Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Doğum Eyleminde Sıcak Duşun ve Progresif Kas Gevşeme Egzersizlerinin Doğum Ağrısı, Doğum Süresi, Yorgunluk ve Doğum Konforuna Etkisi: Randomize Kontrollü Çalışma
The Effect of Hot Shower and Progressive Muscle Relaxation Exercises in Labor on Labor Pain, Labor Duration, Fatigue and Birth Comfort; Randomized Controlled Study
Hatice AVCIa , Hacer ALAN DİKMENb
aKonya Şehir Hastanesi, Kadın Doğum ve Çocuk Hastanesi, Doğumhane Ünitesi, Konya, Türkiye
bSelçuk Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Konya, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):482-93
doi: 10.5336/healthsci.2024-102712
Article Language: TR
Full Text
ÖZET
 Amaç: 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. Gereç ve Yöntemler: Çalışmanın örneklemini 150 primipar gebe oluşturdu. Çalışma sıcak duş (n=50), PKGE (n=50) ve kontrol grubu (n=50) olmak üzere üç gruptan oluştu. Veriler ''Kişisel Bilgi Formu'', ''Doğum Eylemi ve Sonrası İzlem Formu'', ''Görsel Analog Ölçeği [Visual Analogue Scale (VAS)]'', ''Yorgunluk İçin Benzer Görsellik Ölçeği'' ve ''Doğum Konfor Ölçeği'' kullanılarak toplandı. Verilerin analizinde ki-kare ve Fisher kesin testi, tek yönlü varyans analizi ve tamamlayıcı post-hoc analizi (Tukey, LCD), t-testi, ve tamamlayıcı Bonferroni testi kullanıldı. Bulgular: Çalışmaya katılan gebelerin, yaş ortalaması 23,66±3,23 idi. Sıcak duş ve PKGE gruplarının uygulama sonrası VAS ölçümleri kontrol grubundan istatistiksel olarak anlamlı düzeyde daha düşüktü (p<0,001). 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. dk'da kontrol grubuna göre daha düşüktü (p<0,001). Müdahale gruplarının doğum konfor düzeyi kontrol grubuna göre istatistiksel olarak anlamlı derecede daha yüksekti (p=0,034). Sonuç: 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.

Anahtar Kelimeler: Ağrı; doğum konforu; progresif kas gevşeme; sıcak duş; yorgunluk
ABSTRACT
 Objective: 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. Material and Methods: The sample of the study consisted of 150 primiparous pregnant women. The study consisted of three groups: hot shower (n=50), PMRE (n=50), and control group (n=50). Data were collected using the ''Personal Information Form'', ''Labor and Post-Labor Monitoring Form'', ''Visual Analog Scale (VAS)'', ''Similar Visuality Scale for Fatigue'' and ''Birth Comfort Scale''. Chi-Square and Fisher's exact test, one-way analysis of variance and complementary post hoc analysis (Tukey, LCD), t-test, and complementary Bonferroni test were used to analyze the data. Results: 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 (p<0.001). 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 birth comfort level of the intervention groups was statistically significantly higher than the control group (p=0.034). Conclusions: 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.

Keywords: Pain; birth comfort; progressive muscle relaxation; hot shower; tiredness
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