Asha Alice Matharasi, J (2012) Effectiveness of Foot Massage on Reduction of Labour Pain during First Stage of Labour among Primigravida Mothers in Kanthimathi Nursing Home at Tirunelveli District. Masters thesis, Sri. K. Ramachandran Naidu College of Nursing, Sankarankovil.
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Abstract
A quasi experimental study to assess the effectiveness of foot massage on reduction of labour pain during first stage of labour among primigravida mothers in Kanthimathi nursing home at Tirunelveli was conducted by Ms.J.Asha Alice Matharasi in partial fulfillment of the requirement for the degree of Master of Science in Nursing at Sri.K. Ramachandran Naidu College of nursing under Tamil Nadu Dr M.G.R. Medical University, Chennai. OBJECTIVES: 1. To assess the pretest level of labour pain during first stage of labour among primigravida mothers in experimental and control group. 2. To find out the effectiveness of foot massage on reduction of labour pain during first stage of labour among primigravida mothers in experimental and control group. 3. To compare the pre and post test level of labour pain during first stage of labour among primigravida mothers in experimental group. 4. To compare the pre and post test level of labour pain during first stage of labour among primigravida mothers in control group. 5. To associate the post test level of labour pain during first stage of labour among primigravida mothers in experimental and control group with their selected demographic variables. HYPOTHESES: All hypotheses were tested at 0.05 levels. ❖ H1: Mean post test level of labour pain during first stage of labour among primigravida mothers in experimental group was significantly lower than the mean post test level of labour pain in control group. ❖ H2: There was a significant difference between mean pre and post test level of labour pain during first stage of labour among primigravida mothers in experimental group. ❖ H3: There was a significant difference between mean pre and post test level of labour pain during first stage of labour among primigravida mothers in control group. ❖ H4: There was a significant association between post test level of labour pain during first stage of labour among primigravida mothers in experimental group with their selected demographic variables. ❖ H5: There was a significant association between post test levels of labour pain during first stage of labour among primigravida mothers in control group with their selected demographic variables. The study was based on Melzack and Wall Gate Control Theory Model. The quantitative research approach was used. The study was conducted in Kanthimathi Nursing Home, Tirunelveli. The design adopted for the study was quasi experimental with pre and post test control group design to evaluate the effectiveness of foot massage on reduction of labour pain during first stage of labour. Purposive sampling method was used to select 30 mothers for experimental group and 30 mothers for control group from Kanthimathi Nursing home. The data collection tools developed for generating the necessary data were a Numerical Categorical Pain Assessment Scale to assess the reduction of labour pain. The content validity of the tool was established by five clinical experts. The reliability of Numerical Categorical Pain Assessment Scale was established by Dr. Bram Riegel, M.D. The instrument was found to be reliable. Pilot study was conducted to find out the feasibility of the study and to plan for data analysis. Data collection was done and the data obtained were analyzed in terms of both descriptive and inferential statistics. THE SIGNIFICANT FINDINGS OF THE STUDY WERE: 1. There was a significant difference between mean post test level of labour pain during first stage of labour among primigravida mothers in experimental and control group (t=8.983, p<0.05) 2. There was a significant difference between mean pre and post test level of labour pain during first stage of labour among primigravida mothers in experimental group (t=8.22, p<0.05) 3. There was a significant difference between mean pre and post test level of labor pain during first stage of labour among primigravida mothers in control group (t=2.876, p<0.05). 4. There was a statistically significant association of mean post test level of labor pain during first stage of labour among primigravida mothers in experimental group with their selected demographic variables.(p < 0.05). 5. There was a statistically significant association of mean post test level of labor pain during first stage of labour among primigravida mothers between control group with their selected demographic variables.(p < 0.05). ON THE BASIS OF THE FINDINGS OF THE STUDY IT IS RECOMMENDED THAT, 1. The similar study can be conducted with larger samples for better generalization. 2. A study can be conducted to assess the knowledge and practice of foot massage for labour pain management among nurse midwives. 3. A study can be conducted to assess the knowledge and attitude of complementary therapies for first stage of labour pain management among nurse midwives. 4. A study can be conducted to assess the effectiveness of other nursing measures such as music, aromatherapy, acupuncture for reduction of labour pain among primigravida mothers. 5. A study can be conducted to assess the effectiveness of foot massage on induction of labour in primigravida mothers during antenatal period. 6. A study can be conducted to assess the effectiveness of foot massage on reduction of anxiety in primigravida mothers during first stage of labour. RECOMMENDATIONS BASED ON THE SUGGESTIONS OF THE STUDY SUBJECTS: 1. Complementary therapies should be taught to the antenatal mothers who admitted in antenatal ward. 2. Mass media should be effectively utilized for conducting health education program for midwives regarding non pharmacological approach for reduction of labour pain. 3. Health education program for midwives regarding non pharmacological approach should be conducted by professionally trained person. CONCLUSION: The present study assessed the effectiveness of foot massage on reduction of labour pain among primigravida mothers during first stage of labour. The results of the study concluded that applying foot massage was effective in the reduction of labour pain in primigravida mothers. Foot massage is inexpensive, easy to apply, not painful and can enhance comfort in mother in the labour period. So, it could easily be adopted as a regular intervention. Therefore, the investigator felt that more importance should be given to the assessment of post test level of pain by using standard scale following the intervention of foot massage can be given as a nonpharmacological measure to enhance reduction of labour pain.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness, Foot Massage, Reduction of Labour Pain, First Stage of Labour, Primigravida Mothers, Kanthimathi Nursing Home, Tirunelveli District. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Aug 2020 19:32 |
| Last Modified: | 22 Aug 2020 19:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12958 |
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