경피적 신장 조직검사 후 6시간 절대안정이 출혈 발생, 불편감과 요통에 미치는 영향
The Effect of Absolute Bed Rest(ABR) after Percutaneous Kidney Biopsy on Bleeding, Discomfort and Back Pain
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Abstract
Purpose: The purpose of this study was to examine the effect of absolute bed rest(ABR) on occurrence of bleeding, discomfort and back pain after kidney biopsy. Method: This study was the nonequivalent control group posttest design. The experimental group was allowed to stay in beds for 18 hour-bed rest(BR) after 6 hour-ABR while the control group was allowed to stay ABR for 24 hours. Results: No bleeding sign was showed for all the patients. Discomfort of voiding, eating, ABR in the control group appeared at a higher level. Three subjects in the control group needed nelaton catheterization, whereas no catheterization was required in the experimental group. There was no significant difference in back pain. However, the control group used more pain killer with significant difference. From these results. Conclusion: There was no significant correlation between ABR time and bleeding. On the other hand, the discomfort of the experimental group appeared at a lower level by reducing ABR time. Therefore, Reduction of ABR time after kidney biopsy would be more efficient way for patients.
참고문헌 (31)
- 기은정, "경피적 관상동맥 중재술 후 절대안정 시간에 따른 불편감과 출혈 합병증에 관한 연구", 석사, pp.2001
- 김형수, "초음파 유도하 신장생검 후 출혈의 초음파검사 및 임상적 의의", 대한초음파의학회지, 15(1), pp.77~82 (1996)
- 대한신장학회 등록위원회, "우리나라 신대체 요법의 현황", 대한신장학회지, pp.425~457 (2006)
- 박한종, "체위변경이 간동맥 화학색전술 후 침상안정기 환자의 요통과 안위에 미치는 효과", 기본간호학회지, 12(3), pp.317~324 (2005), 기본간호학회
- 이향련, "성인백혈병 환자의 요추천자 후 침상안정시간에 따른 통증의 비교", 석사, pp.2005
- 조결자, "신장증 환아의 신생검후 모래주머니 적용시간에 따른 활력징후, 통증 및 출혈에 관한 연구", Child Health Nursing Research, 9(1), pp.28~35 (2003), 아동간호학회
- 조명희, "중환자실 환자의 불편감에 관한 연구", 성인간호학회지, 4(2), pp.209~223 (1992)
- 한국사전 연구사 편집부, "간호학대사전", pp.1556~ (1995), 한국사전 연구사
- 한숙원, "관동맥 조영술 후 요통 완화를 위한 운동요법과 경피적 전기 신경 자극의 효과", 박사, pp.2002
- 홍근표, "기본간호학", pp.700~ (2000), 수문사
- Alebiousu,C.O., "Percutaneous renal biopsy as an outpatient procedure", J Natl Med Assoc, 96(9), pp.1215~1218 (2004)
- Brattebo,G., "Intrathecal anaesthesia in patients under 45 years: incidence of postdural puncture symptoms after spinal anaesthesia with 27G needles", Acta Anaesthesiol Scand, 37(6), pp.545~548 (1993)
- Carpenito,L.J., "Nursing Diagnosis.Application to clinical practice" (1983), Lippincott. Co.
- Clive,D.M., "Postural hemodilution in nephrotic edema: a cause of spurious hemorrhage after renal biopsy", Am J Kidney Dis, 29(4), pp.627~630 (1997)
- Gault,M.H., "Renal biopsy: current views and controversies", Nephron, 34(1), pp.1~34 (1983)
- Keeling,A.W., "Postcardiac catheterization time-in-bed study: enhancing patient comfort through nursing research", Appl Nurs Res, 7(1), pp.14~17 (1994)
- Khajehdehi,P., "Percutaneous renal biopsy in the 1990s: safety, value, and implications for early hospital discharge", Am J Kidney Dis, 34(1), pp.92~97 (1999)
- Lim,R., "Femoral complication and bed rest duration after coronary arteriography", Am J Cardiol, 80(2), pp.222~223 (1997)
- Logemann,T., "Two versus six hours of bed rest following left sided cardiac catheterization and a meta-analysis of early ambulation trials", Am J Cardiol, 84(4), pp.486~488 (1999)
- Mah,J., "Evaluation of 3-hours ambulation post cardiac catheterization", Can J Cardiovasc Nurs, 10(1-2), pp.23~30 (1999)
- Manno,C., "Predictors of bleeding complications in percutaneous ultrasound-guided renal biopsy", Kidney Int, 66(4), pp.1570~1577 (2004)
- Mattix,H., "Is the bleeding time predictive of bleeding prior to a percutaneous renal biopsy?", Curr Opin Nephrol Hypertens, 8(6), pp.715~718 (1999)
- Minuk,G.Y., "Prospective study of the incidence of ultrasound-detected intrahepatic and subcapsular hematomas in patients randomized to 6 or 24 hours of bed rest after percutaneous liver biopsy", Gastroenterology, 92(2), pp.290~293 (1987)
- Risch,S.V., "Lumbar strengthening in chronic low back pain patient", Spine, 18(2), pp.232~238 (1993)
- Schwarz,A., "Safety and adequacy of renal transplant protocol biopsies", Am J Transplant, 5(6), pp.1992~1996 (2005)
- Shidham,G.B., "Clinical risk factors associated with bleeding after native kidney biopsy", Nephrology (Carlton), 10(3), pp.305~310 (2005)
- Tisher,C.C., "Renal Pathology, with Clinical and Functional Correlations" (1994), Lippincott
- Vlasic,W., "Research-based practice: reducing bedrest following cardiac catheterization", Can J Cardiovasc Nurs, 10(1-2), pp.19~22 (1999)
- Whittier,W.L., "Timing of complications in percutaneous renal biopsy", J Am Soc Nephrol, 15(1), pp.142~147 (2004)
- Whitworth,J.R., "Textbook of Renal Disease" (1994), Churchill Livingstone
- Wolff,L., "Fundamentals of Nursing", pp.469~ (1983), J. B. Lippincott Co