Browse > Article
http://dx.doi.org/10.7739/jkafn.2012.19.3.292

Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy  

Jung, Mi-Young (Good Moonhwa Hospital)
Choi, Hyo-Sun (Good Moonhwa Hospital)
Park, Kyung-Yeon (Department of Nursing, College of Medical and Life Science, Silla University)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.19, no.3, 2012 , pp. 292-301 More about this Journal
Abstract
Purpose: The purpose of the study was to evaluate the effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort after laparoscopic myomectomy. Method: The study was conducted with an experimental group (n=29) and a control group (n=35) sampled from patients admitted to a women's hospital in a metropolitan city in Korea. Data were collected between October 10, 2011 and January 31, 2012 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANCOVA with SPSS/WIN 19.0. Results: After the intervention, postoperative nausea (p<.001) and oral discomfort for patients in the experimental group were significantly lower than in the control group. There were significant differences in the presence of vomiting between both groups at 12 hours (p<.001) and 24 hours (p=.003) after leaving the recovery room. Conclusion: Oral care using cold therapy was found to be an effective nursing intervention for reducing postoperative nausea, vomiting and oral discomfort up to 24 hours after recovery in patients with laparoscopic myomectomy.
Keywords
Postoperative nausea and vomiting; Postoperative care; Cold therapy; Laparoscopic surgery;
Citations & Related Records
Times Cited By KSCI : 8  (Citation Analysis)
연도 인용수 순위
1 White, L. A., Vanarase, M., Brockbank, K., & Barrett, R. F. (2001). Patient-controlled analgesia and postoperative nausea and vomiting: Efficacy of a continuous infusion of ondansetron. Anaesthesia, 56, 365-369.   DOI   ScienceOn
2 Kang, Y. W., Yoon, S. G., Kim, E. G., Lee, C. M., & Kim, K. Y. (2007). Comparison of laparoscopic with open resections in colorectal cancer: Analysis of short-term results. Journal of Korean Society Coloproctology, 23, 93-100.   과학기술학회마을   DOI   ScienceOn
3 Kim, N. C., Yoo, J. B., Cho, M. S., Shin, E. J., & Hahm, T. S. (2010). Effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patient-controlled analgesia. Journal of Korean Academy of Nursing, 40(3), 423-432.   과학기술학회마을   DOI   ScienceOn
4 Lambert, K. G., Wakim, J. H., & Lambert, N. E. (2009). Preoperative fluid bolus and reduction of postoperative nausea and vomiting in patients undergoing laparoscopic gynecologic surgery. Arthroscopy Association of North America Journal, 77, 110-114.
5 Lee, H. S., Song, J. H., Kim, T. J., Han, J. U., Lim, H. K., Shin, H., et al. (2004). Comparison of dexamethasone and ondansetron for the prevention of nausea and vomiting using intravenous patient-controlled analgesia after gynecological surgery. Korean Journal of Anesthesiology, 47, 726-731.   DOI
6 Jeon, H. J., & Kim, Y. H. (2001). A study on the effect of oral cryotherapy on nausea, vomiting and oral intake by anti cancer chemotherapy in pediatric cancer patient. Journal of Korean Academy of Child Health Nursing, 7, 108-116.   과학기술학회마을
7 Jokela, R., & Koivuranta, M. (1999). Tropisetron or droperidol in the prevention of postoperative nausea and vomiting. A comparative, randomised, double-blind study in women undergoing laparoscopic cholecystectomy. Acta Anaesthesiologica Scandinavica, 43, 645-650.   DOI   ScienceOn
8 Joris, J. L. (2005). Anesthesia for laparoscopic surgery in: Miller's anesthesia (6th ed.), Philadelphia: Elsevier Inc.
9 Jung, J. W. (1994). A study on oral discomfort in gynecological cancer patients undergoing chemotherapy. Unpublished master's thesis, Yonsei University, Seoul.
10 Artuso, D., Wayne, M., Cassaro, S., Cerabona, T., Teixeira, J., & Grossi, R. (2005). Hemodynamic changes during laparoscopic gastric bypass procedure. Archives of Surgery, 140, 289-292.   DOI   ScienceOn
11 Biedler, A., Wermelt, J., Kunitz, O., Muller, A., Wilhelm, W., Dethling, J., et al., (2004). A risk adapted approach reduces the overall institutional incidence of postoperative nausea and vomiting. Canadian Journal of Anaesthesia, 51, 13-19.   DOI   ScienceOn
12 Cho, E. A., Kim, K. H., & Park, J. Y. (2010). Effects of frozen gauze with normal saline and ice on thirst and oral condition of laparoscopic cholecystectomy patients: pilot study. Journal of Korean Academy of Nursing, 40, 714-723.   과학기술학회마을   DOI   ScienceOn
13 Choi, D. H., Ko, J. S., Ahn, H. J., & Kim, J. A. (2005). A Korea predictive model for postoperative nausea and vomiting. Journal of Korea Medical Science, 20, 811-815.   DOI   ScienceOn
14 Apfel, C. C., & Roewer, N. (2003). Risk assessment of postoperative nausea and vomiting. International Anesthesiology Clinics, 41(4), 13-32.   DOI   ScienceOn
15 Tramèr, M. R. (2001). A rational approach to the control of postoperative nausea and vomiting: Evidence from systematic reviews. Part II. Recommendations for prevention and treatment, and research agenda. Acta Anaesthesiologica Scandinavica. 45, 14-19.   DOI   ScienceOn
16 Park, J. K., Yoon, S. G., Kim, S. U., Lee, J. H., Kim, J. H., Yi, S. Y., et al. (2005). A clinical analysis of uterine myoma. Korean Journal of Obstetrics and Gynecology, 48, 436-445.   과학기술학회마을
17 Park, S. H. (1997). The survey of nausea-vomiting and diet patterns among pediatric cancer patient received chemotherapy. Journal of Korean Academy of Child Health Nursing, 3(1), 62-70.   과학기술학회마을
18 Stadler, M., Bardiau, F., Seidel, L., Albert, A., & Boogaerts, J. G. (2003). Difference in risk factors for postoperative nausea and vomiting. Anesthesiology, 98, 46-52.   DOI   ScienceOn
19 Wang B., He, K. H., Jiang, M. B., Liu, C., & Min, S. (2011). Effect of prophylactic dexamethasone on nausea and vomiting after laparoscopic gynecological operation: meta-analysis. Middle East Journal of Anesthesiology, 21, 397-402.
20 Lee, K. N., & Tae, Y. S. (1999). The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy. The Journal of Korean Academy Society of Adult Nursing, 11, 785-795.
21 Macario, A., Weinger, M., Carney, S., & Kim, A. (1999). Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesthesia and Analgesia, 89, 652-658.
22 Oh, D. S., Lee, J. H., Lee, S. E., Kim, Y. H., Lim, S. H., Lee, K. M., et al. (2009). Comparison of ramosetron plus dexamethasone with ramosetron alone in the prevention of nausea and vomiting after gynecologic laparoscopic surgery. Korean Journal of Anesthesiology, 56(2), 169-174.   과학기술학회마을   DOI   ScienceOn
23 Fujii, Y., & Itakura, M. (2010). A prospective, randomized, double-blind, placebo-controlled study to assess the antiemetic effects of midazolam on postoperative nausea and vomiting in women undergoing laparoscopic gynecologic surgery. Clinical Therapeutics, 32, 1633-1637.   DOI   ScienceOn
24 Gan, T. J. (2002). Postoperative nausea and vomiting - Can it be eliminated? Journal of American Medical Association, 287, 1233-1236.   DOI   ScienceOn
25 Habib, A. S., Muir, H. A., Schultz, J. R., Olufolabi, A. J., White, W. D., & Gan, T. J. (2007). Postoperative nausea and vomiting following the use of fentanyl or remifentanil in ambulatory gynecologic laparoscopic surgery: A prospective randomized trial. Ambulatory Surgery, 13(1), 16-18.
26 Harkreader, H., Hogan, M. A., & Thobaben, M. (2007). Fundamentals of nursing caring and clinical judgment (3rd ed.). Saunders: Philadelphia.
27 Hirayama, T., Ishii, F., Yago, K., & Ogata, H. (2001). Evaluation of effective drugs for the prevention of nausea and vomiting induced by morphine used for postoperative pain: A quantitative systematic review. Yakugaku Zasshi, 121, 179-185.   DOI   ScienceOn
28 Choi, J. E. (2006). A study on the effect of oral cryotherapy on nausea vomiting and oral intake by anti cancer chemotherapy in cancer patient. Unpublished master's thesis, Yonsei University, Seoul.
29 Choi, S. H., & Kim, Y. K. (2004). The effect of oral care with normal saline on oral state of patients in intensive care unit. Korean Journal of Adult Nursing, 16, 452-459.
30 Chung, S. H., Kim, K. O., Lee, J. H., & Lee, K. J. (2009). How much are patients willing to pay for prevention of postoperative nausea and vomiting? Korean Journal of Anesthesiology, 57, 151-154.   과학기술학회마을   DOI   ScienceOn
31 Collins, A. S. (2011). Postoperative nausea and vomiting in adults: Implications for critical care. Critical Care Nurse, 31(6), 36-45.   DOI
32 Eo, H. J. (2010). The effects of oral cryoyherapy on postoperative nausea and vomiting after laparoscopic surgery. Unpublished master's thesis, Ewha Womans University, Seoul.