ผลของโปรแกรมส่งเสริมสมรรถนะแห่งตนร่วมกับการนวดกดจุดสะท้อนต่อความปวดของผู้ป่วยผ่าตัดกระดูกสันหลังส่วนเอว

ธันยนันท์ เหล่าฤทธิ์; ประนอม รอดคำดี; ปชาณัฏฐ์ ตันติโกสุม

Authors

ธันยนันท์ เหล่าฤทธิ์ Faculty of Nursing, Chulalongkorn University
ประนอม รอดคำดี Faculty of Nursing, Chulalongkorn University
ปชาณัฏฐ์ ตันติโกสุม Faculty of Nursing, Chulalongkorn University

Keywords:

self-efficacy promoting program, laminectomy, pain, foot reflexology

Abstract

The purpose of this quasi-experimental research was to study the effect of self-efficacy promoting program combined with reflexology on postoperative pain in patients with Laminectomy. Adult patients aged 18 - 59 years with degenerative disc disease at surgical ward, Police General Hospital were recruited. Both control (n = 22) and the experimental (n = 22) groups were matched by age, gender, level of lumbar disc, and dose of pain killer medication. The control group received the conventional care. The experimental group received the self-efficacy promoting program combined with foot reflexology developed based on the concept of Bandura. The self-efficacy program consisted of 4 principle sources of verbal persuasion, vicarious experience, enactive mastery experience and physiological and affective states. The instruments for collecting data were the Visual Analog Scale and post-operative self-efficacy questionnaire used to monitor the manipulation. The reliability coefficient was .93. Data were analyzed using descriptive statistics and one-way repeated measure ANOVA.

The results revealed that the mean score of post-operative pain after laminectomy at days 3, 4, and 5 in the experimental group was significantly lower than those in the control group (p < .05). However, post-operative pain days 1 and day 2 of the experimental groups and the control groups were difference but were not statistically significant.

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Author Biographies

ธันยนันท์ เหล่าฤทธิ์, Faculty of Nursing, Chulalongkorn University

พยาบาล(สบ3)กลุ่มงานพยาบาล รพ.ตร.

กำลังศึกษาในคณะพยาบาลศาสตร์จุฬาลงกรณ์มหาวิทยาลัย สาขาวิชาการพยาบาลผู้ใหญ่

ประนอม รอดคำดี, Faculty of Nursing, Chulalongkorn University

ผู้ช่วยศาสตราจารย์ ดร.

ปชาณัฏฐ์ ตันติโกสุม, Faculty of Nursing, Chulalongkorn University

ผู้ช่วยศาสตราจารย์ ร.ต.ต.หญิง ดร.

References

Archer, K. R, Seebach, C. L., Mathis, S. L., Riley, L. H., & Wegener, S. T. (2014). Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions. The Spine Journal, 14(5), 759–767.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: W.H. Freeman and company.

Burns, N., & Grove, S. K. (2009). The practice of nurse research: Appraisal, synthesis,and generation of evidence (6 ed.). St. Loius, MO: Elsevier Saunder.

Chidambaran, V., Zhang, X., Martin, L. J., Ding, L., Weirauch, M. T., Geisler, K., . . . Ji, H. (2017). DNA methylation at the mu-1 opioid receptor gene (OPRM1) promoter predicts preoperative, acute, and chronic postsurgical pain after spine fusion. Pharmacogenomics and Personalized Medicine, 9(10), 157-168.

Chobarunsitti, S. (2008). Effect of self-efficacy enhancement on patients’ post abdominal surgery recovery at Phaphuttabath hospital, Saraburi (Master of nursing science program, adult nursing). Faculty of Nursing, Mahidol University, Nakhon Pathom.

Den-Boer, J. J., Oostendor, R., Beems, T., Munneke, M., & Evers, A. (2006). Continued disability and pain after lumbar disc surgery: The role of cognitive-behavioral factors. Pain, 123(1-2), 45-52.

Devin, C. J., & McGirt, M. J. (2015). Best evident in multimodal pain management in spine surgery and means of assessing postoperative pain and functional outcomes. Journal of Clinical Neuroscience, 22(6), 930-938.

Gauger, V. T., et al. (2009). Epidural analgesia compared with intravenous analgesia after pediatric posterior spinal fusion. Journal of Pediatric Orthopaedics, 29(6), 588-593.

Gosegrineramon, S. (2010). Effect of self-efficacy enhancement program on perceived self-efficacy, activities of daily living and bowel movement among patients with lumbar spine surgery (Master of nursing science program, adult nursing). Faculty of Nursing, Mahidol University, Nakhon Pathom.

Lakasing, E., & Lawrence, D. (2010). When to use reflexology. Alternative medicine, 20(1), 16-19.

Mannion, A. F., Elfering, A., Staerkle, R., Junge, A., Grob, D., Dvorak, J., . . . Boos, N. (2007). Predictors of multidimensional outcome after spinal surgery. European Spine Journal, 16, 777-786.

Mathiesen, O., Dahl, B., Thomsen, B. A., Kitter, B., Sonne, N., Dahl, J. B., & Kehlet, H. (2013). A comprehensive multimodal pain treatment reduces opioid consumption after multilevel spine surgery. European Spine Journal, 22(9), 2089-2096.

Murray, J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., . . . Lopez, A. D. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: A systematic analysis for the global burden of disease study 2010. Lancet, 380, 2197-2223.

Rayahin, J. E., Chmiel, J. S., Hayes, K. W., Almagor, O., Belisle, L., Chang, A. H., . . . Sharma, L. (2014). Factors associated with pain experience outcome in knee osteoarthritis. Arthritis Care & Research, 66(12), 1828-1835.

Lueangaramkul, S. (2008). Literature review: Effect of foot reflexology on pain management. Journal of Bureau of Alternative Medicine, 2(2), 9-18.

Rokke, P. D., Ficek, S. F., Siemens, N. M., & Hegstad, H. J. (2004). Self-efficacy and choice of coping strategies for tolerating acute pain. Journal of Behavioral Medicine, 27, 343-360.

Siribumrungwong, K., Cheewakidakarn, J., Tangtrakulwanich, B., & Nimmaanrat, S. (2015). Comparing parecoxib and ketorolac as preemptive analgesia in patients undergoing posterior lumbar spinal fusion: A prospective randomized double-blinded placebo-controlled trial. Bio Med Central Journals, 16, 59. doi:10.1186/s12891-015-0522-5.

Stephenson, N. L. N., & Dalton, J. A. (2003). Using reflexology for pain management. Journal of Holistis Nursing, 21(2), 179-191.