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요추 만곡 지지가 경요도적 전립선 절제술 후 침상 안정기 환자의 요통과 안위 및 출혈성 합병증 발생에 미치는 효과

 The Effect of Support for Lumbar Curve on Back Pain, Comfort, and Bleeding Complications in Patients on Bed Rest after Transurethral Resection of Prostate

기본간호학회지 2007년 14권 3호 p.280 ~ 287
KMID : 0388320070140030280
임자영 ( Lim Ja-Young ) - 가톨릭대학교 의과대학 성모병원 간호부

송경애 ( Sohng Kyeong-Yae ) - 가톨릭대학교 간호대학
정승교 ( Chaung Seung-Kyo ) - 세명대학교 간호학과

Abstract

Purpose: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP).

Method: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels.

Results: Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group.

Conclusion: These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.
KeyWords
지지, 요통, 안위, 경요도적 전립선 절제술
Back pain, Comfort, Transurethral resection of prostate
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학술진흥재단(KCI) KoreaMed