Laparoscopic CholecystectomyBreathing ExercisePulmonary Function TestShoulder PainSurgical Nursing4-7-8 Breathing Technique
Investigational drug(s) / intervention(s)
4-7-8 Breathing Technique
4-7-8 Breathing Technique: The 4-7-8 breathing technique to be applied to the patients in the experimental group; the patient will be asked to sit or lie in a comfortable position with his/her hands on his/her lap, press the tip of his/her tongue on the tissue protrusion behind the upper front teeth and hold it there during the breathing cycle, breathe in through the nose for four counts, hold the breath for seven counts and then slowly exhale through the mouth for eight counts and complete a set. Within one set of practice, this cycle repeats four times.
Study summary
This study was planned as a randomized controlled clinical trial to determine the effect of 4-7-8 breathing technique on shoulder pain and pulmonary function tests after laporoscopic cholecystectomy. A sample of 96 patients will be randomly assigned to the study and control groups. The study group will be administered the 4-7-8 breathing technique after LK, while the control group will be given routine care of the ward. Shoulder pain and pulmonary function tests will be measured in the first 24 hours and at discharge. The data obtained will be analyzed by appropriate statistical methods.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
Accepted
Inclusion Criteria:
* Undergoing elective laparoscopic cholecystectomy,
* Admitted to the clinic at least 2 hours before the surgical procedure,
* Open to communication and cooperation,
* Written and verbal permission to participate in the study was obtained,
* Conscious, oriented and cooperative,
* No cognitive and mental problems,
* Speaks and understands Turkish,
* American Society of Anesthesiologists (ASA) classification scores of I and II,
* Hospitalized at least one night after surgical intervention,
* Patients aged 18 years and older will be included in the study.
Exclusion Criteria:
* Undergoing emergency laparoscopic cholecystectomy,
* Open cholecystectomy,
* Not admitted to the clinic at least 2 hours before the surgical procedure,
* Not open to communication and cooperation,
* Written and verbal permission to participate in the research could not be obtained,
* Unconscious, disoriented and uncooperative,
* Cognitively and mentally impaired,
* Speaking Turkish but not understanding it,
* Discharged on the same day after surgical intervention,
* ASA score III and above,
* Patients aged 18 years and younger will not be included in the study.
Primary outcome measure(s)
Shoulder Pain — Second postoperative day Visual Analog Scale (VAS):The VAS used in this study is a one-dimensional pain scale commonly used in adult populations. The VAS is a continuous scale consisting of a horizontal or vertical line 10 centimeters (100 mm) long. Pain intensity is determined by statements ranging from "no pain" at one end of the scale to "excruciating pain" at the other end. The participant is asked to place a line perpendicular to the VAS line at the point representing pain intensity. Pain scoring is determined by measuring the distance (mm) on the 10-centimeter line using a ruler and is defined by providing a score range between 0-100 mm (No pain=0-4 mm, mild pain=5-44 mm, moderate pain=45-74 mm and severe pain=75-100 mm). In this study, the vertical form of the VAS will be used to evaluate shoulder pain in patients after surgical intervention based on the information that the vertical form of the VAS gives more accurate results than the horizontal form
Translated with DeepL.com (free version)
Pulmonary Function Test — Second postoperative day Pulmonary Function Test: Pulmonary function values will be evaluated with a portable . FVC (%), FEV1 (%) and FEV1/FVC (%) parameters will be used in the evaluationpulmonary function test device.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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