The Effect of Ice Massage Applied to the SP6 Point on Labor Pain, Labor Comfort, Labor Duration, and Anxiety: A Randomized Clinical Trial

IF 2.1 4区 医学 Q2 NURSING
Hülya Türkmen PhD, RN, Serap Çetinkaya RN, Hafize Kiliç RN, Serpil Dinçer Tuna RN, Mehmet Şirvanci MD, Hilmi Mutlu MD
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Abstract

Introduction

Acupressure and cold application are nonpharmacologic methods that midwives can use for labor pain. The purpose of this study was to determine the effects of ice massage applied to the SP6 acupressure point during labor on labor pain, labor comfort, labor duration, and anxiety.

Methods

A single-masked, randomized controlled trial was conducted with 100 nulliparous women, including 50 in the intervention group and 50 in the control group. Rotational ice massage was applied to the SP6 point on both legs of the pregnant women in the intervention group at 4 to 5 cm, 6 to 7 cm, and 8 to 9 cm dilation amounts during 3 contractions. Routine oxytocin was administered to all pregnant women to promote progress of labor. Standard midwifery care was provided to the control group. Data were collected using a Personal Information Form, the Visual Analog Scale (VAS), a partograph form, the Childbirth Comfort Questionnaire (CCQ), and the State-Trait Anxiety Inventory State subscale.

Result

The VAS pain scores of the pregnant women in the intervention group were significantly lower compared with the control group following the intervention at dilatations of 4 to 5 cm, 6 to 7 cm, and 8 to 9 cm (P = .001, P = .003, P <.001, respectively). The total CCQ and comfort level scores of the pregnant women in the intervention group at 8 to 9 cm cervical dilatation were significantly higher than the control group (P = 0.044, P = .027, respectively). Additionally, as the anxiety levels of the pregnant women increased, their total comfort scores decreased (P <.05).

Discussion

Ice application to the SP6 point during stage 1 of childbirth reduced labor pain, increased comfort, and reduced anxiety levels. No adverse events were found in the intervention group with ice massage applied to the SP6 point. Therefore, this method can be used as a safe and effective midwifery intervention in childbirth.

Abstract Image

SP6穴位冰敷对分娩疼痛、分娩舒适度、产程和焦虑的影响:随机临床试验
导言:穴位按摩和冷敷是助产士治疗分娩疼痛的非药物方法。本研究旨在确定在分娩过程中对 SP6 穴位进行冰敷按摩对分娩疼痛、分娩舒适度、产程持续时间和焦虑的影响:方法:对 100 名无阴道的产妇进行了单掩模随机对照试验,其中干预组和对照组各 50 人。干预组孕妇在宫口扩张 4 至 5 厘米、6 至 7 厘米和 8 至 9 厘米时,在双腿的 SP6 穴位进行旋转冰敷。所有孕妇都注射了常规催产素,以促进分娩进展。对照组接受标准助产护理。数据收集采用了个人信息表、视觉模拟量表(VAS)、产程记录表、分娩舒适度问卷(CCQ)和状态-特质焦虑量表状态分量表:结果:干预组孕妇在宫口扩张 4 至 5 厘米、6 至 7 厘米和 8 至 9 厘米时的 VAS 疼痛评分明显低于对照组(P = .001, P = .003, P 讨论):在分娩第一阶段冰敷 SP6 穴位可减轻分娩疼痛、增加舒适感并降低焦虑程度。冰敷 SP6 穴干预组未发现不良事件。因此,这种方法可作为一种安全有效的助产干预措施用于分娩。
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来源期刊
CiteScore
3.60
自引率
7.40%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed
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