Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, Iran (the Islamic Republic of).
Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, Iran (the Islamic Republic of)
BMJ Support Palliat Care. 2023 Oct;13(e1):e150-e155. doi: 10.1136/bmjspcare-2020-002618. Epub 2020 Oct 23.
Pain is a common complication after laparoscopic surgery. This study aimed to examine the effect of an early mobilisation programme on postoperative pain intensity after laparoscopic surgery.
A randomised controlled clinical trial was conducted on 80 patients who underwent laparoscopic surgery in Shahid Beheshti Hospital in Kashan, Iran. The patients were randomly allocated to intervention (n=40) and a control (n=40) group. In the intervention group, an early mobilisation programme was implemented in two rounds. The patient's perceived pain was assessed using a Visual Analogue Scale 15 min before and 30 min after each round of early mobilisation. Data were analysed through the independent samples t, χ and Fisher's exact tests and the repeated measures analysis.
The repeated measures analysis showed that the mean pain scores have been decreased over time (F=98.88, p<0.001). Considering the observed interaction between time and the intervention, the t test was used for pairwise comparisons and showed that the mean pain score was not significantly different between the two groups in 15 min before the first round of early mobilisation (p=0.95). However, the mean pain in the intervention group was significantly less than the control group in all subsequent measurements (p<0.05).
Early mobilisation programmes such as the one implemented in the current study are easy and inexpensive and can be implemented safely for the reduction of pain after laparoscopic surgeries.
疼痛是腹腔镜手术后的常见并发症。本研究旨在探讨早期活动方案对腹腔镜手术后疼痛强度的影响。
在伊朗卡尚的沙希德·贝赫什提医院对 80 名接受腹腔镜手术的患者进行了一项随机对照临床试验。患者被随机分配到干预组（n=40）和对照组（n=40）。在干预组中，实施了两轮早期活动方案。使用视觉模拟量表评估患者的感知疼痛，在每次早期活动后 15 分钟和 30 分钟进行评估。使用独立样本 t、χ 和 Fisher 精确检验和重复测量分析进行数据分析。
重复测量分析表明，疼痛评分随时间的推移而降低（F=98.88，p<0.001）。考虑到时间和干预之间的观察到的相互作用，使用 t 检验进行了两两比较，结果表明在第一轮早期活动前 15 分钟，两组的平均疼痛评分没有显著差异（p=0.95）。然而，在所有后续测量中，干预组的平均疼痛明显低于对照组（p<0.05）。
像本研究中实施的早期活动方案那样简单且经济实惠的方案，可以安全地实施，以减轻腹腔镜手术后的疼痛。
