감마나이프 수술 환자의 정위적 틀 고정과 제거 시 통증에 영향을 미치는 요인 = Associated Factors with Pin-fixing & Pin removal Pain among Patients Undergoing Gamma Knife Radiosurgery

다국어 초록 (Multilingual Abstract)

Purpose: Gamma knife radiosurgery (GKR) requires frame positioning because the treatment target should be as close as possible to the center of the frame. The purpose of this study was to identify the level of pin-fixing (PFP) and removal pain (PRP), and the associated factors with the pain undergoing GKR. Methods: A total of 116 patients who underwent GKR for their brain tumor were recruited from C University hospital located in H city, J province. The level of pain was measured by the 10 cm VAS. Results: The level of PFP and PRP were 6.36 and 3.26 points, respectively. Step-wise multiple regressions found that the group who have not perceived numbness after applying 5% EMLA cream was the highest associated factor with PFP, following the time from lidocaine injection to pin-fixation, which explained 21% of total variance of the level of PFP. On the other hand, a group who did not perceive numbness after applying 10% lidocaine spray was the highest factor with PRP, among female patients, which explained 27% of total variance of the level of PRP. Conclusion: Both of PFP and PRP of the stereotactic frame were moderate so that nurses should consider diverse strategies to reduce pain among patients undergoing gamma knife radiosurgery.

목차 (Table of Contents)

• 서론
• 연구 방법
• 연구 결과
• 논의
• 결론
• 참고문헌

참고문헌 (Reference)

1 이영화, "혈액투석환자의 동정맥루 천자 시 통증과 불안완화를 위한 2% 리도카인 피내주사와 10% 리도카인 분무 효과 비교" 병원간호사회 13 (13): 169-177, 2007

2 Carta G, "Waiting time and pain during office hysteroscopy" 19 : 360-364, 2012

3 Gerosa M, "The role of gamma knife radiosurgery in the treatment of primary and metastatic brain tumors" 15 : 188-196, 2003

4 Saraçoğlu T, "The impact of pre-procedural waiting period and anxiety level on pain perception in patients undergoing transrectal ultrasound-guided prostate biopsy" 18 : 195-199, 2012

5 Zigmond AS, "The hospital anxiety and depression scale" 67 : 361-370, 1983

6 Lee GN, "The effects of aroma massage to arterio-venous fistula region on pain and anxiety in needling under hemodialysis [dissertation]" Kwandong Univ 2010

7 Oh HS, "The effect of topical EMLA cream on venipuncture related pain, anxiety and physiologic variables of preoperative autologous blood deposit patients [dissertation]" Kyung Hee Univ 2009

8 Ha SY, "The effect of Shinmun and Naegwan Semen Sinapsis Albae stimulus on state anxiety and pain of regional anesthesia patients during the gamma knife surgery [dissertation]" Busan Catholic Univ 2007

9 Kwo Y, "Stereotactic radiosurgery in Korea with the 1st Asian gamma knife unit" 35 : 55-60, 1992

10 Lidén Y, "Procedure-related pain among adult patients with hematologic malignancies" 53 : 354-363, 2009

11 Tekaya R, "Procedural pain assessment after spinal injections of corticosteroid" 90 : 219-222, 2012

12 신병섭, "Percutaneous Radiofrequency Ablation of Hepatocellular Carcinomas: Factors Related to Intraprocedural and Postprocedural Pain" The american roentgen ray society 192 : 1064-1070, 200904

13 Talamo G, "Perceived levels of pain asssociated with bone marrow sspirates and biopsies" 10 : 166-170, 2012

14 Lee DI, "Local anesthesia: Anesthesiology and pain medicine" Ryo Moon Gak 2004

15 Snyder-Halpern R, "Instrumentation to describe subjective sleep characteristics in healthy subjects" 10 : 155-163, 1987

16 Linzer D, "Gamma knife radiosurgery for large volume brain tumors: An analysis of acute and chronic toxicity" 70 (70): 11-18, 1998

17 Faul F, "G*Power 3 : A flexible statistical power analysis program for the social, behavioral, and biomedical sciences" 39 : 175-191, 2007

18 Kim TK, "Effect of local anesthesia for nasogastric tube placement" 12 : 433-438, 2007

19 An SN, "Effect of EMLA cream to relieve pain at venipuncture in preschooler [dissertation]" Eulji Univ 2011

20 Stotts NA, "Does age make a difference in procedural pain perceptiona and responses in hospitalized adult?" 9 : 125-134, 2007

21 Vesper j, "Current concepts in stereotatic radiosurgery: A neurosurgical and radiooncological point of view" 14 : 93-101, 2009

22 Knežević MM, "Comparison of postoperative pain and satisfaction after dacryocystorhinostomy in patients operated on under local and general anesthesia" 18 : CR265-CR270, 2012

23 Kim KS, "Comparison of local anesthetic ointment to warm pack therapy for pain relief during arteriovenous fistula puncture in hemodialysis patients [dissertation]" Ajou Univ 2011

24 Perrot S, "Are there risk factors for musculoskeletal procedural pain? A national prospective multicentre study of procedural instantaneous pain and its recall after knee and spine injections" 78 : 629-635, 2011

25 Chin LS, "Acute complications following gamma knife radiosurgery are rare" 53 : 498-502, 2000

26 Park JY, "A study to development a scale of social support [dissertation]" Yonsei Univ 1985

27 Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Korean" 38 : 289-295, 1999

28 Jeong SS, "A report to improve satisfaction and hospital length of stay of gamman knife surgery patients" 8 : 74-83, 2001