Investigation of post-operative pain levels and nursing ınterventions following gynecologic surgery
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Abstract
Background & Aim: Nowadays, new methods related to pain management have emerged. However, it has been reported in studies that post-operative pain management is inadequate. The purpose of this study was determined to pain levels of the patients after gynecologic surgery and nursing interventions.
Methods & Materials: This descriptive study was undertaken as a multicenter study in the gynecologic surgical departments of the university and state hospital in Samsun. 221 patients who had an operation in first 48 hours post-operative, were participated in the study voluntarily, were included in the study sample. Data were collected by questionnaire and visual analog scale (VAS). Data were evaluated with percentage, mean, Mann–Whitney U and Kruskal–Wallis tests.
Results: It was determined that the patients were experienced severe pain according to VAS (7.23 ± 2.79). It was found a significant relationship between the pain scores and marital status, smoking habit, and operation length of the patients. It was found that the most common applied nursing pain management intervention were preparing a comfortable and quiet environment and giving information about effects of the disease and drugs. It was found that nurses were not used imagination and music.
Conclusion: This study was showed that the patients were experienced severe pain the early period after gynecologic surgeryand that frequency of non-pharmacologic methods of nurses were veryfew in pain management.
Pogatzki-Zahn EM, Zahn PK, Brennan TJ. Postoperative pain--clinical implications of basic research. Best Pract Res Clin Anaes- thesiol 2007; 21(1): 3-13.
Klopfenstein CE, Herrmann FR, Mamie C, van Gessel E, Forster A. Pain intensity and pain relief after surgery. A comparison be- tween patients' reported assessments and nurses' and physicians' observations. Acta Anaesthesiol Scand 2000; 44(1): 58-62.
Yilmaz M, Gurler H. Nursing approaches to- ward postoperative pain in patients: patients' opinions. Agri 2011; 23(2): 71-9. [In Turkey].
Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth An- alg 2003; 97(2): 534-40, table.
Popping DM, Zahn PK, van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Ef- fectiveness and safety of postoperative pain management: a survey of 18 925 consecu- tive patients between 1998 and 2006 (2nd revision): a database analysis of prospective- ly raised data. Br J Anaesth 2008; 101(6): 832-40.
Wang HL, Keck JF. Foot and hand massage as an intervention for postoperative pain. Pain Manag Nurs 2004; 5(2): 59-65.
Ettrich U, Seifert J, Scharnagel R, Gunther KP. A multimodal and multidisciplinary postoperative pain management concept. Orthopade 2007; 36(6): 544, 546-4, 551. [In Turkey].
Mackintosh C. Assessment and management of patients with post-operative pain. Nurs Stand 2007; 22(5): 49-55.
Alon E, Knessl P. Prevention and treatment of postoperative pain. Agri 2000; 12(3): 9-14.
Eid T, Bucknall T. Documenting and im- plementing evidence-based post-operative pain management in older patients with hip fractures. Journal of Orthopaedic Nursing 2008; 12(2): 90-8.
Carr EC, Thomas VJ. Anticipating and expe- riencing post-operative pain: the patients' per- spective. J Clin Nurs 1997; 6(3): 191-201.
Lauzon Clabo LM. An ethnography of pain assessment and the role of social context on two postoperative units. J Adv Nurs 2008; 61(5): 531-9.
Chung JW, Lui JC. Postoperative pain man- agement: study of patients' level of pain and satisfaction with health care providers' re- sponsiveness to their reports of pain. Nurs Health Sci 2003; 5(1): 13-21.
Goldsmith DM, Safran C. Using the Web to reduce postoperative pain following ambula- tory surgery. Proc AMIA Symp 1999; 780-4.
Özer N, Bölükbas N. Investigation of the definition pain by the patients in the postop- erative period and the attitudes of nurses to- ward the patients with pain. Atatürk Üniver- sitesi Hemsirelik Yüksekokulu Dergisi 2001; 4: 7-17. [In Turkey].
Tür H. To compare the effectiveness of dif- ferent fentanyl for pain control after coronary artery bypass surgery [Thesis]. Ankara, Tur- key: Baskent University 2007. [In Turkey].
Çetinkaya F, Karabulut N. Effect of pre- operative education to anxiety and pain level of adult abdominal surgery patients. Journal of Anatolia Nursing and Health Sciences 2010; 13(2): 20-6. [In Turkey].
Eti Aslan F, Kan Öntürk Z. Measurement and evaluation of pain. In: Eti Aslan F, Editor. Natura and control of the pain. Ankara, Tur- key: Özyurt Matbaacilik Hizm; 2014. p. 83-4.
Sills ES, Genton MG, Walsh AP, Wehbe SA. Who's asking? Patients may under- report postoperative pain scores to nurses (or over-report to surgeons) following surgery of the female reproductive tract. Arch Gyne- col Obstet 2009; 279(5): 771-4.
Çelik S. Pain levels of the Patients after 24- 48 hours from abdominal surgery and applied nursing interventions. Journal of Health Sci- ences 2013; 2(3): 325-30. [In Turkey].
Aubrun F, Salvi N, Coriat P, Riou B. Sex- and age-related differences in morphine re- quirements for postoperative pain relief. An- esthesiology 2005; 103(1): 156-60.
Shi Y, Weingarten TN, Mantilla CB, Hooten WM, Warner DO. Smoking and pain: path- ophysiology and clinical implications. Anes- thesiology 2010; 113(4): 977-92.
Zanaty OM. Nicotine smoking: Influences on perioperative pain management. Egyptian Journal of Anaesthesia 2014; 30(4): 373-6.
Kirdemir P, Özorak O. Can postoperative pain and analgesic need be predicted in pre- operative period? Turkiye Klinikleri J Med Sci 2011; 31(4): 951-9. [In Turkey].
Büyükyilmaz F, Asti T. Nursing approach in postoperative pain. Ataturk University School of Nursing Journal 2009; 12(2): 84- 93. [In Turkey].
Topçu S. The effect of relaxation exercises on controlling postoperative pain in patients who have undergone upper abdominal sur- gery [Thesis]. Edirne, Turkey: Institute of Health Sciences, Trakya University 2008. [In Turkey].
Karayurt Ö. Investigation of the effects of applied different training program on anxie- ty and pain level of patients in preoperative period. Cumhuriyet Üniversitesi Hemsirelik Yüksekokulu Dergisi 1998; 2(1): 20-6. [In Turkey].
Chan YM, Lee PW, Ng TY, Ngan HY, Wong LC. The use of music to reduce anx- iety for patients undergoing colposcopy: a randomized trial. Gynecol Oncol 2003; 91(1): 213-7.
Good M, Stanton-Hicks M, Grass JA, An- derson GC, Lai HL, Roykulcharoen V, et al. Relaxation and music to reduce postsurgical pain. J Adv Nurs 2001; 33(2): 208-15.
Eti Aslan F. Pain evaluation methods. C Ü Hemsirelik Yüksekokulu Dergisi 2002; 6(1): 9-16. [In Turkey].
Aslan FE. Pain control reality: nurses' in- formation and belief of the nature evaluation and execution of the pain. Pain 2005; 17(2): 44-51. [In Turkey].
Dihle A, Bjolseth G, Helseth S. The gap be- tween saying and doing in postoperative pain management. J Clin Nurs 2006; 15(4): 469-79.
Prowse M. Postoperative pain in older peo- ple: a review of the literature. J Clin Nurs 2007; 16(1): 84-97.
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| Issue | Vol 2 No 2 (2015): Spring | |
| Section | Original Article(s) | |
| Keywords | ||
| gynecologic surgery post-operative pain nursing non-pharmacologic pain management interventions | ||
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