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        체위보완간호가 수술 후 체위와 관련된 통증에 미치는 영향 : 유양 돌기 절제술 환자를 중심으로

        장문영,이윤아,정수경,민경양,김정은,김계숙,최옥진,임유경 병원간호사회 2000 임상간호연구 Vol.6 No.1

        The pain after surgery, one of main complaints of patients, is directly related to how much nerve at tissue has been hurt on surgical area. However, the pain not on the surgical area is related to the inappropriate performance of different surgical positions during surgeries. This kind of pain of patient after a long surgery can be prevented so suitable positional care is essential. This research will show you how suitable positional care using cotton pad and VAC-PAC^(®) is effective to reduce the pain occurred from an inappropriate surgical position after a long surgery. We picked 40 adult patients who had mastoidectomy as volunteers at a general hospital in Seoul and divided them 4 groups with 10 members. All information had been gathered from the 19th of May, 1999 to the 26th of August, 1999. Cotton pad and VAC-PAC^(®) were used to group Ⅰ and group Ⅱ, respectively. First information was gathered from patients at recovery room and then 5 O/R nurses had visited them to measure the degree of pain relating to surgical position with using information-gathering tools for 4 days after surgery. The result of this research following the above steps will be as fallow 1. The difference of the age, sex, height and weight of patients, anesthetic time, surgical time, surgeon and so on could not significantly affect the research result among groups(p<.05). 2. There was big difference among groups at how much patients felt shoulder pain at the 2nd day after surgery(p<.05). Patients at group Ⅱ felt smallest pain and patients who were not taken care of by suitable positional care felt biggest pain among groups. 3. There was important difference among groups at the degree of pain not on surgical area at 3rd day after surgery (p<.05). The degree of the pain of group Ⅱ was the lowest among groups. 4. There was a big difference between group Ⅰ and group Ⅱ at the degree of the pain at 3rd day after surgery. However, there was a little difference between two groups at the other factors as time went. We couldn't control the amount of analgegics to reduce pain from 1st to 3rd day after surgery and couldn't control the error come from 5 different information collectors. Despite of this kind of limitation, we can partially support the two assumptions: Assumption Ⅰ. The degree of the pain of group Ⅰ and Ⅱ that received suitable positional care should be lower than that of the other groups. Assumption Ⅱ. The degree of pain of group Ⅱ using VAC-PAC^(®) is lower than that of group Ⅰ using cotton pad. The pain not on the surgical area occurring from an inappropriate surgical position during a long surgery can be prevented so we can conclude that suitable positional care is essential.

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