Kurt Elif, Yayla Ayşegül
Department of Surgical Nursing, Van Research Hospital, Van, Turkey.
Department of Surgical Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey.
Nurs Health Sci. 2025 Mar;27(1):e70041. doi: 10.1111/nhs.70041.
The purpose of the present research is to determine the effects of pranayama and deep breathing exercises applied to patients after laparoscopic cholecystectomy on shoulder pain and sleep quality. The research was conducted at the General Surgery Clinics of the University of Health Sciences, Van Training and Research Hospital between March 2023 and June 2024. The study was carried out using a pretest-posttest control group randomized controlled experimental trial design. A total of 66 patients (22 in the pranayama group, 22 in the deep breathing group, and 22 in the control group) were included in the study. The research data were collected using the "Patient Descriptive Form," "Visual Analog Scale," and "Richard-Campbell Sleep Scale." The three groups had similar mean preoperative pain and sleep scores (p > 0.05). Mean pain scores were lower in the pranayama and deep breathing groups than in the control group after the exercise at the 6th, 12th, and 24th postoperative hours and discharge (p < 0.05). Deep breathing exercises were revealed to decrease postoperative pain more effectively than pranayama breathing exercises. Considering sleep scores, the pranayama and deep breathing groups had higher mean sleep scores in comparison with the control group (p < 0.05). Trail Registration: This study was registered in the ClinicalTrials.gov database as (NCT06495411) Protocol Registration and Result System. This study was conducted as a master thesis.
本研究的目的是确定在腹腔镜胆囊切除术后对患者进行调息法和深呼吸练习对肩部疼痛和睡眠质量的影响。该研究于2023年3月至2024年6月在健康科学大学凡培训与研究医院的普通外科诊所进行。该研究采用了前测-后测对照组随机对照试验设计。共有66例患者(调息法组22例、深呼吸组22例、对照组22例)纳入研究。研究数据通过“患者描述表”、“视觉模拟量表”和“理查德-坎贝尔睡眠量表”收集。三组术前平均疼痛和睡眠评分相似(p>0.05)。在术后第6、12和24小时以及出院时进行练习后,调息法组和深呼吸组的平均疼痛评分低于对照组(p<0.05)。结果显示,深呼吸练习比调息法呼吸练习更能有效减轻术后疼痛。考虑睡眠评分,调息法组和深呼吸组的平均睡眠评分高于对照组(p<0.05)。试验注册:本研究已在ClinicalTrials.gov数据库中注册为(NCT06495411)方案注册和结果系统。本研究作为硕士论文进行。