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Solomon, Reeta Jebakumari
- Effectiveness of Cold Application on Episiotomy Pain among Postnatal Mothers in Selected Hospitals at Kanyakumari District
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Authors
Affiliations
1 Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
2 Thasiah College of Nursing, Vellivilagam, Marthandam, IN
1 Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
2 Thasiah College of Nursing, Vellivilagam, Marthandam, IN
Source
Asian Journal of Nursing Education and Research, Vol 9, No 2 (2019), Pagination: 188-192Abstract
Back ground of the study: Pregnancy and child birth are the special events in women’s life. The mother does suffer with much distress after child birth due to painful perineum resulting from an episiotomy. Cold application is an inexpensive, safe and easy to use method. The aim of the study is to evaluate the effectiveness of cold application on episiotomy pain among postnatal mothers in selected hospitals at Kanyakumari district. Material and Methods : The design adopted was quasi experimental pre-test and post-test control group design. The purposive sampling technique was used to select the samples. The conceptual framework selected for this study is Modified Kenny’s open system model. The tool used for data collection procedures was Wong Baker faces pain rating scale. Cold application was administered forl5 to 20 minutes twice a day for two days. Results : On day I, in pre-test majority of postnatal mothers 53.33% in the experimental group had very severe episiotomy pain and 46.67% of them had worse episiotomy pain. After cold application, 73.34% of them had severe pain and 13.33% of them had moderate and very severe episiotomy pain in experimental group. On day II, in pre-test most of postnatal mothers 53.33% in the experimental had moderate pain and 46.67% of them had severe pain. In control group, 66.67% of them had very severe pain and 33.33% of them had severe pain. After cold application, it was surprising that 66.67% of them had mild pain and 33.33% of them had no episiotomy pain in experimental group. There was a significant reduction in mean post-test episiotomy pain (in day I, MD=1.97, t=9.85, p<0.001, in day II - MD=3.57, t=31.72, p<0.001) of the experimental group. In day I the mean post-test score of episiotomy pain in the experimental group was 5.56, which was lesser than that of the control group 7.53 (MD=1.97, t=9.85, p<0.001). In day II, the mean post-test score of episiotomy pain in the experimental group was 0.73, which was lesser than that of the control group 5.63 (MD=4.90, t=24.74, p<0.001). Conclusion : It was concluded that, cold application is an effective non- pharmacological intervention for reducing episiotomy pain among postnatal mothers.Keywords
Effectiveness, Cold Application, Episiotomy Pain, Postnatal Mothers.References
- Book reference:
- Dutta, D.C.(2007). Text Book o f Gynecology (7th Edition). Calcutta: New Central Book Agency.
- George, J.B.(2011). Nursing Theories. New Delhi: Pearson Publications.
- KaminiRao, (2011).Text book o f Midwifery and Obstetrics fo r Nurses. New Delhi: Elsevier.
- Journals:
- Alison J. Macarthur, (2004). Incidence, severity, and determinants of episiotomy pain after vaginal delivery: A prospective cohort study. American Jorunalof Obstetrics & Gynecology, Vol.191, No. (4).
- ChaweewanYusamran, (2007). Relief episiotomy Pain After Perineorrhaphy by Cold Gel Pack Pad: A Randomized Controlled Trial. Thai Journal o f Nursing Research, Vol.11, No. (2).
- Net reference:
- Francisco AA, Vasconcellos de Oliveria SMJ, Barbosa da Silva FM, Bick D, Riesco MLG, Women’s experiences of episiotomy pain during the immediate postnatal period: a cross sectional study in Brazil. Midwifery. 2011; 27(6): 254- 9. Retrieved from: https ://doi.org/10.1016/j.midw.2010.10.012
- Swain J, Dahlen HG. Putting evidence into practice: a quality activity of proactive pain relief for postpartum episiotomy pain. women birth. 2013; 26(1): 65-70. Retrieved from :https://doi.org/10.1016/j.wombi.2012.03.004
- Effectiveness of Play Therapy on Anxiety among Hospitalized Preschool Children
Abstract Views :207 |
PDF Views:0
Authors
Affiliations
1 Child Health Nursing Department, Thasiah College of Nursing, Marthandam, IN
2 Thasiah College of Nursing, Marthandam, IN
1 Child Health Nursing Department, Thasiah College of Nursing, Marthandam, IN
2 Thasiah College of Nursing, Marthandam, IN
Source
Asian Journal of Nursing Education and Research, Vol 9, No 2 (2019), Pagination: 193-196Abstract
Back ground of the study: Anxiety disorders are more common in preschoolers. They cause many problems in later life. Anxiety disorder significantly affects the learning, cognitive pattern and memory status. Play helps to relieve anxiety of the child. The aim of the study is to evaluate the effectiveness of play therapy on anxiety among hospitalized preschool children in selected hospitals at Kanyakumari district. Material and Methods: The design adopted was quasi experimental pre test and post test control design. The convenient sampling technique was used to select the samples. The adopted conceptual framework for this study was Imogeine King’s Goal Attainment Theory. The tool used for data collection procedures was modified Spence children anxiety scale. Two hours of play therapy was provided for 3 days. Results : In the pre test most of the preschool children 60% in the experimental group had severe anxiety and in control group 53.3% of them had severe anxiety. After play therapy only 43.3% of preschoolers had mild anxiety and 40% had moderate anxiety in experimental group. There was a significant reduction in mean post test level of anxiety (M D= 33.2, t = 21.8, p<0.05) of the experimental group. The mean post test anxiety score in the experimental group was 38.0 lesser than that of the control group 69.7 (MD=0.7, t = 0.4, p<0.05). Conclusion : Play therapy was found to be cheap, non-invasive and non-pharmacological management used to reduce anxiety among hospitalized preschool children.Keywords
Effectiveness, Play Therapy, Hospitalization, Anxiety, Preschool children.References
- Assuma Beevi, T.M (2000). Text Book of Pediatric Nursing. (1st edition). Noida UP. Elsevier Publication.
- Ghai.O.P.(2009). Textbook of Paediatrics. (4th edition). Chennai. Universities press publications.
- Kothari CR. (2006). Research Methodology and Techniques. (4th edition). New Delhi. New age international (p) Ltd publishers.
- Marlow and Redding. (2002). Text Book of Paediatric Nursing. (6th edition). Philadelphia. Elsevier publications.
- Marrilyn Hockenberry. (2008). Wong’s test book of pediatric nursing. (8th edition). Newyork. Mosby Elsevier publications.