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314266

Effect of the Trendelenburg position, Deep Breathing Exercise, and Warm Water Application on Shoulder Pain and Post-gynecologic Laparoscopic Recovery

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Last updated: 24 Dec 2024

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Abstract

Background: Shoulder pain is a prevalent complaint after laparoscopic surgery. Non-pharmacological nursing measures reduce pain, and analgesic drug dosage, improve women's emotional control, and increase their functional capability. Aim: This study aimed to investigate the effect of the Trendelenburg position, deep breathing exercise, and warm water application on shoulder pain and post-gynecologic laparoscopic recovery. Design: A quasi-experimental study was conducted in the post-laparoscopic unit at El-Shatby Obstetrics and Gynecology University Hospital, Alexandria, Egypt. Methods: A sample of 90 women were randomly assigned to three groups; women in study groups either placed in Trendelenburg position or instructed to perform deep breathing exercises while the third group received warm water application. Participants rated their shoulder pain and the postoperative quality of recovery at baseline, 12, and 24 hours. Results: A significant decline in the pain score was noticed at 24 hours measurement where, the mean score was 2.70±1.47 in the Trendelenburg position group while it was 3.97±1.83 in deep breathing exercise group and 3.90±1.95 in warm water application group (p<0.001 for each group). The mean score of postoperative quality of recovery was 166.87±9.63 in the Trendelenburg group, 131.27±10.96 in the deep breathing exercise group and 154.70±7.53 in the warm water application group, (P<0.001). Conclusion: The three interventions showed a noticeable decline in PLSP. However, Trendelenburg's position showed a superior effect to the other two measures. Recommendations: The authors suggested the incorporation of the three studied interventions for caring of women suffering from PLSP in order to benefit from all their effects and maximize pain relieve and enhancing postoperative recovery. Being non-pharmacologic, they can also be administered by trained nursing staff and can even be taught to patients and implemented at home.

DOI

10.21608/ejhc.2023.314266

Keywords

Trendelenburg Position, breathing exercises, Warm Water Application, Shoulder pain, Gynecologic Surgery, Laparoscopic, Post-operative, recovery

Authors

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Afaf

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Hassan Ahmed

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Affiliation

Assist. prof. of Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

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First Name

Naglaa

Last Name

Fathy Fathalla

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Affiliation

Assist. prof. of Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

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First Name

Noha

Last Name

Mohamed Mahmoud

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Affiliation

Assist. prof. of Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt & Assist. prof. of Obstetric and Gynecologic Nursing, Faculty of Nursing, The British University in Egypt (BUE), Egypt.

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First Name

Zohour

Last Name

Ibrahim Rashwan

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Affiliation

Assist. Prof. of Pediatric Nursing, Faculty of Nursing, Alexandria University, Egypt & Nursing Department, College of Health Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain.

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First Name

Abeer

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Hassan Shamekh Taman

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Affiliation

Lecturer of Obstetrics and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt.

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Volume

14

Article Issue

3

Related Issue

42812

Issue Date

2023-09-01

Receive Date

2023-08-23

Publish Date

2023-09-01

Page Start

195

Page End

209

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_314266.html

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https://ejhc.journals.ekb.eg/service?article_code=314266

Order

314,266

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of the Trendelenburg position, Deep Breathing Exercise, and Warm Water Application on Shoulder Pain and Post-gynecologic Laparoscopic Recovery

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Article

Created At

24 Dec 2024