Korean J Women Health Nurs.  2019 Mar;25(1):4-18. 10.4069/kjwhn.2019.25.1.4.

Influence of Gas Pain, Post-operative Resilience, and Body Temperature Discomfort in Laparoscopic Myomectomy Patients after Thermotherapy

• Lee J
• Jeon M
• Park E
• Lee J
• Ahn G
• Lee S
• Kim J

• KMID: 2449867
• DOI: http://doi.org/10.4069/kjwhn.2019.25.1.4

Abstract

PURPOSE
The purpose of this study was to investigate the effects of thermotherapy on gas pain, post-operative resilience, and body temperature discomfort among patients who received laparoscopic myomectomies.
METHODS
The experimental group consisted of 62 patients with thermotherapy and the control group consisted of 60 patients. Thermotherapy was applied individually to the experimental group four hours after surgery. The collected data was analyzed using descriptive statistics, t-tests, χ²-tests, and repeated measures of analysis of variance, using IBM SPSS Statistics version 18.
RESULTS
The results showed no significant interaction effect between the group and time of measurement in gas-related pain in the experimental group. For gas-related pain, there was significant difference in right shoulder pain at 24 hours (t=-4.222, p=.000), 48 hours (t=-3.688, p=.000), 72 hours (t=-2.250, p=.028), and left at 24 hours (t=-3.727, p=.000), 48 hours (t=-4.150, p=.000), and 72 hours (t=-2.482, p=.016) and both shoulders at 24 hours (t=-2.722, p=.009) and 48 hours (t=-2.525, p=.014). There was no significant difference in epigastric pain, excluding both epigastric pain at 48 hours (t=2.908, p=.005), 72 hours (t=3.010, p=.004), but there was a significant difference in objective body temperature discomfort (t=2.895, p=.008).
CONCLUSION
Thermotherapy relieved shoulder gas-related pain and objective body temperature discomfort. It needs to be developed and applied to improve post-operative discomfort in patients with laparoscopic hysterectomies.

Keyword

Gynecological laparoscopy; Thermotherapy; Pain; Recovery; Body temperature

MeSH Terms

Body Temperature*
Humans
Hyperthermia, Induced*
Hysterectomy
Shoulder
Shoulder Pain

Figure

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  Figure 1 Flow diagram of research process. NRS=Numeric Rating Scale; TCI=thermal comfort inventory; VAS=visual analogue scale; QoR-40=Quality of Recovery 40.

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