Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy

냉요법을 이용한 수술 후 구강간호가 복강경 자궁근종절제술 환자의 오심, 구토 및 구강 불편감에 미치는 효과

  • Received : 2012.04.30
  • Accepted : 2012.06.25
  • Published : 2012.08.31
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Abstract

Purpose: The purpose of the study was to evaluate the effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort after laparoscopic myomectomy. Method: The study was conducted with an experimental group (n=29) and a control group (n=35) sampled from patients admitted to a women's hospital in a metropolitan city in Korea. Data were collected between October 10, 2011 and January 31, 2012 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANCOVA with SPSS/WIN 19.0. Results: After the intervention, postoperative nausea (p<.001) and oral discomfort for patients in the experimental group were significantly lower than in the control group. There were significant differences in the presence of vomiting between both groups at 12 hours (p<.001) and 24 hours (p=.003) after leaving the recovery room. Conclusion: Oral care using cold therapy was found to be an effective nursing intervention for reducing postoperative nausea, vomiting and oral discomfort up to 24 hours after recovery in patients with laparoscopic myomectomy.

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References

  1. Apfel, C. C., & Roewer, N. (2003). Risk assessment of postoperative nausea and vomiting. International Anesthesiology Clinics, 41(4), 13-32. https://doi.org/10.1097/00004311-200341040-00004
  2. Artuso, D., Wayne, M., Cassaro, S., Cerabona, T., Teixeira, J., & Grossi, R. (2005). Hemodynamic changes during laparoscopic gastric bypass procedure. Archives of Surgery, 140, 289-292. https://doi.org/10.1001/archsurg.140.3.289
  3. Biedler, A., Wermelt, J., Kunitz, O., Muller, A., Wilhelm, W., Dethling, J., et al., (2004). A risk adapted approach reduces the overall institutional incidence of postoperative nausea and vomiting. Canadian Journal of Anaesthesia, 51, 13-19. https://doi.org/10.1007/BF03018540
  4. Cho, E. A., Kim, K. H., & Park, J. Y. (2010). Effects of frozen gauze with normal saline and ice on thirst and oral condition of laparoscopic cholecystectomy patients: pilot study. Journal of Korean Academy of Nursing, 40, 714-723. https://doi.org/10.4040/jkan.2010.40.5.714
  5. Choi, D. H., Ko, J. S., Ahn, H. J., & Kim, J. A. (2005). A Korea predictive model for postoperative nausea and vomiting. Journal of Korea Medical Science, 20, 811-815. https://doi.org/10.3346/jkms.2005.20.5.811
  6. Choi, J. E. (2006). A study on the effect of oral cryotherapy on nausea vomiting and oral intake by anti cancer chemotherapy in cancer patient. Unpublished master's thesis, Yonsei University, Seoul.
  7. Choi, S. H., & Kim, Y. K. (2004). The effect of oral care with normal saline on oral state of patients in intensive care unit. Korean Journal of Adult Nursing, 16, 452-459.
  8. Chung, S. H., Kim, K. O., Lee, J. H., & Lee, K. J. (2009). How much are patients willing to pay for prevention of postoperative nausea and vomiting? Korean Journal of Anesthesiology, 57, 151-154. https://doi.org/10.4097/kjae.2009.57.2.151
  9. Collins, A. S. (2011). Postoperative nausea and vomiting in adults: Implications for critical care. Critical Care Nurse, 31(6), 36-45. https://doi.org/10.4037/ccn2011470
  10. Eo, H. J. (2010). The effects of oral cryoyherapy on postoperative nausea and vomiting after laparoscopic surgery. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Fujii, Y., & Itakura, M. (2010). A prospective, randomized, double-blind, placebo-controlled study to assess the antiemetic effects of midazolam on postoperative nausea and vomiting in women undergoing laparoscopic gynecologic surgery. Clinical Therapeutics, 32, 1633-1637. https://doi.org/10.1016/j.clinthera.2010.08.005
  12. Gan, T. J. (2002). Postoperative nausea and vomiting - Can it be eliminated? Journal of American Medical Association, 287, 1233-1236. https://doi.org/10.1001/jama.287.10.1233
  13. Habib, A. S., Muir, H. A., Schultz, J. R., Olufolabi, A. J., White, W. D., & Gan, T. J. (2007). Postoperative nausea and vomiting following the use of fentanyl or remifentanil in ambulatory gynecologic laparoscopic surgery: A prospective randomized trial. Ambulatory Surgery, 13(1), 16-18.
  14. Harkreader, H., Hogan, M. A., & Thobaben, M. (2007). Fundamentals of nursing caring and clinical judgment (3rd ed.). Saunders: Philadelphia.
  15. Hirayama, T., Ishii, F., Yago, K., & Ogata, H. (2001). Evaluation of effective drugs for the prevention of nausea and vomiting induced by morphine used for postoperative pain: A quantitative systematic review. Yakugaku Zasshi, 121, 179-185. https://doi.org/10.1248/yakushi.121.179
  16. Jeon, H. J., & Kim, Y. H. (2001). A study on the effect of oral cryotherapy on nausea, vomiting and oral intake by anti cancer chemotherapy in pediatric cancer patient. Journal of Korean Academy of Child Health Nursing, 7, 108-116.
  17. Jokela, R., & Koivuranta, M. (1999). Tropisetron or droperidol in the prevention of postoperative nausea and vomiting. A comparative, randomised, double-blind study in women undergoing laparoscopic cholecystectomy. Acta Anaesthesiologica Scandinavica, 43, 645-650. https://doi.org/10.1034/j.1399-6576.1999.430609.x
  18. Joris, J. L. (2005). Anesthesia for laparoscopic surgery in: Miller's anesthesia (6th ed.), Philadelphia: Elsevier Inc.
  19. Jung, J. W. (1994). A study on oral discomfort in gynecological cancer patients undergoing chemotherapy. Unpublished master's thesis, Yonsei University, Seoul.
  20. Kang, Y. W., Yoon, S. G., Kim, E. G., Lee, C. M., & Kim, K. Y. (2007). Comparison of laparoscopic with open resections in colorectal cancer: Analysis of short-term results. Journal of Korean Society Coloproctology, 23, 93-100. https://doi.org/10.3393/jksc.2007.23.2.93
  21. Kim, N. C., Yoo, J. B., Cho, M. S., Shin, E. J., & Hahm, T. S. (2010). Effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patient-controlled analgesia. Journal of Korean Academy of Nursing, 40(3), 423-432. https://doi.org/10.4040/jkan.2010.40.3.423
  22. Lambert, K. G., Wakim, J. H., & Lambert, N. E. (2009). Preoperative fluid bolus and reduction of postoperative nausea and vomiting in patients undergoing laparoscopic gynecologic surgery. Arthroscopy Association of North America Journal, 77, 110-114.
  23. Lee, H. S., Song, J. H., Kim, T. J., Han, J. U., Lim, H. K., Shin, H., et al. (2004). Comparison of dexamethasone and ondansetron for the prevention of nausea and vomiting using intravenous patient-controlled analgesia after gynecological surgery. Korean Journal of Anesthesiology, 47, 726-731. https://doi.org/10.4097/kjae.2004.47.5.726
  24. Lee, K. N., & Tae, Y. S. (1999). The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy. The Journal of Korean Academy Society of Adult Nursing, 11, 785-795.
  25. Macario, A., Weinger, M., Carney, S., & Kim, A. (1999). Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesthesia and Analgesia, 89, 652-658.
  26. Oh, D. S., Lee, J. H., Lee, S. E., Kim, Y. H., Lim, S. H., Lee, K. M., et al. (2009). Comparison of ramosetron plus dexamethasone with ramosetron alone in the prevention of nausea and vomiting after gynecologic laparoscopic surgery. Korean Journal of Anesthesiology, 56(2), 169-174. https://doi.org/10.4097/kjae.2009.56.2.169
  27. Park, J. K., Yoon, S. G., Kim, S. U., Lee, J. H., Kim, J. H., Yi, S. Y., et al. (2005). A clinical analysis of uterine myoma. Korean Journal of Obstetrics and Gynecology, 48, 436-445.
  28. Park, S. H. (1997). The survey of nausea-vomiting and diet patterns among pediatric cancer patient received chemotherapy. Journal of Korean Academy of Child Health Nursing, 3(1), 62-70.
  29. Stadler, M., Bardiau, F., Seidel, L., Albert, A., & Boogaerts, J. G. (2003). Difference in risk factors for postoperative nausea and vomiting. Anesthesiology, 98, 46-52. https://doi.org/10.1097/00000542-200301000-00011
  30. Tramèr, M. R. (2001). A rational approach to the control of postoperative nausea and vomiting: Evidence from systematic reviews. Part II. Recommendations for prevention and treatment, and research agenda. Acta Anaesthesiologica Scandinavica. 45, 14-19. https://doi.org/10.1034/j.1399-6576.2001.450103.x
  31. Wang B., He, K. H., Jiang, M. B., Liu, C., & Min, S. (2011). Effect of prophylactic dexamethasone on nausea and vomiting after laparoscopic gynecological operation: meta-analysis. Middle East Journal of Anesthesiology, 21, 397-402.
  32. White, L. A., Vanarase, M., Brockbank, K., & Barrett, R. F. (2001). Patient-controlled analgesia and postoperative nausea and vomiting: Efficacy of a continuous infusion of ondansetron. Anaesthesia, 56, 365-369. https://doi.org/10.1046/j.1365-2044.2001.01708-5.x

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