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Original Article

The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy

Mi-Jeong Yun, Hye Sook Min
Korean Journal of Adult Nursing 2015;27(2):233-241.
Published online: April 30, 2015

Department of Nursing, School of Medicine, Dong-A University, Busan, Korea

Corresponding author: Min, Hye Sook Department of Nursing, School of Medicine, Dong-A University, 32 Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2872, Fax: +82-51-240-2947, E-mail: hsmin@dau.ac.kr
• Received: March 3, 2015   • Accepted: April 9, 2015

Copyright © 2015 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.

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  • Purpose
    This studyexaminedthe effects of epositionchange uponreported discomfort andbleeding complications duringbed rest followinga liver biopsy.
  • Methods
    The research designfor this studywas a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty sevenparticipants were in the comparisongroup. Followingthe biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for twohours. Thecomparisongroup maintained continuouslythe compressiveright lateral positionwith sandbag for four hours.
  • Results
    There were statistically significant differences in reported discomfort between thetreatment andcomparisongroups followingthe intervention. Nosignificant differenceswere foundinbleeding complications between the two groups.
  • Conclusion
    The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.
  • Key Words: Needle biopsy; Patient positioning; Discomfort; Hemorrhage
Table 1.
Homogeneity Test for General Characteristics and Hematologic Variables related to Bleeding at Pretest between the Two Groups (N=56)
Characteristics Categories Exp. (n=29) Cont. (n=27) x2 or t p
n (%) or M±SD n (%) or M±SD
Gender Male 18 (62.1) 16 (59.3) 0.01 .912
Female 11 (37.9) 11 (40.7)
Age (year) ＜ 30 4 (13.8) 1 (3.7) 316.0† .195
30~49 10 (34.5) 8 (29.6)
50~64 9 (31.0) 10 (37.0)
65 ≥ 6 (20.7) 8 (29.6)
Marital status Unmarried 5 (17.2) 2 (7.4) 355.5† .355
Married 23 (79.3) 24 (88.9)
Bereaved 1 (3.4) 1 (3.7)
Experience of liver biopsy Yes 1 (3.4) 2 (7.4) 376.0† .515
No 28 (96.6) 25 (92.6)
Using painkillers (DemerolⓇ) Yes 5 (17.2) 6 (22.2) 0.22 .742
No 24 (82.8) 21 (77.8)
Hemoglobin (g/dL)   13.64±2.11 13.05±1.92 44.65 .321
Platelet (/μ L) 190,571.43±62,207.199) 233,888.89±82,381.07 49.99 .474
Prothrombin time (sec) 11.58±1.33 15.09±17.81 31.17 .607
Bleeding time (min) 1.10±0.34 1.06±0.16 3.01 .390

†Fisher exact test; Exp.=experimental group; Cont.=control group.

Table 2.
Homogeneity Test for Discomfort at Pretest between the Two Groups (N=56)
Variables Exp. (n=29) Cont. (n=27) t p
M±SD M±SD
Discomfort 1.93±0.35 2.03±0.56 0.76 .453

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

Table 3.
Comparison of Discomfort and Bleeding over the Time between the Two Groups (N=56)
Variables Categories Exp. (n=29) Cont. (n=27) t p
M±SD M±SD
Discomfort Pretest 1.93±0.35 2.03±0.56 5.73 ＜ .001
Posttest 1.46±0.38 2.19±0.57    
Bleeding area (cm2) Posttest 1.49±1.68 0.92±0.83 -1.62 .112

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

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    The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy
    Korean J Adult Nurs. 2015;27(2):233-241.   Published online April 30, 2015
    DOI: https://doi.org/10.7475/kjan.2015.27.2.233
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    The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy
    Korean J Adult Nurs. 2015;27(2):233-241.   Published online April 30, 2015
    DOI: https://doi.org/10.7475/kjan.2015.27.2.233
    Close
    The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy
    The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy

    Homogeneity Test for General Characteristics and Hematologic Variables related to Bleeding at Pretest between the Two Groups (N=56)

    Characteristics Categories Exp. (n=29) Cont. (n=27) x2 or t p
    n (%) or M±SD n (%) or M±SD
    Gender Male 18 (62.1) 16 (59.3) 0.01 .912
    Female 11 (37.9) 11 (40.7)
    Age (year) ＜ 30 4 (13.8) 1 (3.7) 316.0† .195
    30~49 10 (34.5) 8 (29.6)
    50~64 9 (31.0) 10 (37.0)
    65 ≥ 6 (20.7) 8 (29.6)
    Marital status Unmarried 5 (17.2) 2 (7.4) 355.5† .355
    Married 23 (79.3) 24 (88.9)
    Bereaved 1 (3.4) 1 (3.7)
    Experience of liver biopsy Yes 1 (3.4) 2 (7.4) 376.0† .515
    No 28 (96.6) 25 (92.6)
    Using painkillers (DemerolⓇ) Yes 5 (17.2) 6 (22.2) 0.22 .742
    No 24 (82.8) 21 (77.8)
    Hemoglobin (g/dL)   13.64±2.11 13.05±1.92 44.65 .321
    Platelet (/μ L) 190,571.43±62,207.199) 233,888.89±82,381.07 49.99 .474
    Prothrombin time (sec) 11.58±1.33 15.09±17.81 31.17 .607
    Bleeding time (min) 1.10±0.34 1.06±0.16 3.01 .390

    †Fisher exact test; Exp.=experimental group; Cont.=control group.

    Homogeneity Test for Discomfort at Pretest between the Two Groups (N=56)

    Variables Exp. (n=29) Cont. (n=27) t p
    M±SD M±SD
    Discomfort 1.93±0.35 2.03±0.56 0.76 .453

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

    Comparison of Discomfort and Bleeding over the Time between the Two Groups (N=56)

    Variables Categories Exp. (n=29) Cont. (n=27) t p
    M±SD M±SD
    Discomfort Pretest 1.93±0.35 2.03±0.56 5.73 ＜ .001
    Posttest 1.46±0.38 2.19±0.57    
    Bleeding area (cm2) Posttest 1.49±1.68 0.92±0.83 -1.62 .112

    Exp.=experimental group; Cont.=control group.
    Table 1. Homogeneity Test for General Characteristics and Hematologic Variables related to Bleeding at Pretest between the Two Groups (N=56)

    Fisher exact test; Exp.=experimental group; Cont.=control group.

    Table 2. Homogeneity Test for Discomfort at Pretest between the Two Groups (N=56)

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

    Table 3. Comparison of Discomfort and Bleeding over the Time between the Two Groups (N=56)

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

    Table 1.

    Table 2.

    Table 3.

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