KMID : 1004620160220030345
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Clinical Nursing Research 2016 Volume.22 No. 3 p.345 ~ p.351
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A Descriptive Study on Abdominal Discomfort after Scoliosis Corrective Surgery
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Lee Mi-Young
Park Hyun-Suk Kim Jin-Won Yoon So-Jeong Moon Nam-Kyung Choi Jung-Hee
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Abstract
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Purpose: The specific aims of this study were to investigate the incidence, time of occurrence, intervention methods and related causes of abdominal discomfort after scoliosis corrective surgery.
Methods: A retrospective review was carried out on all patients with diagnosis of adolescent idiopathic scoliosis (n=420) who received a posterior spinal fusion between January 2012 and December 2014. Logistic regression analysis was used to identify significant related factors.
Results:One hundred eighty five of the patients in the study (44.0%) reported abdominal discomfort (AD group). The discomfort was worst on 2nd days after operation (31.4%), and 3rd days (27.0%). Ninety seven patients (52.4%) in the AD group received enema treatment. Significant related factors for developing abdominal discomfort were distal fusion levels (OR=2.43, p<.006) and increased operative blood loss (OR=1.03, p<.001).
Conclusion: The incidence of abdominal discomfort after scoliosis corrective surgery in this study was 44%. Abdominal discomfort, therefore, is a main concern in reference to scoliosis corrective surgery, and solutions need to be searched and reported in future research.
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KEYWORD
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Abdomen, Discomfort, Scoliosis, Surgery
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