Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Influence of Gas Pain, Post-operative Resilience, and Body Temperature Discomfort in Laparoscopic Myomectomy Patients after Thermotherapy

복강경하 자궁근종절제술 후 적용한 온열요법이 가스 통증, 수술 후 회복력 및 체온불편감에 미치는 효과

  • Received : 2018.08.28
  • Accepted : 2019.02.26
  • Published : 2019.03.20
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Abstract

Purpose: The purpose of this study was to investigate the effects of thermotherapy on gas pain, post-operative resilience, and body temperature discomfort among patients who received laparoscopic myomectomies. Methods: The experimental group consisted of 62 patients with thermotherapy and the control group consisted of 60 patients. Thermotherapy was applied individually to the experimental group four hours after surgery. The collected data was analyzed using descriptive statistics, t-tests, ${\chi}^2$-tests, and repeated measures of analysis of variance, using IBM SPSS Statistics version 18. Results: The results showed no significant interaction effect between the group and time of measurement in gas-related pain in the experimental group. For gas-related pain, there was significant difference in right shoulder pain at 24 hours (t=-4.222, p=.000), 48 hours (t=-3.688, p=.000), 72 hours (t=-2.250, p=.028), and left at 24 hours (t=-3.727, p=.000), 48 hours (t=-4.150, p=.000), and 72 hours (t=-2.482, p=.016) and both shoulders at 24 hours (t=-2.722, p=.009) and 48 hours (t=-2.525, p=.014). There was no significant difference in epigastric pain, excluding both epigastric pain at 48 hours (t=2.908, p=.005), 72 hours (t=3.010, p=.004), but there was a significant difference in objective body temperature discomfort (t=2.895, p=.008). Conclusion: Thermotherapy relieved shoulder gas-related pain and objective body temperature discomfort. It needs to be developed and applied to improve post-operative discomfort in patients with laparoscopic hysterectomies.

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References

  1. Kim EK. Laparoscopic surgery. Journal of the Korean Medical Association. 2008;51(9):833-837. https://doi.org/10.5124/jkma.2008.51.9.833
  2. Choi UJ, Ha TU, Kang JS. The effects of semi-fowler's position on post-operative recovery and pain for patients with laparoscopic abdominal surgery. Journal of the Korea Academia-Industrial Cooperation Society. 2017;18(5):412-419. https://doi.org/10.5762/KAIS.2017.18.5.412
  3. You SH, Yoon JH, Kim CS, Ahn KR, Kwon JH, Kang KS, et al. Comparison of postoperative pain by different methods in the removal of gases after laparoscopic hysterectomy. Korean Journal of Anesthesiology. 2004;47(2):222-227. https://doi.org/10.4097/kjae.2004.47.2.222
  4. Mohamed AI, Elhady RMA. Heating pads and early mobilization for reducing postoperative shoulder pain and enhancing recovery of women undergoing gynecological laparoscopic surgery. IOSR Journal of Nursing and Health Science. 2016;5(1):10-16.
  5. Park JS, Lee MH, Lee HR. Effects of preoperative pain management education on the control of postoperative pain. Journal of Korean Oncology Nursing. 2011;11(2):108-115. https://doi.org/10.5388/jkon.2011.11.2.108
  6. Hong SJ, Lee E. Cost analysis of post operative pain management for surgical patients using PCA. Journal of Korean Academy of Fundamentals of Nursing. 2013;20(2):137-146. https://doi.org/10.7739/jkafn.2013.20.2.137
  7. Kim U, Lee YM. The effects of active warming on pain, temperature, and thermal discomfort in postoperative patients after general anesthesia for abdominal surgery. Journal of Korean Critical Care Nursing. 2017;10(3):53-64.
  8. Ku JO, Park YJ, Kim JW, Jeon EJ, Jang JH, Cho YH, et al. Effect of abdominal massage before in vitro fertilization injection on alleviating pain among infertile women. Korean Journal of Women Health Nursing. 2016;22(2):78-85. https://doi.org/10.4069/kjwhn.2016.22.2.78
  9. Wagner D, Byrne M, Kolcaba K. Effects of comfort warming on preoperative patients. Association of Operating Room Nurses Journal. 2006;84(3):427-448. https://doi.org/10.1016/S0001-2092(06)63920-3
  10. Park OB, Choi H. The effect of pre-warming for patients under abdominal surgery on body temperature, anxiety, pain, and thermal comfort. Journal of Korean Academy of Nursing. 2010;40(3):317-325. https://doi.org/10.4040/jkan.2010.40.3.317
  11. Jun J. Analysis of researches on the warming therapy for surgical patients. Journal of Korean Academy of Adult Nursing. 2010;22(3):260-270.
  12. Park SJ, Kim SY. Effects of forced air warming on body temperature, shivering and pain in laparoscopic cholecystectomy patients. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(3):287-296. https://doi.org/10.7739/jkafn.2015.22.3.287
  13. Kim M, So H. Effects on blood flow velocity, wound healing and pain in hand microsurgery patients following heating on non-affected side. Journal of Korean Academy of Nursing. 2012;42(4):579-588. https://doi.org/10.4040/jkan.2012.42.4.579
  14. Myles PS, Weitkamp B, Jones K, Melick J, Hensen S. Validity and reliability of a postoperative quality of recovery score: the QoR-40. British Journal of Anaesthesia. 2000;84(1):11-15. https://doi.org/10.1093/oxfordjournals.bja.a013366
  15. Huskisson EC. Measurement of pain. Lancet. 1974;2(7889):1127-1131. https://doi.org/10.1016/S0140-6736(74)90884-8
  16. Hwang SK, Jung HM. The effects of thermotherapy on abdominal distension and pain during colonoscopy. Journal of East-West Nursing Research. 2015;21(2):133-139. https://doi.org/10.14370/jewnr.2015.21.2.133
  17. Choi JB, Kang K, Song MK, Seok S, Kim YH, Kim JE. Pain characteristics after total laparoscopic hysterectomy. International Journal of Medical Sciences. 2016;13(8):562-568. https://doi.org/10.7150/ijms.15875
  18. Berker B, Taskin S, Taskin EA. Complications of laparoscopic gynecologic surgery [Internet]. Miami, FL: Society of Laparoendoscopic Surgeons; 2012 [cited 2012 Aug 10]. Available from: https://laparoscopy.blogs.com/prevention_management_3/2010/07/complications-of-laparoscopic-gynecologic-surgery.html.
  19. Park JI, Yoon H. Effects of $37^{\circ}C$ carbon dioxide pneumoperitoneum on core body temperature, systolic blood pressure, heart rate and acid-base balance: a randomized double-blind controlled trial. Journal of Korean Biological Nursing Science. 2017;19(2):76-85. https://doi.org/10.7586/jkbns.2017.19.2.76
  20. Seo YO, Lee YJ, Park YS, Shin JS, Cho YS, Bae SH, et al. Comparison of the effects of warmth therapy on laparoscopic vaginal hysterectomy under general anesthesia. Clinical Nursing Research. 2006;12(1):137-146.