The Effect of Back Massage Applied to Mothers in the Early Postpartum Period on Parameters

N/AUnknownNCT06200649

Ordu University72 enrolled

Overview

In the literature, there are separate studies on massage, comfort, anxiety, and physiological parameters for massage practice, but there are no studies that measure the physiological parameters of comfort, pain, anxiety, blood pressure, pulse, fever, oxygen saturation, respiratory rate in the early postpartum period. In this study, the effect of back massage applied to mothers in the early postpartum period on comfort, pain, anxiety and physiological parameters will be examined. If it is determined that the massage application, which is easy to apply and effective, has a positive effect on physiological parameters such as comfort, pain, anxiety and blood pressure, pulse, fever, oxygen saturation, respiratory rate, as well as other parameters measured in the postpartum period, it can be used in the field of application. This is where the originality of our work comes from. For this reason, it is aimed to contribute to the literature with this study.

For this purpose, pharmacological and non-pharmacological interventions should be made for these conditions seen in the postpartum period. It is possible to increase the quality of health care, to make a difference in patient care results and clinical practices, to increase patient satisfaction rates and to standardize care, especially by using non-pharmacological methods whose effectiveness has been proven by health professionals. As a matter of fact, studies indicate that postpartum women who receive effective nursing care are highly satisfied (88-90%) with the care services they receive. It is important for health professionals to follow current and high-evidence studies, conduct research on their own development and participate in in-service programs in order to increase the quality of health care. There are many practices such as aromatherapy and yoga applied in the postpartum period. Massage is one of them. Massage is a process applied systematically to the soft tissues of the body, providing relaxation and mental relief. Theoretically, massage stimulates peripheral receptors in the skin. The stimuli reach the brain via the spinal cord and provide general relaxation. Massage reduces cortisol, adrenaline and noradrenaline levels by regulating the autonomic nervous system. The amygdala may also modulate neural activity in the forebrain and control network. The pressure in massage application increases blood circulation and lymphatic drainage, causing changes in heart rate and blood pressure. This non-pharmacological method helps to increase comfort by relaxing the muscles, increase the release of endorphins, urinary serotonin and dopamine, decrease salivary and urinary cortisol levels, reduce pain and edema, and treat psychological disorders such as depression and anxiety. If it is determined that the massage application, which is easy to apply and effective, has a positive effect on physiological parameters such as comfort, pain, anxiety and blood pressure, pulse, fever, oxygen saturation and respiratory rate, as well as other parameters measured in the postpartum period, it can be used in the application area. This is where the originality of our work comes from. For this reason, it is aimed to contribute to the literature with this study.

Interventions

massageOTHER

Massage application; It will be done on the back, which is the five basic massage areas. Massage application will be started with eflorage. The massage will be continued with petrissage by grasping the subcutaneous tissue and muscle layer with the help of thumb and other fingers, starting from the waist circumference. Petrissage will be applied for 5 minutes. After petrissage, the massage was continued with friction movements, which is the other stage. Friction will be applied for 5 minutes. Tapotment will be done after friction. Tapotman will take 5 minutes. After taping, the entire back area will be finished by efflorescence for 2 minutes, just like at the beginning.

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 18 and over * Vaginal delivery * In the first 24 hours after birth * First born * Having no difficulty in sitting * Written / verbal communication can be established * At least primary school graduate * Not having any problems during mother's pregnancy * Not diagnosed with any psychiatric disease * Wound, infection, mass etc. on the back. non * Vascular and cardio-thoracic diseases, non-skin diseases * Women who agree to participate in the study will be taken into the sample Exclusion Criteria: * Being under 18 years old * Giving birth by cesarean section * Receiving controlled analgesia after normal delivery * Women with a psychiatric diagnosis will not be included in the study

Outcomes

Primary Outcomes

Postpartum Comfort Scale

Postpartum Comfort Scale consists of 34 items and is a 5-point Likert type. For each item, wording and scoring ranging from "completely agree" (5 points) to "strongly disagree" (1 point) were used. Accordingly, the lowest score from the scale can be 34 and the highest score can be 170. Positive expressions in the scale (1, 2, 3, 5, 7, 11, 14, 15, 18, 19, 20, 23, 24, 25, 31, 32) are coded as 1: I strongly disagree - 5: I completely agree. In the negative items (4, 6, 8, 9, 10, 12,13, 16, 17, 21, 22, 26, 27, 28, 29, 30, 33, 34), it is reversed as "I totally disagree, 5 I totally agree, 1". coded. The average value is determined by dividing the total score obtained from the scale by the number of items and the result is shown in the 1-5 distribution. Basically, low comfort is expressed as 1 and high comfort is expressed as 5.

Time frame: two year

Secondary Outcomes

Visual Analogue Scale

The Visual Analog Scale is a one-dimensional scale frequently used to determine people's pain levels. The patient makes a mark on a horizontal or vertical ruler of 10 cm or 100 mm, depending on where he sees fit according to the severity of pain. In the result evaluation, 0 cm was stated as "no pain", 0.5 cm-3 cm was stated as "mild pain", 3.5 cm-6.5 cm was stated as "moderate pain", and 7-10 cm was stated as "severe pain". As the score increases, the pain level increases.