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The Effect of Abdominal Massage on Sleep Colonoscopy Subjects

수면 대장내시경 검진자에게 시행한 복부마사지의 효과

  • Lee, Yun-Jeong (Department of Nursing Graduate School Changshin University) ;
  • Je, Nam-Joo (Department of Nursing Changshin University)
  • Received : 2019.03.26
  • Accepted : 2019.06.07
  • Published : 2019.06.30
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Abstract

The purpose of this study is to investigate the effect of abdominal massage, on abdominal bloating and the recovery of bowel movement after sleep colonoscopy. The study design is the time difference before and after the non-equality control. The subjects were 22 patients each in experimental group and control group who recieved sleep colonoscopy at the G hospital in C city, The data collection period was from June 1, 2018 to August 25, 2018, and the control group's data were first collected with time difference from the collection of experimental group's data to prevent the spread of the experiment. Data were analyzed using IBM SPSS 24.0 and tested by independent sample t-test, $x^2-test$ and Fisher's exact probability test to verify the homogeneity of general characteristics of the subjects. Shapiro-Wilk was used to verify the normality of the abdominal circumference changes in the experimental and control groups. Mann-Whitney U test was used to verify the pre-homogeneity of the abdominal circumference of the subjects. The experimental results were verified by Fisher's exact probability test, Friedman test and Mann-Whitney U test. These results suggest that the abdominal massage can be used as a nursing intervention after sleep colonoscopy by reducing the gas discharge time($x^2=19.75$, p<.001) and abdominal bloating($x^2=29.93$, p<.001).

본 연구는 수면 대장내시경 검진자에게 복부마사지를 시행하여 장운동 회복과 복부팽만감에 미치는 효과를 파악하기 위하여 시도된 비동등성 대조군 전후 시차설계연구이다. 연구대상자는 C시, G병원에서 외래를 통해 수면 대장내시경 검진을 받는 실험군 22명, 대조군 22명으로 자료 수집 기간은 2018년 6월 1일부터 8월 25일까지였으며, 실험의 확산효과를 막기 위하여 대조군을 먼저 자료수집 한 후 시차를 두고 실험을 실시하였다. 자료분석은 IBM SPSS 24.0을 이용하여 자료를 분석하였으며, 대상자의 일반적 특성의 동질성을 검증하기 위하여 독립표본 t-test, $x^2-test$ 와 Fisher's exact probability test, 실험군, 대조군의 복부둘레 변화량에 대한 정규성을 검증하기 위하여 Shapiro-Wilk로 검증, 복부둘레의 사전 동질성을 검증하기 위하여 Mann-Whitney U test를 실시하였다. 실험처치 효과 검증은 Fisher's exact probability test, Friedman test와 Mann-Whitney U test로 검증하였다. 연구 결과, 복부마사지가 대장내시경 검진자의 가스배출 시간($x^2=19.75$, p<.001)과 복부팽만감($x^2=29.93$, p<.001)을 감소시켜, 수면 대장내시경 검진자의 가스팽만으로 인한 불편감을 완화하는 간호중재로 활용할 수 있을 것으로 생각된다.

Keywords

Table 1. Homogeneity test of characteristics

SHGSCZ_2019_v20n6_410_t0001.png 이미지

Table 2. Regularity verification for dependent variables

SHGSCZ_2019_v20n6_410_t0002.png 이미지

Table 3. Homogeneity test of variables

SHGSCZ_2019_v20n6_410_t0003.png 이미지

Table 4. Bowel sound auscultation point

SHGSCZ_2019_v20n6_410_t0004.png 이미지

Table 5. Gas emission point

SHGSCZ_2019_v20n6_410_t0005.png 이미지

Table 6. Abdominal circumference

SHGSCZ_2019_v20n6_410_t0006.png 이미지

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