The Effects of Acupressure Applied to the Primiparous During Episiotomy Repair on Pain and Anxiety Levels
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 126
- Locations
- 1
- Primary Endpoint
- VAS
Study Overview
Brief Summary
This study was conducted to determine the effects of acupressure applied during episiotomy repair on pain and anxiety levels of the primiparous.
The study was conducted as a randomized controlled trial with 126 pregnant women (63 women in the acupressure group and 63 women in the control) who applied to a maternity hospital between June and December 2023. Acupressure was applied to the acupressure group twice (during internal suturing and skin suturing) by the researcher during the episiotomy repair. Visual Analog Scale (VAS) was used a total of four times, before and after the intervention, to assess the pain scores of the participants, while the Spielberger Manual for State-Trait Anxiety Inventory (STAI) was used after the second intervention to determine the anxiety levels of the participants.
Detailed Description
Introduction
This study was conducted to determine the effects of acupressure applied during episiotomy repair on pain and anxiety levels of the primiparous.
Methods: The study was conducted as a randomized controlled trial with 126 pregnant women (63 women in the acupressure group and 63 women in the control) who applied to a maternity hospital between June and December 2023. Acupressure was applied to the acupressure group twice (during internal suturing and skin suturing) by the researcher during the episiotomy repair. Visual Analog Scale (VAS) was used a total of four times, before and after the intervention, to assess the pain scores of the participants, while the Spielberger Manual for State-Trait Anxiety Inventory (STAI) was used after the second intervention to determine the anxiety levels of the participants.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Being 18 or older,
- •having a single healthy newborn,
- •Giving spontaneous birth through a medio-lateral episiotomy incision,
- •No signs of infection such as vaginal redness or swelling,
- •Women with full and healthy tissue integrity in the area where acupressure will be applied.
Exclusion Criteria
- •The need to use unusual lidocaine during episiotomy repair (lidocaine 2% higher than 5 ml),
- •having any postpartum complications (such as bleeding, hypertension).
Arms & Interventions
ACUPRESSURE
In the study, acupressure was applied to the LI4 and HT7 points of the women for approximately 8-11 minutes during the episiotomy repair by BI, one of the researchers who has an acupressure application certificate. The researcher received training and certification in acupressure techniques before starting the intervention.During the episiotomy repair, acupressure was applied by the researcher twice in total. The first acupressure application was started with the first episiotomy suture being placed during the episiotomy repair (with the start of the internal perineal suturing). The second acupressure application was started with the end of the internal perineal suture and the first episiotomy suture of the skin suture. Each application was applied for approximately 4-6 minutes.
Intervention: ACUPRESSURE APPLI ACUPRESSURE APPLICATION (Behavioral)
Control group
control groups Control group standard care group
Outcomes
Primary Outcomes
VAS
Time Frame: Change inbreastfeeding self-efficacy levels at 6 weeks change in pain after acupressure
The VAS was used to assess the pain severity of the incision site. The VAS is a scale created in the range of 0-100 mm. According to the scale, a score of 0 mm indicates that the pain is not severe at all, and a score of 100 mm indicates that the pain is extremely severe
Secondary Outcomes
- STAI(Change inbreastfeeding self-efficacy levels at 6 weeks change in anxiety after acupressure)
Investigators
Esra SABANCI BARANSEL
Assistant professor
Inonu University