• KSAN
  • Contact us
  • E-Submission

Korean J Adult Nurs : Korean Journal of Adult Nursing

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

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.

  • 24 Views
  • 0 Download
  • 2 Crossref
prev next

Full Article

Download PDF Download PDF
  • 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.

  • 1.Lee MY, Jung HR, Lim CH. Comparative analysis per area of the liver diseases in ultrasound diagnosis of healthcare center. Korea contents Society. 2009;9(3):278-87.
  • 2.Lee MK, Han NS, Lim CH, Jung HR, Cho JK. Risk factors analysis of alcoholic liver diseases by ultrasonography. Korea Contents Society. 2009;9(3):185-94.
  • 3.Yoo BC, Han KHClinical practice guideline for liver cirrhosis: update. [Internet]. Seoul: KoreanAssociationfor the Study of the Liver/Liver Cirrhosis Clinical Research Center; 2011. [cited 2015 January 11]. Available from:.http://www.kasl.org/bbs/index.html?code=guide&page=1&number=48&mode=view.
  • 4.Garcia G, Keeffe B. Liver biopsy in chronic hepatitis c: routine or selective. American Journal of Gastroenterology. 2001;96(11):3053-5. http://dx.doi.org/10.1111/j.1572-0241.2001.05253.x.
  • 5.Park SY, Kim ES, Kweon KT, Lee DS, Cho CM, Tak WY, et al. Safety of outpatient ultrasound guided percutaneous liver biopsy as a day care procedure. Korea Journal of Medicine. 2004;66(1):26-32.
  • 6.Bravo AA, Sheth SG, Chopra S. Liver biopsy. New England Journal of Medicine. 2001;344(7):495-500. http://dx.doi.org/10.1056/NEJM200102153440706.
  • 7.Kim YS. Liver Biopsy and locoregional treatment for hepato-celluar carcinoma. Clinical and Molecular Hepatology (CMH). 2010;16(3):295-302.
  • 8.Grant A, Neuberger J. Guidelines onthe useofliver biopsy in clinicalpractice. British Society of Gastroenterology Gut. 1999;45(4):IV1-IV11.
  • 9.Piccinino F, Sagnelli E, Pasquale G, Giusti G. Complications following percutaneous liver biopsy. A multicentre retrospective study on 68,276 biopsies. Journal of Hepatology. 1986;2(2):165-73.
  • 10.Caldwell SH. Controlling pain in liver biopsy, or "we will probably need to repeat the biopsy in a year or two to assess the response". American Journal of Gastroenterology. 2001;96(5):1327-9. http://dx.doi.org/10.1111/j.1572-0241.2001.03847.x.
  • 11.Wilkinson MM. Your role in needle biopsy of the liver. RN. 1990 Aug;53(8):62-6.
  • 12.Castera L, Negre I, Samii K, Buffet C. Painexperiencedduring percutaneous liver biopsy. Hepatology. 1999;30(6):1529-30.
  • 13.Hyun CB, Beutel VJ. Prospective randomized trial of post-liver biopsy recovery positions: does positioning really matter? Journal of Clinical Gastroenterology. 2005;39(4):328-32.
  • 14.Sohn SY, Kang YW, Hur JW, Ahn SH, Park SK, Woo SK. Comparison of compression and noncompression methods on hematoma formation after percutaneous liver biopsy. Korean Journal of Medicine. 1991;41(2):179-83.
  • 15.Rockey DC, Caldwell SH, Goodman ZD, Nelson RC, Smith AD. American association for the study of liver diseases. liver biopsy. Hepatology. 2009;49(3):1017-44. http://dx.doi.org/10.1002/hep.22742.
  • 16.Cho MH, Lee KJ. A study of perceived discomfort of intensive careunitpatient. Journal of Korean Academic Society of Adult Nursing. 1992;4(2):209-23.
  • 17.Nam SY, Choi SM. The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary interventions. Perspective in Nursing Science. 2010;7(1):55-64.
  • 18.Hogan-Miller E, Rustad D, Sendelbach S, Goldenberg I. Effects ofthreemethods offemoralsiteimmobilization onbleeding and comfort after coronary angiogram. American Journal of Critical Care. 1995;4(2):143-8.
  • 19.Naver Communication. Naver dictionary. [Internet]. Seoul: Naver Communication; 2015. [cited 2015 January 11]. Available from:.http://krdic.naver.com/search.nhn?kind=all&query=%EC%B2%B4%EC%9C%84.
  • 20.Kang JS, Park SY, Kim EO. The effect of position change on comfort and bleeding after transarterial chemoembolization. Journal of Korean Clinical Nursing Research. 2010;16(1):5-15.
  • 21.Yun MJ, Min HS. The effect of position change on low back pain, discomfort, and bleeding after transarterial chemoembolization. Korean journal of Adult Nursing. 2014;26(4):424-33. http://dx.doi.org/10.7475/kjan.2014.26.4.424.
  • 22.Kim ESEffects of the slow stroke back massage on discom-fortin patients following percutaneous transluminalcoronary angioplasty. [dissertation]. Daegu: KeimyungUniversity; 2002.
  • 23.Beddy P, Lyburn IL, Geoghegan T, Buckley O, Buckley AR, Torreggiani WC. Outpatientliver biopsy: a prospective evaluation of 500 cases. Gut. 2007;56(2):307http://dx.doi.org/10.1136/gut.2006.110460.
  • 24.Firpi RJ, Soldevila-Pico C, Abdelmalek MF, Morelli G, Judah J, Nelson DR. Short recovery time after percutaneous liver biopsy: should we change our current practices? Clinical Gastroenterology and Hepatoloy. 2005;3(9):926-9. http://dx.doi.org/10.1016/S1542-3565(05)00294-6.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Effects of Pressure Hemostasis Band Application on Bleeding, Pain, and Discomfort after Bone Marrow Examination
      Jin Hee Jung, Bo-Eun Kim, Ji Sook Ju, Mi Ryu, So Young Choe, Jong Hee Choi, Soo-Mee Bang, Jeong-Ok Lee, Ji Yun Lee, Sang-A Kim
      Asian Oncology Nursing.2025; 25(1): 17.     CrossRef
    • Comparison of Bleeding, Hematoma, Pain, and Discomfort After Bone Marrow Examination With or Without Sandbag Compression
      Seung Hee Lee, Chul-Gyu Kim, Jihyun Kwon, Ki Hyeong Lee, Hye Sook Han, So Youen Roh, Beom Jin Shin, Eun Ha Choi
      Asian Nursing Research.2021; 15(2): 150.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    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
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    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.

    Korean J Adult Nurs : Korean Journal of Adult Nursing

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Society of Adult Nursing.
    TOP