The Effect of Breathing and Coughing Exercises and Oxygen Therapy on Shoulder Pain and Analgesic Consumption After Laparoscopic Cholecystectomy: A Randomized Controlled Study

Artıklar T., ERDEN S.

Journal of Perianesthesia Nursing, cilt.39, sa.4, ss.540-546, 2024 (SCI-Expanded, SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 39 Sayı: 4
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.jopan.2023.10.008
  • Dergi Adı: Journal of Perianesthesia Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, DIALNET
  • Sayfa Sayıları: ss.540-546
  • Anahtar Kelimeler: analgesic consumption, breathing and coughing exercises, laparoscopic cholecystectomy, oxygen therapy, shoulder pain
  • Çukurova Üniversitesi Adresli: Evet

Özet

Purpose: The aim of this study was to determine the effect of breathing and coughing exercises and oxygen therapy on shoulder pain and analgesic consumption after laparoscopic cholecystectomy. Design: A randomized controlled intervention study. Methods: The sample included 105 patients who underwent elective laparoscopic cholecystectomy at the general surgery clinic of a tertiary center. Breathing and coughing exercises were applied to groups 1 and 2 of the intervention group, from the fourth hour after surgery. In addition, 2 liters per minute O2 treatment was applied to group 2 during the first hour after surgery, while the control group did not recieve the interventions. Findings: After surgery, a statistically significant difference was found in favor of the intervention groups in pain levels at the 12th hour (P < .05). There was a negative and statistically significant difference between pain levels and SpO2 values in all groups (P < .05). Non-opioids were consumed in lower amounts in the intervention groups (P > .05), while opioids were consumed only in the control group. Conclusions: Breathing and coughing exercises and oxygen therapy after laparoscopic cholecystectomy reduced shoulder pain and the amount of analgesic consumption.