Warning: fopen(/home/virtual/kjan/journal/upload/ip_log/ip_log_2025-07.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization
  • 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 Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

Mi-Jeong Yun1, Hye Sook Min2
Korean Journal of Adult Nursing 2014;26(4):424-433.
Published online: August 31, 2014

1Dong-A University Medical Center, Busan

2Department of Nursing, School of Medicine of Dong-A University, Busan, Korea

Corresponding author: Min, Hye Sook Department of Nursing, School of Medicine of Dong-A University, 1 Dongdaesin-dong 3-ga, Seo-gu, Busan 602-812, Korea. Tel: +82-51-240-2872, Fax: +82-51-240-2920, E-mail: hsmin@dau.ac.kr
• Received: March 31, 2014   • Accepted: July 28, 2014

Copyright © 2014 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.

  • 107 Views
  • 0 Download
  • 3 Crossref
  • 3 Scopus
prev next

Full Article

Download PDF Download PDF
  • Purpose
    This study was to test the effects of the positional change on low back pain, discomfort, and bleeding complications duringthe periodof bed rest followingtransarterial chemoembolization (TACE).
  • Methods
    There-searchdesign forthis studywas anon-equivalent control groupquasi-experimental design. Theparticipants were 23 patients for the experimental group, and 23 patients for the control group. The experimental group received positional changeof taking the semi-Fowler'sposition and the 30-degree lateral positionalternatively duringthe periodof bed rest after TACE for 4 hoursat one-hour intervals. The control groupmaintainedthesupineposition continuouslyduring theperiod of bed rest after TACE.
  • Results
    There were statisticallysignificant differences in low backpainand discomfort betweenthe experimental andthecontrolgroup after intervention. Andnosignificant difference wasfoundinbleeding complicationbetweentwo groups.
  • Conclusion
    Theresults of thestudysuggest that thepositional change is an effectivenursing intervention to reduce low back painanddiscomfort without increasing the risk of bleeding after TACE.
  • Key Words: Therapeutic chemoembolization; Patient positioning; Low back pain; Discomfort; Hemorrhage
Table 1.
Homogeneity Test for General and Disease-related Characteristics, Dependent Variables at Pretest between Groups (N=46)
Characteristics Categories Exp. (n=23) Cont. (n=23) x2 p
n (%) n (%)
Gender Male 21 (91.4) 19 (82.7) 0.77 .381
Female 2 (8.6) 4 (17.3)
Age (year) 50 ＜ 3 (13.0) 2 (8.6) 0.64 .372
51~60 6 (26.0) 5 (21.7)
61 ＞ 14 (60.8) 16 (69.5)
Education level Middle school ＜ 9 (39.0) 8 (34.6) 0.44 .933
Middle school ≥ 14 (61.0) 15 (65.4)
Occupation Yes 8 (34.8) 7 (30.4) 0.10 .753
No 15 (65.2) 16 (69.6)
Marital status Unmarried 1 (4.3) 0 (0.0) 2.22 .330
Married 19 (82.6) 22 (95.7)
Bereaved 3 (13.0) 1 (4.3)
Religion Yes 8 (34.7) 17 (73.9) 7.19 .066
No 15 (65.2) 6 (26.1)
Monthly income (10,000 won) 200 ＜ 200 ≥ 17 (73.9) 6 (26.1) 17 (73.9) 6 (26.1) 0.82 .846
Experience Yes 18 (78.3) 16 (69.6) 0.45 .502
No 5 (21.7) 7 (30.4)
Pain killer Yes 15 (65.2) 12 (52.2) 0.81 .369
No 8 (34.8) 11 (47.8)
Number of pain killer (DemerolⓇ) No 1 8 (34.8) 9 (39.1) 11 (47.8) 7 (30.4) 4.22 .238
2 ≥ 6 (26.0) 5 (21.7)
Diagnosed (month) 12 ＜ 12 (52.1) 10 (43.4) 5.81 .121
12 ≥ 11 (47.7) 13 (56.4)
Experienced surgery (HCC) Yes 1 (4.3) 1 (4.3) 0.00 1.000
No 23 (95.7) 23 (95.7)
Low back pain   4.96±2.23 3.74±2.36 -1.80 .079
Discomfort   1.83±0.30 1.54±0.21 -3.81 .001 ＜
Bleeding Bleeding area 2.07±6.78 1.16±1.84 -0.62 .537
  Hematoma formation 0 (0.0) 0 (0.0) 0.00 1.000

Exp.=experimental group; Cont.=control group; HCC=hepatocellular carcinoma.

Table 2.
Comparison of Back Pain, Discomfort, Complication of Bleeding over the Time between the Groups (N=46)
Variables Time Exp. (n=23) Con. (n=23) Comparison t or F p
n (%) or M±SD n (%) or M±SD
Back pain Pretest 4.96±2.23 3.74±2.36      
Post 1 hrs 3.57±1.70 5.26±2.63 Group 13.18 <.001
Post 2 hrs 2.65±1.64 5.65±2.64 Time 0.80 .498
Post 4 hrs 2.00±1.54 6.09±2.65 Time×Group 43.51 <.001
Discomfort Pretest 1.83±0.30 1.54±0.21      
Post 1 hrs 1.63±0.32 1.73±0.34 Group 38.62 <.001
Post 2 hrs 1.49±0.37 1.81±0.27 Time 6.54 .014
Post 4 hrs 1.40±0.30 1.89±0.30 Time×Group 9.60 .003
Bleeding area Post 4 hrs 0.10±0.25 0.12±0.17   0.32 .744
Hematoma formation Post 4 hrs 0 (0.0) 0 (0.0)   0.00 1.000
    23 (100.0) 23 (100.0)      

Pretest=two hours after supine.

Post 1hr.=one hour after positional change; Post 2hr.=Two hour after positional change; Post 4hr.=Four hours after positional change.

Exp.=experimental group; Con.=control group.

  • Barkman A., Lunse C. P.. 1994;The effect of early ambulation of patient comfort and delayed bleeding after cardiac angiogram: A pilot study. Heart & Lung. 23:112–-117.
  • Chair S. Y., Tayler-Piliae R.E., Lam G., Chan S.. 2003;Effect of positioning on back pain after coronary angiography. Journal of Advanced Nursing. 42:470–-478. http://dx.doi.org/10.1046/j.1365-2648.2003.02646.x.
  • Fowlow B., Price P., Fung T.. 1995;Ambulation after sheath removal: A comparison of 6 and 8 hours of bedrest after sheath removal in patients following a PTCA procedure. Heart & Lung. 24:28–-37.
  • Hahn S. W.. 2002;The effects of exercise therapy and transcutaneous electrical nerve stimulation for the alleviation of low back pain after coronary angiography. Korean Society of Adult Nursing. 14:222–-232.
  • Hogan-Miller E., Rustad D., Sendelbach S., Goldenberg I.. 1995;Effects of three methods of femoral site immobilization on bleeding and comfort after coronary angiogram. American Journal of Critical Care. 4:143–-148.
  • Hwang I. S., Hong S. W., Nah Y. W., Chang Y. W., Kim K. H., Lee H. S.. 2000;Analysis of 38 long-term survivors after liverresections for hepatocellular carcinomas. Korean Journal of HBP Surgery. 4:67–-76.
  • Jang B. K., Chung W. J., Park K. S., Cho K. B., Hwang J. S., Ahn S. H., et al. 2005;The efficacy of hepatic arterial in-fusiontherapy for advancedhepatocellular carcinomaaccording to extrahepatic collateral feeding vessels. The Korean Journal of Hepatology. 11(4):359–-370.
  • Jung Y.Y., Lee J. H., Huh E. H., Kwak I.O., Baek K.W., Jang E. M., et al. 2001;The effect of post-procedures on preventing bleeding and increasing comfort in patients received coronaryangiography. Journalof KoreanClinicalNursing Research. 7(2):67–-88.
  • Kang J. S., Park S.Y., Kim E.O.. 2010;The effect of position change on comfort and bleeding after transarterial chemoembolization. Journal of Korean Clinical Nursing Research. 16(1):5–-15.
  • Kim E. S.. 2002;Effects of the slow stroke back massage on discomfort in patients following percutaneous transluminal co-ronaryangioplasty Unpublishedmaster'sthesis, Keimyung University, Daegu..
  • Kim P. J., Jeong J. I., Ro J. S., Na H., Kim K. Y., Kim K. S., et al. 2009;The effect of position change on discomfort and bleeding aftercoronaryangiography. Hospital Nurses Association. 15:19–-28.
  • Ko E. J., Chae Y. R., Lee D. S.. 2008;Effects of exercise on relief of lowback pain in patients on absolutebed rest after transarterial chemoembolization (TAE). Journal of Korean Academy of Fundamentals of Nursing. 15:171–-177.
  • Korea National Cancer Center. 2014a;Types of cancer: Relevant statistics Retrieved February 25, 2014, from the National Cancer Center Web site:.http://www.cancer.go.kr/mbs/cancer/jsp/cancer/cancer.jsp?cancerSeq=3317&menuSeq=3322&viewType=all&id=cancer_020112000000.
  • Korea National Cancer Center. 2014b;Types of cancer: Treatment Retrieved February 25, 2014, from the National Cancer Center Web site:.http://www.cancer.go.kr/mbs/cancer/jsp/cancer/cancer.jsp?cancerSeq=3317&menuSeq=3333&viewType=all&id=cancer_020112000000.
  • Lee J. S.. 2000;Comparison of back pain between groups of supine and supine plus lateral position in 24 hours after transhepatic arterial chemoembolization Unpublished master's thesis, Yonsei university, Seoul..
  • Leem J. M., Lee T. W., Park S. M., Youn S. J., Park K. S., Chae H. B., et al. 2002;Prognostic factors affecting survival rate in patients with hepatocellular carcinoma treated by transarterial chemoembolization. Chungman Medical Journal. 29(1):113–-124.
  • Leeper B.. 2004;Nursingoutcomes: Percutaneouscoronary interventions. Journal of Cardiovascular Nursing. 19:346–-353.
  • Mayer D. M., Hendrickx L.. 1997;Comfort and bleeding after percutaneous transluminal coronary angioplasty: Comparison of flexible sheath and standard sheath. American Journal of Critical Care. 6:341–-347.
  • Nam S. H., Kim Y. J.. 2013;Effect of bed side exercising on back pain and bleeding complications after transcatheter arterial chemoembolization. Korean Journal of Adult Nursing. 25:400–-408. http://dx.doi.org/10.7475/kjan.2013.25.4.400.
  • Nam S. Y., Choi S. M.. 2010;The effects of fowler's position change on back pain and discomfort of the patients following percutaneous coronary interventions. Perspective in Nursing Science. 7(1):55–-64.
  • Park H. J., Sohng K. Y.. 2005;Effect of positioning on back pain and comfort of bed rest patients after transhepatic arterial chemoembolization. Journal of Korean Academyof Fundamentals of Nursing. 12:317–-324.
  • Pollard S. D., Munks K., Wales C., Crossman D. C., Cumberland D.C., Oakley G.D., et al. 2003;Position andmobili-sation post-angiography study (PAMPAS): A comparison of 4.5 hour and 2.5 hours bed rest. Heart. 89:447–-448. http://dx.doi.org/10.1136/heart.89.4.447.
  • Pooler-Lunse C., Barkman A., Bock B. F.. 1996;Effect of modified positioning and mobilization on back pain and delayed bleegding in patients who had received heparin and undergone angiography: A pilot study. Heart & Lung. 25:117–-123.
  • Scriver V., Crowe J., Wilkinson A., Meadowcroft C.. 1994;A randomized controlled trial of the effectiveness of exercise and/or alternating air mattress in the control of back pain after percutaneous transluminal coronary angioplasty. Heart & Lung. 23:308–-315.
  • Song H. J.. 2002;Chemoembolizationfor patientswith standard clinical guidelines development Unpublished master's thesis, Ajou university, Suwon..
  • Sulzbach L. M., Munro B. H., Hirshfeld J. W. Jr.. 1995;A randomized clinical trial of the effect of bed position after PTCA. American Journal of Critical Care. 7:221–-226.
  • Yun J.W., Kim B.I., Chun H.B., Hwang S.T., Kim J. W., Park D. I., et al. 2004;Fibrinolytic activities and their relations to esophageal variceal bleeding inpatientswith livercirrho-sis. Korean Journal of Gastroenterology. 43:349–-354.
  • Yun S.Y.. 2008;Transarterial chemoembolozation patients with liver cancer. Nursing Science. 20(1):10–-22.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention
      Selda Mert Boğa, Seher Deniz Öztekin
      Journal of Clinical Nursing.2019; 28(7-8): 1135.     CrossRef
    • The Factors of Pain and Pain Management after Transarterial Chemoembolization in Patients with Hepatocellular Carcinoma
      Se Na Jung, Je In Seon, Kwang Sung Kim
      Asian Oncology Nursing.2017; 17(2): 107.     CrossRef
    • 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.     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 Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization
    Korean J Adult Nurs. 2014;26(4):424-433.   Published online August 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.4.424
    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 Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization
    Korean J Adult Nurs. 2014;26(4):424-433.   Published online August 31, 2014
    DOI: https://doi.org/10.7475/kjan.2014.26.4.424
    Close

    Related articles

    The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization
    The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization

    Homogeneity Test for General and Disease-related Characteristics, Dependent Variables at Pretest between Groups (N=46)

    Characteristics Categories Exp. (n=23) Cont. (n=23) x2 p
    n (%) n (%)
    Gender Male 21 (91.4) 19 (82.7) 0.77 .381
    Female 2 (8.6) 4 (17.3)
    Age (year) 50 ＜ 3 (13.0) 2 (8.6) 0.64 .372
    51~60 6 (26.0) 5 (21.7)
    61 ＞ 14 (60.8) 16 (69.5)
    Education level Middle school ＜ 9 (39.0) 8 (34.6) 0.44 .933
    Middle school ≥ 14 (61.0) 15 (65.4)
    Occupation Yes 8 (34.8) 7 (30.4) 0.10 .753
    No 15 (65.2) 16 (69.6)
    Marital status Unmarried 1 (4.3) 0 (0.0) 2.22 .330
    Married 19 (82.6) 22 (95.7)
    Bereaved 3 (13.0) 1 (4.3)
    Religion Yes 8 (34.7) 17 (73.9) 7.19 .066
    No 15 (65.2) 6 (26.1)
    Monthly income (10,000 won) 200 ＜ 200 ≥ 17 (73.9) 6 (26.1) 17 (73.9) 6 (26.1) 0.82 .846
    Experience Yes 18 (78.3) 16 (69.6) 0.45 .502
    No 5 (21.7) 7 (30.4)
    Pain killer Yes 15 (65.2) 12 (52.2) 0.81 .369
    No 8 (34.8) 11 (47.8)
    Number of pain killer (DemerolⓇ) No 1 8 (34.8) 9 (39.1) 11 (47.8) 7 (30.4) 4.22 .238
    2 ≥ 6 (26.0) 5 (21.7)
    Diagnosed (month) 12 ＜ 12 (52.1) 10 (43.4) 5.81 .121
    12 ≥ 11 (47.7) 13 (56.4)
    Experienced surgery (HCC) Yes 1 (4.3) 1 (4.3) 0.00 1.000
    No 23 (95.7) 23 (95.7)
    Low back pain   4.96±2.23 3.74±2.36 -1.80 .079
    Discomfort   1.83±0.30 1.54±0.21 -3.81 .001 ＜
    Bleeding Bleeding area 2.07±6.78 1.16±1.84 -0.62 .537
      Hematoma formation 0 (0.0) 0 (0.0) 0.00 1.000

    Exp.=experimental group; Cont.=control group; HCC=hepatocellular carcinoma.

    Comparison of Back Pain, Discomfort, Complication of Bleeding over the Time between the Groups (N=46)

    Variables Time Exp. (n=23) Con. (n=23) Comparison t or F p
    n (%) or M±SD n (%) or M±SD
    Back pain Pretest 4.96±2.23 3.74±2.36      
    Post 1 hrs 3.57±1.70 5.26±2.63 Group 13.18 <.001
    Post 2 hrs 2.65±1.64 5.65±2.64 Time 0.80 .498
    Post 4 hrs 2.00±1.54 6.09±2.65 Time×Group 43.51 <.001
    Discomfort Pretest 1.83±0.30 1.54±0.21      
    Post 1 hrs 1.63±0.32 1.73±0.34 Group 38.62 <.001
    Post 2 hrs 1.49±0.37 1.81±0.27 Time 6.54 .014
    Post 4 hrs 1.40±0.30 1.89±0.30 Time×Group 9.60 .003
    Bleeding area Post 4 hrs 0.10±0.25 0.12±0.17   0.32 .744
    Hematoma formation Post 4 hrs 0 (0.0) 0 (0.0)   0.00 1.000
        23 (100.0) 23 (100.0)      

    Pretest=two hours after supine.

    Post 1hr.=one hour after positional change; Post 2hr.=Two hour after positional change; Post 4hr.=Four hours after positional change.

    Exp.=experimental group; Con.=control group.
    Table 1. Homogeneity Test for General and Disease-related Characteristics, Dependent Variables at Pretest between Groups (N=46)

    Exp.=experimental group; Cont.=control group; HCC=hepatocellular carcinoma.

    Table 2. Comparison of Back Pain, Discomfort, Complication of Bleeding over the Time between the Groups (N=46)

    Pretest=two hours after supine.

    Post 1hr.=one hour after positional change; Post 2hr.=Two hour after positional change; Post 4hr.=Four hours after positional change.

    Exp.=experimental group; Con.=control group.

    Table 1.

    Table 2.

    Korean J Adult Nurs : Korean Journal of Adult Nursing

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Society of Adult Nursing.
    TOP