The Effect Of Machine-Based And Manually Applied Hand Massage On Pain, Anxiety And Gastrointestinal System Functions After Laparoscopic Cholecystectomy Surgery

Introduction: As after almost every surgical procedure, changes in the patient's system functions, acute pain and an increase in anxiety level occur after laparoscopic cholecystectomy. Uncontrolled pain and anxiety slows down the healing process, increases the possibility of opioid use and the risk of undesirable side effects, and increases mortality, and prolongs hospital discharge.Objective: The aim of the thesis study is to evaluate the effect of machine-based and manual hand massage applied in the postoperative period on pain, anxiety and gastrointestinal system functions in patients who have undergone laparoscopic cholecystectomy.Method: In the study planned as a randomized controlled experimental study; There will be 3 groups, 57 patients in each group, including the experimental groups and the control group, who have undergone laparoscopic cholecystectomy and hospitalized in the General Surgery Clinic of Bartın State Hospital, where machine-based and manual hand massage will be applied. In addition to the analgesic treatment requested by the physician at the 0th, 4th and 8th hours after the surgery, the experimental groups will be given 10 minutes of hand massage to each hand, and only the requested treatment will be applied to the control group. After the applications, the changes in the pain and anxiety levels of the patients as well as the effects on the gastrointestinal system functions will be recorded. 'Data Collection Form', 'Numerical Rating Scale', 'State-Trait Anxiety Scale' and 'Gastrointestinal functions monitoring form' will be used to collect the data and the data will be analyzed in SPSS 22.0 program.

Inclusion Criteria:18 years and over,Having undergone laparoscopic cholecystectomy,No complications after laparoscopic cholecystectomy,Receiving analgesia treatment according to the clinical protocol,Pain score >4 according to the Numerical Rating Scale,Able to speak and understand TurkishNo visual or auditory problems,No diagnosed psychiatric problem,No diagnosed gastrointestinal problem,Voluntary patients will be included.Exclusion Criteria:Having undergone open cholecystectomy,Complications after laparoscopic cholecystectomy,Pain score ≤4 according to the Numerical Rating Scale,Using analgesic drugs or methods other than clinical protocol,Having visual or auditory problems,Having a diagnosed psychiatric problem,Diagnosed gastrointestinal problem,Patients with contagious skin disease (such as zoster, fungus, wart, eczema) on their hands, presence of thrombosis or phlebitis, any fracture, ligament injury,Non-voluntary patients will be excluded.