Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy

복강경 수술 환자의 수술 후 오심과 구토 관리를 위한 근거중심 실무 가이드라인 적용 효과

  • Lee, Sung-Hee (College of Nursing, Kyungpook National University) ;
  • Hong, Sung-Jung (Department of Nursing, Semyung University) ;
  • Kim, Hwa Sun (Department of Faculty of Medical Industry Convergence, Daegu Haany University) ;
  • Jeon, Younghoon (Department of Anesthesiology and Pain Medicine School of Dentistry, Kyungpook National University)
  • 이성희 (경북대학교 간호대학) ;
  • 홍성정 (세명대학교 간호대학) ;
  • 김화선 (대구한의대학교 의료산업융합학부) ;
  • 전영훈 (경북대학교 치과대학 마취통증의학과)
  • Received : 2015.02.27
  • Accepted : 2015.06.10
  • Published : 2015.10.31
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Abstract

Purpose: The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV). Methods: The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test using SPSS/WIN 19.0 program. Results: The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group. Conclusion: The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

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References

  1. Rembacken BJ, Gotoda T, Fujii T, Axon AT. Endoscopic mucosal resection. Endoscopy. 2001;33(8):709-18. http://dx.doi.org/10.1055/s-2001-16224
  2. Hong D, Tabet J, Anvari M. Laparoscopic vs. open resection for colorectal adenocarcinoma. Diseases of the Colon and Rectum. 2001;44(1):18-9. https://doi.org/10.1007/BF02234813
  3. Cho BK, Kang GE, Lee HJ, Cheon SH, Cho CH, Kim SH, et al. Original Articles: Study for the clinical efficacy of laparoscopic myomectomy. Obstetrics & Gynecology Science. 2009;52(10):1030-9.
  4. Lee WK, Kim YB, Choi SH, Chae YK,, Hong, NG. Kim JH. The effect of fentanyl and remifentanil on postoperative nausea and vomiting, and pain after gynecologic laparoscopic ovarian cyst enucleation by balanced anesthesia with sevoflurane. Korean Journal of Anesthesiology. 2006;50(4):390-5. https://doi.org/10.4097/kjae.2006.50.4.390
  5. Choi DH., Ko JS, Ahn HJ, Kim JA. A Korean predictive model for postoperative nausea and vomiting. Journal of Korean Medical Science, 2005;20(5):811-5. http://dx.doi.org/10.3346/jkms.2005.20.5.811
  6. Gan TJ, Ing RJ, de L Dear G, Wright D, El-Moalem HE, Lubarsky DA. How much are patients willing to pay to avoid intraoperative awareness? Journal of Clinical Anesthesia. 2003; 15(2):108-12. http://dx.doi.org/10.1016/S0952-8180(02)00507-X
  7. Kim EJ, Ahn HJ, Park SH, Bang SR, Choi DH. Risk factors of postoperative nausea and vomiting: development of Korean risk model. Korean Journal of Anesthesiology. 2005;48(4):380-6. https://doi.org/10.4097/kjae.2005.48.4.380
  8. Nam MO, Yoon HS. Effect of ondansetron combined with dexamethasone on postoperative nausea & vomiting and pain of patients with laparoscopic hysterectomy. Journal of Korean Academy Nursing, 2009;39(1):44-52. http://dx.doi.org/10.4040/jkan.2009.39.1.44
  9. Mitchelson F. Pharmacological agents affecting emesis. A review (Part II). Drugs. 1992;434(4):443-63.
  10. Lee A, Done ML. Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting. The Cochrane database of systematic reviews [electronic resource]. 2004;(3):CD003281. http://dx.doi.org/10.1002/14651858.CD003281.pub2
  11. Chernyak GV, Sessler DI. Perioperative acupuncture and related techniques. Anesthesiology. 2005;102(5):1031-49. https://doi.org/10.1097/00000542-200505000-00024
  12. Anderson, LA, Gross JB. Aromatherapy with pepper-mint, isopropyl alcohol, or placebo is equally effective in relieving postoperative nausea. Journal of Perianesthesia Nursing, 2004; 19(1):29-35. http://dx.doi.org/10.1016/j.jopan.2003.11.001
  13. American Society of PeriAnesthesia Nurses PONV/PDNV Strategic Work Team. ASPAN'S evidence-based clinical practice guideline for the prevention and/or management of PONV/PDNV. Journal of Perianesthesia Nursing, 2006;21(4):230-50. https://doi.org/10.1016/j.jopan.2006.06.003
  14. McCracken G, Houston P, Lefebvre G. Guideline for the management of postoperative nausea and vomiting. Journal of Obstetrics and Gynaecolology Canada. 2008;30(7):600-7. https://doi.org/10.1016/S1701-2163(16)32895-X
  15. Gan TJ, Meyer TA, Apfel CC, Chung F, Davis PJ, Habib AS, et al. Society for ambulatory anesthesia guidelines for the management of postoperative nausea and vomiting, Anesthesia and analgesia. 2007;105(6):1615-28. http://dx.doi.org/10.1213/01.ane.0000295230.55439.f4
  16. Hong SJ, Lee EJ. Use of web-based evidence-based clinical practice guidelines for patients following gastrectomy: effects on body temperature, shivering, perceived thermal comfort, and satisfaction with temperature management. The Korean Journal of Fundamentals of Nursing, 2014;21(2):112-22. http://dx.doi.org/10.7739/jkafn.2014.21.2.112
  17. Field MJ, Lohr KN. Clinical practice guideline: directions for a new program. Washington DC: National Academy Press. 1990.
  18. Agarwal A1, Pathak A, Gaur A. Acupressure wristbands do not prevent postoperative nausea and vomiting after urological endoscopic surgery. Canadian Journal of Anaesthesia, 2000;47(4):319-24. https://doi.org/10.1007/BF03020945
  19. Oh HK. Aromatherapy. Seoul: YangMoon Press. 2000.
  20. Chang AM, Ip WY, Cheung TH. Patient-controlled analgesia versus conventional intramuscular injection: a cost effectiveness analysis. Journal of Advanced Nursing. 2004; 46(5):531-41. http://dx.doi.org/10.1111/j.1365-2648.2004.03027.x
  21. Kim NC, Yoo JB, Cho MS, Shin EJ, Hahm TS. Effects of neiguan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patient-controlled analgesia. Journal of Korean Academy Nursing. 2010;40(3):423-32. http://dx.doi.org/10.4040/jkan.2010.40.3.423
  22. Seo EJ, Lee EJ, Kim YM, Lee JS. The effect of aroma inhalation therapy on nausea, vomiting, abdominal discomfort, compliance and colon cleansing in the preparation of patients undergoing colonoscopy. Journal of Korean Clinical Nursing Research. 2012;18(3):391-401. https://doi.org/10.22650/JKCNR.2012.18.3.391
  23. Apfel CC, Laara E, Koivuranta M, Greim CA, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology. 1999;91(3):693-700. https://doi.org/10.1097/00000542-199909000-00022
  24. Apfel, CC, Kranke P, Katz MH, Goepfer, C, Papenfuss T, Rauch S, et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design. British Journal of Anaesthesia. 2002;88(5):659-68. http://dx.doi.org/10.1093/bja/88.5.659
  25. DeLeskey K. The Implementation to evidence-based practice for the prevention/management of post-operative nausea and vomiting. International Journal of Evidence-Based Healthcare. 2009;7(2):140-4. http://dx.doi.org/10.1111/j.1744-1609.2009.00131.x.
  26. Holte K, Klarskov B, Christensen DS, Lund C, Nielsen KG, Bie P, et al. Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Annals Surgery. 2004;240(5):892-9. http://dx.doi.org/10.1097/01.sla.0000143269.96649.3b
  27. Corey R, Peterson, Lisa Stephens, Vallire D. Hooper, Marguerite Murphy, et al. Implementation of the Aspan evidencebased clinical practice guidelines for the prevention and/or management of PONV/PDNV in an ambulatory surgical population. Journal of PeriAnesthesia Nursing. 2012;27(3):e644. http://dx.doi.org/doi:10.1016/j.jopan.2012.04.022
  28. Hong SJ. The effect of evidence-based nursing practice guidelines on post operative pain, PONV, and body temperature of abdominal surgery [dissertation]. Daegu: Kyungpook National University; 2011.
  29. Considine J, Brennan D. Effect of an evidence-based paediatric fever education program on emergency nurses' knowledge. Accident and Emergency Nursing. 2007;15(1):10-9. http://dx.doi.org/doi:10.1016/j.aaen.2006.11.005
  30. Brancato, VC. An innovative clinical practicum to teach evidence-based practice. Nurse Educator. 2006;31(5):195-9. https://doi.org/10.1097/00006223-200609000-00004

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