Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Review for Effectiveness of Bedrest on Post-Dural Puncture Headache

척추마취 후 두통완화를 위한 침상안정 효과에 대한 융복합적 문헌고찰

  • Song, Youngshin (College of Nursing, Chungnam National University) ;
  • Kim, Chi-Hye (College of Nursing, Chungnam National University) ;
  • Kim, Kyoungok (Dept. of Nursing, Chungnam National University Hospital)
  • Received : 2016.10.21
  • Accepted : 2017.03.20
  • Published : 2017.03.28
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Abstract

The purpose of this study was to review the study design, participants, intervention and its outcomes of studies for post-dura puncture headache using systematic review. Total 4234 studies were searched from 1980 to 2016 years,15 studies were included in final. Total 5239 patients were participated in studies, and 10 RCTs studies and 5 observational studies were included. The findings showed that experimental studies used the 24hr bedrest intervention as a control group for comparing the prevalence of headache with the early ambulation intervention group. The prevalence of headache in ambulation group was lower than 24hr bedrest group (except 2 studies). The high risk methodological bias should be considered when understandings the research findings. Based on this study, meta-analysis study for investigating the proper period of time for bedrest should be performed in further study.

척추마취 후 두통완화를 위한 침상안정에 대한 연구에 대한 체계적 문헌고찰을 통해 이들 연구에서 사용된 연구설계, 대상자 및 주요 중재방법과 그 효과에 대해 분석하였다. 연구추출을 위해 1980년부터 2016년까지 총 4234의 문헌중 15편의 연구논문을 분석하였다. 그 결과 5239명의 척추마취를 시행한 대상자가 연구에 참여하였으며, 실험연구가 10편, 비실험연구 5편이 포함되었다. 실험연구 대부분 24시간 침상안정군을 대조군으로 선정하여 다양한 시간의 침상안정에 따른 두통 발현율을 비교하였는데 2편의 논문을 제외한 연구에서 조기이상군의 두통발현율이 낮았다. 개별연구의 연구 질 평가결과를 감안하여 척추마취 후 두통을 완화시키기 위한 적절한 침상안정시간을 산정하기 위해 다양한 연구시도와 기존연구를 이용한 메타분석연구가 필요한 것으로 사료된다.

Keywords

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