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정옥주 ( Jung Ok-Ju ) - 국군수도병원
한자경 ( Han Ja-Kyoung ) - 국군수도병원
남숙영 ( Nam Suk-Young ) - 국군수도병원
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Abstract
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Purpose : The study design was a comparative study to offer an evidence-based nursing intervention on posture after myelography, by confirming whether there are differences in headache incidence rates depending on whether the patient remains in the supine position(horizontal head position ; zero elevation) or the 30° upright position after undergoing myleography.
Methods : The subjects were inpatients of the department of neurosurgery of the Armed Forces ○○ Hospital in Gyeong-gi province, from May 1 to September 27, 2007. A graphic rating scale was used as an instrument to measure the intensity levels of headache pain. The levels range from 0 to 10, and the higher number indicates an increase in pain severity. Collected data was analyzed with SPSS 12.0. As for the test of homogeneity, depending on general characteristics and myelography characteristics between two groups, the x2 - test or the Fisher’ Extract Test was used. The test of statistical hypothesis was enforced using the Mann-Whitney U Test, which is a non -parametric method, since the two groups did not show a normal distribution.
Result : 1. The headache incidence rate after myelography was 66.7% 2. There was meaningful difference in the headache incidence rate(X2=11.510, p=.001) between the supine position group(83.7%) and 30-degree upright position group(48.9%). 3. There was meaningful difference in the headache severity levels(U=730.500, p=.002), between the supine position group (mean 2.367, std 2.881) and 30° upright position group(mean 4.133, std 2.766).
Conclusion : There was meaningful difference in the headache incidence rate and levels of severity between the supine position group and the 30° upright position group. According to the data which was obtained from this study, the 30° upright position after myelography is a necessary nursing intervention, and is more effective for the prevention of headaches than the supine position.
Suggestion: 1. A repeated study with an increased number of subjects is required among inpatients of other Armed Forces Hospitals based on the above results. 2. A comparative study is required on other headache induction factors after myelography including: fluid therapy, bed rest time, thickness of needles, kind of contrast media).
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KeyWords
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척수강 조영술, 두통, 앙와위, 30도 두부 거상 체위
myelography, headache, supine position, 30° upright position
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원문 및 링크아웃 정보
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등재저널 정보
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