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KMID : 0377619980630120886
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Korean Jungang Medical Journal
1998 Volume.63 No. 12 p.886 ~ p.894
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The Effects of the fain on Bed Best Time for the Operated patients Under Spinal Anesthesia
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Hong Yoon Mi
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Abstract
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The purpose of this study was 1) to determine the effects of position change on patients’ headache & back pain 2) to alleviate patients’ back pain by using early position change. This study is a nonequivalent control group nonsynchronized design, quasi-experimental study. The data were collected from lune, 1997 to April, 1998. Seventh two patients who
were operated at the Y university hospital have been selected. Of them forty were in the experimental group 8c thirty two were in the control group. The procedures of research are as follows Both of group were taken by the supine
position after operation. Experimental group were given position change artier 12 hours returning from recovery room to ward. On the other hand, control group, after 24 hours returning loom recovery room to ward. Data were collected by scoring the severity of headache & back pain before position change, soon artier, 2 hours 8c 4 hours after position change. The instruments used in this study were a visual Analogue Scale developed by Huskisson(1994) as a subjective record method evaluating the intensity of pain. Data analysis was done by using SSPC/PC+.
Summarized results are as follows ;
1) Comparison of the severity of headache 8E back pain between control group & experimental group before position change. The result of T-test showed that the average of experimental group and control group was 1.3, 1.1 respective)y, therefore, there is no significant difference in the severity of headache between the control & the experimental group before position change(p=.48). In the severity of back pain, the experimental group before was 5.7, the control group was 77 and there’s no significant difference between both groups(p=.19).
2) Comparison of the severity of headache & back pain between the control group 8c the experimental group shortly after position changed, There was no significant difference in the severity of headache soon artier, 2 hours,4 hours artier position change. There was no significant difference in the severity of back pain, soon artier, 2 hours and 4 hours after position change. The average of experimental & control groups were 1.1 shortly artier, 0.9 artier 2 hours, & 1.5 shortly artier, 1.4 artier 2 hours respectively. So, there has been accepted hypothesis that there wouldn’t be any difference in the
development of headache between the group position changed after failing bed rest f3r 12 hours and the group position changed artier takings bed rest for 24 hours since the operation under spinal anesthesia. The severity of back pain in the experimental & the control groups were 4.3 shortly artier changing position, 3.5 artier 2 hours and 4.7 shortly artier, 3.4 artier 2 hours respectively. There were no statistically differences between both groups. Therefore, there has been rejected hypothesis that the group position changed after taking bed rest for 12 hours would be reduced the development of back pain, compared with the group position changed after laking bed rest for 24 hours since the operation under the spinal
anesthesia.
3) 47.5% of experimental group & 34,4% of control group have headache, 70% of experimental group & 78.1% of control group have back pain. The result of this study showed that the severity of headache 8c back pain between the control & experimental groups is not significantly different. Therefore, there is no need to keep patient on supine position during 24 hours after spinal anesthesia. It may occur discomfort of the patients. This study showed that patients require to change their position earlier than before. We may help patients 1;rep their supine position after spinal anesthesia for 12 hours
for the sake of alleviating their discomfort.
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KEYWORD
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