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경피적 관상동맥 중재술 후 운동요법이 요통, 배뇨장애와 출혈 및 혈종에 미치는 영향

The Effect of Exercise Therapy on Low Back Pain, Self-Urination Disorder, Bleeding, and Hematoma in Percutaneous Coronary Intervention Patients

  • Lee, Hyea Kyung (Department of Nursing, Cheongju St. Mary's Hospital) ;
  • Kang, Sung Ye (Kkottongnae Hyundo University of Social Welfare) ;
  • Lee, Chung Ok (Department of Nursing, Cheongju St. Mary's Hospital)
  • 투고 : 2011.01.24
  • 심사 : 2011.02.25
  • 발행 : 2011.04.30

초록

Purpose: The purpose of this study was to identify the effect of exercise therapy on low back pain, self-urination disorder, bleeding, and hematoma in Percutaneous Coronary Intervention (PCI) patients. Methods: A total of 64 PCI patients were recruited from C hospital located in C city, from June until August of 2010. The patients were divided into two groups as the exercise and control group. Thirty-two participants in the exercise group took bedrest for two hours after PCI, and then received excise therapy. The other 32 participants in the control group took the usual 8-hour bedrest with intermittent back care by the unit nurses. Results: In the relieving effect of low back pain, exercise group reported pain reduced faster than the control group. On the other hand, there were no significant differences between the two groups in alleviant of self-urination disorder, bleeding, and hematoma. Conclusion: Exercise therapy for reducing patients' low back pain showed to be an effective nursing intervention. Since there was no bleeding or hematoma after PCI in the exercise group, this study provided the ground suggesting that it might be possible to reduce the bedrest time after PCI without increased risk of bleeding or hematoma.

키워드

참고문헌

  1. 강정선, 박성연, 김은옥(2010). 간동맥 화학색전술 후 체위변경이 안위와 출혈합병증에 미치는 영향. 임상간호연구, 16 (1), 5-15.
  2. 고은주, 채영란, 이동숙(2008). 경동맥 화학색전요법 후 절대안정 중인 환자의 요통완화를 위한 운동의 효과. 기본간호학회지, 15 (2), 171-177.
  3. 기은정(2001). 경피적 관상동맥 중재술 후 절대안정시간에 따른 불편감과 출혈합병증에 관한 연구. 아주대학교 석사학위논문, 수원.
  4. 김명하, 한미정, 이정은, 이정무(2007). 침습적 관상동맥 중재술 (PCI)후 불편감 완화에 대한 운동요법과 냉요법의 효과.임상간호연구, 13 (1), 185-196
  5. 김인숙(1993).질환별 물리치료 (평가, 치료, 기록). 서울: 현문사.
  6. 김필자, 정정인, 노정숙, 나향, 김가연, 김경선 등(2009). 관상동맥 조영술 후 체위변경이 불편감과 출혈에 미치는 효과. 임상간호연구, 15 (1), 19-28.
  7. 남소영(2007). 경피적 관상동맥 중재술 후 반좌위 체위변경이 환자의 요통과 불편감에 미치는 효과. 서울대학교 석사학위논문, 서울.
  8. 박애란, 최자윤(2009). 관상동맥조영술 후 불편감에 영향을 미치는 요인. 대한간호학회지, 39 (6), 860-867.
  9. 이상철, 이대택(2007). 요통환자의 운동치료 및 효과에 관한 고찰. 대한운동사회 스포츠건강의학 학술지, 9 (2), 69-78.
  10. 이은자(1997). 맛사지와 운동이 심도자검사 환자의 불편감에 미치는 영향에 관한 연구. 간호행정학회지, 3 (2), 81-94.
  11. 정연이, 이정희, 허은희, 곽인옥, 백규원, 장은미 등(2001). 관상동맥 조영술을 받은 환자에서 출혈방지와 안위증진을 위한 중재효과. 임상간호연구, 7 (2), 67-88.
  12. 통계청(2010. 9). 2009년 사망원인통계 결과. 서울: 저자.
  13. 한숙원(2001). 관동맥 조영술 후 요통완화를 위한 운동요법과 경피적 전기 신경자극의 효과. 가톨릭대학교 박사학위논문, 서울.
  14. Chair, S. Y., Taylor-Piliae, R. E., Lam, G., & Chan, S. (2003). Effect of positioning on back pain after coronary angiography. Journal of Advanced Nursing, 42 (5), 470-478. https://doi.org/10.1046/j.1365-2648.2003.02646.x
  15. Chair, S. Y., Thompson, D. R., & Li, S. K. (2007). The effect of ambulation after cardiac catheterization on patient outcomes. Journal of Clinical Nursing, 16 (1), 212-214. https://doi.org/10.1111/j.1365-2702.2006.01599.x
  16. Keeling, A, W., Knight, E., Taylor, V., & Nordt, L. A. (1994). Postcardiac catheterization time-in-bed study: Enhancing patient comfort through nursing research. Applied Nursing Research, 7 (1), 14-17. https://doi.org/10.1016/0897-1897(94)90015-9
  17. Lasic, Z., Nikolsky, E., Kesanakurthy, S., & Dangas, G. (2005). Vascular closure devices: A review of their use after invasive procedures. American Journal of Cardiovascular Drugs, 5 (3), 185-200. https://doi.org/10.2165/00129784-200505030-00005
  18. Leeper, B. (2004). Nursing outcomes: Percutaneous coronary interventions. Journal of Cardiovascular Nursing, 19 (5), 346- 353. https://doi.org/10.1097/00005082-200409000-00010
  19. Logemann, T., Luetmer, P., Kaliebe, J., Olson, K., & Murdock, D. K. (1999). Two versus six hours of bed rest following left-sided cardiac catheterization and a meta-analysis of early ambulation trials. The American Journal of Cardiology, 84 (4), 486-488. https://doi.org/10.1016/S0002-9149(99)00344-6
  20. McKenzie, R. (1992). 요통의 예방과 치료-맥캔지 운동법-(구희서, 정진우 역). 서울: 현문사. (원저 1991 출판)
  21. Melzack, R. (1975). The McGill pain questionnaire: Major properties and scoring methods. Pain, 1 , 277-299. https://doi.org/10.1016/0304-3959(75)90044-5
  22. Pollard, S. D., Munks, K., Wales, C., Crossman, D. C., Cumberland, D. C., Oakley, G. D. G., et al. (2003). Position and mobilisation post-angiography study (PAMPAS): A comparison of 4.5 hours and 2.5 hours bed test. Heart, 89 (4), 447-448. https://doi.org/10.1136/heart.89.4.447
  23. Porter, R. W. (1993). Management of back pain (2nd ed.). Edinburgh: Churchill Livingstone.
  24. Rein, A., Zhu, Y., Parkhurst, M., Ramsburg, S., Bennett, G., Andes, L., et al. (1995). Positioning post-outpatient cardiac catheterization. Progress in Cardiovascular Nursing, 10 (4), 4-10.
  25. Reynolds, S., Waterhouse, K., & Miller, K. H. (2001). Head of bed elevation, early walking, and patient comfort after percutaneous transluminal coronary angioplasty. Dimensions of Critical Care Nursing, 20 (3), 44-51. https://doi.org/10.1097/00003465-200105000-00013
  26. Scriver, V., Crowe, J., Wilkinson, A., & Meadowcroft, C. (1994). A randomized controlled trial of the effectiveness of exercise and/or alternating air mattress in the control of back pain after percutaneous transluminal coronary angioplasty. Heart & Lung, 23 (4), 308-316.
  27. Wang, S. L., Redeker, N. S., Moreyra, A. E., & Diamond, M. R. (2001). Comparison of comfort and local complications after cardiac catheterization. Clinical Nursing Research, 10 (1), 29-39. https://doi.org/10.1177/c10n1r4