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뇌혈관 내 수술 후 운동요법이 불편감, 요통, 출혈 및 혈종에 미치는 효과

The Effect of Exercise Therapy after Cerebral Endovascular Surgery on the Level of Discomfort, Low Back Pain, Hemorrhage, and Hematoma

이은자|장경혜
병원간호사회 (Hospital Nurses Association)|2013.04|임상간호연구 (Journal of Korean Clinical Nursing Research)|제19권 제1호|pp. 69-80

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키워드

Low back pain운동요법Exercise therapy출혈Hemorrhage요통Hematoma혈종Endovascular procedures혈관 내 수술
주제분류간호학

초록

Purpose: This study aimed to prove the effect of exercise therapy on discomfort and low back pain after cerebral endovascular surgery through femoral artery. Methods: The study employed a non-equivalent control group pretest-posttest design. Data were collected from 74 participants and were divided equally into two groups as experimental and control groups. In the experimental group, exercise therapy was applied in 2 hours, 4 hours,and 6 hours after cerebroendovascular surgery. The level of discomfort, back pain, hemorrhage, and hematoma was observed and recorded as a pretest. In the posttest, low back pain, hemorrhage, and hematoma were measured in 2.5 hours, 4.5 hours, and 6.5 hours, and discomfort was measured in 6.5 hours. The study was conducted from April to September, 2012. Data were analyzed with descriptive study, Chi-square test, t-test,repeated measure ANOVA and Bonferroni using SPSS/WIN 18.0 version. Results: The exercise therapy after cerebral endovascular surgery helps in reducing the level of discomfort (t=-2.37, p=.020) and low back pain (F=5.15, p=.005) without the side effects of hemorrhage or hematoma. Conclusion: Therefore, the exercise therapy was an efficient intervention for patients after cerebral endovascular surgery with discomfort and low back pain. Nurses could apply non-pharmacological interventions such as exercise therapy to avoid pharmacological side-effects.

Abstract

Purpose: This study aimed to prove the effect of exercise therapy on discomfort and low back pain after cerebral endovascular surgery through femoral artery. Methods: The study employed a non-equivalent control group pretest-posttest design. Data were collected from 74 participants and were divided equally into two groups as experimental and control groups. In the experimental group, exercise therapy was applied in 2 hours, 4 hours,and 6 hours after cerebroendovascular surgery. The level of discomfort, back pain, hemorrhage, and hematoma was observed and recorded as a pretest. In the posttest, low back pain, hemorrhage, and hematoma were measured in 2.5 hours, 4.5 hours, and 6.5 hours, and discomfort was measured in 6.5 hours. The study was conducted from April to September, 2012. Data were analyzed with descriptive study, Chi-square test, t-test,repeated measure ANOVA and Bonferroni using SPSS/WIN 18.0 version. Results: The exercise therapy after cerebral endovascular surgery helps in reducing the level of discomfort (t=-2.37, p=.020) and low back pain (F=5.15, p=.005) without the side effects of hemorrhage or hematoma. Conclusion: Therefore, the exercise therapy was an efficient intervention for patients after cerebral endovascular surgery with discomfort and low back pain. Nurses could apply non-pharmacological interventions such as exercise therapy to avoid pharmacological side-effects.

참고문헌 (26)

  1. Carpenito, L, J., "Nursing diagnosis: Application to clinical practice" (1983), Lippincott. Co
  2. Choe, J. R., "Back pain of muscular origin", The Korean Journal of Pain, 6(1), pp.83~95 (1993)
  3. Dumont, C. J. P., "Predictors of Vascular Complications Post Diagnostic Cardiac Catheterization and Percutaneous Coronary Interventions", Dimensions of Critical Care Nursing, 25(3), pp.137~142 (2006)
  4. Faul, F., "Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)[DOI]
  5. Hahn, S. W., "The effects of exercise therapy and transcutaneous electrical nerve stimulation for the alleviation of low back pain after coronary angiography", Korean Journal of Adult Nursing, 14(2), pp.222~232 (2002)
  6. Höglund, J., "The effect of early mobilisation for patient undergoing coronary angiography; a pilot study with focus on vascular complications and back pain", European Journal of Cardiovascular Nursing, 10(2), pp.130~136 (2011)[DOI]
  7. Huang, Y. H., "Nursing experience providing care for back pain following percutaneous coronary intervention", Hu Li Za Zhi The Journal of Nursing, 57(2, suppl), pp.S75~S80 (2010)
  8. Kang, S. D., "cerebrovascular surgery" (2010), 고려의학
  9. Kang, Y. H., "Encyclopedia of life science" (2008), Academy book
  10. Kee, E. J., "A Study for Discomfort and Bleeding complications during Absolute Bed Rest in patients undergoing percutaneous coronary intervention", 석사, pp.2001
  11. 김명하, "침습적 관상동맥 중재술(PCI)후 불편감 완화에 대한 운동요법과 냉요법의 효과", 임상간호연구, 13(1), pp.185~196 (2007), 병원간호사회
  12. 고은주, "경동맥 화학색전요법 후 절대안정중인 환자의 요통완화를 위한 운동의 효과", 기본간호학회지, 15(2), pp.171~177 (2008), 기본간호학회
  13. Lasic, Z., "Vascular closure devices : A review of their use after invasive procedures", American Journal of Cardiovascular Drugs, 5(3), pp.185~200 (2005)
  14. Lee, D. G., "A study on economic stress-related factors with stroke patients", 석사, pp.2007
  15. Lee, E. J., "A study on perceived discomfort in patients following cardiac catheterization", Journal of Korean Academy of Nursing, 25(1), pp.124~140 (1995)
  16. 이혜경, "경피적 관상동맥 중재술 후 운동요법이 요통, 배뇨장애와 출혈 및 혈종에 미치는 영향", 임상간호연구, 17(1), pp.35~45 (2011), 병원간호사회
  17. Lee, K. W., "Therapeutic exercise in low back pain", Journal of Korean Academy of Rehabilitation Medicine, 19(2), pp.203~208 (1995)
  18. 이미진, "동영상 운동요법이 척추수술 환자의 통증과 일상생활 기능, 교육만족도에 미치는 효과", 임상간호연구, 15(3), pp.39~48 (2009), 병원간호사회
  19. Nam, S. Y., "The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary intervention", Perspective in Nursing Science, 7(1), pp.55~64 (2010)
  20. 박정숙, "등마사지가 경피적 관상동맥 풍선확장술 후 환자의 불편감 완화에 미치는 영향", 임상간호연구, 9(2), pp.56~67 (2004), 병원간호사회
  21. Rein, A., "Positioning post-outpatient cardiac catherization", Progress in Cardiovascular Nursing, 10(4), pp.4~10 (1995)
  22. Reynolds, S., "Head of bed elevation, early walking, and patient comfort after percutaneous transluminal coronary angioplasty", Dimensions of Critical Care Nursing, 20(3), pp.44~51 (2001)
  23. Scriver, V., "A randomized controlled trial of the effectiveness of exercise and", or alternating air mattress in the control of back pain after percutaneous transluminal coronary angioplasty, 1994, pp.23(4), 308~316
  24. Statistics Korea, "Cause of death statistics 2011", Statistics Korea, ~ (2012)
  25. Yoon, B. W., "In Korea stroke clinical practice guidelines development process and the direction of future development", Paper presented at the meeting of the Korean Society of Cerebrovascular Surgeons (2009)
  26. Yun, S. Y., "Effects of exercise therapy on back pain of transarterial chemoembolization patients with liver cancer", 석사, pp.2008

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