Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

The Effects of Preoperative PCA Education with Multimedia and Brochure on Pain Management in Surgical Patients

수술환자를 위한 동영상과 소책자를 활용한 자가통증조절장치 교육의 효과

  • Received : 2010.07.02
  • Accepted : 2010.08.20
  • Published : 2010.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to evaluate the effects of preoperative PCA (Patient-Controlled Analgesia) education on pain, patient attitude, and patient satisfaction in surgical patients. Methods: The study was a quasi-experimental research design. The participants were 54 patients who were admitted for surgery at I hospital in G city, Korea. Of the 54 patients, 26 were assigned to the experimental group and the rest to the control group. The PCA education was provided in the nurses' station, individually to patients in the experimental group the day before their operation. Multimedia and brochure, and a real PCA model were used. The control group received only verbal education about PCA. Results: The postoperative pain scores were significantly different for lapse of time in the experimental group compare to the control group. Patient attitude toward using pain medicine was significantly more positive in the experimental group than in the control group. The postoperative patient satisfaction with pain management was significantly higher in the experimental group than in the control group. Conclusion: The study findings indicate that preoperative PCA education could be an effective nursing intervention for pain management of surgical patients.

Keywords

References

  1. Ahn, S. H., Park, H. Y., & Kho, D. G. (2005). Effect analysis of learning using educational contents. The Journal of the Korea Contents Association, 5(6), 293-300.
  2. Bardiau, F. M., Braeckman, M. M., Seidel, L., Albert, A., & Boogaerts, J. G. (1999). Effectiveness of an acute pain service inception in a general hospital. Journal of Clinical Anesthesia, 11, 583-589. https://doi.org/10.1016/S0952-8180(99)00101-4
  3. Chen, H. H., Yeh, M. L., & Yang, H. J. (2005). Testing the impact of a multimedia video CD of patient-controlled analgesia on pain knowledge and pain relief in patients receiving surgery. International Journal of Medical Information, 74, 437-445. https://doi.org/10.1016/j.ijmedinf.2005.04.003
  4. Cho, M. W. (2003). The effect of providing a visual information on anxiety and pain in patients with artificial joint replacement. Unpublished master's thesis, Chungnam National University, Daejeon.
  5. Choi, J. E. (2009). The study on the development and the effect of PCA education program including preparatory sensory information for gynecologic surgery patients. Unpublished master's thesis, Korea University, Seoul.
  6. Chumbley, G. M., Hall, G. M., & Salmon, P. (1998). Patientcontrolled analgesia: an assessment by 200 patients. Anesthesia, 53, 216-221. https://doi.org/10.1046/j.1365-2044.1998.00314.x
  7. Griffin, M. J., Brennan, L., & McShane, A. J. (1998). Preoperative education and outcome of patient controlled analgesia. Canadian Journal of Anaesthesia, 45, 943-948. https://doi.org/10.1007/BF03012301
  8. Ham, M. J. (2008). Recovery room nurses' knowledge and attitudes about pain management after surgery. Unpublished master's thesis, Hanyang University, Seoul.
  9. Hwang, Y. J., Park, Y. H., Park, I. S., Kim, N. Y., Kim, J. M., & Kim, J. Y. (2004). The effects of nursing education using CD ROM on the anxiety and knowledge of patients having minor surgery. Journal of Korean Academy of Adult Nursing, 16, 82-89.
  10. Idvall, E., Hamrin, E., & Unosson, M. (2002). Development of an instrument to measure strategic and clinical quality indicators in postoperative pain management. Journal of Advanced Nursing, 37, 532-540. https://doi.org/10.1046/j.1365-2648.2002.02130.x
  11. Innis, J., Bikaunieks, N., Petryshen, P., Zellermeyer, V., & Ciccarelli, L. (2004). Patient satisfaction and pain management: an educational approach. Journal of Nursing Care Quality, 19, 322-327. https://doi.org/10.1097/00001786-200410000-00006
  12. Kim, H. Y., & Yoon, H. S. (2006). The effect of ketamine preemptive analgesia on postoperative pain in patients undergoing a hysterectomy. Journal of Korean Academy of Nursing, 36, 114-126.
  13. Kim, J. H., & Lee, H. S. (2002). The effect of emotional state and social support of preoperative patients on postoperative pain. The Chung-Ang Journal of Nursing, 6(1), 101-111.
  14. Kim, N. J. (2003). A study on patients' and nurses' knowledge about and attitudes towards management of pain after surgery. Unpublished master's thesis, Hanyang University, Seoul.
  15. Kim, Y. S. (2004). Effects of preoperative education on postoperative recovery of pulmonary function, quality of sleep and level of satisfaction in nursing care. Unpublished master's thesis, Kangwon National University, Chuncheon.
  16. Knoerl, D. V., Faut-Callahan, M., Paice, J., & Shott, S. (1999). Preoperative PCA teaching program to manage postoperative pain. MedSurg Nursing, 8(1), 25-33.
  17. Lam, K. K., Chan, M. T., Chen, P. P., & Ngan Kee, W. D. (2001). Structured preoperative patient education for patient-controlled analgesia. Journal of Clinical Anesthesia, 13, 465-469. https://doi.org/10.1016/S0952-8180(01)00304-X
  18. Lee, E. Y., & Park, K. O. (2002). The effect of postoperative nurse-led acute pain service on the postoperative management. The Korean Nurse, 41, 51-60.
  19. Lee, H. S., Kim, K. H., & Han, S. U. (2002). A study on social support of preoperative patients and postoperative pain(abdominal surgery patients who received IV-PCA). The Chung-Ang Journal of Nursing, 6(2), 129-137.
  20. Lee, J. H. (2009). Effects of pre-operative PCA education influencing post-operative pain factors and sleep satisfaction. Unpublished master's thesis, Kongju National University, Kongju.
  21. Lee, J. K. (2006). A study for assessing pain intensity and investigating factors of satisfaction with postoperative pain management. Journal of Korean Academy of Adult Nursing, 18, 125-135.
  22. Lee, M. H. (2005). The effect of a pain educational program for surgical patient -centered on patients using patient controlled anesthesia-. Unpublished master's thesis, Dankook University, Cheonan.
  23. Lee, Y. Y. (2007). Patient-controlled analgesia for postoperative patients -a study on differences according to who controls the analgesic. Journal of Korean Academy of Fundamentals of Nursing, 14, 315-322.
  24. Oates, J. D., Snowdon, S. L., & Jayson, D. W. (1994). Failure of pain relief after surgery. attitudes of ward staff and patients to postoperative analgesia. Anaesthesia, 49, 755-758.
  25. Park, J. H. (2005). The effects of the preoperative education about IV-PCA on the consumption of analgesics. Unpublished master's thesis, Soonchunhyang University, Cheonan.
  26. Park, J. S., & Lee, H. S. (2007). Actual condition, knowledge and attitude of patient controlled analgesics(PCA) in postoperative patients. Journal of Korean Academy of Fundamentals of Nursing, 14, 18-28.
  27. Seo, H. S., & Park, K. S. (2002). The effect of education on preoperative PCA upon postoperative pain. Journal of Korean Academy of Adult Nursing, 14, 449-458.
  28. Shin, C. H. (2004). The effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient. Unpublished master's thesis, Gyeongsang National University, Jinju.
  29. Viscusi, E. R. (2008). Patient-controlled drug delivery for acute postoperative pain management: A review of current and emerging technologies. Regional Anesthesia and Pain Medicine, 33, 146-158.
  30. Yoo, M. S., Son, Y. J., Kim, Y. S., & Park, J. H. (2009). Video-based self-assessment: Implementation and evaluation in an undergraduate nursing course. Nurse Education Today, 29, 585-589. https://doi.org/10.1016/j.nedt.2008.12.008