Effect of Warm Pads, Effleurage Massage or Trendelenburg Position in Reducing Shoulder Pain after Gynecological Laparoscopic Operations | ||||
Egyptian Journal of Health Care | ||||
Article 48, Volume 13, Issue 4, December 2022, Page 626-640 PDF (472.39 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2022.264570 | ||||
View on SCiNiTO | ||||
Authors | ||||
Safaa Soliman Ahmed1; Hanaa kamal Helmy1; Hamada Ashry Abdel wahed2; Howida Ragab Mohamed Ragab3 | ||||
1Assistant Professor of Maternal & Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt | ||||
2Assistant Professor Obstetrics and Gynecology Faculty of Medicine Beni-sueif , University, Egypt. | ||||
3Lecturer of Obstetrics and Gynecological nursing, Faculty of Nursing Zagazig University | ||||
Abstract | ||||
Background: shoulder pain is a frequent complaint following gynecological laparoscopic surgery. The aim of this study was to compare the effect of a warm pad, effleurage massage, or Trendelenburg Position for reducing shoulder pain after gynecological laparoscopic operations A quasi-experimental design was utilized in the current study. Setting: The study was conducted at the gynecological unit of the obstetric department at Beni Suef University and Zagazig University Hospitals; during the period from July 2021 to June 2022. a convenience sample of 150 women after gynecological laparoscopic operation were enrolled in the study in the following groups (warm pads group, effleurage massage group, and Trendelenburg Position group). Four instruments were used for data collection. The tool I: A semi-: structured interviewing questionnaire, Tool II: Physiologic and behavioral response to pain sheet (PBRPS), and Tool III: Numerical pain rating scale. Tool IV Pregnant Women`s satisfaction. Results: The study finding revealed that women who use effleurage massage after gynecological laparoscopic operations expressed less shoulder pain intensity than those women in the other 2 groups who use warm pads or Trendelenburg Position after gynecological laparoscopic operations with highly significant differences between the three studied groups regarding all items of the physiological responses with (p equal <0.0001). Conclusion: Effleurage Massage revealed a higher effect than both warm pad and Trendelenburg Positions in reducing shoulder pain after the laparoscopic operation. Recommendation: Nursing intervention should be updated to include non-pharmacological management of shoulder pain after the laparoscopic operation. | ||||
Keywords | ||||
Effleurage massage; Trendelenburg Position; Gynecological laparoscopic operation; Warm pad; Shoulder pain | ||||
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