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Effects of PCA (Patient Controlled Analgesics) Education Program including Practicum on Post-op Pain of Gynecologic Laparoscopic Surgery Patients

실물실습을 이용한 통증자가조절기 교육 프로그램이 부인과 복강경 수술환자의 수술 후 통증에 미치는 효과

  • Hwang, Mi Sook (Department of Nursing, Kangwon National University Hospital) ;
  • Kim, Joo Hyun (Department of Nursing, Kangwon National University)
  • 황미숙 (국립강원대학교병원 간호과) ;
  • 김주현 (국립강원대학교 간호학과)
  • Received : 2015.06.24
  • Accepted : 2015.07.18
  • Published : 2015.08.31

Abstract

Purpose: The purpose of this study was to identify the effects of the patient controlled analgesics (PCA) education program (including practicum) on post-op pain suffered by patients who have undergone gynecologic laparoscopic surgery. Methods: The research was designed for a nonequivalent control group before and after the test design. The subjects of this study were 54 in all and were divided into an experimental group and a control group. The program consisted of a brochure for PCA use and a practicum with an actual PCA instrument. Data were collected with questionnaires and observations and were analyzed on the basis of frequency, percentage, mean, standard deviation, ${\chi}^2$ and t-test. Results: Complaints regarding pain by the experimental group were significantly less than those of the control group in both post-op 24-hour and post-op 48-hour reporting. The experimental group pressed the PCA button much less frequently than the control group in post-op 24 hours. However, there were no significant differences in side effects between the two groups. Conclusion: Based on the results of this study, this PCA education program can be useful in the clinical nursing field and helpful for patients who use PCA.

Keywords

References

  1. Kim SI, Kim SC, Choi JK, Jin HC. Transcutaneous electrical acupoint stimulation for prevention of postoperative nausea and vomiting in female patients receving iv-PCA. Intravenous Anesthesia. 2001;5(4):210-215.
  2. Aubrun F, Langeron O, Quesnel C, Coriat P, Riou B Relationships between measurement of pain using visual analog score and morphine requirements during postoperative intravenous morphine titration. Anesthesiology, 2003; 98(6):1415-1421. https://doi.org/10.1097/00000542-200306000-00017
  3. Kalkman CJ, Visser K, Moen J, Bonsel GJ, Grobbee DE, Moons, KG. Preoperative prediction of severe postoperative pain. Pain. 2003;105(3):415-423. https://doi.org/10.1016/S0304-3959(03)00252-5
  4. Lee HS, An JH. The effects of postoperative pain management education provided for nurses and patients on postoperative pain management. Journal of Korean Clinical Nursing Research. 2008;14(2):5-17.
  5. Lee YS, Son JS, Yoon HS. Risk factors and level of acute post-operative pain in surgical patients during the first 48 hours after surgery. Journal of Korean Biological Nursing Science. 2014;16(3):226-234. https://doi.org/10.7586/jkbns.2014.16.3.226
  6. Grass JA. Patient-controlled analgesia. Anesthesia and Analgesia. 2005;101(5 Suppl):S44-61. https://doi.org/10.1213/01.ANE.0000177102.11682.20
  7. Good M, Stanton-Hicks M, Grass JA, Anderson GC, Makii M, Geras J. Pain after gynecologic surgery. Pain Management Nursing. 2000;1(3):96-104. https://doi.org/10.1053/jpmn.2000.9857
  8. Rajpal, S Gordon DB, Pellino TA, Strayer AL, Brost D, Trost GR, et al. Comparison of Perioperative Oral Multimodal Analgesia Versus IV PCA for Spine Surgery. Journal of Spinal Disorders and Techniques. 2010;23(2):139-145. https://doi.org/10.1097/BSD.0b013e3181cf07ee
  9. Chumbley GM, Ward L, Hall GM, Salmon P. Pre-operative information and patient-controlled anesthesia: Much ado about nothing. Anesthesia. 2004; 59(4):354-358. https://doi.org/10.1111/j.1365-2044.2004.03661.x
  10. Joo KW. The Effect of patient-controlled analgesia education for patients with laparoscopy-aided gastrectomy [master's thesis]. Suwon: Aju University; 2013. p. 1-63.
  11. Choi JE. The study on the development and the effect of PCA education program including preparatory sensory information for gynecologic surgery patients [master's thesis]. Seoul :Korea University; 2009. p. 1-74.
  12. Kang JH, Bang KS, Ko SH. Power analysis in experimental design with t test analysis. The Journal of Korean Academy Society of Nursing Education. 2009; 15(1):120-127. https://doi.org/10.5977/JKASNE.2009.15.1.120
  13. Pettersson PH, Lindskog EA, Owell A. Patient-controlled versus nurse-controlled pain treatment after coronary artery bypass surgery. Acta Anaesthesiogica Sandinavica. 2000;44(1):43-47. https://doi.org/10.1034/j.1399-6576.2000.440108.x
  14. Spielberger CD. Anxiety : state-trait process, Stress and anxiety, New York: John Wiley & Sons; 1975. p. 115-144.
  15. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. The New Medical Journal. 1978;21(11):69-75
  16. Walding MF. Pain, anxiety and powerlessness. Journal of Advanced Nursing. 1991;16(4):388-397. https://doi.org/10.1111/j.1365-2648.1991.tb03427.x
  17. Chen HH, Yeh ML, Yang HJ. 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 Informatics. 2005;74(6):437-445. https://doi.org/10.1016/j.ijmedinf.2005.04.003
  18. Shin CH. The effect of PCA education and P6 arcupressure on postoperative nausea and vomiting of hysterectomy patient [master' thesis], Jinju: Geongsang National University; 2004. p. 1-78.
  19. Shea RA, Brooks JA, Dayhoff NE, Keck J. Pain intensity andpostoperative pulmonary complications among the elderly after abdominal surgery. Heart and Lung. 2002;31(6):440-449. https://doi.org/10.1067/mhl.2002.129449
  20. Manias E, Botti M, Bucknall T. Observation of pain assessment and management-the complexities of clinical practice. Journal of Clinical Nursing, 2002;11(6):724-733. https://doi.org/10.1046/j.1365-2702.2002.00691.x
  21. Park JS, Lee MH, Lee HR. Effect of preoperative pain management education the control of postoperative pain focused on the PCA used surgical patients with uterine tumor. Asian Oncology Nursing. 2011;11(2):108-115. https://doi.org/10.5388/jkon.2011.11.2.108
  22. Lee JH, Jo HS. Effects of a structured patient controlled analgesia (PCA) education on knowledge and attitude regarding PCA usage, pain, and consumption of analgesics in colorectal surgery patients. Journal of Korean Clinical Nursing Research. 2011;17(3):455-466.
  23. Hong SJ, Lee EJ. Cost analysis of post operative pain managementfor surgical patients using PCA. The Korean Journal of Fundamentalsof Nursing. 2013;20(2): 137-146. https://doi.org/10.7739/jkafn.2013.20.2.137

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