Yu So Hyun, Seol Geun Hee
Department of Basic Nursing Science, School of Nursing, Korea University, Seoul 02841, Republic of Korea.
Evid Based Complement Alternat Med. 2017;2017:3954181. doi: 10.1155/2017/3954181. Epub 2017 Jan 5.
Pain and urinary symptoms following colorectal cancer (CRC) surgery are frequent and carry a poor recovery. This study tested the effects of inhalation of Mill. (lavender) oil or linalyl acetate on pain relief and lower urinary tract symptoms (LUTS) following the removal of indwelling urinary catheters from patients after CRC surgery. This randomised control study recruited 66 subjects with indwelling urinary catheters after undergoing CRC surgery who later underwent catheter removal. Patients inhaled 1% lavender, 1% linalyl acetate, or vehicle (control group) for 20 minutes. Systolic and diastolic blood pressure (BP), heart rate, LUTS, and visual analog scales of pain magnitude and quality of life (QoL) regarding urinary symptoms were measured before and after inhalation. Systolic BP, diastolic BP, heart rate, LUTS, and QoL satisfaction with urinary symptoms were similar in the three groups. Significant differences in pain magnitude and urinary residual sense of indwelling catheters were observed among the three groups, with inhalation of linalyl acetate being significantly more effective than inhalation of lavender or vehicle. Inhalation of linalyl acetate is an effective nursing intervention to relieve pain and urinary residual sense of indwelling urinary catheters following their removal from patients who underwent CRC surgery.
结直肠癌(CRC)手术后疼痛和泌尿系统症状很常见,且恢复情况不佳。本研究测试了吸入薰衣草油或乙酸芳樟酯对CRC手术后患者拔除留置尿管后的疼痛缓解及下尿路症状(LUTS)的影响。这项随机对照研究招募了66名CRC手术后留置尿管且随后接受拔管的受试者。患者吸入1%薰衣草油、1%乙酸芳樟酯或赋形剂(对照组)20分钟。在吸入前后测量收缩压和舒张压(BP)、心率、LUTS以及关于泌尿系统症状的疼痛程度视觉模拟量表和生活质量(QoL)。三组的收缩压、舒张压、心率、LUTS以及对泌尿系统症状的QoL满意度相似。三组之间在疼痛程度和留置尿管的尿残留感方面观察到显著差异,吸入乙酸芳樟酯比吸入薰衣草油或赋形剂的效果显著更好。吸入乙酸芳樟酯是一种有效的护理干预措施,可缓解CRC手术后患者拔除留置尿管后的疼痛和尿残留感。