근무 중 탄력압박스타킹 착용이 간호사의 하지부종 및 통증에 미치는 효과

Other Titles
Effects of the Application of Elastic Compression Stockings on Edema and Pain of Lower Extremities in hospital Nurses
Authors
김윤숙
Issue Date
2005-12
Awarded Date
2006
Abstract
The purpose of this study was to identify the effects of the application of elastic compression stockings during the hours of work on edema and pain of lower extremities in hospital nurses. The participants were 45 hospital nurses working at a general hospital in Taegu, korea. The participants were categorized into three groups such as, 15 for an experimental group of the application of Thigh-Length(T-L) elastic compression stocking, 15 for another experimental group of the application of Knee-Length(K-L) elastic compression stocking and 15 for a control group. The elastic compression stockings were applied to the nurses of experimental groups during the hours of duty and the stockings were not applicated for the nurses of the control group. The experiments and data collection were performed from August, 10th, 2005 to September, 10th, 2005. Edema of the lower extremities were measured in terms of the girths of ankles and calves. And pain of the lower extremities were measured in terms of the score by NRS(Numerical Rating Scale). The data were analyzed with Frequency, Percentage, Mean, Standard Deviation, χ2-test and ANOVA to identify the participants' characteristics, Kolmogorov Smirnov test to identify the normal distribution, and Repeated Measures ANOVA and Sheffe-test to test the hypothesis. SPSS Win 12.0 program was used for analysing. The results of this study were as follows: Hypothesis 1 : “There are significant differences in lower extremity edema among the experimental group of T-L elastic compression stocking, experimental group of K-L elastic compression stocking and control group.” was partly supported. Hypothesis 1-1 : “There are significant differences in girth of ankle after work among the experimental group of T-L elastic compression stocking, experimental group of K-L elastic compression stocking and control group." was supported(Rt. : F=4.56, p=.016; Lt. : F=5.82, p=.006). Hypothesis 1-2 : “There are significant differences in girth of calf after work among the experimental group of T-L elastic compression stocking, experimental group of K-L elastic compression stocking and control group.” was not supported(Rt. : F=1.76, p=.183; Lt. : F=1.94, p=.155). Hypothesis 2 : “There are significant differences in lower extremity pain after work among the experimental group of T-L elastic compression stocking, experimental group of K-L elastic compression stocking and control group.” was supported(Rt. : F=95.33, p=.000; Lt. : F=81.33, p=.000). The results of this study revealed that the application of elastic compression stockings during the hours of work is effective for the relief of edema and pain of lower extremities in hospital nurses Based on these findings, the application of elastic compression stockings can be considered as an effective method to prevent hospital nurses' health problems of lower extremities that can be induced by their works
본 연구의 목적은 근무 중 탄력압박스타킹 착용이 간호사의 하지부종 및 통증에 미치는 효과를 검증하는 것이다. 연구 대상자는 D 광역시에 소재하고 있는 일개 종합병원의 정형외과와 신경외과에 근무하는 45명의 일반간호사로서 실험군으로는 Thigh-Length(T-L) 탄력압박스타킹 착용군 15명, Knee-Length(K-L) 탄력압박스타킹 착용군 15명으로 하였으며 대조군 15명으로 총 45명이었다. 연구를 위해 실험군인 T-L 탄력압박스타킹 착용군과 K-L 탄력압박스타킹 착용군은 근무시간 동안 탄력압박스타킹을 착용하였고, 대조군은 탄력압박스타킹착용을 착용하지 않았다. 자료수집은 2005년 8월 10일부터 2005년 9월 10일까지 이루어 졌으며, 하지부종은 줄자를 이용하여 발목 둘레와 종아리 둘레를 측정하였고 ,하지통증은 숫자척도를 사용하여 측정 하였다. 자료분석은 SPSS WIN 12.0 프로그램을 이용하였다 동질성 검증을 위해서는 빈도, 백분율, 평균, 표준편차, χ2-test, ANOVA를 이용하였고, 종속변수의 정규분포 검증을 위해서는 Kolmogorov Smirnov test를 이용하였으며, 가설검증을 위해서는 Repeated Measures ANOVA와 Sheffe-test로 이용하였다. 연구결과는 다음과 같다. 제 1 가설 : ‘T-L 탄력압박스타킹 착용군, K-L 탄력압박스타킹 착용군과 대조군간에는 하지부종에 차이가 있을 것이다’ 는 아래의 부가설 검증의 결과와 같이 부분적으로 지지되었다. 제 1 부가설 : ‘T-L 탄력압박스타킹 착용군, K-L 탄력압박스타킹 착용군과 대조군 간에는 근무 후 발목둘레에 차이가 있을 것이다’ 는 지지되었다(오른쪽 : F=4.56, p=.016: 왼쪽 : F=5.82, p=.006). 제 2 부가설 : ‘T-L 탄력압박스타킹 착용군, K-L 탄력압박스타킹 착용군과 대조군간 에는 근무 후 종아리둘레에 차이가 있을 것이다' 는 기각되었다(오른쪽 : F=1.76, p=.183; 왼쪽 : F=1.94, p=.155). 제 2 가설 : ‘T-L 탄력압박스타킹 착용군, K-L 탄력압박스타킹 착용군과 대조군간에는 근무 후 하지통증에 차이가 있을 것이다’ 는 지지 되었다(오른쪽 : F=95.33, p=.000; 왼쪽 : F=81.33, p=.000). 이상의 연구결과로 볼 때 근무 중 탄력압박스타킹 착용이 간호사의 하지부종과 통증에 효과가 있음을 알 수 있다. 그러므로 탄력압박스타킹 착용은 장시간 서서 일하는 간호사의 하지부종 감소 및 하지통증을 완화하고 나아가 순환계 건강문제 발생을 예방하여 질적인 간호를 제공할 수 있도록 하는 효과적인 방법이 될 것으로 사료된다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/11108
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3. 학위논문 > 2. College of Nursing (간호대학) > 석사
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http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000005389
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