We reviewed scientific clinical papers as well as notes dating from 1980 in order to investigate the adverse effects of glycerine enema. Our study revealed that the authors of these papers were mainly medical doctors rather than nurses. Therefore, the focus of these papers was surgical treatment, and revealed no information about nursing skills in the application of glycerine enema. The adverse effects of glycerine enema were of two types. The first type was renal failure, followed by slight hemolysis and/or hemoglobinuria, and hemorrhage from the anus. The other type showed a severe course, which included retention of the glycerine enema solution in the retroperitoneal space, retroperitonitis and edema, as well as hemorrhage within the anus, fever and/or vomiting. As had been noted previously, the clinical findings varied from slight changes to severe morbidity. Therefore, clinical nurses responsible for performing glycerine enema on a daily basis need to undergo retraining in the technique. Our committee plans to investigate the adverse effects of glycerine enema with the members of this society, and to study the safety of nursing skills.

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　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.

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[in Japanese]

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[in Japanese]

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