The Effect Of Pre-Surgery Paın Educatıon On Postoperatıve Paın And Comfort In Anorectal Dıseases
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Pain score
研究概览
简要总结
The study was planned as quasi-experimental to determine the effect of pain training given to patients who will undergo surgery for anorectal diseases on postoperative pain and comfort. The research was carried out in Istanbul Taksim Training and Research Hospital General Surgery Clinic between November 2021 and November 2022. Data were collected with the "Patient Introduction Education Leaflet", "Patient Pain Education Leaflet", "Numeric Pain Scale", "Brief Pain Inventory" and "Perianesthesia Comfort Scale". The data were analyzed with appropriate statistical methods using the SPSS 25.0 package program.
In the study, the difference between the groups in terms of demographic characteristics and life histories of the patients was insignificant and showed a homogeneous distribution (p>0.05). When the measurements of the patients in the experimental and control groups were compared; It was determined that the patients in the experimental group had lower pulse, blood pressure, respiratory rate and body temperature, and the mean SPO2 was higher than the patients in the control group (p<0.05). When the evaluations between the groups are examined; It was found that the mean pain scores evaluated with the Numerical Pain Scale and Brief Pain Inventory scales in the patients included in the experimental group were lower than the patients included in the control group; The comfort level evaluated with the Perianesthesia Comfort Scale was found to be higher in the experimental group than in the control group (p<0.05).
Hypothesis 1: Pain education given to experimental group patients who will undergo surgery for anorectal diseases has an effect on postoperative pain.
Hypothesis 2: Pain education given to patients in the experimental group who will undergo surgery for anorectal diseases has an effect on the comfort level after surgery.
详细描述
Type of research: The research was planned as quasi-experimental. Location: The study is planned to be carried out with patients who were planned for anorectal surgery and hospitalized in Taksim Training and Research Hospital General Surgery Clinic in Beyoğlu district of Istanbul.
Population, sampling method and number: The population of the study will consist of patients who will undergo hemorrhoid, anal abscess, anal fissure or anal fistula surgery in the General Surgery Clinic in Taksim Training and Research Hospital in Istanbul.
There are different methods to determine the sample size in the literature. In this study, the sample size for repeated ANOVA measures will be calculated using the medium effect size standardized by Cohen. Sample calculation will be done with G-power 3.1 package program. The sample of the study will be determined as at least 36 patients in each of the case and control groups, with an effect size of 0.25 and a power of 0.90. Considering that there may be case losses due to any reason and cases that can be excluded from the sample in terms of homogeneity of the groups, it will be planned to include 40 patients in the study and control groups by increasing it by 10%. Being over 18 years old, being literate, having surgery for anorectal diseases, having surgery under spinal anesthesia and volunteering to participate in the study will be determined as inclusion criteria.
Dependent Variables: Heart rate, respiratory rate, oxygen saturation, body temperature, blood pressure, pain score constitute the dependent variables.
Independent Variables: Gender, age, weight, height, occupation, income level and previous surgeries constitute the independent variables.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being over 18 years old, literate, having surgery for anorectal diseases, having surgery under spinal anesthesia and volunteering to participate in the research.
排除标准
- •using analgesia, mentally ill
结局指标
主要结局
Pain score
时间窗: Hospitalization day (0. minute)
Pain intensity is measured as a numerical pain scale (0 = no pain, 10 = excruciating pain). The degree of pain expressed by the individual measures the general activity state caused by the pain in the last 24 hours, emotional state, relationships with other people, ability to walk, exercise, sleep, and enjoyment of life. Each item is evaluated as a numerical pain scale from 0 to 10 (0 = not affected at all, 10 = completely affected). The patient can mark the area where he feels pain on the picture, which method or drugs are used to provide analgesia, and the level of describing the pain in the last 24 hours is evaluated with percentages. In the brief pain inventory, pain is defined as 1-4 mild pain, 5-6 moderate and 7-10 severe pain.
Pain Score
时间窗: 24. hours after surgery
Pain intensity is measured as a numerical pain scale (0 = no pain, 10 = excruciating pain). The degree of pain expressed by the individual measures the general activity state caused by the pain in the last 24 hours, emotional state, relationships with other people, ability to walk, exercise, sleep, and enjoyment of life. Each item is evaluated as a numerical pain scale from 0 to 10 (0 = not affected at all, 10 = completely affected). The patient can mark the area where he feels pain on the picture, which method or drugs are used to provide analgesia, and the level of describing the pain in the last 24 hours is evaluated with percentages. In the brief pain inventory, pain is defined as 1-4 mild pain, 5-6 moderate and 7-10 severe pain.
次要结局
- Comfort level(24. hours after surgery)
研究者
Muhsin UYSAL
Surgical Nurse
Okan University