The Effect of Oxytocin Massage and Reflexology Applied to Primiparous Mothers After Cesarean Section on Insufficient Milk Perception, Breastfeeding Motivation, Fatigue, Anxiety and Uterus Involution
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Insufficient Milk Perception Scale
研究概览
简要总结
Although the World Health Organization predicts the caesarean section rate to be 10-15%, the caesarean section rate in Turkey is 52%, more than three times the international standard. It is very important to eliminate the physical and psychosocial problems experienced by women during this period, to encourage breastfeeding, and at the same time to protect and improve maternal health. Maintaining the mother's well-being after cesarean section and supporting pharmacological treatment with non-pharmacological practices have an important place in nursing care. Therefore, this study will examine the effects of oxytocin massage and reflexology applied to mothers in the post-cesarean period on the perception of insufficient milk, breastfeeding motivation, fatigue, anxiety and uterine involution.
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
- Double (Participant, Outcomes Assessor)
盲法说明
Random distribution of women included in the study to intervention groups and control groups was carried out at www.random.org. Which groups were intervention or control groups were determined by drawing lots at the beginning of the study. The numbers in the intervention groups and the control group will be placed in opaque envelopes, and the group in which the women who meet the criteria will be will be decided by drawing lots of sealed envelopes after the pre-test data is completed.The statistical analysis phase is blind since an independent statistician other than the researcher will perform the statistical analysis of the study.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Mothers who gave birth at the age of 18 and over
- •The one who is married
- •At least primary school graduate,
- •Primiparous mothers who gave birth by cesarean section,
- •Having a single, healthy newborn at full term,
- •Those who did not experience any problems during pregnancy and the early postpartum period,
- •The tissue integrity in the area to be applied is complete and healthy,
- •Breastfeeding her baby after birth,
- •The baby is healthy, has no problems with the sucking reflex and does not have any congenital anomalies,
- •Women who agree to participate in the research will be included in the study.
排除标准
- •Those who gave birth by cesarean section before the 37th week of pregnancy,
- •Women who gave birth by cesarean section with combined anesthesia,
- •Discharged before 36 hours after birth,
- •Having chronic diseases such as heart disease, diabetes, hypertension,
- •Those with infectious diseases, infections, open wounds, masses, fractures, dislocations, deformities, varicose veins, burns, eczema, hematomas, thrombophlebitis, deep vein thrombosis on the foot skin,
- •Experiencing any postpartum complications,
- •Their baby is not with their mother for any reason,
- •Those who have received a psychiatric diagnosis such as anxiety and depression,
- •Women who want to leave the research at any stage of the research
结局指标
主要结局
Insufficient Milk Perception Scale
时间窗: 36 hours
The Insufficient Milk Perception Scale consists of a total of 6 questions and a single subscale. The first question on the scale is whether the mother finds her milk sufficient. The first question is answered as yes or no. The other 5 questions are scored between 0-10. The given score indicates that as it approaches zero, the mother perceives her milk as inadequate, and as she approaches 10, she perceives enough. A minimum of zero points and a maximum of 50 points can be obtained from the scale. The high score indicates that milk is sufficiently perceived.
Primipar Breastfeeding Motivation Scale
时间窗: 36 hours
The Insufficient Milk Perception Scale consists of a total of 6 questions and a single subscale. The first question on the scale is whether the mother finds her milk sufficient. The first question is answered as yes or no. The other 5 questions are scored between 0-10. The given score indicates that as it approaches zero, the mother perceives her milk as inadequate, and as she approaches 10, she perceives enough. A minimum of zero points and a maximum of 50 points can be obtained from the scale. The high score indicates that milk is sufficiently perceived.
Visual Similarity Scale for Fatigue (VAS-F)
时间窗: 36 hours
The scale consists of 29 items and has a 7-point Likert type and 4 sub-dimensions. These sub-dimensions; the value given to breastfeeding (items 1,2,4,6,8,10,12,14,15,20,24,25,28), self-efficacy (items 9,16,17,18,19,26,29 ), midwife support (items 21,22,23,27), success expectation (items 3,5,7,11,13). As the score obtained from each sub-dimension increases, the breastfeeding motivation level of that sub-dimension increases.
The State-Trait Anxiety Inventory (STAI)
时间窗: 36 hours
The State-Trait Anxiety Inventory (STAI) is a commonly used measure of trait and state anxiety. It can be used in clinical settings to diagnose anxiety and to distinguish it from depressive syndromes. It also is often used in research as an indicator of caregiver distress. Form has 20 items for assessing for state anxiety. State anxiety items include: "I am tense; I am worried" and "I feel calm; I feel secure." All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always"). Higher scores indicate greater anxiety.
次要结局
- Uterine Involution Evaluation Form(36 hours)
- Physiological Parameters Evaluation Form(36 hours)
研究者
Büşra Nur GELDİ
Nurse, PhD Student
T.C. ORDU ÜNİVERSİTESİ