Official Title: Effect of Progressive Relaxations Applied After Laparoscopic Cholecystectomy on Pain Nausea and Vomiting
Status: COMPLETED
Status Verified Date: 2024-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: OSH
Brief Summary: Objective It was conducted as a randomized controlled experimental study to determine the effect of progressive relaxation exercise applied after laparoscopic cholecystectomy on postoperative pain nausea and vomiting Method The population of the study consisted of 105 patients who underwent elective planned laparoscopic cholecystectomy at Osmaniye State Hospital General Surgery Clinic between 25 May and 25 August 2023Study38 Control38 76 patients who constituted the sample of the study were assigned to the study and control groups Data were collected using the Patient Introduction Form Visual Comparison Scale and Perioperative Patient Monitoring Form
Patients in the study group underwent progressive relaxation exercises at the 2nd 6th 12th and 24th hours after surgery Frequency average Chi-Square test Independent t-test and Repeated Measures ANOVA test were used to evaluate the data Results When the comparison between groups is examined It was determined that the average pain intensity scores of the patients in the study group at the 6th 12th and 24th postoperative hours decreased more than the control group and the difference between them was statistically significant pamplt005 When the comparison between groups is examined It was determined that the average nausea severity scores of the patients in the study group at the 6th 12th and 24th postoperative hours decreased significantly compared to the control group and the difference between them was statistically significant pamplt005 It was determined that there was a decrease in vomiting rates in the study group compared to the control group at the 6th and 12th hours after surgery and the difference between them was significant Conclusion and Recommendations It has been determined that progressive relaxation exercises reduces pain nausea and vomiting after laparoscopic cholecystectomy In line with the results obtained from the research it is recommended that nurses teach progressive relaxation exercises to patients and encourage their use as they are easy to apply to patients and are not an invasive method Keywords Laparoscopic cholecystectomy nausea nurse pain progressive relaxation exercises
Detailed Description: Data were collected at Osmaniye State Hospital General Surgery Clinic between 25 May and 25 August 2023
Among 76 patients who were hospitalized for laparoscopic cholecystectomy and volunteered to participate in the study Study group 38 Control group 38 was taken Before starting the application Informed Voluntary was obtained from the patients
Verbal and written permissions were obtained by reading the Annex-I Working group - Before the patient undergoes surgery the Patient Information Form Annex-II information is obtained from the patient file and asked to the patient
has been filled
The researcher was informed about the surgical intervention expected nausea and vomiting and pain The first 10-minute part of the CD audio recordings prepared by the Turkish Psychologists Association is about deep relaxation
purpose The second 30-minute part includes instructions for relaxation exercises The last 30 minutes are just it consists of relaxation music
- In addition to standard treatment and care for laparoscopic cholecystectomy volunteers who accept the study Progressive relaxation exercises were applied by the researcher at the 2nd 6th 12th and 24th hours after surgery
When the literature review on PGE was made it was seen that the application time and frequency of these exercises were not standard 6th 12th 24th hours after surgery It was applied on the 2nd day after surgery and the total number of sessions varied
It is seen to show In our study PGE was detected at the 2nd 6th 12th and 24th hours after surgery
has been implementedControl group patients were informed about the research and received Informed Voluntary Consent Form ANNEX-I verbal and written permissions were obtained - Before the surgery the Patient Introduction Form Annex-II was checked both from the file and received verbal confirmation from the patient
was filled in
The researcher was informed about the surgical intervention expected nausea and vomiting and pain Patients in the control group were given the standard procedure for laparoscopic cholecystectomy only during the research period
treatment and care were applied
- No postoperative intervention was performed on the control group and the researcher did not perform surgery after surgery
Visual Comparison Scale ANNEX-III form for the severity of pain nausea and vomiting at the 2nd 6th 12th and 24th hours The patient is asked to mark it with a pen or verbally indicate the severity between 1 and 10 on the form
marking has been made
After the postoperative pain nausea and vomiting status is determined on the Visual Comparison Scale perioperative Patient Follow-up Form ANNEX-IV has been filled out Data collection process of the research in order to eliminate ethical problems that may occur in the control group After completion these patients were trained in progressive relaxation exercises