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Study aim
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Comparison of the effect of acupressure in compression points LI4 and SP6 on severity of post-cesarean pain in women referred to Rafsanjan niche nursing home in 1396
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Design
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In this study, 90 women who are referred to the Rafsanjan Nifr-e Nafs Hospital for elective cesarean section and who have criteria for entering the study will be selected. Participants will be randomly divided into three groups of SP6 intervention or LI4 interventions based on pre-test and pre-test scores. Or control group will be divided so that the classes will be based on the grade of pain 4-6 in one class and the pain of 7-10 in the other category.
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Settings and conduct
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At the first time, complete recovery of the sensitivity and sensation of the lower limbs and before receiving the first dose of pain, the severity of pain will be measured by the Visual Analog Scale (VAS) scale. Samples will be divided into three groups based on pre-test pain severity. Then, in an intervention group at the SP6 point and in the intervention group at the point of LI4, the two-way pressures for 10 seconds and 2 seconds of rest for 20 minutes will be applied sequentially. The amount of pressure applied should be such that the samples feel warm and have mild pain and pressure . Acupressure will be carried out by one of the researchers who has sufficient training in this regard. And in the control group, the touch will be applied without applying pressure with the same pattern when used in the intervention groups used at the same points. The control group will be divided into two groups, and in a touch group at the SP6 point and in the other group, the touch will be at the LI4 point. It should be noted that for all three groups of treatments and routine care will be performed. Then, the severity of pain is measured using the VAS scale immediately (within 5 minutes after the intervention) and 60 minutes after touch and pressure, in order to minimize the effect of the bias curve bias, which means that nine samples No one who measures the severity of pain will not know how to allocate samples to the research (intervention or control) groups.
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Participants/Inclusion and exclusion criteria
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1. Term pregnancy
2. No previous experience of acupressure
3. Having ages 45-18 years
4. Lack of a lesion at the site of the practice of pressure or touch
5. No addiction
6. Failure to have speech and hearing ability
7. Not having known psychiatric disorders
8. Not having crises such as divorce, loss of loved ones, immigration or .... over the past 6 months
9. Elective cesarean section as a criterion for entry
Unwillingness to cooperate with each research unit during the study
2. Those with acute complications after cesarean section (severe bleeding, embolism, etc.)
3. Those who will need to receive housing during the intervention until the second assessment of the severity of pain will be included in the exit criteria.
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Intervention groups
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In this study, the effect of acupressure is measured at SP6 and LI4 points in an acupressure group at the SP6 point and in the second group at the LI4 point and in the third group, a touch without pressure in one of these points is performed, so that the touch group, half touch LI4 and the other will receive the touch of the Sp6
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Main outcome variables
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reducing post-cesarean pain