Abdominal surgery, pain and anxiety: preoperative nursing intervention
Article first published online: 14 JUL 2005
Journal of Advanced Nursing
Volume 51, Issue 3, pages 252–260, August 2005
How to Cite
Lin, L.-Y. and Wang, R.-H. (2005), Abdominal surgery, pain and anxiety: preoperative nursing intervention. Journal of Advanced Nursing, 51: 252–260. doi: 10.1111/j.1365-2648.2005.03502.x
- Issue published online: 14 JUL 2005
- Article first published online: 14 JUL 2005
- Accepted for publication 7 September 2004
- nursing intervention;
- randomized controlled trial;
Aim. This paper reports a study examining the effects of preoperative nursing intervention for pain on abdominal surgery preoperative anxiety and attitude to pain, and postoperative pain.
Method. In a randomized controlled study conducted between January and August 2001, patients undergoing abdominal surgery in a medical center in southern Taiwan were randomly assigned to an experimental (n = 32) or control group (n = 30). The experimental group received routine care and preoperative nursing intervention for pain, while the control group received routine care only. A structured questionnaire including an anxiety scale, pain attitude scale, and Brief Pain Inventory was used to assess the results.
Results. Participants in the experimental group experienced a significant decrease in preoperative anxiety and a significant improvement in preoperative pain attitude. They also had statistically significantly lower postoperative pain intensity for 4 hours after surgery and lower highest pain intensity within the first 24 hours after surgery. Perceived pain interference during position changes, deep breathing/coughing, and moments of emotion in the experimental group was statistically significantly lower than that of the control group in the same situations. The experimental group also started out-of-bed activities 1·5 days earlier.
Conclusion. Preoperative nursing intervention for pain has positive effects for patients undergoing abdominal surgery. The intervention used in this study could serve as a guide for nurses to improve the pain care of these patients.