성인간호학회지 (Korean Journal of Adult Nursing)

  • 제25권4호
  • /
  • Pages.400-408
  • /
  • 2013
  • /
  • 1225-4886(pISSN)
  • /
  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
권호 표지
DOI QR코드

DOI QR Code

간동맥 화학색전술 후 절대안정기간 동안의 침상운동요법이 요통과 출혈합병증에 미치는 효과

Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization

  • 투고 : 2012.12.31
  • 심사 : 2013.08.08
  • 발행 : 2013.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to examine the effects of bed side exercising on back pain and bleeding during absolute bed rest in patients who had received transcatheter arterial chemoembolization (TACE). Methods: A nonequivalent control group pretest-posttest design was used. A total 46 patients were sampled from a gastrointestinal unit of a urban general hospital in Seoul. The control group received 8 hours of bed rest and conservative care. The experimental group received 8 hours of bed rest and bed side exercising every one hour from the time having absolute bed rest for 3 hours after TACE. Results: The experimental group with bed side exercising experienced significantly less back pain compared to the control group. There was no significant difference in the incidence of bleeding complications between two groups. Conclusion: The results indicate that a bed side exercising is associated with a reduction of back pain and with no increased risk of bleeding complications in patients after TACE.

키워드

참고문헌

  1. 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, 470-478. http://dx.doi.org/10.1046/j.1365-2648.2003.02646.x
  2. 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, 212-214. http://dx.doi.org/10.1111/j.1365-2702.2006.01599.x
  3. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159. http://dx.doi.org/10.1037/0033-2909.112.1.155
  4. Dumont, C. J. P., Keeling, A. W., Bourguignon, C., Sarembock, I. J., & Turner, M. (2006). Predictors of vascular complications post diagnostic cardiac catheterization and percutaneous coronary interventions. Dimensions of Critical Care Nursing, 25, 137-142. http://dx.doi.org/10.1097/00003465-200605000-00016
  5. Hahn, S. W. (2002). The effects of exercise therapy and transcutaneous electrical nerve stimulation for the alleviation of low back pain after coronary angiography. Korean Journal of Adult Nursing, 14, 222-232.
  6. Hogan-Miller, E., Rustad, D., Sendelbach, S., & Goldenberg, I. (1995). Effects of three methods of femoral site immobilization on bleeding and comfort after coronary angiogram. American Journal of Critical Care, 4, 143-148.
  7. Jung, I. H., Kang, J. M., Min, D. Y., Son, S. K., & Eun, H, C. (2010). Medical dictionary. Seoul: Hyunmoon.
  8. Jung, I. T., Cho, M. K., Kim, S. W., Park, M. L., & Jang, S. I. (2008). The influence of William and Mckenzie exercise on low back pain. Hanlyo University Physical Therapy Journal, 3 (1), 57-62.
  9. Jung, J. W. (2004). Transcatheter arterial chemoembolization for hepatocellular carcinoma. Paper presented at the meeting of the Korean Society of Gastroenterology Postgraduate Course, Seoul, Korea.
  10. Jung, Y. I., Lee, J. H., Hur, E. H., Kwak, I. O., Baek, K. W., Jang, E. M., et al. (2001). The effect of post-procedures on preventing bleeding and increasing comfort in patients received coronary angiography. Journal of Korean Clinical Nursing Research, 7 (2), 67-88.
  11. Kang, J. S., Park, S. Y., & Kim, E. O. (2010). The effect of position change on comfort and bleeding after transarterial chemoembolization. Journal of Korean Clinical Nursing Research, 16, 5-15.
  12. Kee, E. J. (2001). A study for discomfort and bleeding complications during absolute bed rest in patients undergoing percutaneous coronary intervention. Unpublished master's thesis, Ajou University, Suwon.
  13. Keeling, A., Knight, E., Taylor, V., & Nordt, L. (1994). Postcardiac catheterization time-in-bed study: Enhancing patient comfort through nursing research. Applied Nursing Research, 7 , 14-17. https://doi.org/10.1016/0897-1897(94)90015-9
  14. Kim, M. H., Han, M. J., Lee, J. E., & Lee, J. M. (2007). Effects of exercise and ice pack therapy on discomfort after percutaneous coronary intervention. Journal of Korean Clinical Nursing Research, 13, 185-196.
  15. Kim, P. J., Ro, J. S., Na, H., Kim, K. Y., Kim, K. S., Lee, K. H., et al. (2009). The effect of position change on discomfort and bleeding after coronary angiography. Journal of Korean Clinical Nursing Research, 15 , 19-28.
  16. Ko, E. J., Chae, Y. R., & Lee, D. S. (2008). Effects of exercise on relief of low back pain in patients on absolute bed rest after trans-arterial chemoembolization (TAE). Journal of Korean Academy of Fundamentals of Nursing, 15, 171-177.
  17. Lee, E. J. (1995). A study on perceived discomfort in patient following cardiac catheterization. Journal of Korean Academy of Nursing, 25, 124-140.
  18. Lee, E. J. (1997). A study on the effect of massage and exercise on discomfort in patients following cardiac catheterization. Journal of Korean Academy of Nursing Administration, 3, 81-94.
  19. Lee, J. S. (2000). Comparison of back pain between groups of supine and supine plus lateral position in 24 hours after transhepatic arterial chemoembolization. Unpublished master's thesis, Yonsei University, Seoul.
  20. Lee, K. W. (1995). Therapeutic exercise in low back pain. Journal of Korean Academy of Rehabilitation Medicine, 19, 203-208.
  21. National Cancer Information Center. (2013. February). Cancer facts & figures 2013. Retrieved May 30, 2013, from the National Cancer Information Center Web site: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000.
  22. Nam, S. Y., & Choi-Kwon, S. (2010). The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary intervention. Perspective in Nursing Science, 7 (1), 55-64.
  23. Park, H. J., & Sohng, K. Y. (2005). Effect of positioning on back pain and comfort of bed rest patients after transhepatic arterial chemoembolization. Journal of Korean Academy of Fundamentals of Nursing, 12, 317-324.
  24. Pooler-Lunse, C., Barkman, A., & Bock, B. F. (1996). Effects of modified positioning and mobilization on back pain and delayed bleeding in patients who had received heparin and undergone angioplasty: A pilot study. Heart & Lung, 25, 117-123. https://doi.org/10.1016/S0147-9563(96)80113-0
  25. Reynolds, S., Waterhouse, K., & Miller, K. (2001). Head of bed elevation, early walking, and patient comfort after percutaneous transluminal coronary angioplasty. Dimensions of Critical Care Nursing, 20, 44-51.
  26. Wang, S., Redeker, N. S., Moreyra, A. E.., & Diamond, M. R. (2001). Comparison of comfort and local complications after cardiac catheterization. Clinical Nursing Research, 10, 29-39. https://doi.org/10.1177/c10n1r4
  27. Yun, S. Y. (2008). Transarterial chemoembolization patients with liver cancer. Nursing Science, 20 (1), 11-23.

피인용 문헌

  1. The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization vol.26, pp.4, 2014, https://doi.org/10.7475/kjan.2014.26.4.424