DOI QR코드

DOI QR Code

체위변경이 간 조직검사 환자의 불편감과 출혈에 미치는 효과

The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy

  • Yun, Mi-Jeong (Department of Nursing, School of Medicine, Dong-A University) ;
  • Min, Hye Sook (Department of Nursing, School of Medicine, Dong-A University)
  • 투고 : 2015.03.03
  • 심사 : 2015.04.09
  • 발행 : 2015.04.30

초록

Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.

키워드

참고문헌

  1. Lee MY, Jung HR, Lim CH. Comparative analysis per area of the liver diseases in ultrasound diagnosis of healthcare center. Korea contents Society. 2009;9(3):278-87.
  2. Lee MK, Han NS, Lim CH, Jung HR, Cho JK. Risk factors analysis of alcoholic liver diseases by ultrasonography. Korea Contents Society. 2009;9(3):185-94. https://doi.org/10.5392/JKCA.2009.9.3.185
  3. Yoo BC, Han KH. Clinical practice guideline for liver cirrhosis: update. [Internet]. Seoul: Korean Association for the Study of the Liver/Liver Cirrhosis Clinical Research Center; 2011 [cited 2015 January 11]. Available from: http://www.kasl.org/bbs/index.html?code=guide&page=1&number=48&mode=view
  4. Garcia G, Keeffe B. Liver biopsy in chronic hepatitis c: routine or selective. American Journal of Gastroenterology. 2001;96(11):3053-5. http://dx.doi.org/10.1111/j.1572-0241.2001.05253.x
  5. Park SY, Kim ES, Kweon KT, Lee DS, Cho CM, Tak WY, et al. Safety of outpatient ultrasound guided percutaneous liver biopsy as a day care procedure. Korea Journal of Medicine. 2004;66(1):26-32.
  6. Bravo AA, Sheth SG, Chopra S. Liver biopsy. New England Journal of Medicine. 2001;344(7):495-500. http://dx.doi.org/10.1056/NEJM200102153440706
  7. Kim YS. Liver Biopsy and locoregional treatment for hepatocelluar carcinoma. Clinical and Molecular Hepatology (CMH). 2010;16(3):295-302. https://doi.org/10.3350/kjhep.2010.16.3.295
  8. Grant A, Neuberger J. Guidelines on the use of liver biopsy in clinical practice. British Society of Gastroenterology. Gut. 1999;45(4):IV1-IV11.
  9. Piccinino F, Sagnelli E, Pasquale G, Giusti G. Complications following percutaneous liver biopsy. A multicentre retrospective study on 68,276 biopsies. Journal of Hepatology. 1986;2(2):165-73. https://doi.org/10.1016/S0168-8278(86)80075-7
  10. Caldwell SH. Controlling pain in liver biopsy, or "we will probably need to repeat the biopsy in a year or two to assess the response". American Journal of Gastroenterology. 2001;96(5):1327-9. http://dx.doi.org/10.1111/j.1572-0241.2001.03847.x
  11. Wilkinson MM. Your role in needle biopsy of the liver. RN 1990 Aug;53(8):62-6.
  12. Castera L, Negre I, Samii K, Buffet C. Pain experienced during percutaneous liver biopsy. Hepatology. 1999;30(6):1529-30. https://doi.org/10.1002/hep.510300624
  13. Hyun CB, Beutel VJ. Prospective randomized trial of post-liver biopsy recovery positions: does positioning really matter? Journal of Clinical Gastroenterology. 2005;39(4):328-32. https://doi.org/10.1097/01.mcg.0000155139.58186.35
  14. Sohn SY, Kang YW, Hur JW, Ahn SH, Park SK, Woo SK. Comparison of compression and noncompression methods on hematoma formation after percutaneous liver biopsy. Korean Journal of Medicine. 1991;41(2):179-83.
  15. Rockey DC, Caldwell SH, Goodman ZD, Nelson RC, Smith AD, American association for the study of liver diseases. liver biopsy. Hepatology. 2009;49(3):1017-44. http://dx.doi.org/10.1002/hep.22742
  16. Cho MH, Lee KJ. A study of perceived discomfort of intensive care unit patient. Journal of Korean Academic Society of Adult Nursing. 1992;4(2):209-23.
  17. Nam SY, Choi SM. The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary interventions. Perspective in Nursing Science. 2010;7(1):55-64.
  18. Hogan-Miller E, Rustad D, Sendelbach S, Goldenberg I. Effects of three methods of femoral site immobilization on bleeding and comfort after coronary angiogram. American Journal of Critical Care. 1995;4(2):143-8.
  19. Naver Communication. Naver dictionary. [Internet]. Seoul: Naver Communication; 2015 [cited 2015 January 11]. Available from: http://krdic.naver.com/search.nhn?kind=all&query=%EC%B2%B4%EC%9C%84
  20. Kang JS, Park SY, Kim EO. The effect of position change on comfort and bleeding after transarterial chemoembolization. Journal of Korean Clinical Nursing Research. 2010;16(1):5-15.
  21. Yun MJ, Min HS. The effect of position change on low back pain, discomfort, and bleeding after transarterial chemoembolization. Korean journal of Adult Nursing. 2014;26(4):424-33. http://dx.doi.org/10.7475/kjan.2014.26.4.424
  22. Kim ES. Effects of the slow stroke back massage on discomfort in patients following percutaneous transluminal coronary angioplasty. [dissertation]. Daegu: Keimyung University; 2002.
  23. Beddy P, Lyburn IL, Geoghegan T, Buckley O, Buckley AR, Torreggiani WC. Outpatient liver biopsy: a prospective evaluation of 500 cases. Gut. 2007;56(2):307. http://dx.doi.org/10.1136/gut.2006.110460
  24. Firpi RJ, Soldevila-Pico C, Abdelmalek MF, Morelli G, Judah J, Nelson DR. Short recovery time after percutaneous liver biopsy: should we change our current practices? Clinical Gastroenterology and Hepatoloy. 2005;3(9):926-9. http://dx.doi.org/10.1016/S1542-3565(05)00294-6