effectiveness of acupressure and warm compress on labour pain during first stage of labour among ...

110 Pages·2016·2.03 MB·English

EFFECTIVENESS OF ACUPRESSURE AND WARM
COMPRESS ON LABOUR PAIN DURING
FIRST STAGE OF LABOUR AMONG
PRIMIGRAVIDAE MOTHERS

A DISSERTATION SUBMITTED TO THE TAMIL NADU
DR. M.G.R. MEDICAL UNIVERSITY, CHENNAI,
IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE DEGREE
OF MASTER OF SCIENCE
IN NURSING
APRIL (cid:177)2016
EFFECTIVENESS OF ACUPRESSURE AND WARM
COMPRESS ON LABOUR PAIN DURING
FIRST STAGE OF LABOUR AMONG
PRIMIGRAVIDAE MOTHERS

BY
301423152

A DISSERTATION SUBMITTED TO THE TAMIL NADU
DR. M.G.R. MEDICAL UNIVERSITY, CHENNAI,
IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE DEGREE
OF MASTER OF SCIENCE
IN NURSING
APRIL (cid:177)2016
A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF
ACUPRESSURE AND WARM COMPRESS ON LABOUR
PAIN DURING FIRST STAGE OF LABOUR AMONG
PRIMIGRAVIDAE MOTHERS IN SELECTED
HOSPITALSAT KANYAKUMARI
DISTRICT.

RESEARCH GUID(cid:40)(cid:29)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:17)

Prof. Mrs. J. M Jerlin PriyaM.Sc (N).Ph.D,
Principal, Annammal College of Nursing,
Kuzhithurai, K.K District, Tamil Nadu.

CLINICAL GUIDE: (cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)(cid:171)
Mrs. Ahitha.V.M.Sc (N).Associate Professor,
HOD in Obstetric and Gynaecology Nursing,
Annammal College of Nursing, Kuzhithurai,
K.K District, Tamil Nadu.

MEDICAL GUIDE:................................................................................

Dr. Sheeba Jayalal. MBBS, DGO,
Chairman and Chief Medical Officer,
Consultant Reproductive Gynaecologist,
Annammal Hospital, Kuzhithurai,
K.K District, Tamil Nadu

A DISSERTATION SUBMITTED TO THE TAMIL NADU
DR. M.G.R. MEDICAL UNIVERSITY, CHENNAI,
IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE DEGREE
OF MASTER OF SCIENCE
IN NURSING
APRIL (cid:177)2016
Certified that this is the bonafide work of

301423152

At the Annammal College of Nursing,
Kuzhithurai.

Submitted in partial fulfillment of the requirements for

The degree of Master of Science in Nursing from the Tamilnadu

Dr.M.G.R.Medical University, Chennai.

Examiners

1.

2.

Prof.Mrs.J.M. Jerlin Priya.,
Principal
APRIL-2016
DECLARATION

I hereby declare that the present dissertation titled as (cid:179)(cid:3)(cid:36)(cid:3)(cid:70)(cid:82)(cid:80)(cid:83)(cid:68)(cid:85)(cid:68)(cid:87)(cid:76)(cid:89)(cid:72)(cid:3)(cid:86)(cid:87)(cid:88)(cid:71)(cid:92)(cid:3)
to assess the effectiveness of Acupressure and Warm compress on labour pain
during first stage of labour among primigravidae mothers in selected hospitals at
(cid:46)(cid:68)(cid:81)(cid:92)(cid:68)(cid:78)(cid:88)(cid:80)(cid:68)(cid:85)(cid:76)(cid:3)(cid:71)(cid:76)(cid:86)(cid:87)(cid:85)(cid:76)(cid:70)(cid:87)(cid:180)(cid:15) is the outcome of the orginal research work undertaken and
carried out by me under the guidance of Prof. Mrs. J. M. JerlinPriya, MSc (N),
PhD, Principal cum Professor, in the Department of Medical Surgical Nursing and
Mrs. Ahitha.V, MSc (N), Associate Professor and HOD, in the Department of
Obstetrics and Gynaecological Nursing, Annammal College of Nursing. I also declare
that the material of this has not found in anyway, the basis for the award of any degree
or diploma in the university or any other university.

301423152
M Sc (N) II year
ACKNOWLEDGEMENT

A dream ahead. Stones and thorns I stepped. Hope and desire I stepped. Hope
and desire I had. Encouragement and guidance I got. Heart and mind to convey my
gratitude and respect for all the good hearts.
New things, new hopes, new plans, new efforts, new triumphs. I thank the
Lord Almighty who made my dreams come true successfully.

Giving opportunities make great things. My profound gratitude of thanks to our
Chairman cum Medical guide Dr. Sheeba Jayalal. MBBS, DGO,for giving an
opportunity to conduct the study and for her timely advice and guidance throughout the
study.
I express my sincere gratitude to Dr. Jayalal. MS., FICS., DLS(Germany).,
MBA.,FIAGES., Hon. Secretary of Annammal College of Nursing for giving me the
precious opportunity to be a partof this esteemed institution.
A director of this task who direct stop as through the way to achieve success.
My hearty thanks to Prof. Mrs. J.M. Jerlin Priya. M.Sc(N). Ph.D, Principal cum
Professor, Annamma lCollege of Nursing, for her invaluable guidance, direction,
continuous support, suggestion and concern during the entire course of this dissertation.
My heart felt thanks to Mrs. Sujatha. M.Sc(N)., Vice Principal cum class co-
ordinator, for her encouragement and support given during this work.
I would like to express my gratitude to my clinical guide Mrs.Ahitha.
V.MSc(N), Associate Professor,in the Department of Obstetrics and Gynaecological
Nursing, for her timely guidance, valuable suggestions and motivation which helped me
in the research and writing this study.
My heartful thanks to Mrs. S. Savitha M.Sc(N)., Assistant Professor, in
Obstetrics and Gynaecological Nursing, and other faculties from OBG department.
I extend my thanks to Mr. Anto John Britto M.Sc., M.Ed., M.Phil., P.G.D
BM., Professor of BioStatistics, for his valuable opinion, suggestions and guidance in
analysis and interpretation of data.
I thank Mrs. Mary Shajitha., Librarian, for helping me in referring to journals
and books. I thank all the Office Staffs for their help in taking photocopies of study
reviews.
I express my deep sense of gratitude and heartfelt thanks to the experts who
have validated and edited my study and who devoted their valuable hours in solving my
doubts and in providing meticulous attention.
I express my thanks to Dr. (Mrs) PunithaMBBS., D.G.O., Department of
Obstetrics and Gynaecology of PPK Hospital, Marthandam, for giving permission to
conduct the study in their Hospital.
I express my thanks to the Management and staff of Annammal Hospital,
Rathna Hospital, PPK Hospital for giving permission to conduct the study in their Hospital
and to the research participants for their cooperation and participation, without
whom this study would have been impossible.
I shower my gratitude to the fine fruits of my batch for their help and support
throughout the course of this study.
In this world I can show my gratitude with a word of thanks to everyone.But
the word thanks is not enough to show my gratitude to my family members who are the
wonders of my life. I ominously pledge my actions, efforts and success to my parents,
Mr. T. Chandramohanan Nair, Mrs.R.V. Chandrasudha, my husband Mr. N.S.
Abilash, my brother Mr.Adarsh. C, my best friend and my relatives for their
blessings, prayers and encouragement.

301423152

M.Sc(N)II year
TABLE OF CONTENTS

CHAPTER NO CONTENTS PAGE NO

I INTRODUCTION 1-9

Background of the study 2

Need for the study 3

Statement of the problem 5

Objectives of the study 5

Hypotheses 6

Operastional Definitions 6

Assumptions 7

Delimitations 7

Projected Outcomes 7

Conceptual framework 8

Summary 9

10-15
II REVIEW OFLITERATURE

Empirical literature related to labourpain 10

perception

Empirical literature related to use of non 11

pharmacological measures in relieving pain

Empirical literatrure related to acupressure on 13

labour pain

Empirical literature related to warm compress on 14

labour pain

Summary 15
CHAPTER NO CONTENTS PAGE NO
III RESEARCH METHODOLOGY 16-24

Research approach 16

Research design 16

Variables 18

Settings 18

Population 18

Sample 19

Sample size 19

Sampling technique 19

Sampling criteria 19

Development of the tool 20

Description of the tool 21

Validity 21

Reliability 22

Pilot study 22

Data collection procedure 22

Plan for data analysis 23

Ethical clearance 24

Summary 24

25-41
IV DATA ANALYSISAND INTERPRETATION
CHAPTER NO CONTENTS PAGE NO

42-45
V DISCUSSION

46-53
VI SUMMARY, CONCLUSION, IMPLICATIONS
AND RECOMMENDATIONS

REFERENCES

ANNEXURES