The Effect of Hot Bag/Warm Application on Feet After Cesarean Delivery on Postpartum Comfort, Pain and Flatus
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 108
- 试验地点
- 1
- 主要终点
- Introductory Information Form
研究概览
简要总结
The postpartum period is a process in which both physical (bleeding, infection, anemia) and emotional (delay in breastfeeding and mother-baby relationship) problems occur in women. Among the conditions that physically affect the woman who has had a cesarean section, a decrease in bowel movements is often seen and this decrease can last for 24 hours or longer. Initiation of bowel movements after surgery, time of first flatulence and defecation are important factors that determine postoperative patient comfort.
详细描述
Pain after cesarean section is usually associated with incision site and uterine contractions. There are various medical treatment and midwifery applications for the resolution of pain and gas output after cesarean section. Recently, it has been stated that in addition to the treatments applied after surgery, non-drug methods should be used to increase the effectiveness of recovery. These methods include applications such as hot application, abdominal massage, music therapy, chewing gum. The effect of hot application in patients with post-operative gas problems is the acupuncture points of the foot, warm and moist heat stimulation and the small intestine, colon, anus and other reflective areas. activates blood circulation. It is predicted that postpartum comfort will increase in the postpartum postpartum, whose pain decreases with postpartum heat application and intestinal mobility returns to normal. The aim of this study is to determine the effect of applying heat to the feet after cesarean section on postpartum comfort, pain and gas output.
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
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •over 18 years old
- •Can read and understand Turkish
- •No history of any medical illness
- •Singular pregnancy
- •No complications during or after surgery
- •Those who have not had any problems during pregnancy
- •giving birth to a live baby
- •No diagnosed psychological disorder
- •Women who do not pass gas before applying heat
排除标准
- •From gas before hot application
- •Hearing loss
- •The baby is in intensive care
- •Women with vascular diseases
- •Women who were taken to the intensive care unit after surgery due to any complications
研究组 & 干预措施
Warm Application to Feet and Follow-up After Cesarean Section
Warm application will be applied to the feet of women who come to the surgical service after cesarean delivery, 3 hours after they are admitted to the service. For hot application, a hot water bag will be used, the temperature of the water to be placed in the hot water bag is max. It will be set by the researcher to be 44°C. Since the temperature of the water (max. 44°C) does not create a risk of burns, no additional precautions were required. A stopwatch clock will be used to track the duration of the application. After the application will be done for 30 minutes, a hot water bag will be taken. Hot application will be done once. During the application, the researcher will be with the women, will check whether any complications have developed, and if complications or discomfort develop, the application will be terminated.
干预措施: Warm Application to Feet (Other)
Control
The control group will be given routine post-operative care without any intervention and data collection tools will be applied at the same time as the intervention group. In addition, the patient and his family will be informed to write it down with the watch if there is gas after the procedure when the researcher is not with them.
结局指标
主要结局
Introductory Information Form
时间窗: at the beginning of the study
It was prepared by the researcher to describe the sociodemographic characteristics and current health status of women. The group of women will be marked as Intervention or Control.
Post Cesarean Section Follow-up Form-First follow up
时间窗: application after 30 minute
In this form, the time the patient was taken into surgery; length of stay in the recovery unit; time of service; the type of anesthesia administered; It was created by the researcher in order to obtain information about the hot water bag application time and the first gas removal time.
Post Cesarean Section Follow-up Form-Second follow up
时间窗: application after 60 minute
In this form, the time the patient was taken into surgery; length of stay in the recovery unit; time of service; the type of anesthesia administered; It was created by the researcher in order to obtain information about the hot water bag application time and the first gas removal time.
Post Cesarean Section Follow-up Form-Third follow up
时间窗: application after 120 minute
In this form, the time the patient was taken into surgery; length of stay in the recovery unit; time of service; the type of anesthesia administered; It was created by the researcher in order to obtain information about the hot water bag application time and the first gas removal time.
次要结局
- Visual Pain Scale (VAS)-Third follow up(application after 120 minute)
- Postpartum Comfort Scale -Second follow up(application after 60 minute)
- Visual Pain Scale (VAS)-First follow up(application after 30 minute)
- Visual Pain Scale (VAS)-Second follow up(application after 60 minute)
- Postpartum Comfort Scale-First follow up(application after 30 minute)
- Postpartum Comfort Scale -Third follow up(application after 120 minute)
研究者
Yasemin ERKAL AKSOY
Asistant Prof. Dr.
Selcuk University