DOI QR코드

DOI QR Code

자원봉사자에 의한 아로마 복부경락마사지 제공이 입원 뇌 병변 장애환자의 변비완화에 미치는 효과

Effects of Abdominal Meridian Massage with Aroma Oils by Volunteers on the Relief of Constipation in Hospitalized Disability Patients with brain lesions

  • 김태임 (대전대학교 간호학과) ;
  • 남미정 (대전보건대학 간호학과) ;
  • 방영이 (서울특별시어린이병원 간호부) ;
  • 연영순 (서울특별시어린이병원 간호부)
  • Kim, Tae-Im (Department of Nursing, Daejeon University) ;
  • Nam, Mi-Jung (Department of Nursing, Daejeon Health Sciences College) ;
  • Bang, Young-Ie (Department of Nursing, Seoul Metropolitan Children's Hospital) ;
  • Yeon, Young-Soon (Department of Nursing, Seoul Metropolitan Children's Hospital)
  • 투고 : 2012.02.14
  • 심사 : 2012.05.10
  • 발행 : 2012.05.31

초록

본 연구는 배변 문제가 있는 뇌 병변 장애 입원 환자에게 자원봉사자들이 주 3회의 아로마 복부경락마사지 중재(7분/1회)를 4주간 적용하여 변비완화에 미치는 효과를 검정하고자 시도되었다. 연구 설계는 단일군 전후설계의 원시실험연구이며, 연구대상은 5개월 이상 입원중이며 배변문제가 있는 뇌 병변 장애환자 38명이었다. 연구기간은 2011년 5월 9일부터 6월 19일까지 총 6주간 이었다. 변비완화 효과는 좌약 또는 관장 적용 횟수, 배변 횟수, 배변 양으로 측정 하였으며, 수집된 자료를 SPSS 19.0을 이용하여 기술통계와 Repeated Measures ANOVA로 분석한 결과는 다음과 같다. 첫째, 시간의 경과에 따라 좌약 또는 관장횟수가 감소한 것으로 나타났으나 통계적으로 유의하지 않았다(F=1.03, p=.361). 둘째, 시간의 경과에 따라 배변 횟수가 증가한 것으로 나타났으나 통계적으로 유의하지 않았다(F=2.14, p=.133). 셋째, 시간의 경과에 따라 배변 양이 유의하게 증가한 것으로 나타났다(F=3.56, p=.033). 시점 간을 비교 분석한 결과 사전시기 보다 중재 1-2주(p<.05)와 중재 3-4주(p<.01)에 배변 양이 증가하여 유의한 차이가 있었다. 이상의 결과를 통해 자원봉사자에 의한 주 3회의 아로마 복부경락마사지는 입원 뇌 병변 장애 환자의 변비완화에 효과가 있는 비 침습적인 간호중재라고 결론지을 수 있으며, 간호실무 현장에서 아로마 복부경락마사지 중재를 적용할 수 있는 경험적 근거와 지침을 제공한 점에서 그 의의가 있다. 추후 본 연구결과의 확산을 위해 다양한 대상자에게 반복 연구를 실시하여 경험적 증거를 축적할 것을 제언한다.

The purpose of this study was to evaluate the effects of 7 minutes a day, 3 times a week, for 4 weeks of abdominal meridian massage with aroma oils (AMMAO) by Volunteers on the relief of constipation among hospitalized disability patients with brain lesions. One group pretest-posttest quasi experimental research design was used. Subjects were 38 hospitalized disability patients with brain lesions. Data were collected from May 9 to June 19, 2011. Frequencies, mean, standard deviation and Repeated Measures ANOVA with SPSS 19.0 were used to evaluate the effects of AMMAO. The results were as follows; 1. There were significant difference noted in the amount of defecation(F=3.56, p=.033) by time. 2. There were no significant difference was noted in the frequency of defecation, the frequency of suppository or enema application by time. Accordingly, it is concluded that AMMAO would be an effective nursing intervention in relief of constipation among hospitalized disability patients with brain lesions. Therefore it is recommended that AMMAO be used in clinical practice as an effective nursing intervention for hospitalized disability patients with brain lesions.

키워드

참고문헌

  1. Disabled Welfare Act enforcement ordinance revision, 1999.
  2. Byeon, Y. C., Kim, S. H., Yun, S. Y., Kang, M. H., Choe, M. Y., Son, C. G., Oh, H. G., "2008 Survey of Disabled", Seoul, 2009.
  3. Winge, K., Rasmussen, D., & Werdelin, L. M., "Constipation in neurological disease", Journal of neurology, neurosurgery, and psychiatry, 74(1), pp. 13-19, 2003. https://doi.org/10.1136/jnnp.74.1.13
  4. Bohmer, C. J., Taminiau, J. A., Klinkebrrg-Lnol, E. C., & Meuwissen, S. G., "The prevalence of constipation in institutionalized people with intellectual disability", Journal of Intellectual Disabillity Research, 45(3), pp. 212-218, 2001. https://doi.org/10.1046/j.1365-2788.2001.00300.x
  5. Bozkut, M., Tutuncuoglu, S., Serdaroglu, G., Tekgul, H., & Aydogdu, S., "Gastroesophageal reflux in children with cerebra palsy: efficacy of cisapride", Journal of Child Neurology, 19(12), pp. 973-976, 2004.
  6. Chong, S. K., "Gastrointestinal problems in the handicapped child", Current Opinion in Pediatrics, 13(5), pp. 441-446, 2001. https://doi.org/10.1097/00008480-200110000-00010
  7. Castledine, G., Grainger, M., Wood, N., & Dilley, C., "Reserching the management of constipation in long-term care:Part 1, The British Journal of Nursing, 16, pp.1128-1131, 2007 https://doi.org/10.12968/bjon.2007.16.18.27506
  8. Kim, D. H., Introduction of meridian massage. Seoul: Korea Massage Institution. 1997.
  9. Emly, M., Cooper, S., Vail, A, "Colonic Motiltiy in Profoundly Disabled People : A comparison of massage and laxative therapy in the management of constipation", Physiotherapy, 84(4), pp.178-183, 1998. https://doi.org/10.1016/S0031-9406(05)66021-X
  10. Preece, J. "Introducing abdominal massage in palliative care for the relief of constipation", Complementary Therapies in Nursing and Midwifery, 8(2), pp. 101-105, 2002. https://doi.org/10.1054/ctnm.2002.0610
  11. Kim, D.S., Choi, I.J., Ha, W.C., Lee, H.S., & Park, N.H., "The effect of abdominal meridian massage on constipation and depression of hemiplegic patients", Journal of Korean Clinical Nursing Research, 10(1), pp.70-81, 2004
  12. Kim, M. A., Sakong, J. K., Kim, E.J., Kim, E.H., & Kim, E. H., "Effect of aromatherapy massage for the relief of constipation in the elderly", Journal of Korean Academy of Nursing, 35(1), pp.56-64, 2005 https://doi.org/10.4040/jkan.2005.35.1.56
  13. Jeon. S. Y., Jung, H. M., "The Effects of Abdominal Meridian Massage on Constipation among CVA Patients", J Korean Acad Nurs, 35(1), pp. 135-142, 2005. https://doi.org/10.4040/jkan.2005.35.1.135
  14. Kim, J. H., Park, J. S., "The Effects of Abdominal Meridian Massage on the Degree of Constipation among the Patients with Immobility after Orthopedic Surgery", Journal of Korean Clinical Nursing Research,12(2), pp.63-72, 2006
  15. Kim, I. J., Cho, Y. N., "The effects of abdominal meridian massage on constipation in institutionalized psychiatric patients taking antipsychotic drugs", Korean Academy of Adult Nursing, 19(5), pp.809-818, 2007
  16. Chung, M. Y., Choi, E. S., "A Comparison between Effects of Aroma Massage and Meridian Massage on Constipation and Stress in Women College Students", J Korean Acad Nurs, 41(1), pp. 26-35, 2011. https://doi.org/10.4040/jkan.2011.41.1.26
  17. Ayas, S., Leblebici, B., Sozay, S., Bayramoglu, M., Niron, E.A., "The effect of abdominal massage on bowel function in patients with spinal cord injury", American Journal of Physical Medicine Rehabilation, 85(12), pp.951-955, 2006 https://doi.org/10.1097/01.phm.0000247649.00219.c0
  18. Lucy Moss, Melanie Smith, Sarah Wharton & Annette Hames., "Abdomial massage for the treatment of idiopathic constipation in children with profound learning disabilities: a single case study design", British Journal of Learning Disabilities, 36(2), pp. 102-108, 2008. https://doi.org/10.1111/j.1468-3156.2007.00472.x
  19. Hsu, C., Chen, M., Tseng, Y., Hwang, S., & Huang, H., "Improving constipation in patients at terminal stage: a pilot study on the efficacy of using abdominal meridian massage with essential oil", Taiwan Journal of Nursing & Healthcare Research, 5(4), pp. 256-264, 2009.
  20. Lamas, K., Lindholm, L., Stenlund, H., Engstrom, B., & Jacobson, C., "Effects of Abdominal Massage in management of constipation-a randomized controlled trial", International Journal of Nursing Studies, 46(6), pp.759-767, 2009 https://doi.org/10.1016/j.ijnurstu.2009.01.007
  21. McClurg, D., Hagen, S., Hawkins, S., & Lowe-Strong, "Abdominal massage for the alleviation of constipation symptoms in people with multiple sclerosis: a randomized controlled feasibility study", Multiple Sclerosis, 17(2), pp. 223-233, 2011. https://doi.org/10.1177/1352458510384899
  22. Kim, T. I., Nam, M. J., "Effects of Abdominal Meridian Massage with Aroma Oils on Relief of Constipation in Institutionalized Children with Cerebral Palsy", J Korean Acad Child Health Nurs, 13(1), pp. 90-101, 2007.
  23. Nam, M. J., Kim, T. I., "Effects of Abdominal Meridian Massage with Aroma Oils on Relief of Constipation in Hospitalized Disability children with brain lesions", J Korean Acad Child Health Nurs, Summer Conference, p. 228, 2011.
  24. Thompson, W. G., Longstreth, G. F., Drossman, D. A., Heaton, K.W., Irvine, E. J., & Muller-Lissner, S. A., "Functional bowel disorders and functional abdominal pain", Gut, 45(2), pp. 1143-1147, 1999.
  25. Wang, M. J., "Chuna therapy", J of the Korean Industrial Nursing Association, 19(2), pp. 32-36, 2003.
  26. Joe, H. S., Kwak, J. M, "The Healing Hand eommason- Pediatric Chuna", Seoul, esdang, 1995.
  27. Kim, M. J., Jeon, H. J., "Oriental acupuncture therapy", Seoul, Jungdammedia, pp. 107-409, 2006.
  28. Battaglia, S., "The Complete Guide to Aromatherapy(2ed)". Brisbane Australia, The International Centre of Holistic Aromatherapy, pp. 403-413, 2003.
  29. Emly, M., "Abdominal Massage", Nursing Times, 89(3), pp. 34-36, 1993.
  30. Resende, T. L., Brocklehurst, J. C., "A pilot study on the effect of exercise and abdominal massage on bowel habit in continuing care patients", Clin Rebabil, 7(3), pp.204-209, 1993. https://doi.org/10.1177/026921559300700305
  31. Emly, M., "Abdominal massage for adults with learning disabilities", Nursing Times 97(30), pp. 61-62, 2001
  32. Choi, M. G., "Guidelines for the diagnosis of constipation", Korean Journal of Gastrointestinal Motility, 11(3), pp.44-50, 2005
  33. Woolery, M., Carroll, E., Fenn, E., Wieland, H., Jarosinski, P., Corey, B., & Wallen, G.R., "A constipation assessment scale for use in pediatric oncology", Journal of Pediatric Oncology, 23(2), pp. 65-74, 2006. https://doi.org/10.1177/1043454205285874