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. |
