ผลของการประคบร้อนร่วมกับประคบเย็นและการนวดหลังต่อความเจ็บปวดและพฤติกรรมการเผชิญความเจ็บปวดของผู้คลอดวัยรุ่นครรภ์แรก

Abstract

       The nonpharmacological pain relief in labour stage are more safety method, midwives should perform to reduce the pain and encourage appropriate pain coping behaviors in the first stage of labour on the primiparous adolescent. The objectives of this quasi-experimental study were investigated the effects of warm and cold compression, lower back massage on labour pain and  pain coping behaviors. The conceptual framwork was applied the Gate control theory. The 15-19 year samples were divided into 3 groups, each group consisted of 22 adolescent pregnants, including heat with cold compression, lower back massage and routine nursing care of breathing technique  group.  The post-test measures was employed after the intervention. The experiment began when cervix dilated 4 centimeters., and conducted in 5 times every 1 hour on the first stage of labour. Data were collected by using : 1) Demographic data , 2) pain score, 3) pain coping behaviors score. Descriptive data were analyzed using frequencies, percentage, mean and standard deviation; while comparison date were analyzed using One way ANOVA. 

             The results revealed that after intervention, the overall mean score on labour pain of the warm and cold compression, the lower back massage group were significantly lower than the routine nursing care of breathing technique group (mean= 5.13, 4.88, 6.16, respectively, p <.001)  and the overall pain coping behaviors significantly higher than the routine nursing care group (mean= 7.62, 7.37, 6.63, p <.001).  Thus, these investigations indicated that warm and cold compression, and the lower back massage method were effective in reducing labour pain and decreasing pain coping behaviors on the primiparous  adolescent.