Effect of Lamaze Technique on Pain, Anxiety, Sleep Disturbance and Quality of Recovery among Women Undergoing Hysterectomy

Document Type : Original Article

Authors

Assist. Professor of Obstetrics & Gynecological Nursing, Faculty of nursing, Benha University, Egypt

Abstract

Abstract: The most frequent and upsetting side effects of an abdominal hysterectomy include anxiety, sleep disorders and postoperative pain. It is supposed that teaching women about Lamaze breathing exercises both before and after surgery could lower the risk of complications after surgery. Purpose: To evaluate the effect of Lamaze technique on pain, anxiety, sleep disturbance and quality of recovery among women undergoing hysterectomy. Design: A quasi-experimental design (two group posttest only design). Setting: The research was conducted at Obstetric and Gynecological department in Benha University Hospital. Sample: A purposive sample of 80 women undergoing hysterectomy divided into two groups (control and study). Instruments: Five instruments were used: A structured interviewing questionnaire, Numeric pain rating scale, Self-rating anxiety scale, Groningen sleep quality scale and Postoperative quality of recovery scale. Results: There was a statistical significant improvement in total mean scores of the pain severity, anxiety level, sleep disturbances and quality of recovery among women in the study group compared to women in control group at 24 and 48 hours post hysterectomy. Conclusion: The implementation of Lamaze technique was effective in reducing level of pain, level of anxiety and sleep disturbances; as well as, improving quality of recovery among women undergoing hysterectomy. Recommendation: It was recommended that Lamaze technique should be offered as a part of standard nursing care for women undergoing hysterectomy in hospitals.

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