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김필자 ( Kim Phill-Ja ) - 세브란스병원
정정인 ( Jeong Jeong In ) - 세브란스병원
나향 ( Na Hyang ) - 세브란스병원
김가연 ( Kim Ka Youn ) - 세브란스병원
김경선 ( Kim Kyeong Seon ) - 세브란스병원
이근화 ( Lee Keun Hwa ) - 세브란스병원
이은숙 ( Lee Eun-Sook ) - 세브란스병원
홍순복 ( Hong Sun Bok ) - 세브란스병원
황정화 ( Hwang Jung-Hwa ) - 세브란스병원
김선경 ( Kim Sun Kyung ) - 세브란스병원
한송이 ( Han Song Lee ) - 세브란스병원
김희순 ( Kim Hee-Soon ) - 연세대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to examine the effect of position change on discomfort and bleeding in patients undergone coronary angiography with a vascular device and required bed-rest.
Method: This study utilized nonequivalent control group non-synchronized design. Data were collected from 118 inpatients after coronary angiography and stayed in general ward at Y hospital in Seoul, from June 5 to August 12, 2008. After coronary angiography, position change was performed to the experimental group who consisted of 59 patients. They stayed in supine position just after angiography and then head-up position with 15 degrees was applied 1 hour later. After that, they could change the position alternatively into lateral position with leg down and supine position. The control group was positioned keeping the affected leg immobile with supine position for 4 hours.
Results: The experimental group reported significantly more comfortable than control group after position change. There were no significant differences in the grades of bleeding or hematoma at puncture site between the two groups.
Conclusion: The position change in patients undergone angiography could be applied without any harm such as bleeding or hematoma, but effective in reducing back pain and subjective patients’ discomforts.
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KeyWords
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관상동맥 조영술, 체위변경, 통증, 불편감, 출혈
Coronary angiography, Position change, Pain, Discomfort, Bleeding
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원문 및 링크아웃 정보
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등재저널 정보
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