title: A preoperative intervention for pain reduction, improved mobility, and self-efficacy.
abstract: The Foster Pain Intervention (FPI) is a 24-minute videotape of a nurse showing breathing and movement skills with four postoperative mobility activities to a patient. Its preoperative use incorporates self-efficacy concepts to teach techniques that can improve postoperative pain and mobility. This study compared the effects of the FPI on postoperative pain and mobility and the relationship with self-efficacy in 70 elective hysterectomy patients. The treatment group (n = 35) received the FPI and routine information, whereas the control group (n = 35) received routine information through videotaped instruction. The treatment group had significantly less pain (p <.0001), higher observed mobility (p <.0001), and higher preoperative self-efficacy and was ready to go home sooner than the control group (p <.0001). These results suggest that the FPI enhances self-efficacy, decreases pain associated with postoperative activities, and promotes earlier independent mobilization.
authors.affiliation: The University of Texas Health Science Center at San Antonio School of Nursing, San Antonio, TX 78229-3900, USA. Heye@uthscsa.edu
authors.forename: Mary L
authors.initials: ML
authors.lastname: Heye
authors.forename: Loretta
authors.initials: L
authors.lastname: Foster
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Bartlett
authors.forename: Sherry
authors.initials: S
authors.lastname: Adkins
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008124:Locomotion; D008875:Middle Aged; D024802:Nurse's Role; D010149:Postoperative Pain / Q000517:prevention & control*; D011300:Preoperative Care; D012064:Relaxation Therapy; D020377:Self Efficacy