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A Study on the Effects of Ankle Pump Exercise in Reducing Lower Limbs Edema and Pain of Operating Room Nurses

통나무 도구를 이용한 발목 펌프 운동이 수술실 간호사의 하지 부종 및 하지 통증에 미치는 효과

  • Bae, Hye-Jin (Seoul Medical Center) ;
  • Kim, Joo Hyun (Department of Nursing, College of Medicine, Kangwon National University)
  • Received : 2014.06.08
  • Accepted : 2014.07.21
  • Published : 2014.08.31

Abstract

Purpose: The purpose of this study was to identify the effects of Ankle Pump Exercise on lower limb edema and pain of operating room nurses. Methods: This research was arranged on the basis of the nonequivalent control group pre-post test design. The participants were 41 nurses working in the operating room in 'S' hospital in Seoul and 'H' hospital in Guri City, Korea. Data were collected from August 20 to September 30, 2012. Edema of the lower extremities was measured in terms of the girths of ankles and calves. Pain of the lower extremities was measured in terms of VAS (Visual Analogue Scale) for pain. The data were analyzed by frequency, percentage mean, and standard deviation, using the chi2(p) and t-test, repeated measures ANOVA, and a paired t-test. The SPSS Win 20.0 program was used for analysis. Results: Hypothesis 1 - "There are significant differences in lower extremity edema between the experimental group and the control group." - was partially supported. Hypothesis 2 - "There are significant differences in lower extremity pain between the experimental group and the control group." - was supported. Conclusion: The results of this study demonstrate positive practical effects of the Ankle Pump Exercise in reducing the circumference of both ankles, reducing the circumferential edema of both calves, and alleviating the pain of nurses in the operating room. Based on these findings, application of the Ankle Pump Exercise can be considered as an effective method to prevent nurses' health problems in the lower extremities that can be induced by their work during surgical operations.

Keywords

References

  1. Bates, B., Bickley, L. S., & Hoekelman, R. A. (1995). A guide to physical examination and history taking. 6th ed. Philadelphia: Lippincott.
  2. Cho, K. H. (2003). Prevalence and risk factors of musuloskeletal diseases in hospital workers. Doctoral thesis, Inje University, Busan, Korea.
  3. Choi, H. S. (2009). Association between musculoskeletal symptoms and work-related risk factors among nurses. Master thesis, Inje University, Busan, Korea.
  4. Chung, H. S. (2004). Work-related risk factors for musculoskeletal disorders of nurses. Master thesis, Inje University, Busan, Korea.
  5. Eo, K. H. (2001). Work related musculoskeletal symptoms and their related factors in nurses. Master thesis, Yonsei University, Seoul, Korea.
  6. Feltham, E. (1991). Therapeutic touch and massage. Nursing standard, 5(45), 26-28.
  7. Geum, K. A. (2005). Work-related musculoskeletal disorders risk factors of operating room workers. Master thesis, Seoul National University, Seoul, Korea.
  8. Henriksen, O., & Sejrsen, P. (1977). Effect of local reflex in microcirculation in human skeletal muscle. Acta physiologica Scandinavica, 99(1), 19-26. https://doi.org/10.1111/j.1748-1716.1977.tb10347.x
  9. Heo, K. H., Han, Y. S., Jung, H. S., & Koo, J. W. (2003). Musculoskeletal symptoms and related factors of golf caddies. The Korean Journal of Occupational and Environmental Medicine, 16(1), 92-102.
  10. Huskisson, E. C. (1974). Measurement of pain. Lancet, 2, 1127-1131.
  11. Ji, J. R., Lee, J. H., & Kim, K. L. (2011). Bandagetherapy leg edema mitigation and skin state changes. Journal of the Korean Beauty Art Society, 5(1), 375-386.
  12. Jung, J. Y. (2010). Effects of legs muscular strengthening exercises on pain, muscular strength of legs, disability of daily living activity, and isozyme of patients with lumbar spinal stenosis. Daejon University, Daejeon, Korea.
  13. Kang, S. A. (2011). Effects of taping therapy on edema, pain and fatigue of lower extremities in hospital nurses. Master thesis, Konkuk University, Seoul, Korea.
  14. Kant, I. J., de Jong, L. C., van Rijssen-Moll, M., & Borm, P. J. (1992). A survey of static and dynamic work postures of operating room staff. International Archives of Occupational and Environmental Health, 63(6), 423-428. https://doi.org/10.1007/BF00386939
  15. Kim, S. O. (1997). A study of health condition and shift service of the nurse in. Master thesis, Kyunghee University, Seoul, Korea.
  16. Koo, Y. K. (2011). The effects of ankle-pump-exercise on fatigue and sleep of breast cancer patients receiving radiation therapy. Master thesis, Gyeongsang National University, Jinju, Korea.
  17. Lee, B. J. (1998). A Survey on health status and health behavior among cosmetologists in Pusan, Graduate School of Public Health, Inje University, Busan. Korea.
  18. McArdle, W. D., Katch, F. I., & Katch, V. L. (1981). Exercise physiology. Philadelphia: Lea & Febiger.
  19. Nishi, M. (2002). Health with ankle pump, Seoul: Taeung publishing co.
  20. Nam, G. E. (2011). Effect of the application of elastic compression stockings on edema and pain of lower extremities in operation nurses. Master thesis, Chungang University, Seoul, Korea.
  21. Oh, J. M. (1997). Risk factors of low back pain of general hospital nurse. Master thesis, The Catholic University, Seoul, Korea.
  22. Oh, J. A., & Yoon, C. M. (2008). Lower Extremity Edema And Pain Of Nurses And The Effect Of Self Leg Massage. Journal Of Korean Academy Of Nursing, 38(2), 278-286. https://doi.org/10.4040/jkan.2008.38.2.278
  23. Orlando, A. R., & King, P. M. (2004). Relationship of demographic variables on perception of fatigue and discomfort following prolonged standing under various flooring condition. Journal of Occupational Rehabilitation, 14(1), 63-76. doi: 10.1023/B:JOOR.0000015011.39875.75
  24. Rhee, K. S. (1998). A study on night duty nurses' fatigue level and influencing factors. Master thesis, Yunsei University, Seoul, Korea.
  25. Rowell, L., O' Leary, D. S., & Kellog, S. L. (1996). Integration of cardiovascular control systems in dynamic exercise. In L. B. Rowell and J. T. Shephard (eds.), Handbook of physiology. New York: American Physiology Society.
  26. Sheikhzadeh, A., Gore, C., Zuckerman, J. D., & Nordin M. (2009) Perioperating nurses and technicians' perceptions of ergonomic risk factors in the surgical environment. Applied Ergonomics, 40, 833-839. doi: 10.1016/j.apergo.2008.09.012
  27. Yang, D., Vandongen, Y. K., & Stacey, M. C. (1999). Effect of exercise on calf muscle pump function in patients with chronic venous disease. The British journal of surgery, 86(3), 338-341. https://doi.org/10.1046/j.1365-2168.1999.00993.x
  28. You, J. H. (2010). The effects of foot reflexologic massage on the operating room nurses fatigue and their lower limbs edema. Master thesis, Kongju National University, Kongju, Korea.
  29. Whang, S. H. (2012). Effects of Foot Mats on Fatigue Level, Discomfort, Edema of Lower Extremities and Skin Temperature. Master thesis, Keimyung University, Daegu, Korea.