디지털융복합연구 (Journal of Digital Convergence)

  • 제15권3호
  • /
  • Pages.229-236
  • /
  • 2017
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

척추마취 후 두통완화를 위한 침상안정 효과에 대한 융복합적 문헌고찰

Review for Effectiveness of Bedrest on Post-Dural Puncture Headache

  • 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)
  • 투고 : 2016.10.21
  • 심사 : 2017.03.20
  • 발행 : 2017.03.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

참고문헌

  1. Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition (betaversion), Vol. 33. 2013.
  2. J. A. Amorim, M. V. G., de Barros, M. M. Valenca, "Post-dural (post-lumbar) puncture headache: risk factors and clinical features," Cephalalgia, Vol. 32. No. 12, pp. 916-923, 2012. https://doi.org/10.1177/0333102412453951
  3. C. H. Jacobus, " Does bed rest prevent post-lumbar puncture headache?" Annals of Emergency Medicine, Vol. 59, pp.139-140, 2012. https://doi.org/10.1016/j.annemergmed.2011.05.010
  4. E. A. Thromberry, T. A.Thomas, "Posture and post-spinal headache: A controlled trial in 80 obstetric patients," British Journal of Anaesthesia, Vol. 60, pp.195-197, 1988. https://doi.org/10.1093/bja/60.2.195
  5. R. Kang, G. A. Seomun, "Aromatherapy nursing intervention for pain relief-A systematic review and meta analysis," Journal of Digital Convergence, Vol. 14, No. 6, pp.271-283, 2016. https://doi.org/10.14400/JDC.2016.14.6.271
  6. S. Kaukinen, L. Kaukinen, K. Kannisto, M. Kataja, "The prevention of headache following spinal anaesthesia," Annales Chirurgiaeet Gynaecologiae, Vol. 70, pp.107-111, 1981.
  7. P. T. Cook, M. J. Davies, R. E. Beavis, "Bed rest and postlumbar puncture headache". Anaesthesia, Vol. 44, pp.389-391, 1989. https://doi.org/10.1111/j.1365-2044.1989.tb11334.x
  8. H. Lybecker, J. T. Moller, O. May, H. K. Nielsen. "Incidence and Prediction of Postdural Puncture Headache: A Prospective Study of 1021 Spinal Anesthesia", Anesthesia & Analgesia., Vol. 70, pp. 389-94, 1990. https://doi.org/10.1213/00000539-199002001-00389
  9. A. Fassoulaki, C. Sarantopoulos, K. Andreopoulou, "Is early mobilization associated with lower incidence of postspinal headache? A controlled trial in 69 urologic patients". Anaesthesiologie und Reanimation, Vol. 16, pp.375-378, 1991.
  10. M. J. Douglas, M. E. Ward, D. C. Campbell, S. B. Bright, P. M. Merrick. "Factors involved in the incidence of post-dural puncture headache with the 25 guage Whitacre needle for obstetric anesthesia", International Journal of Obstetric Anesthesia, Vol. 6, pp.220-223, 1997. https://doi.org/10.1016/S0959-289X(97)80026-X
  11. J. Vimala, J. V. Peter, L. Jeyaseeian, S Prabhakar, A. M. Cherian. "Post Lumbar Puncture Headache: Is Bed Rest Essential?", Journal-Association of Physocoans of India, Vol. 46, No. 11, pp. 930-932, 1998.
  12. J. A. Amorim, M. M. Valenca. "Postdural puncture headache is a risk factor for new postdural puncture headache", Cephalagia, Vol. 28, pp. 5-8, 2007.
  13. J. A. Amorim, M. V. G. de Barros, M. M. Valenca, "Post-dural (post-lumbar) puncture headache: risk factors and clinical features". Cephalalgia, Vol. 32, No. 12, pp.916-923, 2012. https://doi.org/10.1177/0333102412453951
  14. B. Y Kim, "The effect of the starting time of position change on pain after orthopedic surgery under spinal anesthesia", Journal of Korean clinical nursing research, Vol. 2, pp.201-217, 1996.
  15. D. H. Lee, K. H. Kim, "The prevalance of the postdural puncture headache and back pain in relation to postoperative 24hr bed rest". Korean Journal of Anesthesiology, Vol. 31, pp.600-605, 1996. https://doi.org/10.4097/kjae.1996.31.5.600
  16. Y. M. Hong, "The effect of pain in bed rest time for the operated patients under spinal anesthesia". The Korean Jungang Medical Journal, Vol. 63, pp.886-894., 1998.
  17. S. H. Kim, I. O. Lee, D. H. Kim, H. Y. Moon, B. H. Koo, "The effect of early ambulation on urinary retention and postdural puncture headache following anal operation: A prospective randomized study". Journal of Korean Society of Coloprotology, Vol. 15, pp.179-185, 1999.
  18. J. S. Kim, H. S. Koo, M. S. Kim, "The effect of bed rest on postdural puncture headache after spinal anesthesia". Clinical Nursing Research, Vol. 12, pp.169-178, 2006.
  19. E..S. Oh, "Comparison of the influence of bed rest time variance on the incidence of Post dural Puncture Headache after spinal anesthesia", Master's Thesis, Hallym University, 2011.
  20. Y. Park., "A meta-analysis of the effects of aromatherapy hand massafe", The Journal of Digital Policy & Management, Vol. 13, No. 1, pp. 469-479, 2015.
  21. I. K. Seo, S. H. Lee, "An efficient hospital service model of hyerachial property information classified bioinformatics information of patients", Journal of IT Convergence Society for SMB, Vol. 5 No. 4, pp. 17-23, 2015.
  22. S. J. Han, "An effect of personality type on cognitive, behavioral investment disposition" , Journal of Digital Convergence, Vol. 14, No. 7, pp.127-133, 2016. https://doi.org/10.14400/JDC.2016.14.7.127
  23. Y. Song, E, Ahn. "Patients' perspectives on taking insulin in diabetes-Perspectives of convergence", Journal of Digital Convergence, Vol. 14, No. 12, pp.283-292, 2016. https://doi.org/10.14400/JDC.2016.14.12.283
  24. Y, Song, E.K., Ahn, H.S., Sim. "Time management behavior, job satisfaction and organizational commitment in nurses", Journal of Digital Convergence, Vol. 12, No. 5, pp.345-351, 2014. https://doi.org/10.14400/JDC.2014.12.5.345
  25. J. Lim, C. Oh, "Medical care utilization status and quality of life in diabetes mellitus patients, Journal of Digital Convergence, Vol. 11, No. 10, pp.609-618, 2013. https://doi.org/10.14400/JDPM.2013.11.10.609
  26. D. Park, E. Jang, "Convergence Factors Related to Glycemic Control in Workers with Diabetes Mellitus : using the Korean National Health and Nutrition Examination Survey, 2009-2013", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp.95-103, 2015. https://doi.org/10.15207/JKCS.2015.6.6.095
  27. M. Hwang, J Park, Lexical and Phrasal Analysis of Online Discourse of Type 2 Diabetes Patients based on Text-Mining, Journal of Digital Convergence, Vol. 12, No. 6, pp.655-667, 2014. https://doi.org/10.14400/JDC.2014.12.6.655
  28. Y.Y Lee, The Convergent Development of Nursing Activity Index for postoperative patient using Patient Controlled Analgesia, Journal of the Korea Convergence Society, Vol, 7, No 5, pp.43-49, 2016. https://doi.org/10.15207/JKCS.2016.7.5.043