Introduction: In addition to pharmacological methods, non-pharmacological methods can also be used for reducing pain and increasing comfort during invasive procedures in newborn babies. This study was conducted to determine the effect on pain level and comfort of foot massages given by mothers to newborns before heel lancing.Methods: This is a double-blind randomized controlled experimental study. The sample consisted of 128 newborns including 64 in the intervention group and 64 in the control group. The Newborn Infant Pain Scale (NIPS) and Newborn Comfort Behavior Scale (NCBS) were used to collect the data, along with questionnaires for information on the newborn and mother. The researcher explained to each mother in theory how to do a foot massage at least 2 h before the heel lancing procedure. Mothers then drew random assignments to either an intervention group that would give a foot massage for 3 min with baby oil, or a control group that simply waited 3 min, immediately prior to the lancing.Results: It was determined that the foot massage performed by the mother reduced the pain level of babies, increased their comfort levels, and decreased their distress levels.
Conclusion:Nurses play an active role in defining and evaluating the newborn's responses to pain. It is thought that this study will guide nurses working in the clinic in reducing the acute pain that develops with invasive interventions performed on newborns and in preventing the negative effects of pain on the newborn.
Bu araştırma, doğuma hazırlık kursuna katılmak için başvuran gebelerin doğum korkusu ve doğum şekline karar verme durumlarının belirlenmesi amacı ile yapılmıştır. Tanımlayıcı olan bu araştırma Nisan 2013-Şubat 2014 tarihleri arasında Acıbadem Hastanesi Doğuma Hazırlık Kursuna gelen 85 gebe ile gerçekleştirilmiştir. Verilerin istatistiksel değerlendirilmesinde sayı, yüzde ve pearson korelasyon analizi kullanılmıştır. Kadınların yaş ortalamasının 28.1±3.3, %69.4'ünün lise mezunu olduğu belirlenmiştir. Sezaryen ile doğumu tercih eden gebelerin %28.6'sının doğum korkusu nedeniyle bu doğumu tercih ettikleri belirlenmiştir. Wijma Doğum Beklentisi/Deneyimi Ölçeği'ne göre çalışmaya kapsamındaki kadınların %38.8'inin doğuma ilişkin şiddetli korku, %8.2'sinin ise klinik düzeyde korku yaşadığı belirlenmiştir. Gebelerin W-DEQ-A korku düzeyi toplam puanı arttıkça karar verme ölçeğinin alt ölçeklerinden kaçıngan, erteleyici ve panik karar verme arasında anlamlı bir ilişki olduğu saptanmıştır (p<0.05). Doğum korkusu kadının gerek gebelik sürecini gerekse doğum sürecini olumsuz yönde etkileyen ciddi bir sorundur. Kadınların tutum ve inançlarının dikkate alınarak antenatal bakım verilmesi ve normal doğum konusunda cesaretlendirilmeleri oldukça önemlidir.
This study was aimed at determining the quality of sexual life and changes occurring in the sexual life of women with high-risk pregnancy. The study was carried out at the obstetric clinic of a hospital in a province located in the Central Anatolia region of Turkey. The population of this cross-sectional study comprised 112 women diagnosed with high-risk pregnancy. When the period during which the women had a diagnosis of high-risk pregnancy was compared to the period during which they did not have such a diagnosis, it was determined that more than half of the women experienced adverse changes in their sexual lives. Also high-risk pregnancies involved such complaints as sexual dissatisfaction, sexual self-dislike, and feelings of pain during sexual intercourse.
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