Effects of Acupressure and Shower Applied in the Delivery on the Intensity of Labor Pain and Postpartum Comfort
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Evalution postpartum comfort
研究概览
简要总结
In this study was aimed that acupressure applied on the BL32 point and shower application reduced the intensity of labor pain experienced by the pregnant women in the active phase of labor and increased their postpartum comfort
详细描述
Acupressure and shower are methods that can help reduce pain severity. This study thus aims to determine the effects of acupressure and shower on labour pain and postpartum comfort. This study was a randomized controlled trial (RCT). This study was the control group consisted of 40 pregnant women, while the experimental groups (acupressure and shower) consisted of 80 pregnant women in total. The experimental groups received routine labour care and either acupressure or showers upon reaching three cervical dilations (4-5, 6-7 and 8-10 cm). The control group only received routine labour care. A maternal information form (MIF), the Visual Analog Scale for Pain (VASP) and the Postpartum Comfort Questionnaire (PPCQ) were used to collect data. CONSORT checklist was used to report the current study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •The inclusion criteria were being 20-40 years of age;
- •Having a foetus in vertex presentation
- •Having a foetus weighing 2.5-4 kg, as determined through ultrasonography
- •Being primiparous
- •Being between 37 and 42 gestational weeks with a single foetus
- •Having planned to have a spontaneous vaginal delivery
- •Not having used nonpharmacological pain control methods previously
- •Having a cervical dilation less than 5 cm (Dabiri et al., 2014)
- •Not having received analgesia or anaesthesia.
排除标准
- •Were having a systemic disease during pregnancy (gestational diabetes, hypertension)
- •Taking medication regularly
- •Having a problem that prevented the woman from communicating
- •Undergoing psychiatric treatment (pharmacotherapy or psychotherapy)
- •Requiring an operative vaginal delivery (forceps, vacuum)
- •Receiving pharmacological interventions for labour pain.
结局指标
主要结局
Evalution postpartum comfort
时间窗: 2 hours after birth
Postpartum Comfort levels were evaluated in the postpartum period.
Postpartum comfort levels
时间窗: 2 hours after birth
Postpartum comfort levels of the groups who received acupressure and shower in the postpartum period were evaluated.Postpartum comfort level has been evaluated with PPCQ.
Visual Analog Scale for Pain (VASP)
时间窗: Evaluation was done until delivery (on average between 8-12 hours)
This scale is a 0-10 cm ruler developed by Bond and Pilowsky (Hawker et al., 2011; Aslan and Öztürk, 2014; Kömürcü and Ergin, 2014; Bond and Pilowsky, 1996). VASP is a 10 cm ruler which assessment with "no pain" at one end and "worst pain" at the other end. A Turkish validity and reliability study of the VASP was performed by Aslan and Öztürk (Aslan and Öztürk, 2014; Kömürcü and Ergin, 2014; Aslan, 2004).
Reduce labor pain
时间窗: Evaluation was done until delivery (on average between 8-12 hours)
The participants were applicated acupressure, and shower as for birth pain. Pain has been evaluated with VASP.
Postpartum Comfort Questionnaire (PPCQ)
时间窗: 2 hours after birth
The 48-item General Comfort Scale, developed by Kolcaba (Kolcaba, 1994), was first adapted into Turkish in 2008 by Kuğuoğlu and Karabacak, who also conducted a Turkish validity and reliability study on the scale (Kuğuoğlu and Karabacak, 2008). Based on the Turkish version of the GCS, Karakaplan and Yıldız (Karakaplan and Yıldız, 2010) developed the PPCQ. The PPCQ is a 5-point questionnaire with 34 items. Participants give items between 1 (strongly agree) and 5 points (strongly disagree). The lowest score possible is 34, and the highest score is 170, with higher scores indicating higher comfort levels.
A maternal information form
时间窗: before birth
This form consisted of 13 items asking for the participants' sociodemographic characteristics
Evalution labour pain
时间窗: Evaluation was done until delivery (on average between 8-12 hours)
VASP was evaluated before and after acupressure and shower applications.
次要结局
未报告次要终点
研究者
Ayca Solt Kirca
Assistant Professor
Kırklareli University