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The effects of conventional,warm and cold acupressure on the pain perceptions and beta-endorphin plasma levels of primiparous women in labor: A randomized controlled trial
Affiliation:1. Ondokuz May?s University Faculty of Health Science, Department of Midwifery, Kurupelit Campus, 55200 Samsun, Turkey;2. Atatürk University Faculty of Health Science, Department of Midwifery, Atatürk University Campus, 25000 Erzurum, Turkey;1. Department of Chinese -Western Cooperative Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province 050000,China;2. The Preparation Room of the Fifth Hospital of Shijiazhuang City, Shijiazhuang, Hebei Province 050021,China;3. The Second Department of Otorhinolaryngology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province 050000,China;1. Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey;2. Department of Nursing, Faculty of Health Sciences, F?rat University, Elaz??, Turkey;1. Deparment of Internal Medicine Nursing, Faculty of Health Science, Istanbul Medeniyet University, Istanbul, Turkey;2. Fundamental of Nursing Department, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Turkey;3. Department of Anesthesia and Reanimation, University of Health Sciences, Sultan Abdulhamid Han Research Hospital, Istanbul, Turkey;4. Istanbul Sabahattin Zaim University Faculty of Health Sciences, Department of Nursing;5. Deparment of Internal Medicine, University of Health Sciences, Sultan Abdülhamid Han Training and Research Hospital, Istanbul, Turkey;6. Department of Health Management, Saglik Bilimleri University, Faculty of Health Science, University of Health Sciences, Istanbul, Turkey;7. Department of Internal Medicine, Istanbul Medeniyet University, Istanbul, Turkey;9. Fundamental of Nursing Department, Karadeniz Technical University, Faculty of Nursing, Trabzon, Turkey;1. M.Sc. of critical care, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran;2. Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran;3. Clinical Research Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran;4. Mount Saint Mary''s University Los Angeles, CA, United States;5. Assistant Professor, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran;1. Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;2. Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;1. TFT Center of Japan, Chuo-Ku, Tokyo, Japan;2. International Pacific University, Okayama, Japan;3. Seisa Dohto University, Kitahiroshima, Hokkaido, Japan
Abstract:ObjectiveThis study was performed to determine the impact of different acupressure procedures, performed on women's hands during labor, on β-endorphin plasma levels and labor pain perception.DesignRandomized controlled experimental trialSetting and ParticipantsThis study was conducted with 140 pregnant women in the delivery rooms of a university research and training hospital and a state hospital in a province in the Black Sea Region of Turkey.MethodsThis study was conducted with three experimental groups (who had conventional, warm and cold acupressure on their LI4 acupressure point) and one control group (no acupressure). Each group included 35 pregnant women. The data were collected using a personal information form, the Labor Intervention Follow-up Form, the Visual Analog Scale (VAS) and the Verbal Category Scale (VCS). Its main outcomes were the women's labor pain perceptions and β-endorphin plasma levels.ResultsThe experimental and control groups had homogeneous introductory characteristics. The experimental groups had significantly higher mean VAS and VCS posttest scores than the control group (p<0.001). The experimental groups’ mean posttest β-endorphin plasma levels were also significantly higher (p<0.05).ConclusionIn this study, conventional, warm and cold acupressure reduced the women's labor pain and increased their β-endorphin plasma levels. Midwives can use acupressure to reduce labor pain.
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