Effects Of Hand Massage After Cesarean Section

Study Overview
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Brief Summary
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H1-1 Hypothesis: Hand massage applied after cesarean delivery has an effect on reducing the level of pain in the cesarean section incision area of women. H1-2 Hypothesis: Hand massage applied after cesarean delivery has an effect on increasing the comfort scale score of women. H1-3 Hypothesis: Hand massage applied after cesarean delivery has an effect on reducing the time of gas production in women.

Official Title
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THE EFFECT OF AFTER CAESARIAN SECTION HAND MASSAGE ON PAIN, COMFORT LEVEL AND GAS OUTPUT TIME

Conditions
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Primiparous Mothers Who Gave Birth by Cesarean Section

Intervention / Treatment
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* Other: Hand massage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having primiparous pregnancy, 18 years old and over, Able to speak Turkish and express himself in Turkish, Does not have any disability (such as vision, hearing) Having completed the 6th hour after cesarean delivery, hospitalized in the gynecology service, Having undergone cesarean section with spinal anesthesia, Having no findings such as wounds, nerve problems, history of surgery or amputation on their hands, Single pregnancy, Women who are open to communication and who are mentally and physically healty Exclusion Criteria: Not accepting to work, Having a gas outlet before starting the application, Presence of findings such as wounds on hands, nerve problems, history of surgery or amputation, Having postpartum hemorrhage, With uterine subinvolution, Having a cesarean section with another type of anesthesia other than spinal anesthesia (such as general, epidural combined) Having twin babies, Having a premature baby (the baby needs more attention and care) Women whose babies are hospitalized in the neonatal intensive care unit.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: Single Group Assignment Women who had cesarean section in the institution were evaluated in terms of sample. They were divided into two groups as criteria and random sampling. be an order obtained a random number table, capable of random sampling automatically by means of programs on websites by specifying a number. samples. Selection of intervention and control groups determined by tossing a coin. The sample number was determined as 83 women who had a total of 166 cesarean section in each of the intervention and control groups. Considering the data losses, 10% more was calculated and it was planned to conduct the research with a total of 182 women (91 women in the intervention group, 91 women in the control group).
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention<br>Hand massage will be applied to primiparous mothers who gave birth by cesarean section | Other: Hand massage<br>* Hand massage will be applied to primiparous mothers who gave birth by cesarean section and its effect on pain, comfort and gas release times will be evaluated.<br>|
| No Intervention: control<br>Routine care will be given to mothers who have given cesarean section and hand massage will not be applied. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| inclusion of women in the study and filling out the introductory information form | Women are included in the study by filling out the introductory information form. The information obtained will be recorded in the SPSS 20.0 package program. | maximum one hour | 
| ensuring the randomization of the women included in the study into the intervention and control groups | Distributions are made to women included in the study and to control and intervention groups. | Five min | 
| practicing and observing hand massage | Mothers assigned to the intervention group receive 2 sessions of hand massage. The first session is applied at the 6th hour after the cesarean section, and the second session is applied at the 12th hour after the cesarean section. Routine care is applied to the control group and hand massage is not applied. | an average of 12-13 hours | 
| assessment of pain | Women in the intervention and control groups are assessed for pain with the Visual Analog Scale (VAS). | five min | 
| comfort assessment | Women in the intervention and control groups will be evaluated with the Postpartum Comfort Scale. | ten min | 
| Evaluation of gas exit time | The effectiveness of hand massage will be evaluated by looking at the time between cesarean section hours and gas release times of women in the intervention and control groups. | five min | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hand massage, cesarean delivery, ache, comfort, gas outlet, midwife