Study Results
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Basic Information
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COMPLETED
NA
76 participants
INTERVENTIONAL
2023-05-25
2023-08-25
Brief Summary
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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 (p\<0.05). 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 (p\<0.05). 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.
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Detailed Description
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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 implemented.Control 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.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Group 1
Patients in the control group were given only the standard procedure for laparoscopic cholecystectomy during the research period.
treatment and care were applied.
No interventions assigned to this group
Group 2
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\[145\]. In our study, the instructions in the second part were used. - 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, 6t
relaxation exercises
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 consists of relaxation music
Interventions
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relaxation exercises
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 consists of relaxation music
Eligibility Criteria
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Inclusion Criteria
* Prevents exercise creating a chronic without disease (COPD, heart failure etc.)
* Hearing problem not found
* At least primary school graduate the one which...
* A psychiatric diagnosis non-major depression, anxiety disorders etc.) and anxiety or a drug for depression non-user
* Elective laparoscopic having a cholecystectomy
* Oriented to person, place and time the one which...
* American Anesthesia Association(ASA) classification I, II or III the one which...
Exclusion Criteria
* Agree to participate in the research not (n=12)
* Patients undergoing emergency surgery
* Prevents exercise with disease causing
* Hearing problem found
* Having a psychiatric diagnosis (major depression, anxiety disorders etc.) and anxiety or a depression taking medication
* Pregnant
* Suffering from motion sickness
* Lack of cooperation
* Basic during surgery in life functions developing complications
* Open cholecystectomy (n=2)
* American Society of Anesthesiologists (ASA) classification IV are(n=7)
* Previous PGE exercises educated
ALL
No
Sponsors
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Osmaniye Korkut Ata University
OTHER
Responsible Party
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Songul Gungor
Phd Lecturer
Principal Investigators
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Didem LAFÇI, associate professor
Role: STUDY_DIRECTOR
Mersin University
Locations
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Osmaniye State Hospital
Merkez, Osmani̇ye, Turkey (Türkiye)
Countries
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Other Identifiers
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Osmaniye State Hospital"
Identifier Type: -
Identifier Source: org_study_id
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