척추마취수술 환자의 수술 후 일상활동이 경막천자 후 두통 발생에 미치는 효과
Effect of Post Operative Daily Activity on Post-dural Puncture Headache after Spinal Anesthesia
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목적: 본 연구의 목적은 척추마취수술환자의 수술 후 일상활동이 경막천자 후 두통발생에 미치는 효과를 비교ㆍ분석하는 것이다. 방법: 연구는 비동등성 대조군 전⦁후 시차 설계로 K 대학교병원 임상시험심사위원회(Institutional Review Boards; IRB)의 승인을 받은 후 척추마취의 방법으로 수술을 받은 만 20세 이상의 성인 219명을 대상으로 연구에 대해 설명하고 서면동의서를 받은 후 일상활동군과 침상안정군으로 나누어 자료를 수집하였다. 결과: 첫째, 본 연구에서는 두군 모두에서 두통의 발생건수가 한건도 보고되지 않았다. 둘째, 일상활동군과 침상안정군의 생리적지수의 변화는 통계적으로 유의한 차이가 없음이 확인되었다. 논의: 척추마취의 방법으로 수술을 시행한 성인 환자의 침상안정시간에 따른 두통발생 및 생리적지수의 변화에 차이가 없으므로 척추마취수술환자의 수술 후 두통을 예방하기 위한 간호방법으로 6시간 동안의 침상안정을 유지하기보다 일상생활을 허용하는 것이 더 바람직하다고 본다.
Abstract
Purpose: The purpose of this study was to compare and analyze differences in effects of postoperative daily activity on headaches in patients who underwent surgery under spinal anesthesia. Methods: The study was conducted with 219 adults, 20 years or older. Official approval (Approval number: KMC IRB 1434-01) was received from K university hospital clinical trials review board. The research design was a nonequivalent control group non-synchronized design with a daily activities group and the bed rest group. Data was collected after receiving written consent from the participants. Results: There were no participants in either group who experienced headaches. Changes in a physiological index were also not significantly different between the daily activities group and the bed rest group. Conclusion: The results indicate that allowing daily activities in the ward, rather than maintaining bed rest for 6 hours, the existing method of nursing care for the prevention of postoperative headaches, in spinal anesthesia patients, is not detrimental to these patients post operatively.
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