{"title":"渐进式放松练习对腹腔镜胆囊切除术患者疼痛和排便的影响：一项随机对照试验。","authors":"Şuheda Zorer Yilmaz, Dilek Gürçayir","doi":"10.1016/j.anr.2025.08.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. The study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.</p><p><strong>Methods: </strong>The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization and met the research criteria. Patients in the experimental group underwent progressive relaxation exercises in the fourth and sixth hours after the surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent samples t-tests, the Mann-Whitney U test, Generalized Estimating Equations (GEE), and Pearson correlation analysis.</p><p><strong>Results: </strong>The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than the patients in the control group (p < .05). The GEE analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (p < .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (p < .05).</p><p><strong>Conclusion: </strong>Progressive relaxation exercises decreased postoperative pain and shortened the time to start bowel movements, the time of first flatus, and the time of first defecation in patients undergoing laparoscopic cholecystectomy.</p><p><strong>Clinical trial registration number: </strong>Clinical Trials Registration Number is NCT05969509. Registered on 07 December 2023. This study was registered with Clinical Trials ID (NCT05969509).</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A randomized controlled trial.\",\"authors\":\"Şuheda Zorer Yilmaz, Dilek Gürçayir\",\"doi\":\"10.1016/j.anr.2025.08.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. The study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.</p><p><strong>Methods: </strong>The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization and met the research criteria. Patients in the experimental group underwent progressive relaxation exercises in the fourth and sixth hours after the surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent samples t-tests, the Mann-Whitney U test, Generalized Estimating Equations (GEE), and Pearson correlation analysis.</p><p><strong>Results: </strong>The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than the patients in the control group (p < .05). The GEE analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (p < .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (p < .05).</p><p><strong>Conclusion: </strong>Progressive relaxation exercises decreased postoperative pain and shortened the time to start bowel movements, the time of first flatus, and the time of first defecation in patients undergoing laparoscopic cholecystectomy.</p><p><strong>Clinical trial registration number: </strong>Clinical Trials Registration Number is NCT05969509. Registered on 07 December 2023. This study was registered with Clinical Trials ID (NCT05969509).</p>\",\"PeriodicalId\":55450,\"journal\":{\"name\":\"Asian Nursing Research\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian Nursing Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.anr.2025.08.004\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.anr.2025.08.004","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
The Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A randomized controlled trial.
Purpose: Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. The study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.
Methods: The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization and met the research criteria. Patients in the experimental group underwent progressive relaxation exercises in the fourth and sixth hours after the surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent samples t-tests, the Mann-Whitney U test, Generalized Estimating Equations (GEE), and Pearson correlation analysis.
Results: The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than the patients in the control group (p < .05). The GEE analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (p < .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (p < .05).
Conclusion: Progressive relaxation exercises decreased postoperative pain and shortened the time to start bowel movements, the time of first flatus, and the time of first defecation in patients undergoing laparoscopic cholecystectomy.
Clinical trial registration number: Clinical Trials Registration Number is NCT05969509. Registered on 07 December 2023. This study was registered with Clinical Trials ID (NCT05969509).
期刊介绍：
Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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