동서간호학연구지 (Journal of East-West Nursing Research)

  • 제15권1호
  • /
  • Pages.54-62
  • /
  • 2009
  • /
  • 1226-4938(pISSN)
  • /
  • 2671-8448(eISSN)
경희대학교 동서간호학연구소 (East-west Nursing Research Institute, Kyung Hee University)
권호 표지
DOI QR코드

DOI QR Code

척추마취 수술환자의 불안감소를 위한 이완요법 적용 효과

The Effects of Relaxation Therapy on Pain and Anxiety in Spinal Anesthesia Surgery Patients

  • 문현숙 (상계백병원 내과중환자실) ;
  • 이향련 (경희대학교 간호과학대학) ;
  • 이지아 (경희대학교 간호과학대학)
  • Moon, Hyeun-Sook (Medical Intensive Care Unit, Sang-Gye Back Hospital) ;
  • Lee, Hyang-Yeon (College of Nursing Science, Kyung Hee University) ;
  • Lee, Ji-A (College of Nursing Science, Kyung Hee University)
  • 발행 : 2009.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to examine the effects of relaxation therapy to reduce anxiety level among spinal anesthesia surgery patients. Methods: The study employed a quasi-experimental pre-and-posttest design with nonequivalent control group. The experimental group was provided with the 15-min muscle relaxation therapy on the day before the surgery and an hour before the spinal anesthesia. Data were collected from 44 patients (22 in experimental and 22 in control group) who were planned to have spinal anesthesia surgery from an orthopedic surgery department at a general hospital in Seoul from January 13 to March 21, 2006. Results: The experimental group reported lower level of state anxiety after the surgery (23.18 vs. 33.64) than did control group but was not statistically significant. There were no significant differences in blood pressure or pulse rate between experimental and control groups after surgery. Conclusions: The further research should be conducted to polish the muscle relaxation therapy for various types of patients and to create more comfortable environment setting for application of the therapy. The muscle relaxation therapy may be a convenient and useful nursing intervention to reduce anxiety among spinal anesthesia surgery patients if more studies prove its effectiveness.

키워드

참고문헌

  1. Benson, H. (1975). The Relaxation Respones. New York: William Morrow & co.
  2. Cho, K. N. (1993). A study about discomfort of operating patients. Unpublished master's thesis, Ewha Wornans University, Seoul.
  3. Cho, K. S. (1982). Effects of relaxation therapy before the operation on anxiety and use of analgesia. Unpublished master's thesis, Seoul National University, Seoul.
  4. Chun, Y. A. (2004). Effect of relaxation technique on pain following spinal surgery. Unpublished master's thesis, Chungnam National University, Daejeon.
  5. Chung, Y. J. (2006). The effect of preoperative nursing information on the anxiety level of patients after open heart surgery. Unpublished master's thesis, Korea University, Seoul.
  6. Cline, M. E., Herman, J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing Research, 41, 378-380.
  7. Cohen, P. (1988). Statistical power analysis for behavioral sciences (Revised edition). New York: Academic Press, 365.
  8. Im, H. S. (2004). The effect of information and guided imagery on the state anxiety and the vital sign of spinal anesthesia surgery patients. Unpublished master's thesis, Kyung Hee University, Seoul.
  9. Im, M. R. (2003). The effects of preparatory information and deep breathing relaxation on the level of anxiety and physiologic variables of patients undergoing bronchoscopy. Unpublished master's thesis, Catholic University of Daegu, Daegu.
  10. Jacobson, J. E. (1938). Progressive relaxation: A physiological and clinical investigation. Chicago: Chicago University of Chicago Press.
  11. Kim, H. J. (2005). Effects of relaxation therapy on pain in patients with tofal hip replacement. Unpublished master's thesis, Ajou University, Suwon.
  12. Kim, H. M. (1996). Effects of relaxation therapy on discomfort in patients with spinal surgery. Unpublished master's thesis, Kyung Hee University, Seoul.
  13. Kim, J., & Shin, D. K. (1978). Korean version of STAI. The New Medical Journal, 21(11), 69-75.
  14. Kim, K. S. (2005). Effects of the closed and open musical therapies studied with spinal and epidural anesthesia operation patients. Unpublished master's thesis, Kangwon National University, Chuncheon.
  15. Lee, E. O., & Choi, M. A. (1993). Pain-theory and intervention. Seoul: Shin Kwang Publisher.
  16. Lee, Y. H. (2002). Effect of the progressive relaxation therapy in alleviating the anxiety of patients with bronchoscopy. Unpublished master's thesis, Kyung Hee University, Seoul.
  17. Park, J. S. (1989). Effects of relaxation therapy on stress and quality of life in patients with hemodialysis. Unpublished master's thesis, Yonsei University, Seoul.
  18. Park, M. H. (2005). Effects of progressive muscle relaxation therapy on anxiety and sleep in patients with coronary angioplasty. Unpublished master's thesis, Sungkyunkwan University, Seoul.
  19. Porges, W. S. (1972). Heart rate variability and deceleration as indexs of reaction time. Journal of Experimental Psychology, 92, 103-110. https://doi.org/10.1037/h0032181
  20. Ryu, Y. H. (2006). Effects of aroma hang massage on pre-op anxiety in patients with hysterectomy. Unpublished master's thesis, Daejeon University, Daejeon.
  21. Shin, H. Y. (2004). Effects of music therapy during operation on anxiety in patients with local anesthesia surgery. Unpublished master's thesis, Seoul National University, Seoul.
  22. Sims, S. E. (1987). Relaxation training of cancer: A selective review of the literature. Journal of Advanced Nursing, 12, 583-591. https://doi.org/10.1111/j.1365-2648.1987.tb03484.x
  23. Smeltzer, S. C., & Bare, B. G. (1992). Brunner and Sudarth's textbook of medical-surgical nursing (7th ed). Philadelphia: J. B. Lippincoft Company.
  24. Spielberger, C. D. (1972). Anxiety on emofional. In C. D. Spielberger (ed.). Anxiety, current trends in theory and research. New York: Academic Press Inc.
  25. Su, M. J., Lee, H. Y., Lee, J. H., Park, C. J., Choi, C. J., Park, O. J., et al. (2004). Adult nursing. Seoul:Soomoonsa.
  26. Wallace, R. K., & Benson, H. (1976). The physiology of medication. Scientific Research on the Transcendental Meditation Program, 1:86-91.
  27. Woo, K. M. (2003). Effects of hand massage on the pre-operative anxiety and sleep quality in middle-aged women with spinal surgery. Unpublished master's thesis, Yonsei University, Seoul.