The Effect of Reflexology on Labor: A Randomized Controlled Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- VAS scores
研究概览
简要总结
Aims and Objectives: The purpose of this study was to determine the effect of reflexology, one of the non-pharmacological methods used in the management of labor pain, on anxiety, labor duration, labor pain, and labor satisfaction in primiparous pregnant women.
Background: Labor pain is one of the most severe types of pain experienced by a woman throughout her life. As a result of the labor pain and birth-related stress, maternal and fetus health is negatively affected. Controlling of labor pain will decrease the anxiety and tension experienced by pregnant woman.
Design: A randomized controlled experimental was used. Method: A total of 60 women participated in the study in 2 groups of 30 for reflexology and control groups. By giving appropriate position in the first stage of delivery to the pregnant women in the experimental group, 10-minute massage was applied to both feet including 5-minute massage for each foot starting first from the right foot by using vaseline under the supervision of a doctor to facilitate the hand movements, then the reflexology technique was applied by stimulating the nerve points by applying pressure to reflex regions of each foot for 20 minutes as totally 40 minutes for both feet. The control group was composed of pregnant women who received routine treatment, care and applications of the hospital.
详细描述
Aims:This study was conducted as a randomized controlled experimental study in order to determine the effect of reflexology application in primiparous pregnant women on labor pain, anxiety, labor duration, and birth satisfaction.
METHOD Participants The study was conducted with voluntary pregnant women applying to the delivery room unit of Gaziantep Cengiz Gökçek Maternity and Children Hospital to perform their first birth between 01 July 2017 and 07 July 2018. When the sample volume that would represent the population with the conditions of α= 0.05 risk, 1-α =0.95 accuracy rate, B= 0.20, 1-B= 0.80 power ratio was considered with the comparison results of VAS mean scores in the study by Dolation et al., it was determined to be minimum 27 people for each group.
The study was conducted with two groups including Reflexology Group (experimental) and Control Group. By including 30 women into each group, the study was conducted with a total of 60 women. The drawing method was used to decide to which group the women would be assigned. In order to draw lots, 60 small paper pieces were prepared, control was written on 30 of these paper pieces, reflexology was written on the other 30 pieces of paper, and they were then folded and placed into a bag. Inclusion of women into groups was determined according to the papers women drew from the bag.
Data Collection Tools The data of the study were collected using "Descriptive Information Form", "Visual Analog Scale (VAS)", "State-Trait Anxiety Scale (STAI FORM TX-I )", and "Birth Satisfaction Scale".
Descriptive Information Form: The form prepared by the researcher by examining the related literature consists of two sections. In the first section, age, height, weight, educational level, and working status of the woman along with the number of birth, parity, number of abortus, number of living children, and modes of previous births were asked. The second section of the form includes questions related to the period of birth stages (Stages I, II, and III), interventions made in the first stage of birth and during the labor (Oxytocin administration, amniotomy, Fundal pressure, Vacuum etc.), perineal tear, Apgar score and the newborn's status of being accepted to the intensive care unit.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant women who were 19 years old and older,
- •Pregnant women who had singleton pregnancy, were between 38-42nd weeks of gestation,
- •Pregnant women who can perform spontaneous vaginal delivery,
- •Pregnant women who were at the beginning of the active phase in the first phase of action (4 cm dilatation),
- •Pregnant women who were primiparous, can establish verbal communication,
- •Pregnant women who agreed to participate in the study.
排除标准
- •Pregnant women who had risky pregnancy,
- •Pregnant women who had a systemic disease that would interfere with normal birth,
- •Pregnant women who were in the second stage of labor
研究组 & 干预措施
reflexology group
In addition to providing routine nursing/midwifery care, foot reflexology was applied by the researcher to the pregnant women in the experimental group in the active phase of labor (dilatation 4 cm). By giving appropriate position to the pregnant women, the massage was done to both feet for totally 10 minutes including 5 minutes for each foot starting from right foot under the supervision of a doctor. Whereupon, the reflexology technique was applied by stimulating the nerve points by applying pressure to reflex regions of each foot for 20 minutes as totally 40 minutes for both feet. As reflex points of the feet for manual pressure in labor pain; 1: Solar Plexus, 2: Hypothalamus, 3: Pituitary, 4: Spleen, 5: Thyroid Gland, 6: Adrenal, 7: Intestine, 8: Spinal Cord 9: Uterus, Vagina, Ovaries and Fallopian Tubes were studied.
干预措施: reflexology (Other)
Control Group
The control group received only routine treatment, care, and practices of the hospital. Visual Analog Scale (VAS) and State-Trait Anxiety Inventory (STAI FORM TX-I) were evaluated 2 times as in active (4-7 cm) and transition (8-10 cm) phases in the pregnant women in the control group. After the delivery, the Birth Satisfaction Scale was applied to the women by the researcher.
结局指标
主要结局
VAS scores
时间窗: 6 hours
Visual Analogue Scale (VAS) was used to measure the severity of labour pain. The diagnosis will be established based on subjective data including the patient's verbal expression. There are numbers horizontally placed varying from 0 to 10. The pain severity is expressed in numbers ranging from 0 to 10 and no pain is determined with "0" and the most severe pain is determined with "10". In this method, it is explained that there are two endpoints and she is free to mark any point between these two points Analog Scale (VAS) was evaluated 2 times as active (4-7 cm) and transition (8-10 cm) phases after reflexology application.
次要结局
- State-Trait Anxiety Inventory(6 hours)
研究者
Semra Çevik, phD
Assiatant Professor
University of Gaziantep