Classic Foot Massage Applied to Preeclamptic Pregnants and Insomnia and Anxiety
Condition: Pregnant Women
MeSH terms: Sleep Initiation and Maintenance Disorders
Study type: Interventional

Summary: 
      Preeclampsia affects the sleep quality of pregnant women. With this study, it is expected
      that the sleep quality will be regulated by applying massage to pregnant women.
    

Detailed description: 
      One of the most important life events that cause change in a woman's life is the experience
      of pregnancy and childbirth. Pregnancy is a natural process for a woman; However, many women
      die due to complications during pregnancy. Severe hypertension is among the main causes of
      maternal and infant mortality during pregnancy and postpartum period. Hypertension in
      pregnancy occurs in 12-15% of all pregnancies, of which approximately 70% is preeclampsia and
      the remainder is chronic hypertension. It can cause severe hypertension, ablatio placenta,
      cerebral hemorrhage, pulmonary edema, liver and kidney failure, stroke, hemorrhage,
      intrauterine fetal death, HELLP (hemolysis, increased liver enzymes, low platelet) syndrome
      and maternal death in preeclamptic pregnant women. There is a relationship between
      hypertension and sleep disorders during pregnancy, . It has been reported that some sleep
      problems such as insomnia, fragmented sleep, snoring, sleep apnea and non-idiopathic insomnia
      are more common in pregnant women with preeclampsia than healthy pregnant women. Sleep
      disorders are associated with both increased morbidity and mortality. Poor sleep quality also
      increases the risk of depression. Sleep disorders also affect cardiovascular morbidity,
      including neuroendocrine, metabolic and inflammatory systems. Short sleep duration in
      pregnancy is also associated with longer delivery times and increased cesarean rates.
      Similarly, sleep problems experienced during pregnancy, poor sleep quality and stress may
      cause prolongation of labor, more fatigue of the mother during labor, development of
      complications, and increased fear and anxiety of the mother; It can lead to inadequate care
      of pregnant women, increase in the incidence of glucose intolerance and gestational diabetes,
      preterm delivery, delivery of a low-birth-weight baby and developmental problems in the baby.
      Moreover , it has been determined that the 3rd trimester sleep quality score is also
      associated with postpartum depressive symptoms . All these results show the importance of
      sleep for a healthy pregnancy. Various ways of coping are sought to solve sleep problems
      during pregnancy. These include lip exercises and diaphragmatic breathing exercises, training
      programs, yoga, passive exercises, and footbathing. In addition, it has been reported that
      applying foot massage to pregnant women with physiological edema in the lower extremities
      relieves insomnia complaints. It has been observed in the literature that classical foot
      massage performed in different disease groups reduces sleep symptoms. However, no study has
      been found in the literature examining the effect of classical foot massage applied to
      pregnant women with preeclampsia on insomnia. The aim of this study is to determine the
      effect of classical foot massage applied to preeclamptic pregnant women on sleep symptoms. If
      classical foot massage reduces insomnia symptoms, the effectiveness of a non-pharmacological
      method in reducing insomnia symptoms of preeclamptic pregnant women has been evaluated, and
      it is thought that a new approach will be presented both to the literature and to basic care
      interventions.
    

Intervention name(s): massage
Intervention type(s): Other
Intervention description(s): Pregnant women by the researcher; Foot massage consisting of classical massage techniques will be applied in a room in the clinic reserved for this application. During the massage; A pillow will be placed under the patient's leg and a disposable cover will be placed on the pillow. During the massage, pregnant women will be massaged with baby oil or vaseline cream. The soles of the pregnant women will be rubbed by the practitioner's fingers. The practitioner will make circular movements by applying pressure to the sole of the pregnant woman's feet with her thumb, and will apply pressure to the foot with up and down movements, using the joint protrusions on the upper surface of the hand that she has made into a fist. The heel and ankle will be squeezed between the thumb and forefinger of the researcher and kneaded and the massage will be terminated. During the application, the researcher who performs the massage will pay attention to the precautions applied in the hospital.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Supportive Care