Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | School of Nursing | en_US |
| dc.creator | Tam, Man-kwan Joan | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/5396 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | - |
| dc.rights | All rights reserved | en_US |
| dc.title | Pain and sleep in patients who have undergone a major gynecological open abdominal surgery | en_US |
| dcterms.abstract | Objective: The aim of the study was to find any relationship between pain and sleep in patients who had undergone a major gynecological open abdominal surgery. Design: An observation correlational design, utilizing consecutive sampling in a regional hospital gynecological unit, the Hong Kong Hospital Authority. Methods: The study sample included women undergoing elective major gynecological open abdominal surgery (n=62). One day prior to surgery, characteristics such as depression, pre-hospitalization sleep quality were evaluated. After the operation, all patients were prescribed with intravenous patient-controlled analgesia (IV-PCA) as their postoperative acute pain management regime. The state and trait anxiety, pain as well as the amount of analgesic consumption, subjective and objective sleep quality were assessed on postoperative Day 1 and Day 2. The anaesthetic and surgical management and hospital environment were carefully controlled and postoperative pain management was standardized. Result: There was a significant reduction in pain intensity within the postoperative period (p= 0.000). Sleep became fragmented with decreased in efficiency. The overall results showed that there was a significant relationship between sleep quality (Visual Analogue Scale), and pain scores. Increased pain intensity increased the analgesia demand dose which finally improved sleep quality. In Day 1, there was a positive relationship between sleep quality (Visual Analogue Scale), average (r=0.28, p< 0.05) and worst (r= 0.26, p< 0.05) pain ratings reports together with PCA demand dose (r= 0.27, p< 0.05). Pain would not cause sleep ii problem with the use of analgesia. In Day 2, there was a negative relationship between previous night sleep quality and current pain score (r= -0.26, p< 0.05). Decreased pain intensity increased sleep quality and anxiety took a unique role affecting the relationship. Conclusion: The results of this study indicated that well control of pain after operation had a critical role in promoting sleep. The effectiveness of pain regime depends on patient’s willingness to use. It seems pre-operation patient education plays important role for postoperative pain management. Pain is not the only determinant for post-operative sleep, preoperative reduction of anxiety, noise control are also important element and should be considered. | en_US |
| dcterms.extent | xii, 96, [21] leaves : col. ill. ; 30 cm. | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2009 | en_US |
| dcterms.educationalLevel | All Master | en_US |
| dcterms.educationalLevel | M.Sc. | en_US |
| dcterms.LCSH | Hong Kong Polytechnic University -- Dissertations | en_US |
| dcterms.LCSH | Generative organs, Female -- Surgery -- Patients | en_US |
| dcterms.LCSH | Postoperative period | en_US |
| dcterms.LCSH | Postoperative pain | en_US |
| dcterms.accessRights | restricted access | en_US |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| b22660240.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 1.74 MB | Adobe PDF | View/Open |
Copyright Undertaking
As a bona fide Library user, I declare that:
- I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
- I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
- I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.
Please use this identifier to cite or link to this item:
https://theses.lib.polyu.edu.hk/handle/200/5396