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Nam and Kim: Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization
Original Research

Korean J Adult Nurs 2013;25(4):400-408.

Published online: 18 August 2013

DOI: https://doi.org/10.7475/KJAN.2013.25.4.400

Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization

Sun Hee Nam1, Young-Ju Kim2,

1Kangbuk Samsung Hospital, Seoul

2Sungshin University College of Nursing, Seoul, Korea

Corresponding author: Kim, Young-Ju Sungshin University College of Nursing, 147 Mia-dong, Kangbuk-gu, Seoul 142-100, Korea. Tel: +82-2-920-7510, Fax: +82-2-920-2091, E-mail: yjkim727@sungshin.ac.kr

Received 31 December 20121 May 2013       Accepted 8 August 2013

© 2013 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was conducted to examine the effects of bed side exercising on back pain and bleeding during absolute bed rest in patients who had received transcatheter arterial chemoembolization (TACE).

Methods

A nonequivalent control group pretest-posttest design was used. A total 46 patients were sampled from a gastrointestinal unit of a urban general hospital in Seoul. The control group received 8 hours of bed rest and conservative care. The experimental group received 8 hours of bed rest and bed side exercising every one hour from the time having absolute bed rest for 3 hours after TACE.

Results

The experimental group with bed side exercising experienced significantly less back pain compared to the control group. There was no significant difference in the incidence of bleeding complications between two groups.

Conclusion

The results indicate that a bed side exercising is associated with a reduction of back pain and with no increased risk of bleeding complications in patients after TACE.

Keywords: Chemoembolization, Bed rest, Exercise, Back pain, Bleeding

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Figure 1.
Research design.
kjan-25-400f1.tif
Table 1.
Comparisons s of General Characteristics between Expe erimental and Contr rol Groups (N=46)
Characteristics Categories Exp. (n=23) Cont. (n=23) x2 p
n (%) n (%)
Gender Male 20 (87.0) 20 (87.0) 0.00 1.000
Female 3 (13.0) 3 (13.0)
Age (year) ＜60 10 (43.5) 8 (34.8) 0.36 .763
≥60 13 (56.5) 15 (65.2)
Education ≤Elementary school graduate 6 (26.1) 2 (8.7) 3.14 .214
Middle school graduate 5 (21.7) 9 (39.2)
≥High school graduate 12 (52.2) 12 (52.2)
Religion Have 14 (60.9) 11 (47.8) 0.78 .554
Not have 9 (39.1) 12 (52.2)
Marital status Unmarried, divorced, or widowed 0 (0.0) 0 (0.0) - -
Married 23 (100.0) 23 (100.0)
Occupation Employed 15 (65.2) 13 (56.5) 0.36 .763
Unemployed 8 (34.8) 10 (43.5)
Monthly income (10,000 won) ≤99 11 (47.8) 10 (45.5) 0.20 .903
100~200 4 (17.4) 5 (22.7)
≥201 8 (34.8) 7 (31.8)

Exp.=experimental group; Cont.=control group.

Table 2.
Homogeneity Tests between Two Groups (N=46)
Variables Categories Exp. (n=23) Cont. (n=23) x2 or t p
n (%) or M±SD n (%) or M±SD
Use of analgesics Yes 8 (34.8) 6 (26.1) 0.41 .749
No 15 (65.2) 17 (73.9)
Frequency of analgesics administered (time) 1 7 (97.5) 3 (50.0) 2.36 .245
≥2 1 (2.5) 3 (50.0)
Initial back pain score   1.39±2.29 2.13±2.34 1.08 .285
Platelet (mL) ＜50,000 1 (4.3) 1 (4.3) 0.00 1.000
≥50,000 22 (95.7) 22 (95.7)
Hemoglobin (g/dL)   12.10±1.47 11.79±1.56 0.50 .613
Hematocrit (%)   36.00±4.10 35.74±6.30 0.53 .590
Prothrombin time (second)   81.72±14.73 79.21±8.24 0.97 .328
Partial prothrombin time (second)   33.68±3.96 33.85±2.78 0.72 .468

Exp.=experimental group; Cont.=control group.

Table 3.
Comparisons of Back Pain Score between Two Groups and by Time (N=46)
Variables Exp. (n=23) Cont. (n=23)   F p
M±SD M±SD
Post-intervention 2 hrs 1.86±2.11 2.65±2.70 Group 5.81 .020
Post-intervention 4 hrs 1.36±1.16 2.43±2.10 Time 9.45 .004
Post-intervention 6 hrs 0.52±0.79 2.43±2.04 Group∗Time 4.93 .032

Exp.=experimental group; Cont.=control group.

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