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Effect of an early mobilisation programme on pain intensity after laparoscopic surgery: a randomised clinical trial
  1. Azam Dehghani1,
  2. Ali Hajibagheri1,
  3. Ismail Azizi-Fini1,
  4. Fatemeh Atoof2 and
  5. Noushin Mousavi3
  1. 1Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, Iran (the Islamic Republic of)
  2. 2Biostatistics, Kashan University of Medical Sciences, Kashan, Iran (the Islamic Republic of)
  3. 3Surgery Department, Kashan University of Medical Sciences, Kashan, Iran (the Islamic Republic of)
  1. Correspondence to Dr Ismail Azizi-Fini, Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan 8715981151, Iran (the Islamic Republic of); azizifinies{at}yahoo.com

Abstract

Background Pain is a common complication after laparoscopic surgery. This study aimed to examine the effect of an early mobilisation programme on postoperative pain intensity after laparoscopic surgery.

Methods A randomised controlled clinical trial was conducted on 80 patients who underwent laparoscopic surgery in Shahid Beheshti Hospital in Kashan, Iran. The patients were randomly allocated to intervention (n=40) and a control (n=40) group. In the intervention group, an early mobilisation programme was implemented in two rounds. The patient’s perceived pain was assessed using a Visual Analogue Scale 15 min before and 30 min after each round of early mobilisation. Data were analysed through the independent samples t, χ2 and Fisher’s exact tests and the repeated measures analysis.

Results The repeated measures analysis showed that the mean pain scores have been decreased over time (F=98.88, p<0.001). Considering the observed interaction between time and the intervention, the t test was used for pairwise comparisons and showed that the mean pain score was not significantly different between the two groups in 15 min before the first round of early mobilisation (p=0.95). However, the mean pain in the intervention group was significantly less than the control group in all subsequent measurements (p<0.05).

Conclusion Early mobilisation programmes such as the one implemented in the current study are easy and inexpensive and can be implemented safely for the reduction of pain after laparoscopic surgeries.

  • clinical assessment
  • hospital care
  • pain
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Footnotes

  • Contributors AD, AH and IA-F were responsible for study conception and design. AD and NM performed sampling and data collection. FA, AD and IA-F performed data analysis and prepared the draft of the manuscript. AD, AH, IA-F and NM made critical revisions to the paper.

  • Funding This article was part of a research project (grant number: 9823) approved by Kashan University of Medical Sciences, Kashan, Iran.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval This study was approved by the Institutional Review Board and the Ethics Committee of Kashan University of Medical Sciences, Kashan, Iran (codes: IR.KAUMS.NUHEPM.REC.1395.023), and was registered in Iranian registry of clinical trials under the number IRCT20100124003146N7.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.

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