본 연구는 구조화된 냉요법 적용이 발목 골절 수술환자의 부종, 염증 및 통증에 미치는 효과를 확인하기 위해 실시하였다. 비동등성 대조군 전후 시차설계의 유사실험연구이며, 자료수집 기간은 2016년 8월 19일부터 2017년 3월 31일까지였다. 연구대상자는 B광역시 정형외과전문 B병원에 입원하여 발목 골절 수술을 받은 환자를 대상으로 실험군 29명, 대조군 29명을 선정하였다. 본 연구의 결과변수는 부종, 염증 및 통증으로, 부종은 발목둘레의 변화를 측정하였고, 염증은 C-반응성 단백질과 적혈구 ...
본 연구는 구조화된 냉요법 적용이 발목 골절 수술환자의 부종, 염증 및 통증에 미치는 효과를 확인하기 위해 실시하였다. 비동등성 대조군 전후 시차설계의 유사실험연구이며, 자료수집 기간은 2016년 8월 19일부터 2017년 3월 31일까지였다. 연구대상자는 B광역시 정형외과전문 B병원에 입원하여 발목 골절 수술을 받은 환자를 대상으로 실험군 29명, 대조군 29명을 선정하였다. 본 연구의 결과변수는 부종, 염증 및 통증으로, 부종은 발목둘레의 변화를 측정하였고, 염증은 C-반응성 단백질과 적혈구 침강속도의 혈액검사 결과를 확인하였으며, 통증은 시각적 상사척도와 진통제 사용횟수를 조사하였다. 실험처치인 구조화된 냉요법은 발목에 최대한 밀착되도록 자체 제작한 방수포가 달린 주머니에 냉젤팩을 넣어 고정시키고 1시간간격으로 20분간 적용 후, 40분의 회복기를 두고, 1일 10회 수술 후 1일부터 7일까지 적용하는 것을 의미한다.자료분석은 SPSS Version 23.0을 이용하여 실험군과 대조군의 동질성검정은 χ2-test, t-test, Fisher's exact test 및 Mann-Whitney U test로분석하였고, 가설검정은 일반화추정 방정식 모형(Generalized EstimatingEquation)과repeated measured ANOVA로 분석하였다. 본 연구 결과는 다음과 같다.
본 연구는 구조화된 냉요법 적용이 발목 골절 수술환자의 부종, 염증 및 통증에 미치는 효과를 확인하기 위해 실시하였다. 비동등성 대조군 전후 시차설계의 유사실험연구이며, 자료수집 기간은 2016년 8월 19일부터 2017년 3월 31일까지였다. 연구대상자는 B광역시 정형외과전문 B병원에 입원하여 발목 골절 수술을 받은 환자를 대상으로 실험군 29명, 대조군 29명을 선정하였다. 본 연구의 결과변수는 부종, 염증 및 통증으로, 부종은 발목둘레의 변화를 측정하였고, 염증은 C-반응성 단백질과 적혈구 침강속도의 혈액검사 결과를 확인하였으며, 통증은 시각적 상사척도와 진통제 사용횟수를 조사하였다. 실험처치인 구조화된 냉요법은 발목에 최대한 밀착되도록 자체 제작한 방수포가 달린 주머니에 냉젤팩을 넣어 고정시키고 1시간간격으로 20분간 적용 후, 40분의 회복기를 두고, 1일 10회 수술 후 1일부터 7일까지 적용하는 것을 의미한다.자료분석은 SPSS Version 23.0을 이용하여 실험군과 대조군의 동질성검정은 χ2-test, t-test, Fisher's exact test 및 Mann-Whitney U test로분석하였고, 가설검정은 일반화추정 방정식 모형(Generalized EstimatingEquation)과repeated measured ANOVA로 분석하였다. 본 연구 결과는 다음과 같다.
The aim of this study was to identify the effect of structured cryotherapy on edema, inflammation and pain in postoperative patients with ankle fractures. This research was based on a non-synchronized design and was done using an unequal control group. The data was collected from August 19, 2016...
The aim of this study was to identify the effect of structured cryotherapy on edema, inflammation and pain in postoperative patients with ankle fractures. This research was based on a non-synchronized design and was done using an unequal control group. The data was collected from August 19, 2016 to March 31, 2017 at B hospital in B city. The subjects consisted of 58 postoperative patients who each had ankle fractures. The patients were divided into two groups: an experimental group(29) and a control group(29). Edema was measured using ankle circumference and inflammation was measured using C-Protein, and the erythrocyte sedimentation rate. Pain was assessed with a visual analog scale and by using analgesics. Using the structured cryotherapy method, a cold gel pack was put in a bag with a self-made tarpaulin so that it was as close as possible to the ankle. It was then applied for 20 minutes during hourly intervals. This treatment began 40 minutes after initial recovery and application continued daily for 7 days after the starting date. The data was analyzed with the IBM SPSS Statistics 23.0 program and homogeneity was tested using χ2-testing, t-test, Fisher's exact test and Mann-Whitney U test. The research hypothesis was tested using Generalized Estimating Equation and then measured with ANOVA. The results were as follows; 1. The hypothesis 1 that the structured cryotherapy applied group would have a significantly less edema over time than the control group was supported(F=36.02, p=.001). 2. The hypothesis 2.1 that the structured cryotherapy applied group would have a significant decrease in CRP levels over time compared to the control group was supported(F=3.64, p=.039). The hypothesis 2.2 that the structured cryotherapy applied group would have significantly decrease the ESR levels over time compared to the control group was supported(F=4.51, p=.013). 3. The hypothesis 3.1 that subjective pain intensity in the experimental group who received applied structured cryotherapy would be significantly decreased over time compared to the control group was supported(Wald χ2= 13.995, p=.007). The hypothesis 3.2 that the rate of analgesic use would be significantly decreased over time in the experimental group when using structured cold therapy was rejected(F=2.83, p=.098). The results of this study show that the application of structured cryotherapy to ankle fracture patients was effective in reducing edema, relieving inflammation and relieving pain. Therefore, this study concluded that structured cryotherapy can be used as an effective nursing intervention for patients with ankle fractures.
The aim of this study was to identify the effect of structured cryotherapy on edema, inflammation and pain in postoperative patients with ankle fractures. This research was based on a non-synchronized design and was done using an unequal control group. The data was collected from August 19, 2016 to March 31, 2017 at B hospital in B city. The subjects consisted of 58 postoperative patients who each had ankle fractures. The patients were divided into two groups: an experimental group(29) and a control group(29). Edema was measured using ankle circumference and inflammation was measured using C-Protein, and the erythrocyte sedimentation rate. Pain was assessed with a visual analog scale and by using analgesics. Using the structured cryotherapy method, a cold gel pack was put in a bag with a self-made tarpaulin so that it was as close as possible to the ankle. It was then applied for 20 minutes during hourly intervals. This treatment began 40 minutes after initial recovery and application continued daily for 7 days after the starting date. The data was analyzed with the IBM SPSS Statistics 23.0 program and homogeneity was tested using χ2-testing, t-test, Fisher's exact test and Mann-Whitney U test. The research hypothesis was tested using Generalized Estimating Equation and then measured with ANOVA. The results were as follows; 1. The hypothesis 1 that the structured cryotherapy applied group would have a significantly less edema over time than the control group was supported(F=36.02, p=.001). 2. The hypothesis 2.1 that the structured cryotherapy applied group would have a significant decrease in CRP levels over time compared to the control group was supported(F=3.64, p=.039). The hypothesis 2.2 that the structured cryotherapy applied group would have significantly decrease the ESR levels over time compared to the control group was supported(F=4.51, p=.013). 3. The hypothesis 3.1 that subjective pain intensity in the experimental group who received applied structured cryotherapy would be significantly decreased over time compared to the control group was supported(Wald χ2= 13.995, p=.007). The hypothesis 3.2 that the rate of analgesic use would be significantly decreased over time in the experimental group when using structured cold therapy was rejected(F=2.83, p=.098). The results of this study show that the application of structured cryotherapy to ankle fracture patients was effective in reducing edema, relieving inflammation and relieving pain. Therefore, this study concluded that structured cryotherapy can be used as an effective nursing intervention for patients with ankle fractures.
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