• 성인간호학회지
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• 제28권1호
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• pp.53-60
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• 2016

Purpose: This study was to compare the effects of early ambulation to usual care of late ambulation in patients with transarterial chemoembolization on back pain, discomfort, and puncture site complications. Methods: A nonequivalent control pretest-posttest design was used. Total 40 patients were recruited from a gastrointestinal unit of an urban general hospital in Seoul, South Korea. The experimental group began to ambulate after 4 hours of bed rest with a compression bandage after receiving transarterial chemoembolization. The control group stayed in bed with a compression bandage overnight. Results: Back pain was not significantly different between the two group. The experimental group reported significantly lower discomfort than the control group. There was no incidence of bleeding complications on puncture site between two groups. Conclusion: The results of this study showed that early ambulation with four hours of bed rest after femoral sheet removal did not cause bleeding complications compared to the usual care and even decreased patients' level of discomfort due to bed rest. Repetitive research on the effect of short bed rest is warranted for its clinical utilization.

• Clinical and Experimental Pediatrics
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• 제49권7호
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• pp.751-756
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• 2006

목 적 : 소아에서 척수액 검사 후에 부작용으로 발생하는 두통과 요통에 대한 발생 빈도와 영향을 주는 인자를 알아보기 위하여 연구를 시작하였다. 방 법 : 2004년 10월부터 2006년 2월까지 1년 5개월 동안 전주예수병원 소아과에서 진단 목적으로 척수액 검사를 실시한 만2세에서 15세 환아 148명을 대상으로, 연령, 성별, 검사 횟수, 척수액 양, 검사 바늘 방향, 척수액내 백혈구 수, 절대 침상안정시간과 두통, 요통의 발생 빈도 및 지속 기간에 대해서 조사하였다. 결 과 : 남녀 분포 및 발생 빈도 : 두통은 8명(5.4%)으로 이중자세성 두통은 4명(2.7%)이었으며, 요통은 40명(27.0%)으로 이중 하지로 전파된 경우는 8명(5.4%)이었으며, 남녀 차이는 없었다. 각 인자별 발생 빈도 : 10세 미만에서 두통이 4명(3.3%), 10세 이상에서 4명(14.8%)이 발생하여, 10세 이상에서 의의 있게 많이 발생하였으며(P=0.017), 요통은 33명(27.3%), 7명(25.9%)으로 차이가 없었다. 검사 횟수, 척수액 양, 검사 바늘 경사면 방향, 척수액내 백혈구 세포 수, 절대 침상안정 시간과 두통 및 요통의 차이가 없었다. 연령군 내에서 성별에 따른 발생 빈도 : 10세 미만과 10세 이상 각각에서 두통과 요통의 성별 차이가 없었다. 두통과 요통의 지속 기간 : 검사 바늘 방향이 상부일 때 측면보다 두통의 지속 기간이 더 길었으며, 요통의 차이는 없었다. 검사 횟수, 척수액 양, 척수액내 백혈구 세포 수, 절대 침상안정시간과 두통 및 요통의 차이가 없었다. 연령군 내에서 성별에 따른 지속 기간 : 남자에서 요통의 지속 기간은 더 길었으나, 10세 미만과 10세 이상 각각에서 두통과 요통의 성별 차이는 없었다. 결 론 : 척수액 검사 후에 두통은 5.4%로 10세 이상에서 많았으며, 요통은 27.0%이었다. 검사 바늘 경사면이 상부 방향일 때 두통이 오랫동안 지속되었으며, 남자에서 요통의 지속 기간이 길었다. 따라서 10세 이상에서 요추 천자를 하는 경우에는 검사 후 발생하는 통증에 대한 교육 및 주의가 필요할 것으로 사료되었다.

• 성인간호학회지
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• 제25권4호
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• pp.400-408
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• 2013

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.

• 대한방사선기술학회지:방사선기술과학
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• 제42권3호
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• pp.181-186
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• 2019

Transarterial chemoembolization is one of the most representative procedures for puncture of the femoral artery. In addition, the same procedure is often repeatedly performed many times, and Hepatocellular carcinoma patients due to cancer is significantly lowered blood tests, regardless of platelet counts are not good enough to stop bleeding. More importantly, hepatocellular carcinoma has a high degree of complication and disease severity, which makes it less likely that the condition of the body will be relatively inferior to other patients. In order to prevent delayed hemorrhage of the femoral artery puncture site after the procedure, it is advised to absolutely stabilize the limb so that it does not bend the limb for 3 hours after climbing in the ward. Therefore, I have been complaining about inconvenience. In addition, in order to prevent delayed hemorrhage after hemostasis, balloon type hemostatic device was used instead of sand bag which was placed on hemostatic site. The results of this study were compared with the results of actual application. The use of a balloon-type hemostatic device to increase the effectiveness of continuous hemostasis and to minimize the inconvenience during the time of patient's absolute bed rest, rather than raising the sandbag to prevent primary delayed hemorrhage by various methods in transarterial chemoembolization. It can be used as a substitute for existing sand bags because it can alleviate pain, increase satisfaction, and can be used as a disposable one.

• 기본간호학회지
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• 제15권2호
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• pp.171-177
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• 2008

Purpose: The aim of study was to identify the effects of exercise on the relief of low back pain in patients on absolute bed rest after TAE. Method: A nonequivalent control group pretest-posttest design research design was used. The participants were 43 patients who had received TAE in a university hospital; patients in the experimental group (21) received both exercise therapy and general post-op nursing care and in the control group (22) only the latter. The exercise program used in this study was modified from exercise for post CABG to exercise for post TAE, which deflect the movement of thigh in which the catheter was inserted, the lumbar region of the back and pelvis. Results: First, Low back pain scores in the experimental group were lower than the control group. Second, The first dose of analgesics in the experimental group was delayed compared to the control group. Third, There was no significant difference in bleeding complications between the experimental group control groups. Conclusion: The results suggest that the exercise program used in this study is effective for relief of low back pain in patients on absolute bed rest after TAE.