The effect of relaxation therapy on patient's pain following a total knee replacement

The objective of this study is to examine the effect of relaxation therapy on patient's pain following a total knee replacement with a quasi-experimental research pre-post test design. In order to achieve the objective of the current thesis, relaxation therapy was performed on 27 total knee replacement patients who were admitted into A university hospital located in Suwon, from July 1, 2004 to November 12, 2004. The patients were randomly assigned to a control group(n=14) and an experimental group(n=13). The relaxation therapy was executed in 4 times (after 6 hours, 24 hours, 48 hours, 72 hours from the moment of total knee replacement). Pain intensity was measured with graphic rating scale and the frequency of prn analgesia was investigated in the nursing record. Systolic and diastolic blood pressure and pulse rate were measured as indicators of physiologic reaction to pain. Data were analyzed with statistically analyzing methods such as frequency, percent, x²-test, Mann-Whitney U test, and Wilcoxon signed rank test using SPSSWIN 10.0 Statistics program. The results of this study are as follows. 1. There is no statistically significant difference between a control group and an experimental group in general properties including age, marriage state, religion, operative experience, past disease presence, the person whom it is nursed by, job, total income, pain intensity, systolic and diastolic blood pressure, and pulse. 2. The result of hypothesis identification is as follows : 1) The hypothesis 1 : "The score of pain of the experimental group with relaxation therapy will significantly decrease than that of the control group who did not receive relaxation therapy after every intervention(after 6, 24, 48, 72 hours)."was supported (after 6 hours p=.006, after 24 hours p=.001, after 48 hours p=.002, after 72 hours p=.002). 2) The hypothesis 2 : "The vital sign of the experimental group with relaxation therapy will significantly decrease than that of the control group who did not receive relaxation therapy after every intervention(after 6, 24, 48, 72 hours)." was supported by the fact that the following three sub - hypotheses are identified. ① Sub - hypothesis 1 : "The systolic blood pressure of the experimental group with relaxation therapy will significantly decrease than that of the control group who did not receive relaxation therapy after every intervention(after 6, 24, 48, 72 hours)." was supported (after 6 hours p= .039, after 24 hours p=.022, after 48 hours p=.002, after 72 hours p=.013). ② Sub - hypothesis 2 : "The diastolic blood pressure of the experimental group with relaxation therapy will significantly decrease than that of the control group who did not receive relaxation therapy after every intervention(after 6, 24, 48, 72 hours)." was supported (after 6 hours p=.013, after 24 hours p=.006, after 48 hours p=.022, after 72 hours p=. 013). ③ Sub - hypothesis 3 : "The pulse rate of the experimental group with relaxation therapy will significantly decrease than that of the control group who did not receive relaxation therapy after every intervention(after 6, 24, 48, 72 hours)." was supported (after 6 hours p=.022, after 24 hours p=.013, after 48 hours p=.021, after 72 hours p=.003). 3) The hypothesis 3 : "The frequency of prn analgesia of the experimental group with relaxation therapy will be significantly less than that of the control group who did not receive relaxation therapy to 72 hours after the operation." was supported (p=.047). To sum up, the relaxation therapy is effective for the pain relief of total knee replacement patients and can be utilized as an independent nursing intervention.

Author dc:creator

• 김, 현주

Contributors dc:contributor

• 박, 지원
• 대학원 간호학과
• 200324185

• 이완요법
• 수술 후 통증
• 필요시 진통제 사용 횟수
• Relaxation therapy
• postoperative pain
• frequency of prnanalgesia

Language dc:language

ko

Identifier

http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000000307
000000000307

OAI identifier oai:identifier

oai:repository.ajou.ac.kr:201003/2330