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体位改变对韩国患者经皮冠状动脉介入术后腰痛及不适的影响:一项随机对照试验研究

Effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention: a RCT study.

作者信息

Cha Nam Hyun, Sok Sohyune

机构信息

Department of Nursing, Andong National University, Republic of Korea.

College of Nursing Science, Kyung Hee University, Republic of Korea.

出版信息

J Phys Ther Sci. 2016 Oct;28(10):2742-2747. doi: 10.1589/jpts.28.2742. Epub 2016 Oct 28.

Abstract

[Purpose] This study sought to examine the effects of position change on lumbar pain and discomfort of Korean patients after invasive percutaneous coronary intervention. [Subjects and Methods] The participants consisted of 48 patients (experimental: n=24, control: n=24) who underwent invasive coronary intervention (Percutaneous Coronary Intervention) in K hospital, Seoul, Korea. A randomized controlled trial design was used. Position changes as the experimental treatment were sequenced as follows: supine position for one hour after removal of the catheter; 30-degree bed-elevated lateral position for one hour; 30-degree bed elevation for one hour; and finally 30-degree bed-elevated lateral position for one hour. The thirty degree bed-elevated lateral position was intended to press on the surgical site. Measures used were the general characteristics form, Visual Analogue Scale for lumbar pain, and discomfort scale. [Results] There were significant differences on lumbar pain and discomfort of Korean patients after invasive coronary intervention between the experimental and control groups. [Conclusion] Position change was an effective intervention for decreasing lumbar pain and discomfort of Korean patients after invasive coronary intervention. Health professionals need to consider an array of methods including position change for patients after invasive coronary intervention.

摘要

[目的] 本研究旨在探讨体位改变对韩国患者经皮冠状动脉介入治疗后腰部疼痛及不适的影响。[对象与方法] 研究对象为48例在韩国首尔K医院接受经皮冠状动脉介入治疗(PCI)的患者(试验组:n = 24,对照组:n = 24)。采用随机对照试验设计。作为试验治疗的体位改变顺序如下:拔除导管后仰卧1小时;床头抬高30度侧卧位1小时;床头抬高30度1小时;最后床头抬高30度侧卧位1小时。床头抬高30度侧卧位旨在压迫手术部位。所采用的测量方法包括一般特征表、腰部疼痛视觉模拟量表和不适量表。[结果] 试验组与对照组在经皮冠状动脉介入治疗后韩国患者的腰部疼痛及不适方面存在显著差异。[结论] 体位改变是减轻韩国患者经皮冠状动脉介入治疗后腰部疼痛及不适的有效干预措施。医疗专业人员需要考虑包括体位改变在内的一系列方法来帮助经皮冠状动脉介入治疗后的患者。

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