척추수술 후 수분섭취중재가 노인의 혈압변화에 미치는 효과
Effect of Water Drinking on the Changes in Blood Pressure after Spinal Surgery in the Elderly
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구의 목적은 척추 수술 후 수분섭취가 혈압변화에 미치는 효과를 알아보기 위한 것이다. 방법: 비동등성 대조군 전후 설계가 이용되었다. 본 연구의 대상자는 척추 수술을 받은 40명의 노인 환자로 구성되었으며(실험군 20명, 대조군 20명), 자료수집은 2013년 5월 9일부터 9월 30일까지 이루어졌다. 실험군은 척추 수술 후 5분 동안 수분 400cc를 섭취하게 한 후 30분 지나 기립자세를 하여 바로 혈압을 측정하였으며, 대조군은 수분섭취를 제외한 실험군과 동일한 치료 및 관리를 받았다. 수집된 자료는 SPSS WIN 19.0 Program을 이용하여 x2-test, t-test, independent t-test를 이용하여 분석하였다. 결과: 수분섭취를 적용한 실험군은 대조군보다 수축기 혈압이 유의하게 높게 나타났다(t=9.065, p=.005). 그러나 이완기 혈압은 유의한 차이를 나타내지 않았다. 결론: 본 연구의 결과는 수분섭취가 척추수술을 한 노인환자의 수축기 혈압 변화에 유용한 간호중재로 활용될 수 있음을 시사한다.
Abstract
Purpose: The purpose of this study was to examine the effects of drinking water on the change in blood pressure after spinal surgery. Methods: A quasi-experimental nonequivalent control group, pretest and posttest design was employed. Subjects were consisted of 40 elderly patients who underwent spine surgery (20 in the experimental group, 20 in the control group). Data were collected from May 9th to September 30th, 2013. The experimental design involved patients drinking 400 mL of water in 5 mins after surgery and the blood pressure was measured in a standing position following the first 30 minutes after surgery. Control group received the same treatment and care as experimental group, except for the water intake. Data were analyzed using SPSS WIN 19.0 for x2-test, t-test and independent t-test. Results: Experimental group with water intake demonstrated a significant higher level of systolic blood pressure compared to the control group (t=9.065, p=.005), but showed a non-significant level of diastolic blood pressure. Conclusion: This study indicates that water intake can be utilized as a useful nursing intervention to monitor changes in systolic blood pressure in elderly patients after spinal surgery.
참고문헌 (29)
- Allison, S. P., "Fluid and electrolytes in the elderly", Current Opinion in Clinical Nutrition and Metabolic Care, 7(1), pp.27~33 (2004)[DOI]
- Cariga, P., "Haemodynamics of the pressor effect of oral water in human sympathetic denervation due to autonomic failure", Clinical Science, 101, pp.313~319 (2001)
- Chobanian, A. V., "The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure", JAMA, 289(19), pp.2560~2572 (2003)
- Deguchi, K., "Effects of daily water drinking on orthostatic and postprandial hypotension in patients with multiple system atrophy", Journal of Neurology, 254, pp.735~740 (2007)[DOI]
- Fan, C. W., "Non-pharmacological management of orthostatic hypotension in the elderly patient", Review in Clinical Gerontology, 15(3-4), pp.165~173 (2005)[DOI]
- Fisher, A. A., "Postprandial hypotension predicts all-cause mortality in older, low-level care residents", Journal of the American Geriatrics Society, 53(8), pp.1313~1320 (2005)[DOI]
- Jones, K. L., "Effects of drink volume and glucose load on gastric emptying and postprandial blood pressure in healthy older subjects. American Journal of Physiology", Gastrointestinal and Liver Physiology, 289(2), pp.G240~G248 (2005)[DOI]
- Jordan, J., "The pressor response to water drinking in hymans: A sympathetic reflex?", Circulation, 101(5), pp.504~509 (2000)[DOI]
- Jordan, J., "A potent pressor response elicited by drinking water", The Lancet, 353(9154), pp.723~ (1999)[DOI]
- Kawaguchi, R., "Postprandial hypotension in elderly subjects : Spectral analysis of heart rate variability and electrogastrograms", Journal of Gastroenterology, 37, pp.87~93 (2002)[DOI]
- 김상균, "식후 어지러움을 주소로 내원한 식후 저혈압 환자 1예", 대한내과학회지, 75(3), pp.358~361 (2008), 대한내과학회
- Lahrmann, H., "EFNS guidelines on the diagnosis and management of orthostatic hypotension", European Journal of Neurology, 13(9), pp.930~936 (2006)[DOI]
- Le Couteur, D. G., "Postprandial systolic blood pressure responses of older people in residential care: Association with risk of falling", Gerontology, 49(4), pp.260~264 (2003)[DOI]
- Lee, H. M., "BMA Severance family doctor series: Back pain" (2005), Academia
- Lee, S. H., "Proper postures and exercises for spinal disc disorders" (2010), Yeuleumsa
- Mannion, A. F., "A randomized controlled trial of postoperative rehabilitation after surgical decompression of the lumbar spine", European Spine Journal, 16(8), pp.1101~1117 (2007)[DOI]
- Miller, R. D., "Miller's anesthesia. Philadelphia" (2005), Chruchill Livingstone
- "The annual statistics on health insurance in 2010" (2010)[URL]
- "The annual statistics on health insurance in 2011" (2012)[URL]
- Robertson, D., "The pathophysiology and diagnosis of orthostatic hypotension", Clinical Autonomic Research, 18(1), pp.2~7 (2008)[DOI]
- Schroeder, C., "Water drinking acutely improves orthostatic tolerance in healthy subjects", Circulation, 106(22), pp.2806~2811 (2002)[DOI]
- Scott, E. M., "Water ingestion increases sympathetic vasoconstrictor discharge in normal human subjects", Clinical Science, 100(3), pp.335~342 (2001)
- Shannon, J. R., "Water drinking as a treatment for orthostatic syndromes", The American Journal of Medicine, 112(5), pp.335~360 (2002)[DOI]
- 손정태, "식후저혈압 위험 노인의 식전 물 섭취가 식후 혈압변화에 미치는 효과", 기본간호학회지, 17(3), pp.304~313 (2010), 기본간호학회
- "The statistics on health care cost" (2010)[URL]
- The Korean Neurosurgical Society, "Neurosurgery" (2006), The Korean Neurosurgical Society
- The Korean Nutrition Society, "Glossary Nutrition" (2008), The Korean Nutrition Society
- Yang, R., "Unique aspects of the elderly surgical population: An anesthesiologist’perspective", Geriatric Orthopaedic Surgery & Rehabilitation, 2(2), pp.56~64 (2011)[DOI]
- Young, T. M., "The effects of water ingestion on orthostatic hypotension in two groups of chronic autonomic failure: Multiple system atrophy and pure autonomic failure", Journal of Neurology, Neurosurgery, and Psychiatry, 75(12), pp.1737~1741 (2004)[DOI]