Abstract
The purposes of this study were to identify the elements in recovery process of postoperative gynecologic surgery patients and the effectiveness of Hot-Compress-Care on the patients during 7 postoperative days. Patients (N＝12) were allocated to two groups : (a) an intervention group (N＝6) who received Hot-Compress-Care in addition to general care, (b) a control group (N＝6) who received the only general care. The date was collected using the observation on the patients' words and behaviors.
The elements in recovery process were determined : The symptoms that were wound pain, back pain, nausea/vomiting and dizziness decreased, passing gas and ambulation were begun during acute injury phase. Having a good appetite, talking with a smile, talking about family and talking with a roommate were appeared during turning point phase. Talking about a work, an outsider and a life at home from hospital appeared during anabolic phase.
The effectiveness of Hot-Compress-Care identified 6 categories : Early effectiveness was warming, relaxation, refreshment and relief from the symptoms. Later effectiveness was motivation/self-efficacy and expanding ADL resulted from early effectiveness.
The Hot-Compress-Care Model was established from the result. The result suggested that the Hot-Compress-Care was the Comfort Care.
