Breast Massage and Hot Compress Application to Mothers With Premature Babies at Newborn Intensive Care University Effect on Milk Release and Anxiety
Condition: Breast Milk Collection; Breast Pumping; Massage Therapy
MeSH terms: Premature Birth
Study type: Interventional

Summary: 
      This research was carried out in order to determine the effect of breast massage and hot
      compresses on milk release and anxiety to mothers with premature babies in YYBU (Neonatal
      Intensive Care Unit)
    

Detailed description: 
      Participants who met the criteria for inclusion of the study were informed about the purpose
      of the research, the scales used, the data to be collected and the purposes of use of this
      data. Participants who agreed to participate voluntarily in the study were given a
      questionnaire form in an environment where they could respond without distraction in their
      clinic and responded under the supervision of the researcher. The answer to the questionnaire
      was completed in approximately 10-15 minutes. Suitable for the research group in which
      participants are included; control group, breast massage application group, hot compress
      group to the breast, massage to the breast and data collection form suitable for hot compress
      group.Participants were followed by the post op 48 hour researcher. A mother with 120
      premature babies who met the criteria for inclusion in the study was taken. The applications
      carried out in the study were shown to the mother by the researcher in a hands-on manner,
      explained and given a brochure explaining the application. The mothers who were included in
      the control group were informed about the use of milking pumps in the routine application of
      the hospital, the data collection form and the condition anxiety scale were filled out on the
      first day. These mothers were told by the researcher how to fill out the breast milk
      follow-up form for 4 days as long as they were in the hospital. Milk amounts are measured in
      ml. On the last day, the situation anxiety scale has been filled.

      The mothers who were included in the breast massage group were informed about the use of
      milking pumps in the routine application of the hospital, the data collection form and the
      condition anxiety scale were filled out on the first day. These mothers were shown breast
      massage during the use of milking pumps, they were provided with a brochure explaining the
      application. As long as the breast milk follow-up form to record the amounts of milk they
      milked was in the hospital, the researcher explained how to fill it out when discharged and
      was asked to fill out the last-day conditional anxiety scale (SATI-I). Milk amounts are
      measured in ml.

      Mothers who were included in the hot application group were informed about the use of milking
      pumps in the routine application of the hospital and the condition anxiety scale (STAI-I) was
      filled out on the first day. These mothers were shown the hot application they would make
      during the use of milking pumps, they were provided with the application and a brochure was
      given explaining the application.

      The hot chest compress to be used in this group will be used in the Lansinoh brand
      Thera°Pearl® Hot Breast Therapy pad, which is sold in medical medicines in pharmacies
      approved by the Ministry of Health.

      The breast milk follow-up form, in which they will record the amounts of milk they milk, was
      explained by the researcher in the hospital and how to fill it out when they were discharged,
      and they were asked to fill out a last-day anxiety scale. Mothers who were included in the
      breast massage and hot application group were informed about the use of milking pumps in the
      routine application of the hospital, the data collection form and the condition anxiety scale
      were filled out on the first day. These mothers were shown breast massage and hot application
      during the use of milking pumps, they were provided with their own application and a brochure
      was given explaining the application. The breast milk follow-up form, in which they will
      record the amounts of milk they milk, was explained by the researcher in the hospital and how
      to fill it out when they were discharged, and they were asked to fill out a last-day anxiety
      scale.

      In the study, a MANDELA type milking pump was used, which belongs to the hospital where the
      work was carried out to milk the mothers. The milking pump setting of the mothers who
      participated in the study was also adjusted to moderate level.

      Where the research was carried out : The research was carried out in the cesarean clinic of
      Ankara Etlik Zubeyde Women's Obstetrics and Gynecology Education and Research Hospital.

      Universe and Sampling of The Research: The universe of this research is made up of patients
      who meet the criteria for inclusion in the cesarean clinic at Ankara Etlik Zubeyde Women's
      Obstetrics and Gynecology Education and Research Hospital and who agree to participate in the
      research. The sample size required for the research question created to examine the reduction
      of anxiety by increasing the amount of milk of the mother of breast massage, hot compress,
      breast massage-hot compress application to premature baby was examined in groups of
      thirtysomethings. Accordingly, the sample size of 120 people was grouped as Massage group
      [n=30], Hot group [n=30], Massage and Hot group [n=30] and Control group[n=30] as
      individuals. Randomization of groups was carried out through the computer randomization
      program Random Allocation Software program.

      Data Evaluation: The analysis was conducted through the IBM SPSS Statistics 23 package
      program. When evaluating the study data, frequency (number, percentage) for categorical
      variables and descriptive statistics (mean, standard deviation, median, minimum, maximum) are
      given for numerical variables. The assumptions of normality of numerical variables by groups
      were examined by shapiro wilk normality test and it was observed that some variables were not
      distributed normally. Therefore, both parametric and non-parametric statistical methods were
      used in the study.The relationships between the two Independent categorical variables are
      interpreted by The Square analysis. Fisher Exact test results were used in cases where the
      expected value assumption was not provided in the Square analysis. The differences between
      more than two independent groups were looked at with the Kruskal Wallis test for variables
      that showed normal distribution, one-way variance analysis (ANOVA) for variables that did not
      have normal distribution. The differences between the Dependent Sample T Test and more than
      two dependent numeric variables for variables with normal distribution between two dependent
      numeric variables were examined with Friedman's Analysis.The power of the work is calculated
      by the GPower package program. In the study, the effect width was found to be 0.62 and the
      strength of the study, which was completed with a total of 120 people including 30 massages,
      30 hot applications, 30 massages and hot treatments and 30 controls, was found to be 80.1% at
      the 0.05 significant level. Statistical signation was interpreted as 0.05 in the analysis.

      Data Collection Tools:The research data were collected using the Data Collection Form,
      Spielberger's Situational Anxiety Inventory and Breast Milk Follow-up Form, which includes
      questions and sociodemographic data determined by the researchers in accordance with the
      subject of the research in line with the literature information.
    

Intervention name(s): breast massage; hot compress; breast massage-hot compress
Intervention type(s): Other; Other; Other
Intervention description(s): Mothers who were included in the breast massage group who met the research criteria were informed about the use of milking pumps in the routine application of the hospital and the condition anxiety scale was filled out on the first day. These mothers were shown breast massage during the use of milking pumps, they were provided with their own application and a brochure was given explaining the application.As long as the breast milk follow-up form to record the amounts of milk they milked was in the hospital, the researcher explained how to fill it out when discharged and was asked to fill out the last-day conditional anxiety scale (SATI-I). Milk amounts are measured in ml.; Mothers who were included in the hot application group were informed about the use of milking pumps in the routine application of the hospital and the condition anxiety scale (STAI-I) was filled out on the first day. These mothers were shown the hot application they would make during the use of milking pumps, they were provided with the application and a brochure was given explaining the application.The hot chest compress to be used in this group will be used in the Lansinoh brand Thera°Pearl® Hot Breast Therapy pad, which is sold in medical medicines in pharmacies approved by the Ministry of Health.The breast milk follow-up form, in which they will record the amounts of milk they milk, was explained by the researcher in the hospital and how to fill it out when they were discharged, and they were asked to fill out a last-day anxiety scale.; Mothers who were included in the breast massage and hot application group were informed about the use of milking pumps in the routine application of the hospital, the data collection form and the condition anxiety scale were filled out on the first day. These mothers were shown breast massage and hot application during the use of milking pumps, they were provided with their own application and a brochure was given explaining the application.As long as the breast milk follow-up form to record the amounts of milk they milked was in the hospital, the researcher explained how to fill it out when discharged and was asked to fill out the last-day conditional anxiety scale (SATI-I). Milk amounts are measured in ml.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: There will be 4 groups.three interventional and one control group.
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Breast Milk; Premature; Milking Pump; Hot Compress; Breast Massage; Anxiety; randomized controlled study