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Ahitha, V.
- Effectiveness of Cold Application on Episiotomy Pain among Postnatal Mothers in Selected Hospitals at Kanyakumari District
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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
- Evaluate the effectiveness of Infrared Lamp Therapy on Episiotomy wound healing among postnatal mothers at selected hospitals in Kanyakumari District
Abstract Views :92 |
PDF Views:0
Authors
Affiliations
1 2nd Year M.Sc., Nursing, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
2 Vice Principal and Professor, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
3 Principal and Professor, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
1 2nd Year M.Sc., Nursing, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
2 Vice Principal and Professor, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
3 Principal and Professor, Department of Obstetrics and Gynecology Nursing, Thasiah College of Nursing, Vellivilagam, Marthandam, IN
Source
International Journal of Nursing Education and Research, Vol 10, No 2 (2022), Pagination: 169-173Abstract
Background of the study: One of the major problems during postnatal period is episiotomy wound and pain. The lack of episiotomy wound healing leads negative effect on breastfeeding and mother’s baby bonding. Infrared lamp therapy enhances the episiotomy wound healing among postnatal mothers. The aim of the study is to evaluate the effectiveness of infrared lamp therapy on episiotomy wound healing among postnatal mothers. Material and Methods: The design adopted was quasi experimental pre-test and post-test control group design. The purposive sampling technique was used. The selected conceptual framework was Erenestine Wiedenbach’s “The helping art of clinical nursing theory” (1964). The tool used was REEDA scale. Infra red lamp therapy was administered for 15 to 20 minutes twice a day, for three consecutive days. Level of episiotomy wound healing was assessed by the end of third day immediately. Results: The study revealed that in pre-test level of episiotomy wound healing, all the postnatal mothers had no wound healing before administering infrared lamp therapy. After the infrared lamp therapy, it was amazing that the level of episiotomy wound healing was increased in which, 70% of them had good healing and 30% of them had moderate healing. There was a significant difference between pre-test and post-test mean episiotomy wound healing scores (MD=11.46, t=52.52, p<0.001) in experimental group. There was a significant difference in the post-test mean episiotomy wound healing scores (MD=4.70, t=11.03, p<0.001) in experimental and control group. Conclusion: Administration of infrared lamp therapy is an effective non-pharmacological intervention for enhancing episiotomy wound healing among postnatal mothers.Keywords
Infrared lamp therapy, Episiotomy wound, Postnatal mothers.References
- Book reference:
- Annamma Jacob, (2005). A Comprehensive Text book of Midwifery. (2nd edition). New Delhi: Jaypee Brothers Medical Publications.
- Denise, F. Polit & Hungler. (2007). Nursing Research. (7th edition). New Delhi: Lippincott Williams and Wilkin publications.
- Dutta, D. C., (2004). Text book of Obstetrics. (6th edition). Calcutta: New Central Book Agency.
- Ingalls A. Joy. (2000). Maternal and Child Health Nursing. (7th edition). London: Mosby Publications.
- Journal references:
- Budhi Baruha, and Sudha A. Raddi, (2010). Effect of infra red radiation (Lamp) in episiotomy wound healing among postnatal mothers. Journal of South Asian Federation of Obstetrics and Gynaecology. Volume 2(3). Pages 236-238.
- B.W.C. Sathiyasekaran, et.al (2007). Population based study of episiotomy. Sriramachandra Journal of Medicine. Retrieved from http://www.sriramachandra.edu.in/srjm/nov.
- Davidson NS. REEDA (1974). Evaluating postpartum healing. Journal of Nurse Midwifery. Volume 19 (6). Page no : 6-8.
- John Esther, et.al. (2009). Effectiveness of infrared radiations in healing of episiotomy wound in postnatal mothers. Nightingale Nursing Times. Volume 4(11). Pages : 60-61,67.