Shoulder Pain
Conditions
Keywords
laparoscopic cholecystectomy, shoulder pain, semi-recumbent position, pain
Brief summary
This study was carried out to determine the effect of placing the semi-recumbent position in reducing pain in patients who developed shoulder pain after laparoscopic cholecystectomy. HO: The application of the semi-recumbent position to patients who develop shoulder pain after laparoscopic cholecystectomy has no effect on reducing pain. H1: The application of semi-recumbent position in patients who develop shoulder pain after laparoscopic cholecystectomy has an effect on reducing pain.
Detailed description
In addition to pharmacological interventions for the relief of postoperative complications such as pain in patients undergoing laparoscopic cholecystectomy, non-pharmacological applications; It is evaluated that it will be beneficial in increasing patient satisfaction, reducing the need for analgesic drugs, reducing the cost of hospitalization due to the side effects of drugs and increasing the quality of care. With the results of this research, it is evaluated that the effect of positioning, which is one of the independent activities of nurses who base their care on evidence-based practices, on pain will be beneficial to increase the evidence-based nursing knowledge in the literature.
Interventions
OTHERPositioning the patient
The patients' vital signs, pain and analgesic drug use were recorded in the Pain Follow-up Form at the time they came to the clinic, at the 6th and 12th hours after the surgery, by recording from the end-of-operation file. In case the patient had pain, the time when the pain started was recorded, the experimental group was given the semi-recumbent position with analgesic drug and the patient was asked to maintain this position for 2 hours. If the patient has pain again, this position is given again. Patient Satisfaction Evaluation Form was filled in at the 12th hour after the surgery for the patients in the experimental group.
Sponsors
Sibel Yilmaz Sahin
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Intervention model description
The type of this study is a quasi-experimental clinical study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Those who had surgery with laparoscopic cholecystectomy * Those between the ages of 18-65, * Patients in ASA I-II group * Patients undergoing general anesthesia
Exclusion criteria
* Epidural analgesia after surgery * Patients with reactive airway diseases such as chronic obstructive pulmonary disease (COPD), Bronchitis, Emphysema * Conversion to open abdominal surgery during laparoscopic cholecystectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Severity | arrival time at the clinic (approximately the first two hours postoperatively) | Pain evaluated with numerical rating scale (NRS). A numerical rating scale requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable |
| Pain Region | arrival time at the clinic (approximately the first two hours postoperatively) | Description of pain region as 1. Right shoulder 2. Left shoulder 3. Both shoulder 4. Back 5. Incision 6. Other |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Use Analgesia | postoperatarrival time at the clinic (approximately the first two hours postoperatively) | Number of Analgesia used to reduce pain since arrival |
Other
| Measure | Time frame | Description |
|---|---|---|
| patient's satisfaction with the given position | postoperative 12th hour | Used Yes or No question to evaluate if patient were satisfied with the semi-recumbent position to prevent post-operative shoulder pain and Whether they think the semi-recumbent position is beneficial. Numerical rating scale (NRS) were used to evaluate how satisfied they are with the semi-recumbent position to avoid surgery-related shoulder pain and How much discomfort they felt during their stay in the semi-recumbent position. NRS of 0 to10 were used and rated as 0 is not at all and 10 is very much |
Countries
Turkey (Türkiye)
Outcome results
None listed