Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Nullipar Gebelere Kiraz Çekirdeği ile Yapılan Sakral Masajın Doğum Ağrısına, Kaygı Düzeyine ve Doğum Konforuna Etkisi: Randomize Kontrollü Deneysel Çalışma
The Effect of Sacral Massage with Cherry Pit on Labor Pain, Anxiety Levels, and Birth Comfort in Nulliparous Women: A Randomized Controlled Experimental Study
İpek YILDIZ ÜNGÜTa , Neriman ÇAĞLAYAN KELEŞb
aZeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Doğumhane Birimi, İstanbul, Türkiye
bSağlık Bilimleri Üniversitesi Hamidiye Sağlık Bilimleri Fakültesi, Ebelik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):710-8
doi: 10.5336/nurses.2024-106098
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, kiraz çekirdeği ile yapılan sakral masajın nullipar gebelerin doğum ağrısına, kaygı düzeyine ve doğum konforuna etkisini belirlemek amacıyla yürütüldü. Gereç ve Yöntemler: Randomize kontrollü ve deneysel nitelikteki bu çalışma, haziran-kasım 2023 tarihinde İstanbul'daki bir eğitim ve araştırma hastanesinin doğumhane biriminde yürütüldü. Toplam 72 katılımcı randomizasyon yoluyla deney ve kontrol gruplarına ayrıldı. Veriler, kişisel bilgi formu, görsel analog skala, Durumluk Kaygı Ölçeği ve Doğum Konforu Ölçeği kullanılarak toplandı. Kontrol grubuna standart bakım uygulanırken, deney grubuna latent faz, aktif faz ve geçiş fazında 30 dk kiraz çekirdeği keseleri ile mekanik sakral masaj uygulandı. Bulgular: Kiraz çekirdeği keseleri ile yapılan sakral masajın doğum eyleminin 1. ve 2. evresini kısaltmış (p<0,05), ancak APGAR skorları üzerine herhangi bir etkisi olmamıştır (p>0,05). Sakral masajın aktif faz ve geçiş fazında doğum ağrısını azalttığı, geçiş fazında doğum kaygısını azalttığı belirlendi. Ayrıca masajın latent faz, aktif faz ve geçiş fazında gebelerin doğum konforunu da yükselttiği bulundu (p<0,05). Sonuç: Kiraz çekirdeği ile yapılan sakral masaj, doğum ağrısını, doğum süresini, doğum kaygısını azaltırken, doğum konforunu ise artırmaktadır. Maliyet etkin ve uygulanması kolay bir yöntem olan bu masaj tekniğinin ebelik bakımına entegre edilmesi son derece önemlidir. Ayrıca, ebelik müfredatında mekanik masaj yöntemlerine yer verilmesi, öğrencilerin bu uygulamalarda yeterlilik kazanmalarını sağlayacaktır.

Anahtar Kelimeler: Masaj; doğum ağrısı; anksiyete; konfor; ebelik
ABSTRACT
 Objective: This study aimed to evaluate the effects of sacral massage using cherry seeds on labor pain, anxiety levels, and overall labor comfort. Material and Methods: This randomized controlled and experimental study was conducted between June and November 2023 in the maternity unit of a training and research hospital in İstanbul. A total of 72 participants were allocated to the experimental and control groups through randomization. Data were collected using a personal information form and several assessment scales: the visual analog scale, State Anxiety Scale, and Labor Comfort Scale. The control group received standard care, while the experimental group received mechanical sacral massage using cherry seed pouches for 30 minutes during the latent, active, and transition phases of labor. Results: The sacral massage with cherry pit bags shortened the 1st and 2nd stages of labor (p<0.05), but it had no effect on the APGAR scores (p>0.05). Additionally, sacral massage decreased pain during the active and transition phases, reduced anxiety in the transition phase, and improved labor comfort in all phases (p<0.05). Conclusion: Sacral massage with cherry seeds effectively reduces labor pain and anxiety while increasing comfort and shortening labor duration. Integrating this cost-effective and easy-to-implement massage technique into midwifery care is of utmost importance. Additionally, including mechanical massage techniques in midwifery curricula will ensure that students gain proficiency in these practices.

Keywords: Massage; labor pain; anxiety; comfort; midwifery
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