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경피적 관상동맥중재술 후 반좌위 체위변경이 환자의 요통과 불편감에 미치는 효과
The Effects of Fowler's Position Change on Back Pain and Discomfort of the Patients Following Percutaneous Coronary Intervention

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Authors
남소영; 최스미
Issue Date
2010-12
Publisher
서울대학교 간호과학연구소
Citation
Perspectives in Nursing Science, Vol.7 No.1, pp. 55-64
Keywords
Percutaneous coronary interventionsVascular closure deviceFowler's position changeBack painDiscomfort관상동맥중재술혈관 폐쇄 기구반좌위 체위변경요통불편감
Abstract
Purpose: The purpose of this study was to examine the effects of position change from supine to Fowler's on back pain and discomfort in patients who remained on bed rest after undergoing PCIs with a vascular closure device. Methods: Data was collected from 35 inpatients who were hospitalized in coronary-care unit to perform PCIs with a vascular closure device at S hospital in Seoul from December, 2006 to May, 2007. Back pain, discomfort, presence and grade of bleeding and hematoma from femoral arterial puncture site and blood pressure/pulse rate were measured prior to, 10 minutes, 1 hour and 2 hours after position change. Data was analyzed with descriptive statistics, $x^2$ tests and t-tests using SPSS/WIN 12.0 for Windows program. The level of significance (${\alpha}$) was set at 0.05 for this study. Results: We found that there was no significant difference in back pain and discomfort in 10 minutes after position change between the two groups. However, the experimental group reported significantly less back pain and discomfort than the control group in 1 hour (p<.01, respectively) and 2 hour (p<.01, respectively) after position change. There was no significant difference in the presence and grade of bleeding and hematoma at the puncture site, blood pressure, and pulse rate in 10 minutes, 1hour and 2hours after position change between the two groups. Conclusion: Fowler's position change after PCIs in, therefore, safe and effective method of reducing back pain and physical discomfort without causing additional bleeding and changes in blood pressure and pulse rate.
ISSN
2288-2898
Language
Korean
URI
https://hdl.handle.net/10371/84954
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College of Nursing (간호대학)The Research Institute of Nursing Science (간호과학연구소)Perspectives in Nursing Science (간호학의 지평)Perspectives In Nursing Science (간호학의 지평) Volume 07 Number 1 (2010)