Combined Effects of Abdominal Binders and TENS on Post-operative Pain, Distress and Constipation in Puerperium Period After Cesarean Section
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cesarean Section; Complications, Wound, Dehiscence
- Sponsor
- Riphah International University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- o PAC-SYM Questionnaire
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
To determine the combined effects of abdominal binders and TENS on post-operative pain, distress and constipation in puerperium period after cesarean section
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participants on early puerperium period having constipation and willing to participate.
- •Primigravida
- •Body mass index (BMI) less than 30 kg/m2
Exclusion Criteria
- •Laxatives-induced patients
- •History of chronic constipation
- •Post cesarean abdominal suture infection.
- •People with chronic diseases, and who underwent non-routine or additional surgical procedures, such as hysterectomy, tubal ligation, and classical uterine incision.
- •Participants with inability to tolerate the binder.
- •Participants who show unwillingness to participate in the study
Outcomes
Primary Outcomes
o PAC-SYM Questionnaire
Time Frame: 6th week
The PAC-SYM is a tool which is used to assess the severity of constipation. It range is from 0 and 48. Less value shows less severity of constipation. The patients were then asked to rate the severity of each symptom in a 5-point Likert scale (0-4; absent to very severe) during the past 2 weeks. The items were further categorized into 3 domains: abdominal symptoms (question 1-4), rectal symptoms (question 5-7), and stool symptoms (question 8-12). It is a reliable tool with value of 0.66 and validity with value of 0.75
o Numeric Pain rating Scale
Time Frame: 6th week
Numeric pain rating scale is a subjective measure 11 point numerical scale which is used to measure pain. Is scoring range In this scale 0 shows no pain and 10 shows worst pain imaginable. It has good reliability of 0.79 and validity of 0.96.
o Symptom Distress scale
Time Frame: 6th week
Symptom distress scale is a 13 item self-assessment scale with 13 symptoms like pain, fatigue, insomnia, lack of appetite, nausea, breathlessness, lack of concentration, lack of appetite and altered mood. It's scoring is done by using 5 point Likert scale where 1 shows least distress and 5 shows extreme distress. With a total score ranging from 13 to 65. It has a reliability of 0.821 and validity of 0.825.