Sathya, R (2013) Effectiveness of Audio Analgesia upon labor pain and Coping among Primi parturient Women. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study was conducted to Assess the Effectiveness of Audio Analgesia upon Labour Pain and Coping among Primiparturient Women in the First Stage of Labour at Devarajmanikchand Maternity Hospital, Chennai. OBJECTIVES: 1. To assess the level of labour pain and coping before and after administration of Audio-Analgesia in control and experimental group of primiparturient women. 2. To compare the level of labour pain and coping before and after administration of Audio-Analgesia in control and experimental group of primiparturient women. 3. To determine the level of satisfaction of primiparturient women after administration of Audio-Analgesia in the experimental group. 4. To find out the association between level of demographic variables and labour pain and coping before and after administration of Audio-Analgesia in control and experimental group of primiparturient women. 5. To find out the association between level of obstetrical variables and labour pain and coping before and after administration of Audio-Analgesia in control and experimental group of primiparturient women. The concept was based on Widen Bach's helping the art of clinical nursing theory. The variables of the study were Audio Analgesia and labor pain. Null hypothesis were formulated. The level of significance selected was p<0.05. An extensive review of literature was made based on the opinions of the experts. An experimental study of pre-test and post-test design was used. The study included 60 Primiparturient women who were selected by simple random sampling. The study was conducted in Devarajmanikchand maternity hospital Chennai. Demographic variable proforma, Obstetric variable proforma, Modified pain intensity scale, Pain coping scale, Modified WHO Partograph and Rating scale on satisfaction of Audio Analgesia were the various tools used by the researcher. The validity was obtained from various experts and found to be highly reliable. The main study was conducted after the pilot study. The level of labour pain, coping and feto-maternal parameters were assessed for the control and experimental group of Primiparturient women. The Audio Analgesia was provided for the duration of 15 to 20 minutes at interval of 1 to 2 hours for the experimental group. Then the level of labour pain, coping and feto-maternal parameters were assessed again in both the groups. The level of satisfaction of Audio Analgesia was assessed among the experimental group of Primiparturient Women. The data obtained were analyzed using Descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: Majority of the women were between the age group of 21 – 25 years (76.7%, 76.7%), were Hindu ( 80%, 70%), with secondary education (80%, 70%) were homemakers (86.7%, 76.7%), resided in urban areas (96.7%, 83.3%), moderate workers (86.7%, 90%), and most of them belonged to nuclear family (43.3%, 66.7%) and had previous information about Audio Analgesia (60%, 66.6%) in control and experimental group respectively. • All of them were primi gravida with no complications during the antenatal period, does not received any type of pain management during labour and there was no fetal complication during delivery. The majority of the women were between the gestational age of 37 – 39 weeks (83.3%, 66.7%), had more than five antenatal visits (76.7%, 83.3%) and underwent normal vaginal delivery (66.7%, 80%) and most of the women had a duration of first stage of labor between 10 – 12 hours (60%, 70%) in control and experimental group respectively. • The mean pain level in the control group was high after therapy (M=5. 5, SD=0. 77) compared to before therapy (M=5. 4, S. D=0. 37) whereas the mean value of pain was low (M=3. 4, SD=0. 34) after therapy in the experimental group when compared with before therapy (M=4. 74, SD=0. 44). The level of confidence was 99.9% and it shows the effectiveness of Audio analgesia upon labor pain. Hence the null hypothesis H01 was rejected. • The mean coping level was low after therapy (M=3. 8, SD=0. 44) in comparison to before therapy (M=4. 6, SD=1. 29) in the control group whereas the mean coping level was found to be high after therapy (M=5. 2, SD=0. 38) in comparison with before therapy (M=4. 3, SD=0. 94) of the experimental group. Thus the effectiveness of Audio analgesia was statistically proved at the 99.9% level of confidence. Hence the null hypothesis H01 was rejected. • The mean and standard deviation of the frequency of uterine contraction in the experimental group was lower after therapy (M=3. 2, SD=0. 14) when compared to before therapy (M=4. 14, SD=0. 22) and uterine contraction duration was higher after therapy (M=49. 5, SD=3. 51) compared to before therapy (M=41. 4, SD=3. 21) at p<0.05 and p<0.001 level of significance of the control and experimental group respectively. The mean cervical dilatation in the control group (M=6. 49, SD=0. 44) was lesser than the experimental group (M=7. 44, SD=0. 26). Hence the null hypothesis H01 was rejected. • The majority of the women were highly satisfied (60%) and moderately satisfied (37%) with the Audio Analgesia during the first stage of labour and none of them reported dissatisfaction towards the intervention. • There was a significant association between type of work in experimental group of demographic variables at (χ2 = 5, df =1) p< 0.05 level. The null hypothesis H02 was rejected with regard to experimental group alone. • No significant association was found between selected obstetric variables with the level of labour pain, coping and feto- maternal parameters before and after the Audio Analgesia in the control and experimental group of primi parturient women. Thus the null hypothesis H03 was accepted. • The above finding reveals that Audio Analgesia used by the researcher during the labour among primiparturient women was effective in reducing the perception of labour pain and increasing the coping level during the labour without affecting the feto-maternal parameters. RECOMMENDATIONS: 1. A comparison can be made between primi and multi Gravida. 2. A comparison can be made with different stages of labor. 3. Can be conducted at different setting and conducted with larger number of samples. 4. A comparison can be made between different types of alternative and complementary therpies.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 30116625 |
| Uncontrolled Keywords: | Effectiveness ; Audio Analgesia ; labor pain ; Coping ; Primi parturient Women. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 02 Jan 2019 03:19 |
| Last Modified: | 02 Jan 2019 14:05 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/10314 |
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