The Effect of kınesıologıcal tapıng, mobılızatıon and breathıng exercıse on paın and Comfort After Caesarea

This study was designed with quantitative research method. Randomized controlled experimental design of quantitative research will be used in this study. It will be conducted with women who are in the postoperative period after cesarean section and who volunteer to participate in the research. The population of the research consists of women who were admitted to Şırnak State Hospital gynecology clinic and had a cesarean section in the last year. The sample size and power calculation required for the study were calculated with the G*Power Ver.3.1.9.2 program. It was calculated that 99 people would be sufficient. Anticipating the possibility of data loss in the study, it was planned to include 15% more patients (n = 114). Thus, the study was planned to be conducted with 38 participants in each group and 114 participants in total. This research will be a randomized controlled trial. Randomization of the groups will be done in a simple random manner using the website www.random.org. The study will be conducted with three groups, two intervention groups and one control group. Participants will be placed into groups according to the randomization list. Mothers who meet the sample selection criteria and agree to participate in the research will be included in the research. As a data collection tool; Introductory information form, Mobilization and Respiratory Exercise Follow-up Chart, Visual Analogue Scale =VAS and Postpartum Comfort Scale will be used.

COLLECTION OF DATA BREATHING EXERCISE AND MOBILIZATION TRAINING GROUP Pregnant women who are admitted to the gynecology ward for cesarean section, who agree to participate in the study and who meet the sample selection criteria will be assigned to the application group according to the randomization list. Pregnant women will be interviewed before the cesarean section, an explanation will be given about the purpose of the research, its content and the methods to be applied, and an informed consent form will be obtained verbally and in writing. Pregnant women will fill in the sections of the introductory information form questioning sociodemographic and obstetric characteristics through face-to-face interviews. Mothers will be asked to sleep in different rooms to prevent interaction with each other.

Breathing exercise and mobilization training will be given in the patient's room during the preoperative period. Each training is planned to last approximately 20 minutes. During the training, patients will be taught breathing and mobilization techniques in practice, will be shown how to mark the breathing exercise and mobilization tracking chart, and their questions will be answered.

The patient will be informed about techniques and points to consider regarding sitting on the edge of the bed, standing up on the edge of the bed, and walking in the patient room, as well as the time he/she will spend out of bed on the day of surgery and the first and subsequent days after surgery.

The patient will be informed that he or she will need to be mobilized out of bed for 2 hours on postoperative day 0 and for 6 hours on postoperative day 1 and thereafter. Six hours after the surgery, the patient's first mobilization will be performed by the researcher. The patient will be mobilized by planning the second and third mobilization at four-hour intervals. Outside of planned mobilization hours, patients will be informed about mobilization as long as they feel well.