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

Sun Hee Nam1, Young-Ju Kim2
Korean Journal of Adult Nursing 2013;25(4):400-408.
Published online: August 18, 2013

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: December 31, 2012   • Accepted: August 8, 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.

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  • 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.
  • Key Words: Chemoembolization; Bed rest; Exercise; Back pain; Bleeding
Figure 1.
Research design.
kjan-25-400f1.jpg
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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    • The Effects of Position Change on Low Back Pain, Discomfort, and Bleeding after Transarterial Chemoembolization
      Mi-Jeong Yun, Hye Sook Min
      Korean Journal of Adult Nursing.2014; 26(4): 424.     CrossRef

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    Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization
    Korean J Adult Nurs. 2013;25(4):400-408.   Published online August 31, 2013
    DOI: https://doi.org/10.7475/kjan.2013.25.4.400
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    Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization
    Korean J Adult Nurs. 2013;25(4):400-408.   Published online August 31, 2013
    DOI: https://doi.org/10.7475/kjan.2013.25.4.400
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    Effect of Bed Side Exercising on Back Pain and Bleeding Complications after Transcatheter Arterial Chemoembolization
    Image
    Figure 1. Research design.

    Figure 1.

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

    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.

    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.

    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.
    Table 1. Comparisons s of General Characteristics between Expe erimental and Contr rol Groups (N=46)

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

    Table 2. Homogeneity Tests between Two Groups (N=46)

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

    Table 3. Comparisons of Back Pain Score between Two Groups and by Time (N=46)

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

    Table 1.

    Table 2.

    Table 3.

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