Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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A Study on Bleeding after Shortening the Bed Rest Time of Pediatric Hemato-oncologic Patients after Bone Marrow Examination

소아 혈액종양 환자의 골수검사 후 침상안정 시간 단축에 따른 출혈에 관한 연구

  • Park, Mi Jeong (Department of Nursing, Seoul National University Hospital) ;
  • Lee, Hye Youn (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Nam Yi (Department of Nursing, Seoul National University Hospital) ;
  • Lee, Ok Hee (Department of Nursing, Seoul National University Hospital) ;
  • Hwang, Yu Min (Department of Nursing, Seoul National University Hospital)
  • Received : 2021.01.29
  • Accepted : 2021.06.29
  • Published : 2021.08.31
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Abstract

Purpose: The purpose of our study was to identify the bleeding risk factors and to validate the safety of shortening the bed rest time after bone marrow examination in pediatric hemato-oncologic patients. Methods: From July 2019 to September 2020, 145 patients were enrolled from a single center. Medical records were reviewed retrospectively. Descriptive statistics were presented, and the data were analyzed using 𝑥2-test, Fisher's exact test, and a logistic regression. Results: After two hours of bed rest, most of the patients (91.7%) did not have bleeding complications, and only 8.3% of the patients had a minor bleeding. The rate of major bleeding complications, including hematoma, retroperitoneal hemorrhage rate was zero. The bleeding complications was frequently found on bilateral procedures than unilateral procedures and the difference were statistically significant (p<.05). Conclusion: Two hours of bed rest time after bone marrow examination could be safe and adequate in pediatric hemato-oncologic patients.

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References

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