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생리통을 경감시키기 위해 자장을 적용하고 효과를 평가하여 통증 간호중재의 한 방법으로 자장을 임상에 적용하기 위한 연구이다.
자장적용의 이론적 배경은 인간을 개방체계로 간주하면서 자장 적용중 자장 에너지가 인간에게로 이동된다는 것이다. 과거 로저스의 이론은 그 원리를 보편적으로 실행하는데 제한점이 있고 그 기본이 되는 이론은 추상적인 것으로 남아 있으나 본 연구에서는 치료적 접촉에서와 마찬가지로 그 이론을 실질적인 것으로 측정하여 실제 간호에 적용하였다.
현재 많은 사람이 예방적인 목적, 치료의 보조적인 목적으로 자장 적용을 하고 있으나 정확한 적용 방법에대한 올바른 지침으로 이것을 보다 효과적으로 사용할 수 있도록 계속적인 연구가 뒷받침된다면 자장 적용이 통증을 경감시키기 위한 간호 중재로 훌륭한 몫을 할 수 있을것이다.
There was necessary to study that the magnetic application is effective to menstrual pain based on rogers theory about energy exchange. The purpose of this study was to examine the effectiveness of magnetic application in primary dysmenorrhea and so this study provide the basic information about nursing intervention of pain relief.
The data was gathered from 23 student nurses at S University during the period of June 1. 1992 to October 5. 1992.
This study was designed with control group pretest-posttest design to examine the effectiveness of magnetic application in primary dysmenorrhea.
The subjects were experiencing self-reported dysmenorrhea above 5 scores measured by GRS during menstruation. The subjects were assigned randomely to one of two gropus : 1) an experimental group(n=11) that applied magnet(8001299 gauss) or 2) a control group (n= 12) that applied nonmagnet.
Both groups´ pain level was assessed using the GRS ( Graphic Rating Scale) which was developed by Scott and Huskisson(1976), and the ALPRSR(Adjective Labor Pain Rating Scale Rank) and ALPRSS(Adjective Labor Pain Rating Scale Score) which was developed by Park and Hur(1984). The pain level of experimental group was measured first 9 a.m. after beginning of dysmenorrhea, Md (3 hours after applied magnet) and 3 p.m. (3 hours after detached magnet). The pain level of control group was measured first 9 a.m. after beginning of dysmenorrhea, MD (3 hours after applied nonmagnet) and 3 p.m. (3 hours after detached nonmagnet). The both group applied
magnet or nonmagnet on the suprapubic area, the bilateral lumbar 3 and above 4FB of
the medial malleolus of tibial bilaterally.
The research data was analyzed by SPSS/PC+
The results of this study were as follows :
1) 3 hours after applying magnet or nonmagnet (MD), The GRS mean rank was significant difference statistically (p = 0.0001) .
2) 3 hours after applying magnet or nonmagnet (MID), the ALPRSR mean rank was significant difference statistically(p=0.0106).
3) 3 hours after applying magnet or nonmagnet (MID), The ALPRSS mean rank was significant difference statistically(p=0.0086).
4) 3 hours after detached magnet or nonmagnet (3 p.m.), the GRS mean rank was significant difference statistically(p = 0.0070 ).
5) 3 hours after detached magnet or nonmagnet (3 p.m.), the ALPRSR mean rank was significant difference statistically (p = 0.0317) .
6) 3 hours after detached magnet or nonmagnet (3 p.m.), The ALPRSS mean rank was significant difference statistically (p = 0.0374).
7) 3 hours after applying magnet or nonmagent (MD), pain relief percentage was 90.9 % ( experimental group), 41.7 % ( control group) by GRS and 100,0 % (experimental group), 41.7 % ( control group) by ALPRSR and 100.0% (experimental group), 58.3%(control group) by ALPRSS.
8) 3 hours after detached magnet or nonmagnet (3 p.m.), pain relief percentage was 81.8% (experimental group), 58.3%(control group)by GRS and 72.7%(experimental group), 33.3%(control group) by ALPRSR and 90.9% (experimental group), 41.7%(control group) by ALPRSS.
Based upon the above findings, this study concludes that 3 hours after applying the magnetic application is effective and 3 hours after detached the magnetic application is effective to primary dysmenorrhea.
This study was based on Rogers theory about energy exchange.
Through this research about the magnetic application, we can found the pain relief in primary dysmenorrhea.
So I hope that the study about principle of magnetic application will be developed continuously in the aspect of testing the Rogers theory.
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