The Effects of SKT Meditation on Pain and Abdominal Distention in Patients Receiving Open Appendectomy

Authors

  • Narongsak Phookonglee Faculty of Nursing, Mahasarakham University
  • Ariya Sornboon Faculty of Nursing, Mahasarakham University

Keywords:

Meditation, Pain, Abdominal distention, Open appendectomy

Abstract

Postoperative pain and abdominal distension often result in patients following an appendectomy. This quasi-experimental research aimed to study the effects of SKT meditation on pain and abdominal distention in patients receiving open appendectomy. Thirty-four patients admitted to Yangtalad Hospital, Kalasin Province, were selected by simple random sampling, and placed in an experimental and a control group, each with 17 participants. The research instruments comprised 1) SKT meditation and 2) the data collection instruments, including a pain scale and an abdominal distention scale. Test-retest reliability for these scales was 0.89 and 0.87, respectively. Data were analyzed using descriptive statistics, Wilcoxon signed-rank test, and Mann-Whitney U test.

The results showed that after the intervention, the experimental group had a significantly lower median pain score (Mdn = 1.00, IQR = 0.00) than before (Mdn = 6.00, IQR = 0.50) (z = -3.69, p < .05) and a significantly lower median abdominal distention score (Mdn = 5.00, IQR = 1.00) than before (Mdn = 13.00, IQR = 2.00) (z = -3.64, p < .05). Compared to the control group, the experimental group had a significantly lower median pain score after the intervention (Mdn = 1.00, IQR = 0.00) than the control group (Mdn = 3.00, IQR = 1.00) (z = -4.85, p < .05) and a significantly lower median abdominal distention score (Mdn = 5.00, IQR = 1.00) than the control group (Mdn = 8.00, IQR = 5.00) (z = -2.28, p < .05).   

The study results indicate that SKT meditation therapy can reduce postoperative pain and abdominal distention in patients receiving an open appendectomy. Therefore, health personnel should consider incorporating it as an alternative approach to postoperative care for this patient group.

References

Cachemaille, M., Grass, F., Fournier, N., Suter, M. R., Demartines, N., Hubner, M., & Blanc, C. (2020). Pain intensity in the first 96 hours after abdominal surgery: A prospective cohort study. Pain Medicine, 21(4), 803-813. https://doi.org/10.1093/pm/pnz156

Chathongyod, N. (2007). The effect of gum chewing for improving postoperative ileus after anatrophic nephrolithotomy at Khon Kaen Hospital. [Unpublished master’s thesis] Khon Kaen University. (in Thai)

Grant, S., & Freeling, M. (2023). Pain management. In D. Brown, T. Buckley, R. L. Aitken, & H. Edwards (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (pp. 94-98). Elsevier.

Gustafsson, U. O., Scott, M. J., Hubner, M., Nygren, J., Demartines, N., Francis, N., Rockall, T. A., Young-Fadok, T. M., Hill, A. G., Soop, M., de Boer, H. D., Urman, R. D., Chang, G. J., Fichera, A., Kessler, H., Grass, F., Whang, E. E., Fawcett, W. J., Carli, F., ... Ljungqvist, O. (2019). Guidelines for perioperative care in elective colorectal surgery: Enhanced recovery after surgery (ERAS) society recommendations 2018. World Journal of Surgery, 43(3), 659-695. https://doi.org/10.1007/s00268-018-4844-y

Homvisasevongsa, Y., & Chuanrum, J. (2019). Comparison of postoperative pain between patients received and not trained relaxing techniques that use breathing training in patients with abdominal hysterectomy. Medical Journal of Srisaket Surin Buriram Hospitals, 34(2), 167-179. https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/209889/147548 (in Thai)

Horn, R., Hendrix, J. M., & Kramer, J. (2024). Postoperative pain control. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK544298/

Kaiser, H. C., & Behrens, B. J. (2021). Tissue response to injury. In B. J. Behrens (Ed.), Biophysical agents: Theory and practice. (pp. 24-77). F. A. Davis.

Khongpraphan, C., Mueagmo, P., & Sarnmani, K. (2023). The effects of meditation SKT 1, 8 on postoperative pain after abdominal hysterectomy or ovarion surgery at gynecological unit of Phrae Hospital. Journal of the Phrae Hospital, 31(1), 86-98. https://thaidj.org/index.php/jpph/article/view/13787/11772 (in Thai)

Koesanthia, S., Wongkongkam, K., Danaidutsadeekul, S., & Thawitsri, T. (2022). Impact of early mobility programme on open abdominal surgery patients post-operative bowel function recovery during the first 72 hours. Journal of Thailand Nursing and Midwifery Council, 37(2), 61-80. (in Thai)

Lai, S. L., Chang, C. H., Lee, P. C., Ho, C. M., Wu, J. M., Lai, H. S., & Lin, B. R. (2024). Impact of preoperative factors and waiting time on post-appendectomy complications: A retrospective study. Perioperative Medicine, 13(1), 8. https://doi.org/10.1186/s13741-024-00365-z

Mazzotta, E., Villalobos-Hernandez, E. C., Fiorda-Diaz, J., Harzman, A., & Christofi, F. L. (2020). Postoperative ileus and postoperative gastrointestinal tract dysfunction: Pathogenic mechanisms and novel treatment strategies beyond colorectal enhanced recovery after surgery protocols. Frontiers in Pharmacology, 11, 583422. https://doi.org/10.3389/fphar.2020.583422

McCaffery, M., & Beebe, A. (1993). Pain: Clinical manual for nursing practice. Mosby.

Noor, M. A., Rusli, R., Dunggio, A. R. S., Aditia, D., Horhoruw, A., Achmad, V. S., & Febrianti, N. (2023). Effect of early mobilization on intestine peristaltic in post laparatomy surgery in inpatient room. International Journal of Health Sciences, 1(3), 309-318. https://doi.org/10.59585/ijhs

Perrakis, A. (2021). Appendectomy. In W. Hohenberger & M. Parker (Eds.), Lower gastrointestinal tract surgery, open procedures (pp. 31-44). Springer Nature. https://doi.org/10.1007/978-3-030-60827-9_2

Phongsoon, J., Dechsen, T., Prachumrak, P., Sombatdee, M., Nakhonkhet, W., Thongsing, S., Saisud, J., & Intharakhasem, S. (2017). Comparison effectiveness of pain management by VNBN pain expression and traditional pain management in Nakhon Phanom Hospital. Journal of Ratchathani Innovative Health Sciences, 1(2), 14-27. (in Thai)

Polit, D. F., & Beck, C. T. (2022). Essentials of nursing research: Appraising evidence for nursing practice. (10th ed.). Wolters Kluwer Health.

Report the Patient Data of Surgery Ward Yangtalad Hospital. (2024). Statistics the patient data of surgery ward Yangtalad Hospital. Yangtalad Hospital, Kalasin. (in Thai)

Reynolds, A., & Jahromi, A. H. (2022). Improving postoperative care through mindfulness-based and isometric exercise training interventions: Systematic review. JMIR Perioperative Medicine, 5(1), e34651. https://doi.org/10.2196/34651

Rivas, E., Cohen, B., Pu, X., Xiang, L., Saasouh, W., Mao, G., Minko, P., Mosteller, L., Volio, A., Maheshwari, K., Seeler, D. I., & Turan, A. (2022). Pain and opioid consumption and mobilization after surgery. Anesthesiology, 136(1), 115-126. https://doi.org/10.1097/ALN.0000000000004037

Sommer, N. P., Schneider, R., Wehner, S., Kalff, J. C., & Vilz, T. O. (2021). State-of-the-art colorectal disease: Postoperative ileus. International Journal of Colorectal Disease, 36(9), 2017-2025. https://doi.org/10.1007/s00384-021-03939-1

Strategy and Planning Division. (2024). Health status. Strategy and Planning Division of Office of the Permanent Secretary Ministry of Public Health. https://spd.moph.go.th/illness-report/ (in Thai)

Thai Association for the Study of Pain. (2019). Clinical guidance for acute postoperative pain management. https://www.tasp.or.th/cpg/acute.php (in Thai)

Tobias, A., & Sadiq, N. M. (2022). Physiology, gastrointestinal nervous control. StatPearls. https://pubmed.ncbi.nlm.nih.gov/31424852/

Triamchaisri, S. K. (2024). SKT meditation healing exercise manual 9 languages. Khon Kaen University Printing House. (in Thai)

Willner, A., Teske, C., Hackert, T., & Welsch, T. (2023). Effects of early postoperative mobilization following gastrointestinal surgery: Systematic review and meta-analysis. BJS Open, 7(5), zrad102. https://doi.org/10.1093/bjsopen/zrad102

Zholos, A. V., Dryn, D. O., & Melnyk, M. I. (2023). General anaesthesia-related complications of gut motility with a focus on cholinergic mechanisms, TRP channels and visceral pain. Frontiers in Physiology, 14(1), 1174655. https://doi.org/10.3389/fphys.2023.1174655

Downloads

Published

2025-09-26

How to Cite

Phookonglee, N., & Sornboon, A. (2025). The Effects of SKT Meditation on Pain and Abdominal Distention in Patients Receiving Open Appendectomy. Nursing Journal CMU, 52(3), 164–177. retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/273080

Issue

Section

RESEARCH  ARTICLES