Effects of VE, Focus, Expressive Touch on Pain, Anxiety, Breastfeeding and Mobilization in Women Delivering by Cesarean Section

Burdur Mehmet Akif Ersoy University

Status: Not yet enrolling

Conditions: Postnatal Care; Women

Treatments: Behavioral: Those who are applied expressive touch; Behavioral: Virtual reality glasses (VR) application; Behavioral: Focus

Study type: Interventional

Funder types: Other

Identifiers

NCT06740669

05.11.2024 _ 2024/11 GO 202

Details and patient eligibility

About

Cesarean section is one of the most common surgical interventions in many countries. It is seen that 21.1% of women worldwide, 57.5% in Turkey, give birth by cesarean section. 99.6% of women have pain in the first 24 hours after cesarean section and oral analgesia is not sufficient for pain. It is seen that pain has an effect on recovery and breastfeeding after CS.This study will be conducted to determine the effects of non-pharmacological methods, virtual reality glasses, focusing and expressive touch on pain, anxiety, breastfeeding and mobilization in women giving birth by cesarean section. The ınvestigators aim to contribute to the midwifery and nursing care literature with the findings and results of the study.

Full description

Subject: Cesarean section is one of the most common surgical interventions in many countries. It is observed that 21.1% of women worldwide and 57.5% in Turkey give birth by cesarean section. 99.6% of women have pain in the first 24 hours after cesarean section and oral analgesia is not sufficient for pain . Pain is observed to have an effect on recovery and breastfeeding after CS . In the literature, it has been reported that some applications such as acupressure, acupuncture, relaxation exercises, foot reflexology, aromatherapy, music, transcutaneous electrical nerve stimulation, and distraction, which are non-pharmacological methods in the adjunctive treatment of postoperative pain, reduce pain, fatigue, and anxiety, accelerate mobilization, and positively affect breastfeeding .. In general, non-pharmacological methods significantly affect pain after cesarean section . Based on these studies, it is seen that non-pharmacological methods applied to reduce anxiety and pain after cesarean section are effective. In recent years, virtual reality glasses (VR) , focusing and expressive touching have taken their place in the literature. When the literature is examined, it is seen that virtual reality glasses, focus and expressive touch reduce the pain level and provide anxiety reduction.

No study has been found on the application of virtual reality glasses, focus and expressive touch in reducing pain and anxiety after cesarean section. This study will be conducted to determine the effects of virtual reality glasses, focus and expressive touch, which are non-pharmacological methods, on pain, anxiety, breastfeeding and mobilization in women who give birth by cesarean section.

The ınvestigators aim for the findings and results of the study to contribute to the midwifery and nursing care literature.

Enrollment: 208 estimated patients

Sex: Female

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women who do not have any psychiatric illness,

• Those who do not have any vision, hearing or perception problems,
• Those who do not have any communication problems (can speak Turkish),
• Those who accept to participate in the study verbally and in writing were included in the study.
• Those who are between the ages of 18-35,
• Those who have had a singleton birth,
• Those who have had the operation with regional anesthesia (spinal or epidural anesthesia),

Exclusion criteria

• Exclusion Criteria from the Study

  • Receiving controlled analgesia after cesarean section
  • Having a psychiatric diagnosis such as anxiety and depression
  • Those who develop postpartum complications
  • Women who want to leave the study at any stage of the study will be excluded from the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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208 participants in 4 patient groups

Control Group

No Intervention group

Description:

Women in the control group will receive routine care and breastfeeding support will be provided to these women.

Virtual reality glasses (VR) application

Active Comparator group

Treatment:

Behavioral: Virtual reality glasses (VR) application

Expressive touch applications

Active Comparator group

Treatment:

Behavioral: Those who are applied expressive touch

Focusing

Active Comparator group

Treatment:

Behavioral: Focus