기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제23권2호
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  • Pages.184-193
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  • 2016
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  • 1225-9012(pISSN)
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  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
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순차적 냉·온 요법이 척추 수술 후 통증과 통증 조절 만족도, 안위, 주관적 반응에 미치는 효과

Effects of Sequential Application of Superficial Cold and Heat on Pain, Patient Satisfaction with Pain Control, Comfort Level and Subjective Response after Spine Surgery

  • 김정희 (서울아산병원 간호부) ;
  • 임승철 (울산의대 서울아산병원 신경외과) ;
  • 노성우 (울산의대 서울아산병원 신경외과) ;
  • 이순진 (서울아산병원 간호부) ;
  • 고영미 (서울아산병원 간호부) ;
  • 김여옥 (서울아산병원 간호부) ;
  • 신용순 (한양대학교 간호학부)
  • Kim, Jeoung Hee (Department of Nursing, Asan Medical Center) ;
  • Lhim, Seung Chul (Department of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Roh, Sung Woo (Department of Neurosurgery, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Sun Jin (Department of Nursing, Asan Medical Center) ;
  • Ko, Young Mi (Department of Nursing, Asan Medical Center) ;
  • Kim, Yeo Ok (Department of Nursing, Asan Medical Center) ;
  • Shin, Yong Soon (College of Nursing, Hanyang University)
  • 투고 : 2016.01.12
  • 심사 : 2016.05.13
  • 발행 : 2016.05.31
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초록

Purpose: The aims of the current study were to evaluate the effects of superficial cold and heat after spine surgery on pain, satisfaction with pain control and comfort level, and to identify subjective responses and adverse effects. Methods: A prospective, single-blind, randomized controlled trial was utilized. The intervention group (n=36) received superficial cooling until the wound drain was removed and thereafter followed by superficial heating until discharge, while the control group (n=34) received only superficial cooling until wound drain was removed. Data were collected from August 4 to November 11 2014. Results: There was significant difference in pain according to time within groups (F=71.87, p<.001). However, we found no difference in pain between groups. The intervention group reported higher patient satisfaction with pain control (4 vs 3, z=-2.83, p=.005) and higher comfort level (5 vs 4, z=-4.12, p<.001) than the control group. Conclusion: Results indicate that sequential application of superficial cold and heat is a useful method in clinical practice for management of pain after spine surgery.

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참고문헌

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피인용 문헌

  1. Effects of Localized Heating on Pain, Skin Perfusion, and Wound Healing After Lumbar Decompression vol.52, pp.5, 2016, https://doi.org/10.1097/jnn.0000000000000529
  2. 척추수술환자의 장폐색 발생 관련요인 vol.14, pp.1, 2021, https://doi.org/10.34250/jkccn.2021.14.1.28