Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Sakral Bölgeye Uygulanan Soğuk Uygulamanın Doğum Konforuna Etkisi: Randomize Kontrollü Bir Çalışma
The Effect of Cold Application to the Sacral Area on Labor Comfort: A Randomised Controlled Study
Emine YILDIRIMa , Sevil İNALb
aOsmaniye Korkut Ata Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Osmaniye, Türkiye
bİstanbul Üniversitesi-Cerrahpaşa Sağlık Bilimleri Fakültesi, Ebelik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):617-24
doi: 10.5336/nurses.2023-95522
Article Language: TR
Full Text
ÖZET
 Amaç: Doğum, kadının hayatında ve anneliğe adaptasyonunda önemli bir deneyimdir. Bu çalışmada, travayda sakral bölgeye uygulanan soğuk uygulamanın fiziksel, psikospiritüel ve çevresel doğum konforuna etkisinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma, randomize kontrollü deneysel bir çalışma olarak gerçekleştirildi. Araştırmanın popülasyonunu, 01.12.2019- 01.04.2020 tarihleri arasında Sağlık Bakanlığı'na bağlı bir eğitim ve araştırma hastanesinin doğumhanesine başvuran gebeler oluşturmuştur. Çalışmanın örneklemi güç analizi ile belirlendi. Araştırmanın örneklemini 30 deney grubu ve 30 kontrol grubu olmak üzere 60 gebe kadın oluşturmuştur. Veriler, sosyodemografik özellikler formu ve Doğum Konfor Ölçeği ile toplandı. Deney grubundaki gebelere, 8 cm servikal dilatasyon olduğunda 20 dk arayla 10 dk süre ile sakral bölgeye soğuk uygulama yapılırken, kontrol grubundaki gebelere ünitenin rutin bakım protokolü uygulandı. Bulgular: Deney ve kontrol grubu yaş, eğitim seviyesi, doğum ve gebelik sayısı, doğumda müdahale, bebeğin cinsiyeti, ağırlığı ve uzunluğu açısından karşılaştırıldığında önemli bir farklılık bulunmadı (p>0,05). Fiziksel, psikospiritüel, çevresel ve Doğum Konfor Ölçeği toplam puanları açısından uygulama sonrasında gruplar arasında anlamlı fark saptandı (p=0,000). Gruplar arası karşılaştırmada, deney grubundaki gebelerin uygulama sonrası fiziksel, psikospiritüel ve çevresel faktörleri içeren konfor puanları kontrol grubuna göre anlamlı olarak yüksek bulundu (p=0,000). Sonuç: Travayda servikal dilatasyonun 8 cm olmasından sonra, sakral bölgeye uygulanan soğuk uygulama, fiziksel, psikospiritüel ve çevresel doğum konforunu artırmaktadır.

Anahtar Kelimeler: Doğum, obstetrik; hasta konforu; lumbosakral bölge; düşük sıcaklık
ABSTRACT
 Objective: Labor is an important experience that affects the woman's life and the process of adaptation to motherhood. This study aims to determine the effect of cold application to the sacral area on physical, psychospiritual, environmental labor comfort. Material and Methods: The study was done as a randomised controlled experimental study. The population of the study consisted of pregnant women who applied to the delivery room of a training and research hospital affiliated to the Ministry of Health between 01.12.2019- 01.04.2020. The sample of the study was determined by the power analysis. The study sample consisted of 60 pregnant women both in the experimental (n=30) and control (n=30) groups. Data were collected through the socio-demographic form, Childbirth Comfort Questionnaire. While the women in the experimental group received cold application to the sacral region for 10 minutes every 20 minutes after 8 cm of cervical dilation, the women in control group received routine care protocol of the unit. Results: No significant differences were found when the experimental and control groups were compared in terms of age, educational level, number of pregnancies and deliveries, intervention in the birth of the mother, and gender, weight, and height of the baby (p>0.05). There was a statistically significant difference between the groups after the application in terms of physical, psychospiritual, environmental and Childbirth Comfort Questionnaire total scores (p=0.000). In the comparison between groups, the comfort scores of the pregnant women in the experimental group, including physical, psychospiritual and environmental factors, were found to be significantly higher than the control group (p=0.000). Conclusion: After cervical dilatation is 8 cm in labor, cold application applied to the sacral area increases the physical, psychospiritual and environmental comfort of labor.

Keywords: Labor, obstetric; patient comfort; lumbosacral region; cold temperature
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