{"title":"渐进式肌肉放松对腹腔镜活体肾供者术后疼痛的影响：一项随机对照试验。","authors":"Naile Akıncı","doi":"10.1186/s12893-025-03187-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors.</p><p><strong>Design: </strong>This was a randomized controlled, single-blind trial. This study was conducted in accordance with the CONSORT statement.</p><p><strong>Methods: </strong>This study was conducted between January and September 2023 and included 62 patients (study group = 31, control group = 31) who met the inclusion criteria and underwent laparoscopic living donor nephrectomy in the transplant service of a private hospital in Istanbul province. A power analysis was performed to calculate the sample size and the power of the study (G*Power 3.1). Study data were collected using a patient information form, a postoperative patient follow-up and evaluation form to record the total number of bolus requests and administrations via of boluses with the PCA device and additional analgesic needs, and the Visual Analog Scale (VAS). The data obtained in the study were analyzed on the SPSS 22.0 statistical software.</p><p><strong>Results: </strong>Additional analgesic requirements did not differ significantly between groups where progressive muscle relaxation exercises were applied and the VAS score and bolus requirement were significantly lower than in the control group (p < 0.05). Anxiety levels were also significantly reduced in the experimental group compared to both their pre-test scores and the control group (p < 0.05). Although the time to resume oral intake did not differ significantly between the groups (X<sup>2</sup> = 5.020; p = 0.170 > 0.05), the time to start mobilization was significantly earlier in the experimental group (X<sup>2</sup> = 8.808; p = 0.012 < 0.05). As a result of the study, it was found that progressive muscle relaxation exercises reduced postoperative pain, bolus requirements, and anxiety in patients undergoing living donor nephrectomy. Additionally, these exercises facilitated earlier mobilization following surgery.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier NCT06394245 (registered on 25 April 2024).</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"410"},"PeriodicalIF":1.8000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462093/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors: a randomized controlled trial.\",\"authors\":\"Naile Akıncı\",\"doi\":\"10.1186/s12893-025-03187-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>This study aimed to evaluate the effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors.</p><p><strong>Design: </strong>This was a randomized controlled, single-blind trial. 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The data obtained in the study were analyzed on the SPSS 22.0 statistical software.</p><p><strong>Results: </strong>Additional analgesic requirements did not differ significantly between groups where progressive muscle relaxation exercises were applied and the VAS score and bolus requirement were significantly lower than in the control group (p < 0.05). Anxiety levels were also significantly reduced in the experimental group compared to both their pre-test scores and the control group (p < 0.05). Although the time to resume oral intake did not differ significantly between the groups (X<sup>2</sup> = 5.020; p = 0.170 > 0.05), the time to start mobilization was significantly earlier in the experimental group (X<sup>2</sup> = 8.808; p = 0.012 < 0.05). As a result of the study, it was found that progressive muscle relaxation exercises reduced postoperative pain, bolus requirements, and anxiety in patients undergoing living donor nephrectomy. 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引用次数: 0
摘要
目的：本研究旨在评价渐进式肌肉放松对腹腔镜活体肾供肾术后疼痛的影响。设计：这是一项随机对照、单盲试验。这项研究是根据CONSORT声明进行的。方法：本研究于2023年1月至9月在伊斯坦布尔省一家私立医院的移植服务部门进行了62例符合纳入标准的患者（研究组31例，对照组31例）的腹腔镜活体肾切除术。进行功率分析以计算样本量和研究的功率（G* power 3.1）。研究数据的收集采用患者信息表、术后患者随访和评估表，以记录通过PCA装置和额外镇痛需求的丸剂请求和给药的总次数，以及视觉模拟量表（VAS）。采用SPSS 22.0统计软件对研究所得数据进行分析。结果：应用渐进式肌肉放松练习组之间的额外镇痛需求无显著差异，VAS评分和剂量需求显著低于对照组（p = 5.020; p = 0.170 > 0.05），实验组开始活动的时间明显早于对照组（X2 = 8.808; p = 0.012）试验注册：ClinicalTrials.gov识别码NCT06394245（注册于2024年4月25日）。
Effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors: a randomized controlled trial.
Aim: This study aimed to evaluate the effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors.
Design: This was a randomized controlled, single-blind trial. This study was conducted in accordance with the CONSORT statement.
Methods: This study was conducted between January and September 2023 and included 62 patients (study group = 31, control group = 31) who met the inclusion criteria and underwent laparoscopic living donor nephrectomy in the transplant service of a private hospital in Istanbul province. A power analysis was performed to calculate the sample size and the power of the study (G*Power 3.1). Study data were collected using a patient information form, a postoperative patient follow-up and evaluation form to record the total number of bolus requests and administrations via of boluses with the PCA device and additional analgesic needs, and the Visual Analog Scale (VAS). The data obtained in the study were analyzed on the SPSS 22.0 statistical software.
Results: Additional analgesic requirements did not differ significantly between groups where progressive muscle relaxation exercises were applied and the VAS score and bolus requirement were significantly lower than in the control group (p < 0.05). Anxiety levels were also significantly reduced in the experimental group compared to both their pre-test scores and the control group (p < 0.05). Although the time to resume oral intake did not differ significantly between the groups (X2 = 5.020; p = 0.170 > 0.05), the time to start mobilization was significantly earlier in the experimental group (X2 = 8.808; p = 0.012 < 0.05). As a result of the study, it was found that progressive muscle relaxation exercises reduced postoperative pain, bolus requirements, and anxiety in patients undergoing living donor nephrectomy. Additionally, these exercises facilitated earlier mobilization following surgery.
Trial registration: ClinicalTrials.gov Identifier NCT06394245 (registered on 25 April 2024).
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