| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所 === 90 === Abstract
The purpose of the study was to explore the effectiveness of pre-operative pain nursing on abdominal operative patients in treating: pre-operative anxiety, pain cognition, post-operative pain, and impact of pain. Sixty-two abdominal pre-operative patients from the medical center of general surgery wards in southern Taiwan were recruited to be the subjects according to a convenience sampling based on the experimental research design. The patients were assigned to the experimental group or control group depending on permuted block randomization, with 32 patients in the experimental group and 30 patients in the control group. The subjects of the experimental group received routine ward care and pre-operative pain nursing while the subjects of the control group received only routine ward care. This study examined the effectiveness of pre-operative pain nursing through a structural questionnaire, including a 0-10 anxiety scale, pain cognition scale, and Brief Pain Inventory. The collected data were analyzed using Chi-square, independence t-test, paired t-test, and repeated measures two-way ANOVA.
The results showed that the subjects of the experimental group experienced a significant increase in pain cognition level and a significant decrease in pre-operative anxiety level. Additionally, the subjects of the experimental group experienced significantly lower post-operative pain 4 hours after the operation and significantly lower maximal and average pain levels during the first 24 hours after the operation than subjects of the control group. The impact of pain on changing position, deep breathing, coughing, mood, and sleeping of the experimental group was significantly lower than that of the control group. The first ambulatory time of the experimental group was 1.5 days earlier than the control group. Based on the results of the study, pre-operative pain nursing should be integrated into pre-operative care. The intervention we used in this study may provide a practical guideline for nursing staff in conducting the pre-operative pain nursing.
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