J Korean Acad Fundam Nurs.  2007 Aug;14(3):280-287.

The Effect of Support for Lumbar Curve on Back Pain, Comfort, and Bleeding Complications in Patients on Bed Rest after Transurethral Resection of Prostate

• Lim JY
• Sohng KY
• Chaung SK

Abstract

PURPOSE: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP). METHOD: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels.
RESULTS
Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group.
CONCLUSION
These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.

Keyword

Back pain; Comfort; Transurethral resection of prostate

MeSH Terms

Analgesics
Back Pain*
Bed Rest*
Hematocrit
Hemorrhage*
Humans
Incidence
Leg
Nursing
Prostatic Hyperplasia
Transurethral Resection of Prostate*
Analgesics