Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05624346 |
| Other study ID # |
2022-SBB-0086 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
September 26, 2022 |
| Est. completion date |
September 25, 2023 |
Study information
| Verified date |
November 2023 |
| Source |
Bartin University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Laparoscopic surgery (LS) enables the patient to experience the desired result with smaller
incisions in the postoperative period, more aesthetically, stress-free and less painful.
This increases patient satisfaction and reduces morbidity and mortality. In the literature,
it has been stated that respiratory exercises reduce the level of anxiety in different
patient groups in the postoperative period and increase the quality of sleep and recovery.
Among the duties and responsibilities of nurses working in surgical clinics are to provide
breathing exercise training to patients in the preoperative period and to ensure that it is
applied in the postoperative period.
This study was planned to determine the effect of respiratory exercise applied to
laparoscopic surgery patients on postoperative pain, anxiety, nausea-vomiting and respiratory
parameters.
Description:
Surgical intervention is a form of treatment applied to preserve the physiology of the
organism as much as possible, and to normalize the body functions that are impaired in
diseases and injuries.
Laparoscopic surgery (LC) enables the patient to experience the desired result more
aesthetically, stress-free and less painful with smaller incisions in the postoperative
period. This increases patient satisfaction and reduces morbidity and mortality.
It is made with small incisions without exposing large tissues, which is inevitable in LC
surgery. Less tissue dissection provides a lower level of neuroendocrine and metabolic
response to stress in humans. Postoperative pain and need for analgesia are reduced. It
accelerates the recovery process of the patient and helps him return to daily life in a
shorter time. It reduces the patient's hospital stay. It increases comfort and quality of
life, provides less suppression of the immune system.
LC has a lower mortality rate in addition to reducing the incidence of complications such as
cosmetic problems, bleeding, injury, infection, inflammation, ileus. All these make LC more
advantageous than other surgical methods. Pain, anxiety, nausea and vomiting are among the
most common complications in the early postoperative period. In addition to pharmacological
methods, non-pharmacological methods are also used to eliminate complications. Breathing
exercise, which is the first step of relaxation, is one of the frequently used
non-pharmacological methods.
With breathing exercises, it is ensured that the respiratory rate and depth are regulated,
the muscles of the assisted respiration relax, and the efficiency of respiration is
increased. The most commonly used breathing exercises are pursed lip breathing (pursed lip
breathing) and diaphragmatic breathing. Nurses should explain the steps of the procedure in
the exercise applications in a way that the patient can understand and ensure that they
practice the exercises regularly.
Preoperative patient education, which can help prevent post-operative problems and early
recovery; with explanation of surgical procedures, deep breathing, coughing, leg exercises,
turning in bed, mobilization and reducing pain etc. includes topics. Among the duties and
responsibilities of nurses working in surgical clinics are to provide breathing exercise
training to patients in the preoperative period and to ensure its implementation in the
postoperative period.
Post-operative patients are not ready to learn anything new due to pain and other reasons.
Therefore, these trainings should be completed before the surgery. The purpose of giving deep
breathing and coughing exercises; Expanding the decreased lung capacity during and after
anesthesia, restoring the perfusion-ventilation balance and regulating its distribution,
increasing oxygenation, protecting the airways, and enabling the secretions in the airways to
be expelled more easily with effective coughing.
Teaching the breathing exercises, which is one of the basic duties of the surgical nurse, to
the patients, explaining the importance of this and having it done regularly, increases the
oxygenation of the tissues and affects the healing quality positively. In the literature, it
has been stated that respiratory exercises reduce the level of anxiety and increase the
quality of sleep and recovery in different patient groups in the postoperative period.
Nurses should take an active role in diagnosing nausea, vomiting, pain and respiratory
problems that may occur in the postoperative period, planning and applying the necessary
pharmacological and non-pharmacological methods, monitoring and evaluating the results of
treatment, and should be able to prevent problems that may develop.
This study was planned to determine the effect of respiratory exercises on postoperative
pain, anxiety, nausea-vomiting and respiratory parameters after laparoscopic surgery.
