Doğum eyleminde sıcak duşun ve progresif kas gevşeme egzersizlerinin doğum ağrısı, doğum süresi, yorgunluk ve doğum konforuna etkisi; randomize kontrollü çalışma
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Dosyalar
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi, Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışma doğum eyleminde sıcak duş ve progresif kas gevşeme egzersizlerinin (PKGE) doğum ağrısı, doğum süresi, yorgunluk ve doğum konforuna etkisini incelemek amacıyla yapılan randomize kontrollü bir çalışmadır. Çalışmanın örneklemini Konya Şehir Hastanesi' ne başvuran 150 primipar gebe oluşturdu. Çalışma sıcak duş (n=50), PKGE (n=50) ve kontrol grubu (n=50) olmak üzere üç gruptan oluştu. Gebeler gruplara randomize atandı. Servikal dilatasyon 4 cm olduğunda sıcak duş grubundaki gebelerin 30 dakika boyunca ısısı 37˚C olan suda duş almaları, gevşeme grubundaki gebelere ise servikal dilatasyon 4 cm olduğunda PKGE'ni 30 dakika uygulamaları sağlandı, kontrol grubundaki gebelere rutin ebelik bakımı uygulandı. Veriler "Kişisel Bilgi Formu", "Doğum Eylemi ve Sonrası İzlem Formu", "Vissual Analog Skala- VAS", "Yorgunluk İçin Benzer Görsellik Ölçeği (YİBGÖ)" ve "Doğum Konfor Ölçeği" kullanılarak toplandı. Veriler bilgisayar ortamında SPSS 22.0 istatistik programı kullanılarak analiz edildi. Verilerin analizinde Ki-Kare ve Fisher exact testi, tek yönlü varyans analizi (anova) ve tamamlayıcı post hoc analizi (Tukey, LCD), t-testi, ve tamamlayıcı bonferroni testi kullanıldı. Çalışmaya katılan gebelerin yaş ortalaması 23,66±3,23 idi. Sıcak duş ve PKGE gruplarının uygulama sonrası VAS ölçümleri kontrol grubundan istatistiksel olarak daha düşüktü. Uygulamadan 30 dk sonra kontrol grubunun VAS değeri 8,25±1,68 iken, gevşeme grubunda 6,26±2,3, sıcak duş grubunda ise 7,05±2,17 olarak bulundu. Doğumun birinci, ikinci, üçüncü ve dördüncü evre süreleri gruplara göre anlamlı bir fark göstermedi (p>0,05). Sıcak Duş ve PKGE'nin yorgunluk düzeyi ölçümleri uygulama sonrası 60. dakikada kontrol grubuna göre daha düşüktü (p<0,001). Doğum konforu toplam puanı sıcak duş grubunda 31,62±4,47, gevşeme grubunda 31,52±4,22, kontrol grubunda ise 29,58±4,43 olarak bulundu. Müdahale gruplarının doğum konfor düzeyi kontrol grubuna göre isatistiksel olarak anlamlı derecede daha yüksekti (p=0,034). Çalışma sonucunda doğum eyleminde sıcak duş ve PKGE uygulamalarının doğum ağrısıyla baş etmeye, yorgunluğun azaltılmasına, doğum konforunun artmasına olumlu katkı sağladığı fakat her iki yöntemin de doğum süresini etkilemediği saptandı. Bu iki yöntem doğum sürecine pozitif katkılarının olması nedeniyle yüksek riski bulunmayan gebeler tarafından uygulanabilir. Ebeler doğum eyleminde sıcak duş ve PKGE'ni gebelerin yapması konusunda teşvik edici olmalıdır.
This study is a randomized controlled study to examine the effects of hot showers and progressive muscle relaxation exercises (PMRE) during labor on labor pain, labor duration, fatigue, and birth comfort. The sample of the study consisted of 150 primiparous pregnant women who applied to Konya City Hospital. The study consisted of three groups: hot shower (n = 50), PMRE (n = 50), and control group (n = 50). Pregnant women were randomly assigned to groups. When the cervical dilatation was 4 cm, the pregnant women in the hot shower group were allowed to shower in water at a temperature of 37˚C for 30 minutes, and the pregnant women in the relaxation group were allowed to apply PMRE for 30 minutes when the cervical dilatation was 4 cm. Routine midwifery care was applied to the pregnant women in the control group. Data were collected using the "Personal Information Form", "Labor and Post-Labor Monitoring Form", "Visual Analog Scale (VAS)", "Similar Visuality Scale for Fatigue (SVSF)" and "Birth Comfort Scale". The data were analyzed on a computer using the SPSS 22.0 statistical program. Chi-Square and Fisher's exact test, one-way analysis of variance (ANOVA) and complementary post hoc analysis (Tukey, LCD), t-test, and complementary Bonferroni test were used to analyze the data. The average age of the pregnant women participating in the study was 23.66±3.23. Post-application VAS measurements of the hot shower and relaxation groups were statistically lower than the control group. 30 minutes after the application, the VAS value of the control group was 8.25±1.68, while it was 6.26±2.3 in the relaxation group and 7.05±2.17 in the hot shower group. The duration of the first, second, third, and fourth stages of labor did not show a significant difference between the groups (p>0.05). Fatigue level measurements of hot shower and relaxation groups were lower than the control group at the 60th minute after application (p<0.001). The total birth comfort score was 31.62±4.47 in the hot shower group, 31.52±4.22 in the relaxation group, and 29.58±4.43 in the control group. The birth comfort level of the intervention groups was statistically significantly higher than the control group (p = 0.034). As a result of the study, it was determined that hot shower and relaxation group practices during labor contributed positively to coping with labor pain, reducing fatigue, and increasing birth comfort, but neither method affected the duration of birth. As a result of the study, it was determined that hot shower and PMRE practices during labor contributed positively to coping with labor pain, reducing fatigue, and increasing birth comfort, but neither method affected the duration of birth.These two methods can be applied by pregnant women who do not pose any risk because they contribute positively to the birth process. Midwives should encourage pregnant women to perform hot showers and PMRE during labor.
This study is a randomized controlled study to examine the effects of hot showers and progressive muscle relaxation exercises (PMRE) during labor on labor pain, labor duration, fatigue, and birth comfort. The sample of the study consisted of 150 primiparous pregnant women who applied to Konya City Hospital. The study consisted of three groups: hot shower (n = 50), PMRE (n = 50), and control group (n = 50). Pregnant women were randomly assigned to groups. When the cervical dilatation was 4 cm, the pregnant women in the hot shower group were allowed to shower in water at a temperature of 37˚C for 30 minutes, and the pregnant women in the relaxation group were allowed to apply PMRE for 30 minutes when the cervical dilatation was 4 cm. Routine midwifery care was applied to the pregnant women in the control group. Data were collected using the "Personal Information Form", "Labor and Post-Labor Monitoring Form", "Visual Analog Scale (VAS)", "Similar Visuality Scale for Fatigue (SVSF)" and "Birth Comfort Scale". The data were analyzed on a computer using the SPSS 22.0 statistical program. Chi-Square and Fisher's exact test, one-way analysis of variance (ANOVA) and complementary post hoc analysis (Tukey, LCD), t-test, and complementary Bonferroni test were used to analyze the data. The average age of the pregnant women participating in the study was 23.66±3.23. Post-application VAS measurements of the hot shower and relaxation groups were statistically lower than the control group. 30 minutes after the application, the VAS value of the control group was 8.25±1.68, while it was 6.26±2.3 in the relaxation group and 7.05±2.17 in the hot shower group. The duration of the first, second, third, and fourth stages of labor did not show a significant difference between the groups (p>0.05). Fatigue level measurements of hot shower and relaxation groups were lower than the control group at the 60th minute after application (p<0.001). The total birth comfort score was 31.62±4.47 in the hot shower group, 31.52±4.22 in the relaxation group, and 29.58±4.43 in the control group. The birth comfort level of the intervention groups was statistically significantly higher than the control group (p = 0.034). As a result of the study, it was determined that hot shower and relaxation group practices during labor contributed positively to coping with labor pain, reducing fatigue, and increasing birth comfort, but neither method affected the duration of birth. As a result of the study, it was determined that hot shower and PMRE practices during labor contributed positively to coping with labor pain, reducing fatigue, and increasing birth comfort, but neither method affected the duration of birth.These two methods can be applied by pregnant women who do not pose any risk because they contribute positively to the birth process. Midwives should encourage pregnant women to perform hot showers and PMRE during labor.
Açıklama
Anahtar Kelimeler
Yorgunluk, Ağrı, Pain, Doğum Konforu, Progresif Kas Gevşeme, Sıcak Duş, Birth Comfort, Progressive Muscle Relaxation, Hot Shower, Tiredness
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Avcı, H. (2023). Doğum eyleminde sıcak duşun ve progresif kas gevşeme egzersizlerinin doğum ağrısı, doğum süresi, yorgunluk ve doğum konforuna etkisi; randomize kontrollü çalışma. (Yüksek Lisans Tezi). Selçuk Üniversitesi, Sağlık Bilimleri Enstitüsü, Konya.
