The effect of cognitive-behavioral group training of self-care skills on self-care in patients with schizophrenia

Background & Aim: Self-care is one of the challenges of the health care system in patients with schizophrenia. It has been less studied due to these patients have no insight into the symptoms. This study aimed to determine the effect of cognitive-behavioral group training on self-care skills in patients with schizophrenia. Methods & Materials: This single-blind randomized controlled clinical trial (blinding of data analysts) was performed on 50 hospitalized schizophrenia patients by convenience sampling method and random block allocation to the intervention (n=26) and control (n=24) groups in Ebn-Sina Psychiatric Hospital of Mashhad, Iran from late July 2020 to mid-January 2021. The intervention group received cognitive-behavioral group training of self-care skills based on Kashani Lotfabadi et al. (2020) protocol in 10 sessions (two sessions per week). The control group was placed on a waiting list. Data collection tools included the Self-Care Requisites Scale (SCRS-H) and the Positive and Negative Syndrome Scale (PANSS). The data were analyzed by SPSS 25 version, repeated measures of ANOVA test. Results: 60 % (n=30) of participants were female, and 40% (n=20) were male with a mean age of 32.98±8.35 years. The results of repeated measures of ANOVA indicated a significant difference between the intervention and control groups in terms of descending mean score of total self-care during the test stages (p=0.001). Conclusion: Cognitive-behavioral group training of self-care skills could promote self-care behaviors in patients with schizophrenia. Therefore, we suggest using this intervention to strengthen self-care skills in patients with schizophrenia.

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The Effect of Cognitive- Behavioral Counseling on the Sexual Compatibility of New Married Couples: A Clinical Trial Study

10.21203/rs.3.rs-78870/v1 ◽

2020 ◽

Author(s):

Parvin Allahyari ◽

Mitra Kolivand ◽

Arash Namdari ◽

Khaled Rahmani

Keyword(s):

Intervention Group ◽

Married Couples ◽

Cognitive Behavioral ◽

Control Group ◽

Counseling Centers ◽

Control Groups ◽

Behavioral Counseling ◽

Sexual Compatibility ◽

Significant Difference ◽

And Control

Abstract Objective: sexual desire is an integral part of an identity and character of a human being, that affect how to behave with spouse. This study aimed to study the effect of cognitive-behavioral counseling (CBT) on sexual compatibility of new married couples in Sanandaj City in 2018. Method: This was a randomized clinical trial study and participants were 80 new married couples whose information was recorded at the premarital counseling centers that were randomly divided into intervention and control groups. Intervention group received 8 weekly 120-minute sessions of group consultation with cognitive-behavioral approach. Data were collected before the intervention, after 8 weeks of counseling, and two months after the last counseling session using the National Sexual Compatibility Scale. Data were analyzed using chi-square inferential statistics and independent t-test or nonparametric Mann-Whitney test. analysis of covariance was used to control of potential confounders. Results: The mean values of sexual compatibility in two intervention and control groups before counseling were 94.20±3.30 and 93.41±6.84 respectively. These scores reached to 100.11±2.96 in the intervention group and 98.83±3.66 in the control group immediately after the intervention. Also two months after the end of counseling, this rate was 101.98±4.03 in the intervention group and 98.83±3.66 in the control group. The intra-group comparison of sexual adjustment scores before and after counseling and two months after the intervention, showed a statistically significant difference (P <0.001). The trend of changes in the control group was not significant (P >0.05). There was a significant difference between two groups in level of scores two months after the intervention (P <0.001). Conclusion: CBT was effective in improving the level of sexual compatibility between new married couples. It is recommended to use this method of counseling, along with other services provided at pre-marriage counseling centers, to continue and improve the quality of sex and vitality of couples.

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The effect of distraction techniques on pain and stress during labor: a randomized controlled clinical trial

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2683-y ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Paria Amiri ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Mahin Kamalifard ◽

Reyhaneh Ivanbagha

Keyword(s):

Intervention Group ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

Controlled Clinical Trial ◽

Fear Of Childbirth ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control

Abstract Background Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA. Results The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: − 0.8 to − 6.0; P = 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P < 0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to − 6.0; P = − 2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P = 0.504), second stage of delivery (P = 0.928), total length of delivery (P = 0.520), Apgar score (P = 1.000) and frequency of oxytocin consumption (P = 0.622). Conclusion According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion. Trial registration IRCT2017042910324N39; Name of registry: Iranian Registry of Clinical Trials; Registered 11 September 2017. URL of registry: https://fa.irct.ir/user/trial/10814/view. Date of enrolment of the first participant to the trial: September 2017.

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The Effect of Distraction Techniques on Pain and Stress during Labor: A Randomized Controlled Clinical Trial

10.21203/rs.2.13303/v2 ◽

2019 ◽

Author(s):

Paria Amiri ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Mahin Kamalifard ◽

Reyhaneh Ivanbagha

Keyword(s):

Intervention Group ◽

Active Phase ◽

Labor Pain ◽

Control Group ◽

Controlled Clinical Trial ◽

Fear Of Childbirth ◽

Control Groups ◽

Significant Difference ◽

The Mean ◽

And Control

Abstract Background: Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods: A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA . Results: The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: -0.8 to -6.0; P= 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P<0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to -6.0; P= -2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P= 0.504), second stage of delivery (P= 0.928), total length of delivery (P= 0.520), Apgar score (P= 1.000) and frequency of oxytocin consumption (P= 0.622). Conclusion: According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion .

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Comparing the Effect of Aromatherapy with Peppermint and Lavender Essential Oils on Fatigue of Cardiac Patients: A Randomized Controlled Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2021/9925945 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Somayeh Mahdavikian ◽

Masoud Fallahi ◽

Alireza Khatony

Keyword(s):

Essential Oil ◽

Essential Oils ◽

Intervention Group ◽

Cardiac Patients ◽

Control Group ◽

Controlled Clinical Trial ◽

Control Groups ◽

Randomized Controlled ◽

Significant Difference ◽

And Control

Background and Objectives. There is limited and contradictory evidence about the effect of aromatherapy with peppermint and lavender essential oils on the fatigue of cardiac patients. Therefore, the present study was aimed to compare the effect of aromatherapy with peppermint and lavender essential oils on fatigue in cardiac patients. Methods. This randomized controlled clinical trial was conducted on 105 cardiac patients. They were randomly divided into three groups: peppermint essential oil (n = 35), lavender essential oil (n = 35), and control (n = 35). Fatigue Severity Scale (FSS) was used to collect data. The intervention was performed for 7 nights. Before and after the intervention, the questionnaire was completed by all patients. In each intervention group, patients inhaled 3 drops of lavender or peppermint essential oils. In the control group, patients inhaled 3 drops of aromatic placebo. Results. The results showed the average fatigue decreased in the study groups. There was no statistically significant difference between the two groups of lavender and peppermint in terms of mean fatigue after the intervention. However, there was a statistically significant difference between lavender and control groups ( P < 0.001 ), as well as peppermint and control groups ( P < 0.001 ). Conclusion. Aromatherapy with peppermint and lavender essential oils can reduce the fatigue of cardiac patients, so the use of these fragrances is recommended.

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The effect of counseling on fathers’ stress and anxiety during pregnancy: a randomized controlled clinical trial

BMC Psychiatry ◽

10.1186/s12888-021-03217-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maryam Mohammadpour ◽

Sakineh Mohammad-Alizadeh Charandabi ◽

Jamileh Malakouti ◽

Mehriar Nadar Mohammadi ◽

Mojgan Mirghafourvand

Keyword(s):

Perceived Stress ◽

State Anxiety ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Randomized Controlled ◽

Significant Difference ◽

Expectant Fathers ◽

And Control

Abstract Background Pregnancy is a challenging period for mothers and fathers. This study aimed to investigate the effect of counseling on stress and anxiety levels of fathers. Methods This randomized controlled trial was conducted on 102 spouses of pregnant women in Ardabil, Iran. The participants were randomly assigned to intervention and control groups. The intervention group attended four 60-min counseling sessions at weekly intervals. The perceived stress and anxiety questionnaires were completed before and 4 weeks after the intervention. Results The mean scores of state anxiety in the intervention group decreased significantly 4 weeks after the intervention compared with the control group (MD: -2.4; 95%CI: − 4.7 to − 0.2; p = 0.030). Four weeks after the intervention, no significant difference was found between the two groups in terms of trait anxiety (p = 0.472) and perceived stress (p = 0.635). Conclusions The findings indicate that counseling reduced state anxiety in expectant fathers; therefore, this intervention is recommended to be used to reduce fathers’ anxiety. Trial registration IRCT2017042910324N38. Registered 25 June 2017

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The effect of the components of King's spiritual intelligence group training on stigma in patients with cancer

Nursing Practice Today ◽

10.18502/npt.v7i4.4038 ◽

2020 ◽

Author(s):

Masoud Kashani Lotfabadi ◽

Bibi Maryam Hashemi ◽

Saeed Sarabian ◽

Azam Mohammadi ◽

Azam Salarhaji

Keyword(s):

Intervention Group ◽

Social Consequences ◽

T Test ◽

Spiritual Intelligence ◽

Control Group ◽

Controlled Clinical Trial ◽

Group Training ◽

Statistical Population ◽

Patients With Cancer ◽

Significant Difference

Background & Aim: cancer stigma is one of the Psycho-social consequences of a cancer diagnosis. It seems that spiritual intelligence training can reduce cancer stigma by enhancing spiritual intelligence. Therefore, the purpose of the present research was to determine the effect of the components of King's spiritual intelligence group training on stigma in patients with cancer. Methods & Materials: This randomized controlled clinical trial was carried out in Omid Oncology Hospital of Mashhad, Iran in 2018-19. The statistical population of the study included 54 patients with cancer who were then randomly divided into an intervention group (23 individuals) and a control group (27 individuals). The patients in the intervention group received King's spiritual intelligence group training (2008) for ten (90-minute) sessions, while the patients in the control group received routine care. The data collection instrument was Cancer Stigma Scale (patient version). The data were analyzed by SPSS-22 software using independent t-test, Man Whitney, paired t-test, and Wilcoxon statistical test. Results: The findings showed that there is no statistically significant difference between the intervention and control groups in terms of stigma total mean score for the pre-intervention phase (p>0.05). However, in terms of stigma total mean score changes between the post and pre-intervention phases, there was a significant difference between the scores of the intervention and the control group (p<0.001). Conclusion: Spiritual intelligence training is effective in reducing stigma among patients with cancer.

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Comparison between mindfulness and cognitive-behavioral psychological interventions on the reduction of pre-competitive stress of elite shooters: a follow-up of 2 months

Cuadernos de Psicología del Deporte ◽

10.6018/cpd.399081 ◽

2021 ◽

Vol 21 (1) ◽

pp. 192-203

Author(s):

Hossein Sadimi ◽

Faranhaz Ayatizadeh ◽

Glaciane Axt ◽

Sergio Machado

Keyword(s):

Salivary Cortisol ◽

Repeated Measures ◽

Cognitive Behavioral ◽

Control Group ◽

Cognitive Behavioral Intervention ◽

Significant Difference ◽

Post Test ◽

And Control ◽

Los Grupos

Objetivos: Comparar la efectividad del entrenamiento de estrategias e intervenciones cognitivo-conductuales basadas en la atención plena en el estrés competitivo de los francotiradores (es decir, nivel de cortisol salival) con un seguimiento de dos meses. Métodos:Veinticuatro francotiradores profesionales varones jóvenes con antecedentes de disparos durante al menos 3 años se dividieron aleatoriamente en tres grupos: intervención cognitivo-conductual (n=8), intervención basada en la atención plena (n=8) y grupo de control (n=8). Los participantes de los grupos experimentales participaron en seis sesiones de formación durante seis semanas (75-90 minutos cada sesión). La concentración de cortisol en saliva se midió en reposo, antes y después de la prueba y el seguimiento. Resultados:ANOVA con medidas repetidas mostró un efecto principal para el grupo (F2.21=3.787, sig=0.039) y etapa (F3.21=52.529, sig=0.001) y también el efecto interactivo entre los grupos en la etapa (F6, 42=3.700, sig=0.005). El ANOVA de medidas repetidas mostró que la intervención cognitivo-conductual a nivel de cortisol salival tuvo un efecto en el postest, mientras que la intervención de mindfulness tuvo efectos positivos en el postest y los tiempos de seguimiento. No hubo diferencias significativas entre los grupos de atención plena y cognitivo-conductual en la prueba posterior. Además, los resultados del tiempo de seguimiento mostraron que hubo una diferencia significativa solo entre la atención plena y el grupo de control. Aplicaciones prácticas:Los resultados indican que la práctica de habilidades psicológicas, especialmente la atención plena, se puede utilizar para reducir el estrés previo a la competencia. Objectives: The objective of this study is to compare the effectiveness of cognitive–behavioral strategies training and mindfulness based-interventions on shooters competitive stress (i.e., level of salivary cortisol) with two-months follow-up. Methods: Twenty four young male professional shooters who had a history of shooting for at least 3 years were randomly assigned into three groups: cognitive-behavioral intervention (n=8), mindfulness based intervention (n=8) and control group (n=8). Participants in the experimental groups participated in six training sessions during six weeks (75-90 minutes each session). Salivary cortisol concentration was measured at rest, pre- and post-test and follow-up times. Results: ANOVA with repeated measures showed a main effect for group (F2,21 = 3.787, sig = 0.039) and stage (F3,21 = 52.529, sig = 0.001) and also the interactive effect between the groups in the stage (F6,42 = 3.700, sig = 0.005). ANOVA with repeated measures showed that cognitive-behavioral intervention on salivary cortisol level had effect in the post-test, while mindfulness intervention had positive effects on the post-test and follow-up times. ANOVA also revealed that there was no significant difference between the mindfulness and cognitive-behavioral groups in the post-test time. In addition, the results of the follow-up time showed that there was significant difference only between mindfulness and control group. Practical Applications: Results indicate that the practice of psychological skills, especially mindfulness can be used to reduce the pre-competition stress. Objectivos: O objectivo deste estudo é comparar a eficácia das estratégias cognitivas-comportamentais de formação e de atenção baseadas em intervenções sobre o stress competitivo dos atiradores (ou seja, nível de cortisol salivar) com o seguimento de dois meses. Métodos: Vinte e quatro jovens atiradores profissionais que tiveram um historial de atirar durante pelo menos 3 anos foram distribuídos aleatoriamente em três grupos: intervenção cognitivo-comportamental (n=8), intervenção baseada na consciência (n=8) e grupo de controlo (n=8). Os participantes nos grupos experimentais participaram em seis sessões de treino durante seis semanas (75-90 minutos cada sessão). A concentração de cortisol salivar foi medida nos tempos de repouso, pré e pós-teste e acompanhamento. Resultados: ANOVA com medidas repetidas mostrou um efeito principal para o grupo (F2,21 = 3.787, sig = 0.039) e o estágio (F3,21 = 52.529, sig = 0.001) e também o efeito interactivo entre os grupos no estágio (F6,42 = 3.700, sig = 0.005). A ANOVA com medidas repetidas mostrou que a intervenção cognitivo-comportamental ao nível do cortisol salivar teve efeito no pós-teste, enquanto que a intervenção de atenção teve efeitos positivos no pós-teste e nos tempos de seguimento. ANOVA também revelou que não havia diferença significativa entre o nível de atenção e os grupos cognitivo-comportamentais no período pós-teste. Além disso, os resultados do tempo de seguimento mostraram que só havia uma diferença significativa entre a atenção e o grupo de controlo. Aplicações práticas: Os resultados indicam que a prática de aptidões psicológicas, especialmente a de ter consciência, pode ser utilizada para reduzir o stress pré-competição. Traduzido com www.DeepL.com/Translator

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The Effect of Distraction Techniques on Pain and Stress during Labor: A Randomized Controlled Clinical Trial

10.21203/rs.2.13303/v1 ◽

2019 ◽

Author(s):

Paria Amiri ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Mahin Kamalifard ◽

Reyhaneh Ivanbagha

Keyword(s):

Intervention Group ◽

Active Phase ◽

Control Group ◽

Controlled Clinical Trial ◽

Fear Of Childbirth ◽

Control Groups ◽

Randomized Controlled ◽

Significant Difference ◽

The Mean ◽

And Control

Abstract Background The aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, and length of delivery stages (secondary outcomes). Methods A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two intervention and control groups by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA. Results The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: -0.8 to -6.0; P= 0.01). The mean (SD) of pain intensity was 6.2 (1.4) and 7.5 (1.4) in the intervention and control groups, respectively, which indicated a significant difference between the two groups (P<0.001). Although the mean score of fear in 36th week in the intervention group (29.1) was less than of the control group (39.1), there was no significant difference between the two groups (P= 0.170). Moreover, there was no statistically significant difference between the two groups in terms of the length of the delivery stages (P>0.05). Conclusion According to the results, distraction techniques can reduce the pain and stress of labor, but further studies are needed to reach a decisive conclusion.

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Investigating the Effect of Cognitive-behavioral Stress Management on Occupational Performance among Women with Breast Cancer

Current Women s Health Reviews ◽

10.2174/1573404816666191220095123 ◽

2020 ◽

Vol 16 (2) ◽

pp. 152-159

Author(s):

Arezoo Shayan ◽

Mansoureh Refaei ◽

Farkhondeh Jamshidi

Keyword(s):

Breast Cancer ◽

Stress Management ◽

Repeated Measures ◽

Intervention Group ◽

Performance Measure ◽

Cognitive Behavioral ◽

Occupational Performance ◽

Cognitive Behavioral Stress Management ◽

Behavioral Stress ◽

Significant Difference

Background: Treatment of breast cancer can be accompanied by long-term consequences affecting women’s participation in many tasks. Objective: This study aimed to assess the effect of cognitive behavioral stress management (CBSM) program on occupational performance of women with breast cancer. Methods: In this randomized clinical trial, conducted between Feb 3 and Oct 26, 2016, 104 women with breast cancer who had referred to Imam Khomeini clinic in Hamadan, and who fulfilled the inclusion criteria (20-60 years old, married, suffering from grade 1-3 breast cancer with a history of recent surgery) were enrolled. They were randomly divided into two groups of 52 using a permuted block size of four. The intervention group took part in four 60-minute sessions of CBSM over four weeks. The study data were collected using a demographic information form and the Canadian Occupational Performance Measure. The statistical analyst was masked to intervention allocation. The data were analyzed using descriptive statistics, paired t-test, and repeated measures ANOVA. Results: A significant difference was observed between the two groups regarding the mean scores of occupational performance (p=0.02) and satisfaction (p=0.005) after the intervention. Each variable was measured at three time points (before the intervention, immediately and 2 weeks after intervention). A significant difference was observed in the two groups’ mean scores of performance (p=0.026) and satisfaction (p=0.01), irrespective of the time of assessment. Conclusion: The CBSM program promoted the occupational performance immediately and two weeks after the intervention in women with breast cancer. This technique can be used as a complementary method alongside medical therapies in oncology centers.

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The Effect of Reflexology on Lactation in Women Who Had Cesarean Section: A Randomized Controlled Pilot Study

Complementary Medicine Research ◽

10.1159/000513924 ◽

2021 ◽

pp. 1-8

Author(s):

Sevde Aksu ◽

Pelin Palas Karaca

Keyword(s):

Pilot Study ◽

Cesarean Section ◽

Intervention Group ◽

Control Group ◽

Breast Pain ◽

Randomized Controlled ◽

Significant Difference ◽

The Right ◽

Documentation Tool ◽

And Control

Aim: The research was conducted as a randomized controlled pilot study to evaluate the effects of reflexology on lactation in mothers who delivered by cesarean section (CS). Methods: A single-blind randomized controlled experimental study was conducted with a total of 60 postpartum women in the reflexology application (n = 30) and control groups (n = 30). After the CS, the mothers in the control group were given approximately 3-h routine nursing care after recovering from the effects of anesthesia; the introductory information form was applied, and the Breastfeeding Charting System and Documentation Tool (LATCH) and visual analog scale (VAS) for the signs of the onset of lactation were implemented on the first and second days. Reflexology was applied to the women in the intervention group after an average of 3 h following the mother’s condition had become stable and she had recovered from the effects of anesthesia. Reflexology was applied a total of 20 min – 10 min for the right foot, 10 min for the left foot – twice a day with 8-h intervals on the first and second days after CS. After the last reflexology application, the LATCH and VAS for the signs of the onset of lactation were applied. Results: Of the women, 70% breastfed their babies within 60 min after delivery; 46.7% of the mothers received breastfeeding training and 81.7% needed support for breastfeeding after the CS. The LATCH breastfeeding scores of the women in the intervention group on both days were significantly higher compared to those of the women in the control group (p < 0.001). On the first day after the CS, apart from breast pain, there was no significant difference between the two groups in terms of breast heat and breast tension (p > 0.05). On the second day after the CS, apart from breast tension, there was no significant difference between the groups in terms of breast heat and breast pain (p < 0.05). In the study, women in the intervention group were found to have higher scores in terms of all three symptoms compared to the control group (p < 0.05). Conclusions: In the study, it was determined that LATCH scores and signs of the onset of breastfeeding increased in the mothers who received reflexology after CS.

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