박지원 이홍숙 2005 299 https://aurora.ajou.ac.kr/handle/2018.oak/7598 학위논문(석사)--아주대학교 대학원 :간호학과,2005 This study, a quasi-experimental study using a nonequivalent control group pretest-posttest design, conducted a survey on 30 patients test group and control group of 15 patients sampling an adjacent population at random - who are operated on the breast cancer and are in the A University Hospital located in Suwon, to examine into the effects of foot reflex zone massage on their pain and sleep satisfaction through the nursing interventions. It gave them a foot reflex zone massage for the total 30 minutes - basic massage 10 minutes and reflex massage 20 minutes required to alleviate their pain day in day out covering a two-month period from the first of July to the first of September 2004, for the purpose of collecting data. It launched into a two-round foot reflex zone massage at 6 and 24 hours since mastectomy through a direct visit at the hospital room to measure pain intensity, physiological index (pulse and blood pressure) and sleep satisfaction of them. The results are as follows. First, it showed that there is all the difference between pain intensity of test group and that of control group. In result, the first hypothesis, 　pain of test group, which measure at 6 (p= .000) and 24 hours (p= .001) since mastectomies, will be bigger than that of control group　, was established. Second, it showed that there is all the difference between physiological index of test group and that of control group. In result, the second hypothesis, 　pulse (p= .025, p= .002), systolic blood pressure (p= .004, p= .012) and diastolic blood pressure (p= .004, p= .003) of test group, which investigate at 6 and 24 hours since mastectomies, will be bigger than that of control group　, was established. Third, it showed that there is no significant difference between two groups in the frequency using an analgesic during 24 hours since the first massage (p= .068); test group and control group is an average .8 times and .4 times, respectively. In result, the third hypothesis, 　test group will make a little use of an analgesic compared to control group　, was not established. Fourth, it showed that there is a significant difference between sleep satisfaction of test group and that of control group (p= .000). In result, the fourth hypothesis, 　sleep satisfaction of test group, which examine in the morning after mastectomies, will be bigger than that of control group　, was established. In the result, a foot reflex zone massage is seen to be effective in the pain reduction and sleep promotion of patients who are operated on breast cancer, and in providing them with more qualitative care by improving confidence between them and nurses through a physical touch. Also, it can be applied to a clinical examination through an independent nursing intervention. 목차 목차 = ⅰ 표목차 = ⅲ 그림목차 = ⅳ 부록목차 = ⅴ 국문초록 = ⅵ Ⅰ. 서론 = 1 A. 연구의 필요성 = 1 B. 연구의 목적 = 3 C. 연구 가설 = 4 D. 용어의 정의 = 5 E. 연구의 제한점 = 6 Ⅱ. 문헌고찰 = 7 A. 통증 = 7 B. 수면 = 9 C. 발 반사마사지 = 10 Ⅲ. 연구방법 = 14 A. 연구설계 = 14 B. 연구대상 및 표집방법 = 14 C. 연구도구 = 15 D. 중재 방법 = 16 E. 자료수집절차 = 18 F. 자료분석 방법 = 19 Ⅳ. 연구결과 = 20 A. 연구 대상자의 일반적 특성 = 20 B. 실험군과 대조군의 일반적 특성에 대한 동질성 비교 = 20 C. 실험군과 대조군의 중재전 통증강도, 생리적 지수에 대한 동질성 비교 = 20 D. 가설검정 = 23 Ⅴ. 논의 = 31 A. 발 반사마사지가 통증강도와 진통제 사용 횟수에 미치는 효과 = 31 B. 발반사 마사지가 수면만족도에 미치는 효과 = 33 Ⅵ. 결론 및 제언 = 35 A. 결론 = 35 B. 제언 = 37 참고문헌 = 38 부록 = 43 ABSTRACT = 51|표목차 <표 1> 연구대상자의 일반적 특성에 따른 동질성 검증 = 21 <표 2> 통증강도, 생리적 지표에 대한 동질성 검증 = 22 <표 3> 실험군과 대조군의 마사지 전후 통증강도 비교 = 24 <표 4> 실험군과 대조군의 마사지 전후 생리적 지표 비교 = 27 <표 5> 실험군과 대조군 간의 필요시 진통제 사용 횟수 비교 = 29 <표 6> 실험군과 대조군 간의 수면 만족도의 차이 비교 = 30|그림목차 <그림 1> 통증강도의 비교 = 24 <그림 2> 맥박의 비교 = 28 <그림 3> 수축기 혈압의 비교 = 28 <그림 4> 이완기 혈압의 비교 = 28|부록목차 <부록 1> 설문지 = 43 <부록 2> 발반사구 도표 = 49 kor The Graduate School, Ajou University 아주대학교 논문은 저작권에 의해 보호받습니다. 발반사 마사지가 유방암 환자의 수술 후 통증과 수면만족도에 미치는 효과 The Effects of Foot Reflex Zone Massage on Patients Pain and Sleep Satisfaction Following Mastectomy Thesis 아주대학교 일반대학원 Lee, Hong Suk 일반대학원 의학계열 2005. 2 Master http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000000299