The Effect of Back Massage Applied to Mothers in the Early Postpartum Period on Parameters

January 11, 2024 updated by: Gamze ŞAHBAZ ÇADIR, T.C. ORDU ÜNİVERSİTESİ

The Effect of Back Massage Applied to Mothers in the Early Postpartum Period on Comfort, Pain, Anxiety, and Physiological Parameters

In the literature, there are separate studies on massage, comfort, anxiety, and physiological parameters for massage practice, but there are no studies that measure the physiological parameters of comfort, pain, anxiety, blood pressure, pulse, fever, oxygen saturation, respiratory rate in the early postpartum period. In this study, the effect of back massage applied to mothers in the early postpartum period on comfort, pain, anxiety and physiological parameters will be examined.

If it is determined that the massage application, which is easy to apply and effective, has a positive effect on physiological parameters such as comfort, pain, anxiety and blood pressure, pulse, fever, oxygen saturation, respiratory rate, as well as other parameters measured in the postpartum period, it can be used in the field of application.

This is where the originality of our work comes from. For this reason, it is aimed to contribute to the literature with this study.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

For this purpose, pharmacological and non-pharmacological interventions should be made for these conditions seen in the postpartum period. It is possible to increase the quality of health care, to make a difference in patient care results and clinical practices, to increase patient satisfaction rates and to standardize care, especially by using non-pharmacological methods whose effectiveness has been proven by health professionals. As a matter of fact, studies indicate that postpartum women who receive effective nursing care are highly satisfied (88-90%) with the care services they receive. It is important for health professionals to follow current and high-evidence studies, conduct research on their own development and participate in in-service programs in order to increase the quality of health care. There are many practices such as aromatherapy and yoga applied in the postpartum period. Massage is one of them.

Massage is a process applied systematically to the soft tissues of the body, providing relaxation and mental relief. Theoretically, massage stimulates peripheral receptors in the skin. The stimuli reach the brain via the spinal cord and provide general relaxation. Massage reduces cortisol, adrenaline and noradrenaline levels by regulating the autonomic nervous system. The amygdala may also modulate neural activity in the forebrain and control network. The pressure in massage application increases blood circulation and lymphatic drainage, causing changes in heart rate and blood pressure. This non-pharmacological method helps to increase comfort by relaxing the muscles, increase the release of endorphins, urinary serotonin and dopamine, decrease salivary and urinary cortisol levels, reduce pain and edema, and treat psychological disorders such as depression and anxiety. If it is determined that the massage application, which is easy to apply and effective, has a positive effect on physiological parameters such as comfort, pain, anxiety and blood pressure, pulse, fever, oxygen saturation and respiratory rate, as well as other parameters measured in the postpartum period, it can be used in the application area. This is where the originality of our work comes from. For this reason, it is aimed to contribute to the literature with this study.

Study Type

Interventional

Enrollment (Estimated)

72

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Turkey
      • Kahramanmaraş, Turkey, 46040
        • Recruiting
        • Kahramanmaraş, Necip Fazıl City Hospital Gynecology and Pediatrics Additional Service Building
        • Contact:
        • Contact:
          • Gamze Şahbaz Çadır
          • Phone Number: +90 5067494670

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • 18 and over
  • Vaginal delivery
  • In the first 24 hours after birth
  • First born
  • Having no difficulty in sitting
  • Written / verbal communication can be established
  • At least primary school graduate
  • Not having any problems during mother's pregnancy
  • Not diagnosed with any psychiatric disease
  • Wound, infection, mass etc. on the back. non
  • Vascular and cardio-thoracic diseases, non-skin diseases
  • Women who agree to participate in the study will be taken into the sample

Exclusion Criteria:

  • Being under 18 years old
  • Giving birth by cesarean section
  • Receiving controlled analgesia after normal delivery
  • Women with a psychiatric diagnosis will not be included in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group

Massage will be applied to the intervention group by the researcher who has received training in classical massage techniques and has a certificate. The massage will start with effusion (stroking) and will end with effleurage (stroking).

Baby oil will be used during the massage in order to provide slipperiness and to prevent mothers and babies from being affected by the smell. The oil used will be spread on the back by patting. The massage will last 20 minutes. Post-test data will be obtained by re-filling the forms after 3 hours (6 hours after Normal Birth) for the intervention group to whom massage is applied.
Other: massage
Massage application; It will be done on the back, which is the five basic massage areas. Massage application will be started with eflorage. The massage will be continued with petrissage by grasping the subcutaneous tissue and muscle layer with the help of thumb and other fingers, starting from the waist circumference. Petrissage will be applied for 5 minutes. After petrissage, the massage was continued with friction movements, which is the other stage. Friction will be applied for 5 minutes. Tapotment will be done after friction. Tapotman will take 5 minutes. After taping, the entire back area will be finished by efflorescence for 2 minutes, just like at the beginning.
No Intervention: Control group
No intervention will be made to the control group, and the routine nursing practices of the clinic will continue. Pre-test and post-test will be applied.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Postpartum Comfort Scale
Time Frame: two year
Postpartum Comfort Scale consists of 34 items and is a 5-point Likert type. For each item, wording and scoring ranging from "completely agree" (5 points) to "strongly disagree" (1 point) were used. Accordingly, the lowest score from the scale can be 34 and the highest score can be 170. Positive expressions in the scale (1, 2, 3, 5, 7, 11, 14, 15, 18, 19, 20, 23, 24, 25, 31, 32) are coded as 1: I strongly disagree - 5: I completely agree. In the negative items (4, 6, 8, 9, 10, 12,13, 16, 17, 21, 22, 26, 27, 28, 29, 30, 33, 34), it is reversed as "I totally disagree, 5 I totally agree, 1". coded. The average value is determined by dividing the total score obtained from the scale by the number of items and the result is shown in the 1-5 distribution. Basically, low comfort is expressed as 1 and high comfort is expressed as 5.
two year

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analogue Scale
Time Frame: two year
The Visual Analog Scale is a one-dimensional scale frequently used to determine people's pain levels. The patient makes a mark on a horizontal or vertical ruler of 10 cm or 100 mm, depending on where he sees fit according to the severity of pain. In the result evaluation, 0 cm was stated as "no pain", 0.5 cm-3 cm was stated as "mild pain", 3.5 cm-6.5 cm was stated as "moderate pain", and 7-10 cm was stated as "severe pain". As the score increases, the pain level increases.
two year

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Physiological Parameters Form
Time Frame: two year
Physiological parameters are important indicators in the management of the postpartum period and in determining the treatment protocol. Blood pressure, body temperature, heart rate, respiratory rate and oxygen saturation, which are stated as basic life parameters, are parameters that indicate the health status of the person. For this purpose, the Physiological Parameters Form includes blood pressure, body temperature, heart rate, oxygen saturation and respiratory rate.
two year
determining postpartum anxiety
Time Frame: two year
The scale is a four-point Likert type and consists of two parts: State-Trait Anxiety Inventory and Trait Anxiety Inventory. There are 20 questions in each section. For the State Anxiety Scale, "Not at all" is 1, "Somewhat" is 2, "A lot" is 3, "Completely" is 4; For the trait anxiety inventory, "Almost never" is marked as 1, "Sometimes" is marked as 2, "Most of the time" is marked as 3, and "Almost always" is marked as 4. Scales range from 20 to 80. High scores indicate high anxiety. The scale includes reverse and true expressions. When scoring reverse expressions, those with a weight of 1 are given a score of 4; Those with a weight value of 4 are converted to 1.
two year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

T.C. ORDU ÜNİVERSİTESİ

Investigators

  • Principal Investigator: Gamze Şahbaz Çadır, PHD STUDENT, T.C. ORDU ÜNİVERSİTESİ
  • Study Director: Nülüfer Erbil, Prof. Dr., T.C. ORDU ÜNİVERSİTESİ

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 14, 2023

Primary Completion (Estimated)

June 9, 2024

Study Completion (Estimated)

September 30, 2024

Study Registration Dates

First Submitted

January 9, 2023

First Submitted That Met QC Criteria

December 28, 2023

First Posted (Actual)

January 11, 2024

Study Record Updates

Last Update Posted (Estimated)

January 15, 2024

Last Update Submitted That Met QC Criteria

January 11, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • OUCADIR001

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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