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http://dx.doi.org/10.7475/kjan.2014.26.4.424

The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization  

Yun, Mi-Jeong (Dong-A University Medical Center)
Min, Hye Sook (Department of Nursing, School of Medicine of Dong-A University)
Publication Information
Korean Journal of Adult Nursing / v.26, no.4, 2014 , pp. 424-433 More about this Journal
Abstract
Purpose: This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE). Methods: The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE. Results: There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.
Keywords
Therapeutic chemoembolization; Patient positioning; Low back pain; Discomfort; Hemorrhage;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 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(1), 5-15.
2 Kim, E. S. (2002) Effects of the slow stroke back massage on discomfort in patients following percutaneous transluminal coronary angioplasty. Unpublished master's thesis, Keimyung University, Daegu.
3 Kim, P. J., Jeong, J. I., Ro, J. S., Na, H., Kim, K. Y., Kim, K. S., et al. (2009). The effect of position change on discomfort and bleeding after coronary angiography. Hospital Nurses Association, 15, 19-28.
4 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.
5 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, 308-315.
6 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.   과학기술학회마을
7 Pollard, S. D., Munks, K., Wales, C., Crossman, D. C., Cumberland, D. C., Oakley, G. D., et al. (2003). Position and mobilisation post-angiography study(PAMPAS): A comparison of 4.5 hour and 2.5 hours bed rest. Heart, 89, 447-448. http://dx.doi.org/10.1136/heart.89.4.447   DOI   ScienceOn
8 Pooler-Lunse, C., Barkman, A., & Bock, B. F. (1996). Effect of modified positioning and mobilization on back pain and delayed bleegding in patients who had received heparin and undergone angiography: A pilot study. Heart & Lung, 25, 117-123.   DOI   ScienceOn
9 Song, H. J. (2002). Chemoembolization for patients with standard clinical guidelines development. Unpublished master's thesis, Ajou university, Suwon.
10 Sulzbach, L. M., Munro, B. H., & Hirshfeld, J. W. Jr. (1995) A randomized clinical trial of the effect of bed position after PTCA. American Journal of Critical Care, 7 , 221-226.
11 Fowlow B., Price P., & Fung T. (1995). Ambulation after sheath removal: A comparison of 6 and 8 hours of bedrest after sheath removal in patients following a PTCA procedure. Heart & Lung, 24, 28-37.   DOI   ScienceOn
12 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 Society of Adult Nursing, 14, 222-232.
13 Leeper, B. (2004). Nursing outcomes: Percutaneous coronary interventions. Journal of Cardiovascular Nursing, 19 , 346-353.   DOI
14 Korea National Cancer Center. (2014b). Types of cancer: Treatment. Retrieved February 25, 2014, from the National Cancer Center Web site: http://www.cancer.go.kr/mbs/cancer/jsp/cancer/cancer.jsp?cancerSeq=3317&menuSeq=3333&viewType=all&id=cancer_020112000000
15 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.
16 Nam, S. Y., & Choi, S. M. (2010). The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary interventions. Perspective in Nursing Science, 7(1), 55-64.   과학기술학회마을
17 Leem, J. M., Lee, T. W., Park, S. M., Youn, S. J., Park, K. S., Chae H. B., et al. (2002). Prognostic factors affecting survival rate in patients with hepatocellular carcinoma treated by transarterial chemoembolization. Chungman Medical Journal, 29(1), 113-124.
18 Mayer, D. M., & Hendrickx, L. (1997) Comfort and bleeding after percutaneous transluminal coronary angioplasty: Comparison of flexible sheath and standard sheath. American Journal of Critical Care, 6 , 341-347.
19 Nam, S. H., & Kim, Y. J. (2013). Effect of bed side exercising on back pain and bleeding complications after transcatheter arterial chemoembolization. Korean Journal of Adult Nursing, 25, 400-408. http://dx.doi.org/10.7475/kjan.2013.25.4.400   과학기술학회마을   DOI   ScienceOn
20 Yun, J. W., Kim, B. I., Chun, H. B, Hwang, S. T., Kim, J. W., Park, D. I., et al. (2004). Fibrinolytic activities and their relations to esophageal variceal bleeding in patients with liver cirrhosis. Korean Journal of Gastroenterology, 43, 349-354   과학기술학회마을
21 Yun, S. Y. (2008). Transarterial chemoembolozation patients with liver cancer. Nursing Science, 20(1), 10-22.
22 Korea National Cancer Center. (2014a). Types of cancer: Relevant statistics, Retrieved February 25, 2014, from the National Cancer Center Web site: http://www.cancer.go.kr/mbs/cancer/jsp/cancer/cancer.jsp?cancerSeq=3317&menuSeq=3322&viewType=all&id=cancer_020112000000
23 Barkman, A., & Lunse, C. P. (1994). The effect of early ambulation of patient comfort and delayed bleeding after cardiac angiogram: A pilot study. Heart & Lung, 23, 112-117.
24 Chair, S. Y., Tayler-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   DOI   ScienceOn
25 Jung, Y. Y., Lee, J. H., Huh, 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.
26 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.
27 Hwang, I. S., Hong, S. W., Nah, Y. W., Chang, Y. W., Kim, K. H., & Lee, H. S. (2000). Analysis of 38 long-term survivors after liver resections for hepatocellular carcinomas. Korean Journal of HBP Surgery, 4, 67-76.
28 Jang, B. K., Chung, W. J., Park, K. S., Cho K. B., Hwang, J. S., Ahn, S. H., et al. (2005). The efficacy of hepatic arterial infusion therapy for advanced hepatocellular carcinoma according to extrahepatic collateral feeding vessels. The Korean Journal of Hepatology, 11(4), 359-370.   과학기술학회마을