Binsy Cherian, (2012) A Study to Assess the Effectiveness of Abdominal Effleurage on the Pain Perception of Parturient Mothers During the First Stage of Labour in a Selected Hospital at Coimbatore. Masters thesis, R.V.S. College of Nursing, Coimbatore.
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Abstract
“A Study to Assess the Effectiveness of Abdominal Effleurage on the Pain Perception of Parturient Mothers During the First Stage of Labour in a Selected Hospital at Coimbatore”. The aim of the study is to assess whether abdominal effleurage during the first stage of labour makes any difference in the pain perception of parturient mothers compared to the woman who do not receive abdominal effleurage. The Conceptual framework used in the study was Callista Roy’s Adaptation Theory (1996). A quasi experimental control group time series design with multiple treatments was used in the study. The study was conducted in a private setting. 60 women who were in the first stage of labour were randomly assigned to experimental group (30) and control group (30). The experimental group received the abdominal effleurage whereas the control group did not. The Wong’s Baker visual analogue pain scale was used as a measure of labour pain on admission, 3cms, 5cms and 7cms of cervical dilatation. An observational checklist was used to record the presence and absence of non verbal pain behaviour of the mothers. Structured questionnaires were used to find the views on abdominal effleurage and the presence of nurse during the first stage of labour. The data were analyzed by using descriptive and inferential statistics. In the results, for both the groups, there was relatively a steady increase in the level of pain as the labour progressed. A‘t’ test demonstrated that the experimental group had significantly lower pain and non verbal pain behavioural response than the control group. The mean pain score percentage of the experimental group was found to be in the range of 20.30% to 48.60%, whereas in the control group the mean pain score percentage was found to be in the range of 20.30% to 90.00%. In both the groups, on admission there was no significant difference in the pain, whereas at 3cms, 5cms and 7cms of cervical dilatation, statistically there was a marked difference in the pain. Pain is manifested through non verbal pain behaviour. In statistical analysis, significant difference was found in the non verbal pain behavioural response, as the obtained chi-square of the presence of non verbal pain behavioural response, facial expression was 141.6, vocalization was 100.02 and body movement was 195.8, which was found to be greater than the table value (3.84) significant at 0.05 level at one degree of freedom. Majority of the experimental group mothers felt that the abdominal effleurage had promoted comfort reduced the level of pain and provided support to a greater extent. Most of the mothers also stated that they felt relaxed, satisfied and not felt anxious to a great extent due to the presence of nurse during the first stage of labour. The findings suggest that abdominal effleurage is cost effective nursing intervention that can decrease pain and anxiety during labour. The results supported that abdominal effleurage is a suitable and practicable therapy for reduction of labour pain.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness, Abdominal Effleurage, Pain Perception, Parturient Mothers, First Stage of Labour, Selected Hospital, Coimbatore. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Aug 2020 17:11 |
| Last Modified: | 28 Aug 2020 15:19 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12933 |
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