DOI QR코드

DOI QR Code

혈액종양 환자의 골수검사 후 침상안정 시간에 따른 불편감 및 출혈

Discomfort and Bleeding in Relation to Bedrest Time after Bone Marrow Examination among Hemato-oncology Patients

  • Lee, Hye Youn (Department of Nursing, Seoul National University Hospital) ;
  • Jung, Jin Young (Department of Nursing, Seoul National University Hospital) ;
  • Park, Se Yeon (Department of Nursing, Seoul National University Hospital) ;
  • Jo, Eun Mi (Department of Nursing, Seoul National University Hospital) ;
  • Jang, Chang Seob (International Healthcare Center, Seoul National University Hospital) ;
  • Kim, Hyang Seon (Department of Nursing, Seoul National University Hospital) ;
  • Park, Mi Jeong (Department of Nursing, Seoul National University Hospital) ;
  • Hwang, Yu Min (Department of Nursing, Seoul National University Hospital) ;
  • Suh, Eun Young (College of Nursing, Seoul National University)
  • 투고 : 2019.01.31
  • 심사 : 2019.02.22
  • 발행 : 2019.04.30

초록

Purpose: The purpose of this study was to investigate hemato-oncology patients' discomfort and bleeding in relation to the bedrest time after bone marrow examination. Methods: A descriptive correlational study was conducted. The data were collected using self- report questionnaire from total of 131 patients who underwent bone marrow examination from January 2017 to September 2017. Data were analyzed with descriptive statistics, Wilcoxon Signed-rank test, McNemar's test and logistic regression. Results: The level of discomfort after 4 hours of bedrest was significantly higher when compared to 2 hours of bedrest(p<.001). The occurrence of bleeding after 2 hours of bedrest was significantly higher than 4 hours of bedrest(p<.001), however the degree of bleeding was slight. No bleeding occurred in 84% of the patients after 2 hours of bedrest. Conclusion: The results of this study demonstrated that shortening the bed rest time after bone marrow examination was helpful in improving the patient's well-being. Bedrest time could be shortened according to the site of bone marrow examination and patient's condition.

키워드

Table 1. Characteristics of the Participants

BGHSBR_2019_v25n1_91_t0001.png 이미지

Table 2. Procedure related Factor

BGHSBR_2019_v25n1_91_t0002.png 이미지

Table 3. Discomfort after Bone Marrow Examination

BGHSBR_2019_v25n1_91_t0003.png 이미지

Table 4. Bleeding after Bone Marrow Examination

BGHSBR_2019_v25n1_91_t0004.png 이미지

Table 5. Bleeding related Factor

BGHSBR_2019_v25n1_91_t0005.png 이미지

참고문헌

  1. Korean Society of Hematology. Hematology. Seoul: E*PUBLIC; 2006. p. 670.
  2. Malempati S, Joshi S, Lai S, Braner DA, Tegtmeyer K. Bone marrow aspiration and biopsy. The New England Journal of Medicine. 2009;361(15):e28-30. https://doi.org/10.1056/NEJMvcm0804634
  3. Bain BJ. Bone marrow biopsy morbidity and mortality. British Journal of Haematology. 2003;121(6):949-951. https://doi.org/10.1046/j.1365-2141.2003.04329.x
  4. Bain BJ. Bone marrow biopsy morbidity: review of 2003. Journal of Clinical pathology. 2005;58(4):406-408. https://doi.org/10.1136/jcp.2004.022178
  5. Hyun BH, Gulati GL, Ashton JK. Bone marrow examination: techniques and interpretation. Hematology/oncology clinics of North America. 1988;2(4):513-523. https://doi.org/10.1016/S0889-8588(18)30581-1
  6. Jung IJ, Lim ST, Choi YS, Jang T, Oh SE, Yuk HB, et al. Retroperitoneal Hemorrhage after Bone Marrow Aspiration and Biopsy in an Essential Thrombocythemia Patient. The Korean Journal of Medicine. 2015;88(5):598-601. https://doi.org/10.3904/kjm.2015.88.5.598
  7. Johns Hopkins Medicine. Bone Marrow Biopsy [Internet]. Baltimore: Johns Hopkins Medicine;2016 [cited 2016 May 21]. Available from: http://www.hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/bone_marrow_biopsy_92,p 07679/.
  8. Mayo Clinic. Bone marrow biopsy and aspiration [Internet]. Rochester: Mayo clinic; 2016 [cited 2016 May 20]. Available from: http://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/basics/what-you-can-expect/prc-20020282
  9. Children's Hospital of Pittsburgh of UPMC. Bone Marrow Aspiration and Bone Marrow Biopsy [Internet]. Pittsburgh: Children's hospital of pittsburgh of UPMC;2009 [cited 2016 May 20]. Available from: http://www.chp.edu/-/media/chp/patient-procedures/documents/hematology-oncology/bone-marrow-aspirationand-bone-marrow-biopsy.ashx.
  10. Florida Hospital. Patient instructions for interventional Radiology Procedures Florida Hospital Orlando [internet]. Orlando: Florida hospital;2016 [cited 2016 May 20]. Available from: https://www.floridahospital.com/sites/default/files/patient_instructions_for_interventional_radiology_procedures_2.pdf.
  11. Kolcaba KY. A taxonomic Structure for the concept comfort. Journal of Nursing Scholarship. 1991;23(4):237-240. https://doi.org/10.1111/j.1547-5069.1991.tb00678.x
  12. Cho MH, Lee KJ. A Study of Perceived Discomfort of Intensive Care Unit Patient. The Korean Journal of Adult Nursing. 1992;4(2):209-223.
  13. Bartlett JE, Kotrlik JW, Higgins CC. Organizational Research: Determining Appropriate Sample Size in Survey Research. Information Technology, Learning, and Performance Journal. 2001;19(1):43-50.
  14. Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2014. Goyang National Cancer Center; 2016 December. Report No.: 11-1352000-000145-10.
  15. Kee EJ. A study for Discomfort and Bleeding complications during Absolute Bed Rest in patients undergoing percutaneous coronary intervention. [master's thesis]. Suwon: Ajou University; 2001. p. 1-62.
  16. Keeling AW, Knight E, Taylor V, Nordt LA. Postcardiac catheterization time-in-bed study: enhancing patient comfort through nursing research. Applied Nursing Research. 1994;7(1):14-17. https://doi.org/10.1016/0897-1897(94)90015-9
  17. Nam SY, Choi-Kwon S. The Effects of Fowler's Position Change on Back Pain and Discomfort of the Patients Following Percutaneous Coronary Intervention. Perspectives in Nursing Science. 2010;7(1):55-64.
  18. Jung YY, Lee JH, Huh EH, Kwak IO, Baek KW, Chang EM, et al. The Effect of Post-procedures on Preventing Comfort in Patients Received Coronary Angiography. Journal of Korean Clinical Nursing Research. 2001;7(2):67-88.
  19. Park HJ, Sohng KY. Effect of Positioning on Back Pain and Comfort of Bed Rest Patients after Transhepatic Arterial Chemoembolization. Journal of Korean Academy of Fundamentals of Nursing. 2005;12(3):317-324.