Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2014 Aug;26(4):424-433. Korean.
    Published online Aug 31, 2014.
    https://doi.org/10.7475/kjan.2014.26.4.424
    © 2014 Korean Society of Adult Nursing
    Original Article

    The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

    Mi-Jeong Yun,1 and Hye Sook Min2
      • 1Dong-A University Medical Center, Busan, Korea.
      • 2Department of Nursing, School of Medicine of Dong-A University, Busan, Korea.
    • Corresponding author: Min, Hye Sook. Department of Nursing, School of Medicine of Dong-A University, 1 Dongdaesin-dong 3-ga, Seo-gu, Busan 602-812, Korea. Tel: +82-51-240-2872, Fax: +82-51-240-2920, Email: hsmin@dau.ac.kr
    Received March 31, 2014; Revised July 24, 2014; Accepted July 28, 2014.

    Abstract

    Purpose

    This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications during the period of bed rest following transarterial chemoembolization (TACE).

    Methods

    The research design for this study was a non-equivalent control group quasi-experimental design. The participants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional change of taking the semi-Fowler's position and the 30-degree lateral position alternatively during the period of bed rest after TACE for 4 hours at one-hour intervals. The control group maintained the supine position continuously during the period of bed rest after TACE.

    Results

    There were statistically significant differences in low back pain and discomfort between the experimental and the control group after intervention. And no significant difference was found in bleeding complication between two groups.

    Conclusion

    The results of the study suggest that the positional change is an effective nursing intervention to reduce low back pain and discomfort without increasing the risk of bleeding after TACE.

    Keywords
    Therapeutic chemoembolization; Patient positioning; Low back pain; Discomfort; Hemorrhage

    Tables

    Table 1
    Homogeneity Test for General and Disease-related Characteristics, Dependent Variables at Pretest between Groups (N=46)

    Table 2
    Comparison of Back Pain, Discomfort, Complication of Bleeding over the Time between the Groups (N=46)

    Notes

    This article is a condensed form of the first author's master's thesis from Dong-A University.

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    MeSH Terms
    Bed Rest
    Chemoembolization, Therapeutic
    Hemorrhage*
    Humans
    Low Back Pain*
    Nursing
    Patient Positioning
    Research Design
    Supine Position
    Metrics
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