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Acupuncture for Postoperative Pain Management Following Colorectal Surgery: A Pilot Study

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서명/저자사항Acupuncture for Postoperative Pain Management Following Colorectal Surgery: A Pilot Study.
개인저자Rampley, Tiffanie Loree.
단체저자명The University of Arizona. Nursing.
발행사항[S.l.]: The University of Arizona., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항97 p.
기본자료 저록Dissertations Abstracts International 81-05B.
Dissertation Abstract International
ISBN9781088389751
학위논문주기Thesis (Ph.D.)--The University of Arizona, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-05, Section: B.
Advisor: Pace, Thaddeus.
이용제한사항This item must not be sold to any third party vendors.This item must not be added to any third party search indexes.
요약Background: Acute postsurgical pain is routinely treated with opioid medications that often cause harmful side effects including respiratory depression, nausea, vomiting, itching, decreased gastric motility, and the potential for opioid abuse and addiction. If acute pain following surgery is not adequately addressed it may lead to a prolonged healing process, reduced mobility, and risk of developing chronic pain syndrome. Only about half of postoperative patients receive adequate relief from pain, and as a group those who undergo colorectal surgery use large amounts of opioids in an attempt to provide relief from acute surgical pain. Acupuncture, a modality rooted in Chinese medicine, has been shown to reduce postoperative pain, with little to no side effects, on the first day after surgery with reduced opioid use and a decrease in overall pain scores. Goals of this study were to determine if acupuncture as an adjunct to postoperative pain management protocols was feasible and acceptable in the immediate postsurgical setting, and to test acupuncture's effectiveness in reducing acute pain and total opioid consumption following colorectal surgery.Methods: This was a quasi-experimental study that recruited participants from the Columbia Surgical Specialists Colorectal Surgery Clinic. Eligible participants signed a consent and were assigned to either the acupuncture or control group (standard of care). The experimental group completed the Acupuncture Expectancy Scale (AES) questionnaire prior to surgery. Both groups were assessed for pain pre-operatively using the Visual Analog Scale (VAS), 12, 18 and 24- hours postoperatively. Both groups were assessed for intravenous opioid use for 24 hours postoperatively in six-hour epochs (i.e., up to six hours postoperative, from six hours to 12 hours, from 12 hours to 18 hours, and then from 18 hours to 24 hours after surgery).Results: A total of five participants took part in the study
일반주제명Nursing.
Alternative medicine.
언어영어
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