Epizyotomi Yara Bakımı ve Genital Hijyen Eğitiminin Epizyotomi Yara İyileşmesi ve Ağrı Algısına Etkisi: Randomize Kontrollü Çalışma

Yıl 2026, Cilt: 19 Sayı: 1, 15 - 31, 15.01.2026

Gonca Buran , Seyhan Çankaya

https://doi.org/10.46483/jnef.1421050

Öz

Amaç
Epizyotomi yara bakımı ve genital hijyen eğitiminin epizyotomi yara iyileşmesi ve ağrı algısı üzerine etkisini belirlemektir.
Yöntem
Randomize kontrollü çalışma, Mart 2022 ile Nisan 2022 tarihleri arasında tıp fakültesi hastanesinin doğum sonrası servisinde gerçekleştirildi. Vajinal epizyotomi uygulanan 128 kadın, deney (n=64) ve kontrol (n=64) grubuna randomizasyon yöntemiyle atandı. Deney grubundaki doğum yapan kadınlara epizyotomi yara bakımı ve genital hijyen eğitimi verildi. Kontrol grubunda doğum yapan kadınlara rutin doğum sonrası bakım verildi. Veriler kişisel bilgi formu, epizyotomi alanı değerlendirme ölçeği (REEDA skoru) ve Görsel Analog Skala (VAS) kullanılarak toplandı.
Bugular
Eğitim grubundaki kadınların REEDA Ölçeğine göre doğum sonrası beşinci ve 15. günlerde epizyotomi bölgesindeki yara iyileşme durumunun kontrol grubundaki kadınlara göre (kızarıklık, ödem, ekimoz, akıntı, yakınlaşma açısından) daha hızlı iyileştiği belirlendi (p<0.05). Doğum sonrası beşinci ve 15. günde VAS ile yapılan değerlendirme sonucunda eğitim grubundaki kadınların epizyotomi yara yeri ağrısı algısının kontrol grubundaki kadınlara göre daha düşük olduğu belirlendi (p<0,05).
Sonuç
Epizyotomi yara bakımı ve genital hijyen eğitiminin beşinci (ekimoz hariç) ve 15. günlerde kızarıklık, ödem, ekimoz, akıntı ve dokuların yakınlaşması açısından epizyotomi yara iyileşmesinin hızlanmasına ve ağrı algısının azmasına katkı sağladığı belirlenmiştir.

Anahtar Kelimeler

Epizyotomi , Genital Hijyen , Postpartum Bakım , REEDA Ölçeği , Yara Bakımı , Yara iyileşmesi , Genital Hygiene , Genital Hygiene , Postpartum Care , Postpartum Care , REEDA Scale , REEDA Scale , Wound Healing , Wound Healing

Etik Beyan

Yazarlar arasında herhangi bir etik çatışma yoktur

Destekleyen Kurum

Yok

Proje Numarası

yok

Teşekkür

çalışmamıza destek veren tüm katılımcılara teşekkür ederiz

The Effect of Episiotomy Wound Care and Genital Hygiene Training on Episiotomy Wound Healing and Pain Perception: Randomized Controlled Trial

Öz

Objective
To determine the effect of episiotomy wound care and genital hygiene training on episiotomy wound healing and pain perception.
Method
This randomized controlled trial was carried out in the postpartum service of the medical faculty hospital between March 2022 and April 2022. 128 women who underlap vaginal episiotomy were randomly assigned to the experimental (n=64) and control (n=64) group. The women who gave birth in the experimental group were given episiotomy wound care and genital hygiene training. Routine postpartum care was given to the women who gave birth in the control group. The data were collected using the personal information form, the episiotomy area evaluation scale (REEDA score) and the Visual Analog Scale (VAS).
Results
According to the REEDA Scale (redness, edema, ecchymosis, discharge, approximation) of the wound healing status of the episiotomy area of the groups on the fifth(excluding ecchymosis) and 15th days postpartum, it was determined that the women in the education group healed faster than the women in the control group (p <0.05). At the end of the evaluation with VAS on the fifth and 15th day after birth, it was determined that the perception of episiotomy wound area pain in women in the training group was lower than in women in the control group (p < 0.05).
Conclusions
It was determined that episiotomy wound care and genital hygiene training contributed to the acceleration of episiotomy wound healing and the decrease of pain perception in terms of redness, edema, ecchymosis, discharge, approximation on the fifth (excluding ecchymosis) and 15th days.

Anahtar Kelimeler

Episiotomy , Genital Hygiene , Postpartum Care , REEDA Scale , Wound Care , Wound Healing

Etik Beyan

The authors declare they have no competing interests.

Destekleyen Kurum

non

Proje Numarası

yok

Teşekkür

We thank the women who took part in this study.

Kaynakça

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