Reiki uygulamasının epizyotomi iyileşmesi ve perineal ağrı üzerine etkisi
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi, Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma, vajinal doğum yapan lohusalara uygulanan Reiki uygulamasının doğum sonu epizyotomi iyileşmesi ve perineal ağrı üzerine etkisini değerlendirmek amacıyla, ön test-son test düzende randomize kontrollü bir araştırmadır. Örneklem seçiminde randomizasyon yöntemi olarak Basit Rastgele Sayılar Tablosu kullanılmıştır. Araştırmaya müdahale grubuna 18 primipar ve 22 multipar olmak üzere 40, kontrol grubuna 23 primipar ve 23 multipar olmak üzere 46 lohusa olmak üzere toplamda 86 lohusa alınmıştır. Arştırmanın gücü yapılan power analizi ile %0.95 olarak belirlenmiştir. Araştırmanın yapılması için etik kurul izni, kurum izni ve lohusaların bilgilendirilmiş gönüllü onamları alınmıştır. Veriler Tanıtıcı Bilgi Formu, REEDA Skalası, McGill Ağrı Ölçeği Kısa Formu (MAÖ-KF) ve Reiki Uygulamasına İlişkin Soru Formu ile toplanmıştır. Müdahale grubuna doğum yaptıkları 1. gün, 2. gün ve 7. gün 35-40 dakika 3 seans Reiki uygulanmıştır. Her iki gruba doğum sonu 1. gün, 2. gün, 7. gün ve 14. günde olmak üzere 4 izlem yapılmıştır. Verilerin değerlendirilirmesinde tanımlayıcı istatistiksel metotlar, ki kare, bağımsız t testi, tekrarlı ölçümlerde varyans analizi, Bonferroni analizi, bağımlı t testi kullanılmıştır. Müdahale grubuna göre kontrol grubu lohusaların 3. izlem son test REEDA Skalası toplam puan ortalamalarının daha yüksek ve gruplar arası farkın anlamlı olduğu belirlenmiştir (p<0.05). Müdahale grubuna göre kontrol grubu lohusaların 3. izlem son test ve 4. izlem REEDA Skalası ödem puan ortalamalarının daha yüksek ve gruplar arası farkın anlamlı olduğu belirlenmiştir (p<0.05). Müdahale ve kontrol grubunun 3. ve 4. izlemde MAÖ-KF toplam ağrı skoru puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olduğu (p<0.05); kontrol grubunun 3. ve 4. izlemde MAÖ-KF toplam ağrı skoru ve ağrı yoğunluğu puan ortalamaları müdahale grubuna göre daha yüksek bulunmuştur. Araştırmanın sonucunda; vajinal doğum yapmış lohusalara uygulanan Reikinin ödem üzerine etkisinden dolayı epizyotomi iyileşmesine olumlu etkisi olduğu ve perineal ağrıyı azalttığı belirlenmiştir.
The research is a randomized controlled study in a pre-test-post-test order to evaluate the effect of Reiki application on postpartum episiotomy recovery and perineal pain applied to puerperant women who had vaginal delivery. Simple Random Numbers Table was used as the randomization method for sample selection. A total of 86 puerperant women were included in the study, 40 of which were 18 primiparous and 22 multiparous in the intervention group, and 46 puerperant women in the control group, 23 of which were primiparous and 23 multiparous. The power of the research was determined as 0.95% by the power analysis. Ethics committee permission, institutional permission, and informed consent of the postpartum women were obtained for the study. Data were collected with the Introductory Information Form, REEDA Scale, McGill Pain Scale Short Form (MAS-SF), and Reiki Practice Questionnaire. Three sessions of Reiki for 35-40 minutes were applied to the intervention group on the 1st, 2nd and 7th days of giving birth. Four follow-ups were performed for both groups on postpartum 1st day, 2nd day, 7th day and 14th day. Descriptive statistical methods, chi-square, independent t test, analysis of variance in repeated measurements, Bonferroni analysis, dependent t test were used in the evaluation of the data. Compared to the intervention group, the control group post-test REEDA Scale total score averages were higher and the difference between the groups was significant (p<0.05). Compared to the intervention group, the control group post-test and fourth follow-up REEDA Scale edema scores were higher and the difference between the groups was significant (p<0.05). There was a statistically significant difference between the mean MAI-SF total pain scores of the intervention and control groups in the 3rd and 4th follow-ups (p<0.05); in the 3rd and 4th follow-ups of the control group, MAI-SF total pain score and pain intensity mean score were found to be higher than the intervention group. As a result of the research; it was determined that Reiki applied to puerperant women who had vaginal delivery had a positive effect on episiotomy recovery and reduced perineal pain due to its effect on edema.
The research is a randomized controlled study in a pre-test-post-test order to evaluate the effect of Reiki application on postpartum episiotomy recovery and perineal pain applied to puerperant women who had vaginal delivery. Simple Random Numbers Table was used as the randomization method for sample selection. A total of 86 puerperant women were included in the study, 40 of which were 18 primiparous and 22 multiparous in the intervention group, and 46 puerperant women in the control group, 23 of which were primiparous and 23 multiparous. The power of the research was determined as 0.95% by the power analysis. Ethics committee permission, institutional permission, and informed consent of the postpartum women were obtained for the study. Data were collected with the Introductory Information Form, REEDA Scale, McGill Pain Scale Short Form (MAS-SF), and Reiki Practice Questionnaire. Three sessions of Reiki for 35-40 minutes were applied to the intervention group on the 1st, 2nd and 7th days of giving birth. Four follow-ups were performed for both groups on postpartum 1st day, 2nd day, 7th day and 14th day. Descriptive statistical methods, chi-square, independent t test, analysis of variance in repeated measurements, Bonferroni analysis, dependent t test were used in the evaluation of the data. Compared to the intervention group, the control group post-test REEDA Scale total score averages were higher and the difference between the groups was significant (p<0.05). Compared to the intervention group, the control group post-test and fourth follow-up REEDA Scale edema scores were higher and the difference between the groups was significant (p<0.05). There was a statistically significant difference between the mean MAI-SF total pain scores of the intervention and control groups in the 3rd and 4th follow-ups (p<0.05); in the 3rd and 4th follow-ups of the control group, MAI-SF total pain score and pain intensity mean score were found to be higher than the intervention group. As a result of the research; it was determined that Reiki applied to puerperant women who had vaginal delivery had a positive effect on episiotomy recovery and reduced perineal pain due to its effect on edema.
Açıklama
Anahtar Kelimeler
Reiki, Epizyotomi, Perineal Ağrı, Lohusa, Reiki, Episiotomy, Perineal Pain, Puerperant Woman
