-303. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872865/
  • Al-Battawi JI, Mahmoud NM and Essa RM. Effect of ice pack application on pain intensity during active phase of the first stage of labor among primiparaous. J Nurs Education and Practice. 2018; 8(2): 35-45. DOI: 10.5430/jnep.v8n2p35
  • Roscoe JA, Bushunow P, Pierre PJ, Heckler CE, Purnell JQ, Peppone LJ, et al. Acupressure bands are effective in reducing radiation therapy related nausea. J Pain and Symptom Management. 2009; 38(3):381-389. DOI: 10.1016/j.jpainsymman.2008.09.006
  • Chung UL, Hung LC, Kuo SC and Huang CL. Effects of LI 4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor. J Nurs Res. 2003; 11(4):251-260. DOI: 10.1097/01.JNR.0000347644.35251.c1
  • Adams ED. and Bianchi AL. A practical approach to labor support. J Obst, Gynecol & Neonatal Nurs. 2008;37(1):106–115. DOI: 10.1111/j.1552-6909.2007.00213.x.
  • Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane database of systematic reviews. 2012; 3(CD009234):4-5. DOI: 10.1002/14651858.CD009234
  • Yıldırım E, Alan S and Gökyıldız S. The effect of ice pressure applied on large intestinal 4 on the labor pain and labor process. Complementary Therapies in Clin Practice. 2018; 32: 25-31. DOI: 10.1016/j.ctcp.2018.02.015
  • Öztürk H and Saruhan, A. Examination of the effect of ice massage applied to the hand in reducing the pain perceived in pregnant women. J Res and Development in Nurs. 2008; 10(1):18-37. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325405/
  • Hayes MHS and Patterson DG. Experimental development of the graphic rating method. Psychological Bulletin. 1921; 18:98–99. URL: https://www.scirp.org/(S(i43dyn45teexjx455qlt3d2q))/reference/ReferencesPapers.aspx?ReferenceID=1062695
  • Price DD, McGrath PA, Rafii A and Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983; 17:45-56. DOI: 10.1016/0304-3959(83)90126-4
  • Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P and Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. The J of Rheumatology. 1990; 17(8):1022-1024. URL: https://pubmed.ncbi.nlm.nih.gov/2213777/
  • Yeung AWK and Wong NSM. The historical roots of visual analogue scale in psychology as revealed by reference publication year spectroscopy. Frontiers in Human Neuroscience. 2019; 13: 86. URL: https://doi.org/10.3389/fnhum.2019.00086
  • Ciftci B, Ekinci M, Celik EC, Tukac IC, Bayrak Y and Atalay YO. Efficacy of an ultrasound-guided erector spinae plane block for postoperative analgesia management after video-assisted thoracic surgery: A prospective randomized study. J of Cardiothoracic and Vascular Anesthesia. 2020; 34(2): 444-449. DOI: 10.1053/j.jvca.2019.04.026.
  • Agarwal MM and Elsi Sy M. Gabapentenoids in pain management in urological chronic pelvic pain syndrome: Gabapentin or pregabalin? Neurourology and Urodynamics. 2017; 36(8): 2028-2033. DOI: 10.1002/nau.23225.
  • Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P and Terwee CB. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. J Pain. 2019; 20(3): 245-263. DOI: 10.1016/j.jpain.2018.07.009
  • Ternsröm E, Hildingsson I, Haines H and Rubertsson C. Higher prevalence of childbirth related fear in foreign born pregnant women - Findings from a community sample in Sweden. Midwifery. 2015; 31(4):445-450. DOI: 10.1016/j.midw.2014.11.011
  • Rahimi-Kian F, Shahbazi S, Mohammadi S and Haghani S. Original article the effects of ice pack application on pain intensity in the active phase of labor and on birth satisfaction among primiparous women. Nurs Practice Today. 2018; 5(3): 355-362. URL: https://npt.tums.ac.ir/index.php/npt/article/view/371
  • Yazdkhasti M, Moghimi Hanjani S and Mehdizadeh Tourzani Z. The effect of localized heat and cold therapy on pain ıntensity, duration of phases of labor, and birth outcomes among primiparous females: a randomized, controlled trial. Shiraz E-Medicine J. 2018; 19(8): 2-5. DOI: 10.5812/semj.65501.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Emine Yıldırım 0000-0002-0207-114X

Sevil İnal 0000-0002-3260-1770

Proje Numarası yok
Yayımlanma Tarihi 30 Ağustos 2022
Gönderilme Tarihi 4 Aralık 2021
Kabul Tarihi 26 Şubat 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

AMA Yıldırım E, İnal S. The effect of cold application to the sacral area on labor pain and labor process: A randomized controlled trial. ADYÜ Sağlık Bilimleri Derg. Ağustos 2022;8(2):96-105. doi:10.30569/adiyamansaglik.1032309