Korean J Adult Nurs.  2015 Oct;27(5):481-492. 10.7475/kjan.2015.27.5.481.

Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy

Affiliations
  • 1College of Nursing, Kyungpook National University, Daegu, Korea.
  • 2Department of Nursing, Semyung University, Jecheon, Korea. ag3927@naver.com
  • 3Department of Faculty of Medical Industry Convergence, Daegu Haany University, Gyeongsan, Korea.
  • 4Department of Anesthesiology and Pain Medicine School of Dentistry, Kyungpook National University, Daegu, Korea.

Abstract

PURPOSE
The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV).
METHODS
The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, chi2-test using SPSS/WIN 19.0 program.
RESULTS
The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group.
CONCLUSION
The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.


MeSH Terms

Acupressure
Aromatherapy
Humans
Hysterectomy*
Laparoscopy
Nausea
Nursing
Nursing Care
Pain, Postoperative
Postoperative Nausea and Vomiting*
Research Design
Risk Factors
Vomiting
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