• 동서간호학연구지
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• 제14권1호
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• pp.36-43
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• 2008

Purpose: This study was conducted for an evidence-based nursing intervention on bed rest period after puncture, by confirming whether there was a difference in scores of headache and back pain between the 1-hour bed rest group and the 6-hour bed rest group following lumbar puncture in patients with leukemia. Method: The subjects were 45 inpatients of the department of hematology at a general hospital in Seoul, from January 1 to March 31, 2005. There were 21 patients in the 1-hour bed rest group and 24 patients in the 6-hour bed rest group. A graphic rating scale was used to measure headaches and back pains. Collected data were analyzed with SPSS 12.0. Non- parametric statistics were used to analyze the data. Results: There was no significant difference between the 1-hour bed rest group and the 6-hour bed rest group in the headache level and back pain level. Conclusion: Therefore, it is considered that a long period of bed rest over 6 hours after lumbar puncture is not a necessary nursing intervention, and repeated studies are required to confirm the result.

• 임상간호연구
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• 제23권3호
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• pp.293-301
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• 2017

Purpose: The purpose of this study was to examine the effects of bed angles and bed rest time combined with hemostatic methods on discomfort and hemorrhagic complications in patients after transfemoral cerebral angiography. Methods: Data were collected from 93 inpatients following transfemoral cerebral angiography, from April 20 to September 23, 2016. Patients were grouped according to bed angle ($0^{\circ}$ vs. $30^{\circ}$) and bed rest time combined with hemostatic methods (4-hour bed rest after manual compression vs. 2-hour bed rest after applying vascular closure device). Results: There was a significant group differences on discomfort (F=46.44, p<.001). The post-hoc analysis showed the lowest score of discomfort in those with bed angle $30^{\circ}$ and 2-hour bed rest. There was no difference in hemorrhagic complications among 4 groups. Conclusion: The postangiograpy discomfort can be effectively reduced with the least hemorrhagic complications by bed angle $30^{\circ}$ elevation and 2-hour bed rest after applying vascular closure device for those underwent transfemoral cerebral angiography.

• 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.

• 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.

• 대한간호
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• 제36권2호
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• pp.73-83
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• 1997

Bed rest is recommended to prevent postlumbar puncture headaches(PLPHA), but the period of bed rest varies in the literature from 6 hours to 24 hours. In clinical practice the period of bed rest varies but nursing methods for adults and children have little difference. In Seoul National University Hospital, children have been given at least 6 hours bed rest after a lumbar puncture. Pediatric oncology patients require a lumbar puncture for an initial diagnosis, follow up treatment or administration of chemotherapeutic agent. But it is difficult for young children to lie supine or to refrain from their usual activities in any way, and unpleasant problems related to a shortage of beds often occurs during discharge or in an outpatient setting. The purpose of this study is to substantiate the preventive effect of PLPHA by the period of bed rest, to identify the other factors that influence PLPHA, and to use the nursing methods proper to children. The subjects were 65 children, ages 1-17, undergoing treatment in the children's cancer center at SNUCH during the period June 1, 1995, to Aug. 31, 1995. The team nurses asked questions about PLPHA of the parents and children in order to fill out a questionnaire. The data were evaluated by percent, t-test, Chi-square test and Mann-Whitney U test. Result; 1. There was no significant difference relating the bed rest time spent to the occurrence of postspinal headaches (t-test). 2. There was a significant risk of PLPHA in the children who were irritable before procedure and/or had experienced previous PLPHA(p<0.05, ${x^2}-test$). 3. The following factors were not found to be associated with increased risk of PLPHA: previous puncture experience, giving analgesics, the choice of puncturist, inpatient/outpatient status, gauge of needle, purpose, the amount of CSF removed, gender, diagnosis, the number of peripheral WBCs, previous lumbago experience after LP, position after bed rest, age, the number of aural puncture at the time. A longer period of bed rest is unlikely to be more effective to prevent PLPHA and seems impractical. A shorter period will save time and effort. Perhaps it will also allay some of the fears which surround LP. So 1 hour bed rest after LP is suggested and nursing methods for emotional support should be investigated to reduce PLPH.

• 임상간호연구
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• 제27권2호
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• pp.179-186
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• 2021

Purpose: The purpose of our study was to identify the bleeding risk factors and to validate the safety of shortening the bed rest time after bone marrow examination in pediatric hemato-oncologic patients. Methods: From July 2019 to September 2020, 145 patients were enrolled from a single center. Medical records were reviewed retrospectively. Descriptive statistics were presented, and the data were analyzed using 𝑥²-test, Fisher's exact test, and a logistic regression. Results: After two hours of bed rest, most of the patients (91.7%) did not have bleeding complications, and only 8.3% of the patients had a minor bleeding. The rate of major bleeding complications, including hematoma, retroperitoneal hemorrhage rate was zero. The bleeding complications was frequently found on bilateral procedures than unilateral procedures and the difference were statistically significant (p<.05). Conclusion: Two hours of bed rest time after bone marrow examination could be safe and adequate in pediatric hemato-oncologic patients.

• 대한간호학회지
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• 제8권2호
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• pp.15-23
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• 1978

This study was conducted to see the present situation of rest in a military hospital. 120 medical patients but acute af critical cases were interviewed by the investigators during the period of August 20 to September 10, 1978. The questionnaire was consisted of questions regarding the general characteristics of tile respondents, rest methods and nursing activities inducing them to rest. 1, Of the rest methods, tying down on the bed comfortably placed first at 29.1 percent, followed by sleeping at 20,1 percent, reading at 16.8 percent, taking a moderate exercise, being free from their concerns of diseases & surrounding matters at 11.7 percent, respectively, playing the game of Badook or Chess at 6.7 percent , others at 3.9 percent in that order. 2. They mainly utilized the Lying down method for comfort & rest, but there were some differences depending on their educational backgrounds. 3. Some differences were observed in the methods of rest by the religions. 4. The differences between diseases af rest methods except bed rest af sleeping were observed. 5. Of the nursing activities inducing them to rest, counseling stood first at 43.3 percent, followed by teaching at 28.4 percent, relief of pain af discomfort at 20 percent, active attitudes of nurses to help them at 8.3 percent in that order. 6. There was no significant difference between the level of education or religions and nursing activities inducing them to rest. 7. Nursing activities which induced comfort ＆ rest by diseases were mainly counseling & teaching.

• 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.

• Clinical and Experimental Pediatrics
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• 제51권8호
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• pp.856-860
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• 2008

목 적 : 소아에서 진단 목적으로 척수액 검사를 시행한 환아에서 요추 천자 후 발생하는 두통과 요통에 영향을 주는 요인들을 조사하고, 특히 소아에서 불편을 호소하는 요추 천자 후 절대안정이 필요한가를 알아보기 위해 본 연구를 하였다. 방 법 : 2005년 7월부터 2007년 7월까지 건국대학교병원 소아청소년과에 뇌수막염 진단을 위해 요추 천자를 시행한 2세부터 15세의 환아 70명을 대상으로 하였다. 저자들은 그들을 2개의 집단으로 나누었다. 요추 천자 후 절대 안정을 하지 않은 집단은 24명이었고 절대 안정을 4시간 동안 시행한 집단은 46명이었다. 요추 천자 후 발생되는 두통, 요통과 같은 합병증이 나이, 성별, 요추 천자 횟수, 척수액내의 백혈구 세포수 및 압력, PCR enterovirus, 절대 안정여부와 상관 관계가 있는지 분석하였다. 결 과 : 요추 천자 후 발생되는 두통, 요통과 같은 합병증은 나이, 성별, 척수액 압력, 장 바이러스와는 통계학적인 의미가 없었다. 두통은 척수액내의 백혈구 세포수가 높을수록 통계학적인 의미가 있었다(P=0.043). 증상의 빈도는 두 집단 간에 큰 의미는 없었다. 요통의 발생 횟수는 요추 천자 횟수가 많을수록 통계학적으로 의미 있게 증가하였다(P=0.046). 결 론 : 척수액내의 백혈구수와 요추 천자 횟수는 천자 후에 발생하는 두통과 요통에 영향을 주는 인자로 생각된다. 요추 천자 후 예방적으로 시행되는 절대 안정은 천자 후에 발생하는 두통 및 요통의 발생 빈도에 영향을 주지 않기 때문에 시행할 필요가 없다고 생각한다.

• 대한간호
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• 제27권5호통권148호
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• pp.56-58
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• 1988