The effect of anti-pressure position gel pad in procedures under general anesthesia on postoperative low back pain and walking time: A quasi-experimental study

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2023-12-22 DOI:10.1016/j.pcorm.2023.100364

Hicran Güler , Araz Askeroğlu

{"title":"The effect of anti-pressure position gel pad in procedures under general anesthesia on postoperative low back pain and walking time: A quasi-experimental study","authors":"Hicran Güler , Araz Askeroğlu","doi":"10.1016/j.pcorm.2023.100364","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>Postoperative low back pain is frequently observed in patients undergoing </span>general anesthesia<span>. Having LBP in the first week after surgery affects the mobilization process of the patients. Placing an anti-pressure position gel pad on the lumbar region during surgery may improve patient outcomes.</span></p></div><div><h3>Methods</h3><p>The aim of this single-blind quasi-experimental study was to evaluate the effect of the anti-pressure lumbar gel pad on postoperative LBP and mobilization time at the first mobilization following surgeries performed in the supine position<span> under general anesthesia. The study was carried out in the general surgery operation room. A total of 168 patients were included in the study. In the experimental group, after induction of general anesthesia a small size anti-pressure gel pad was placed on the lumbar region of patients with BMI ˂18.5, medium size for those with a BMI of 18.5–24.9, and a large size anti-pressure gel pad for patients with a BMI of 25–29.9. We collected sociodemographic information and measured postoperative LBP and walking time using the Numeric Pain Rating Scale and a stopwatch.</span></p></div><div><h3>Results</h3><p><span>In the experimental group, the mean LBP severity score was 2.63 ± 1.10 on admission to the general surgery clinic after surgery (day 0), 2.58 ± 0.98 after surgery before the first mobilization, 1.43 ± 1.07 on postoperative day 1, 0.87 ± 1.05 on day 2, and 0.21 ± 0.58 on day 6. In the control group, the mean LBP severity score at these time points was 4.29 ± 1.47, 4.58 ± 1.49, 3.99 ± 1.43, 3.61 ± 1.47, and 2.92 ± 1.43, respectively. A significant difference was observed between the groups in terms of the LBP severity mean scores (</span><em>F</em> = 58.913, <em>p</em> ˂ 0.05) The mean walking time at the first mobilization in experimental and control groups was 12.08 ± 2.82 and 9.88 ± 2.90 min, respectively. A significant difference was observed between the groups in terms of the mean walking time (<em>t</em> = 4.988, <em>p</em> ˂ 0.001).</p></div><div><h3>Conclusion</h3><p>The use of an anti-pressure lumbar gel pad improved postoperative LBP and the length of time spent walking at the first mobilization.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"34 ","pages":"Article 100364"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603023000596","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Postoperative low back pain is frequently observed in patients undergoing general anesthesia. Having LBP in the first week after surgery affects the mobilization process of the patients. Placing an anti-pressure position gel pad on the lumbar region during surgery may improve patient outcomes.

Methods

The aim of this single-blind quasi-experimental study was to evaluate the effect of the anti-pressure lumbar gel pad on postoperative LBP and mobilization time at the first mobilization following surgeries performed in the supine position under general anesthesia. The study was carried out in the general surgery operation room. A total of 168 patients were included in the study. In the experimental group, after induction of general anesthesia a small size anti-pressure gel pad was placed on the lumbar region of patients with BMI ˂18.5, medium size for those with a BMI of 18.5–24.9, and a large size anti-pressure gel pad for patients with a BMI of 25–29.9. We collected sociodemographic information and measured postoperative LBP and walking time using the Numeric Pain Rating Scale and a stopwatch.

Results

In the experimental group, the mean LBP severity score was 2.63 ± 1.10 on admission to the general surgery clinic after surgery (day 0), 2.58 ± 0.98 after surgery before the first mobilization, 1.43 ± 1.07 on postoperative day 1, 0.87 ± 1.05 on day 2, and 0.21 ± 0.58 on day 6. In the control group, the mean LBP severity score at these time points was 4.29 ± 1.47, 4.58 ± 1.49, 3.99 ± 1.43, 3.61 ± 1.47, and 2.92 ± 1.43, respectively. A significant difference was observed between the groups in terms of the LBP severity mean scores (F = 58.913, p ˂ 0.05) The mean walking time at the first mobilization in experimental and control groups was 12.08 ± 2.82 and 9.88 ± 2.90 min, respectively. A significant difference was observed between the groups in terms of the mean walking time (t = 4.988, p ˂ 0.001).

Conclusion

The use of an anti-pressure lumbar gel pad improved postoperative LBP and the length of time spent walking at the first mobilization.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

全身麻醉手术中防压位凝胶垫对术后腰痛和行走时间的影响：一项准实验研究

背景接受全身麻醉的患者术后经常会出现腰背痛。术后第一周出现腰背痛会影响患者的活动能力。这项单盲准实验研究旨在评估腰部抗压凝胶垫对术后腰痛和全身麻醉下仰卧位手术后首次活动时间的影响。研究在普外科手术室进行。共有 168 名患者参与了研究。在实验组中，BMI ˂18.5的患者在全身麻醉诱导后腰部放置小号抗压凝胶垫，BMI为18.5-24.9的患者放置中号抗压凝胶垫，BMI为25-29.9的患者放置大号抗压凝胶垫。我们收集了社会人口学信息，并使用数字疼痛评分量表和秒表测量了术后枸杞痛和行走时间。结果实验组患者术后进入普外科门诊时（第 0 天）的平均枸杞痛严重程度评分为 2.63 ± 1.10，术后首次活动前为 2.58 ± 0.98，术后第 1 天为 1.43 ± 1.07，第 2 天为 0.87 ± 1.05，第 6 天为 0.21 ± 0.58。对照组在这些时间点的平均枸杞痛严重程度评分分别为（4.29 ± 1.47）、（4.58 ± 1.49）、（3.99 ± 1.43）、（3.61 ± 1.47）和（2.92 ± 1.43）。实验组和对照组首次活动时的平均步行时间分别为（12.08±2.82）分钟和（9.88±2.90）分钟。结论使用抗压腰椎凝胶垫可改善术后腰痛和首次活动时的行走时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.