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체위변경이 간동맥 화학색전술 후 침상안정기 환자의 요통과 안위에 미치는 효과

 Effect of Positioning on Back Pain and Comfort of Bed Rest Patients after Transhepatic Arterial Chemoembolization

기본간호학회지 2005년 12권 3호 p.317 ~ 324
KMID : 0388320050120030317
박한종 ( Park Han-Jong ) - 가톨릭대학교 간호대학

송경애 ( Sohng Kyeong-Yae ) - 가톨릭대학교 간호대학

Abstract

Purpose: The study was done to investigate whether positioning relieves the back pain and enhances comfort during bed rest after transhepatic arterial chemoembolization(TACE).

Methods: A quasi-experimental design with non-equivalent control group non-synchronized design was used. The experimental group was placed semi Fowler’s position for the first 2 hours. The following 4 hours the position was rotated hourly between 30 degrees laterally inclined position and a semi Fowler’s position. The control group was maintained in a supine position for the 6 hours. Data were analyzed using t-test, 2-test, Fisher’s exact test and repeated measures ANOVA.

Results: 1) Back pain intensity significantly decreased in the experimental group compared to the control group. 2) Comfort level significantly decreased in both groups, but there was no significant difference between the two groups. 3) There were no hematoma and bleeding complication in either group. In addition, there was no significant difference in urinary retention between the two groups. 4) Analgesics were less frequently taken by the experimental group.

Conclusion: These results suggest that positioning relieves back pain without causing an increased incidence of hematoma and bleeding formation after TACE and this nursing intervention might help patients be more comfortable during the treatment of TACE.
KeyWords
체위변경, 안위, 간동맥 화학색전술
Positioning, Pain
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학술진흥재단(KCI) KoreaMed