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KMID : 0367020200320030315
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 3 p.315 ~ p.325
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Relationship Between Preoperative Anxiety and Postoperative Nausea/Vomiting in Patients Undergoing Laparoscopic Abdominal Surgery: Mediating Effect of Postoperative Pain
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Hwang Yun-Jeong
Hur Hea-Kung
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Abstract
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Purpose: This study aimed to identify the mediating effect of postoperative pain in the relationship between preoperative anxiety and Postoperative Nausea/Vomiting (PONV) in patients undergoing laparoscopic abdominal surgery.
Methods: The participants were 85 patients who were receiving laparoscopic abdominal surgery and undergoing general anesthesia at a university hospital. Data were collected from September 30 to December 13, 2019 using self-report questionnaires and clinical electronic medical records. The collected data were analyzed with descriptive statistics, independent t-tests, one-way analysis of variance, Pearson’s correlation coefficient, and a three-step mediated regression analysis using SPSS/WIN 23.0.
Results: Significant positive correlations were observed between preoperative anxiety and postoperative pain (average score 24 hours after discharge from the recovery room) (r=.38, p<.001), preoperative anxiety and PONV (r=.45, p<.001), and postoperative pain (average score 24 hours after discharge from the recovery room) and PONV (r=.51, p<.001). Postoperative pain had a partial mediating effect (Z=2.28, p=.023) in the relationship between preoperative anxiety and PONV.
Conclusion: To reduce PONV experienced by patients who have undergone laparoscopic abdominal surgery, developing interventions and techniques to manage preoperative anxiety and alleviate postoperative pain is important.
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KEYWORD
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Anxiety, Pain, Nausea, Vomiting
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