J Korean Clin Nurs Res.  2021 Aug;27(2):179-186. 10.22650/JKCNR.2021.27.2.179.

A Study on Bleeding after Shortening the Bed Rest Time of Pediatric Hemato-oncologic Patients after Bone Marrow Examination

Affiliations
  • 1Unit Manager, Department of Nursing, Seoul National University Hospital, Seoul, Korea.
  • 2RN, Department of Nursing, Seoul National University Hospital, Seoul, Korea.

Abstract

Purpose
The purpose of our study was to identify the bleeding risk factors and to validate the safety of shortening the bed rest time after bone marrow examination in pediatric hemato-oncologic patients.
Methods
From July 2019 to September 2020, 145 patients were enrolled from a single center. Medical records were reviewed retrospectively. Descriptive statistics were presented, and the data were analyzed using x2 -test, Fisher’s exact test, and a logistic regression.
Results
After two hours of bed rest, most of the patients (91.7%) did not have bleeding complications, and only 8.3% of the patients had a minor bleeding. The rate of major bleeding complications, including hematoma, retroperitoneal hemorrhage rate was zero. The bleeding complications was frequently found on bilateral procedures than unilateral procedures and the difference were statistically significant (p<.05).
Conclusion
Two hours of bed rest time after bone marrow examination could be safe and adequate in pediatric hemato-oncologic patients.

Keyword

Bone Marrow Examination; Bed Rest; Bleeding; Children
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