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A Longitudinal Study of Patient Reported Positioning-Related Discomfort and Pain after Laparoscopic Surgery in the Lithotomy Position

A Longitudinal Study of Patient Reported Positioning-Related Discomfort and Pain after Laparoscopic Surgery in the Lithotomy Position
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摘要 Background: Our hypothesis was that only established and persistent injuries and complications after positioning in the Trendelenburg position are reported and detected, despite that patients may have great discomfort after surgery. Aim: The aim of this study was to explore patient reported discomfort, pain and functional decrease two hours, 24 hours and four weeks after laparoscopic resection of the colon in the prone lithotomy position, as well as factors potentially associated with reported pain. Methods: A longitudinal self-report questionnaire study was conducted at three time-points. Results: A total of 37 patients responded. Findings show that patients mostly reported pain in relation to the surgical area, but also related to other areas that may be linked to positioning. Conclusion: Even though patients reported mild pain, several of the patients still reported this, four weeks postoperatively, as well as some functional decrease. Our findings support the need to focus on preventing positioning injuries. Background: Our hypothesis was that only established and persistent injuries and complications after positioning in the Trendelenburg position are reported and detected, despite that patients may have great discomfort after surgery. Aim: The aim of this study was to explore patient reported discomfort, pain and functional decrease two hours, 24 hours and four weeks after laparoscopic resection of the colon in the prone lithotomy position, as well as factors potentially associated with reported pain. Methods: A longitudinal self-report questionnaire study was conducted at three time-points. Results: A total of 37 patients responded. Findings show that patients mostly reported pain in relation to the surgical area, but also related to other areas that may be linked to positioning. Conclusion: Even though patients reported mild pain, several of the patients still reported this, four weeks postoperatively, as well as some functional decrease. Our findings support the need to focus on preventing positioning injuries.
作者 Ann-Chatrin Linqvist Leonardsen Egil Bekkhus Kristin E. Næss Tvete Kristin E. Næss Tvete Trine Hovland Dennis Haglund Astrid Wevling Ann-Chatrin Linqvist Leonardsen;Egil Bekkhus;Kristin E. Næss Tvete;Kristin E. Næss Tvete;Trine Hovland;Dennis Haglund;Astrid Wevling(Department of Health and Welfare, Østfold University College, Halden, Norway;Østfold Hospital Trust, Grålum, Norway;Department of Surgery, Østfold Hospital Trust, Grålum, Norway)
出处 《Open Journal of Nursing》 2022年第10期650-664,共15页 护理学期刊(英文)
关键词 Positioning Injuries Operating Room Nursing PAIN DISCOMFORT Functional Decrease Positioning Injuries Operating Room Nursing Pain Discomfort Functional Decrease
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