Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Effect of Patient Controlled Analgesia (PCA) Education for Postoperative Patients

수술환자의 통증자가조절기 관리교육 효과

  • Jeon, Hye-Won (Department of Nursing, Kkottongnae Hyundo University of Social Welfare) ;
  • Kim, Boon-Han (Department of Nursing, Hanyang University) ;
  • Lee, Soon-Woo (Hanyang University Hospital Recovery Room)
  • 전혜원 (꽃동네현도사회복지대학교 간호학과) ;
  • 김분한 (한양대학교 간호학과) ;
  • 이순우 (한양대학병원 회복실)
  • Received : 2010.05.10
  • Accepted : 2010.06.17
  • Published : 2010.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The study examined the effects of preoperative patient controlled analgesia (PCA) education on postoperative pain, knowledge of PCA, and attitude toward pain medication. Methods: The participants were patients who underwent surgery in H University Hospital,and were assigned to PCA group (experiment group, n=30) or the control group (n=30). Results: Knowledge of PCA and positive attitude toward pain medication were higher in the experiment group than in the control group. Postoperative pain scores in the experiment group were significantly lower than those in the control group at 48 and 72 hr after surgery, but there was no significant difference at 24 hr after surgery. The experiment group had more positive attitudes on the medication than the control group. Conclusions: Preoperative PCA education could be an effective nursing intervention for pain management of patients after surgery.

Keywords

References

  1. 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
  2. Cho, M. H. (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 Unpublished master's thesis, Chungnam National University, Daejeon.
  3. Chumbley, G. M., Ward, L., Hall, G. M., & Salmon, P. (2004). Preoperative information and patient-controlled analgesia: Much ado about nothing. Anaesthesia, 59, 354-358. https://doi.org/10.1111/j.1365-2044.2004.03661.x
  4. 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
  5. Huh, Y. J., Jung, C. W., Joh, J. Y., & Kim, Y. L. (2004). The effect of the initiating time of patient controlled analgesia on the onset of postoperative analgesia effect. Korean Journal of Anesthesiology, 47, 101-105. https://doi.org/10.4097/kjae.2004.47.1.101
  6. Hur, H. K. (1994). Nurses' attitude toward postoperative pain control. Journal of Korean Academy of Adult Nursing, 6, 236-250.
  7. Jang, Y. J. (2005). Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control. Unpublished master's thesis, Chonbuk National University, Jeonju.
  8. Kang, J. H., Bang, K. S., & Ko, S. H. (2009). Power analysis in experimental design with t test analysis. The Journal of Korean Academic Society of Nursing Education, 15, 120-127. https://doi.org/10.5977/JKASNE.2009.15.1.120
  9. Kehlet, H. (1989). Surgical stress: The role of pain and analgesia. British Journal of Anaesthesia, 63, 189-195. https://doi.org/10.1093/bja/63.2.189
  10. Kim, K. H., Chung, H. K., & Lee, H. S. (2002). A study on emotional state of preoperative patients and postoperative pain (patients with abdominal surgery who received IV-PCA). Journal of Korean Academy of Fundamental Nursing, 9, 288-299.
  11. 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.
  12. Knoerl, D. V., Faut-Callahan, M., Paice, J., & Shott, S. (1999). Preoperative PCA teaching program to manage postoperative pain. Medsurg Nursing, 8, 25-33.
  13. Ko, J. W. (2002). Post operative patients' knowledge and attitude about pain-management. Unpublished master's thesis, Chungang University, Seoul.
  14. Lee, B. N., & Lee, G. E. (2006). Effects of pain control education on pain control barrier, postoperative pain and pain control satisfaction in gynecological patients. Journal of Korean Academy of Nursing, 36, 968-975. https://doi.org/10.4040/jkan.2006.36.6.968
  15. Lee, H. S. (2002). The effect of emotional state and social support of preoperative patients on postoperative pain. Unpublished master's thesis, Chungang University, Seoul.
  16. Lee, H. S., & An, J. H. (2008). The effects of postoperative pain management education provided for nurses and patients on postoperative pain management. Journal of Korean Clinical Nursing Research, 14(2), 5-17.
  17. Lee, M. H. (2005). The effect of a pain educational program for surgical patient-centered on patients using patient controlled analgesia-. Unpublished master's thesis, Dankook University, Cheonan.
  18. Lee, S. Y. (2009). Preoperative PCA education with multimedia and brochure: Assessing their effectiveness for operative patients. Unpublished master's thesis, Chosun University, Gwangju.
  19. 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 Fundamental Nursing, 14, 18-28.
  20. Seo, H. S. (2002). The effect education on preoperative PCA upon postoperative pain. Unpublished master's thesis, Chungang University, Seoul.
  21. Shade, P. (1992). Patient-controlled analgesia can client education improve outcomes. Journal of Advanced Nursing, 17, 408-413. https://doi.org/10.1111/j.1365-2648.1992.tb01923.x
  22. Shin, C. H. (2004). The effect of PCA education and P6 arcupressure on postoperative nausea and vomiting of hysterectomy patient. Unpublished master's thesis, Geongsang National University, Jinju.
  23. Son, S. C. (1995). The comparison of postoperative pain control by PCA between cesarean section and abdominal hysterectomy. Chonnam Medical Journal, 22, 713-718.
  24. Suh, Y. S., & Hong, M. S. (2004). A study on distress and state anxiety level in gynecological postoperative patients under PCA management. Korean Journal of Women Health Nursing, 10, 351-359.
  25. Thoren, T., & Wattwil, M. (1988). Effects on gastric emptying of thoracic epidural analgesia with morphine or bupivacaine. Anesthesia and Analgesia, 67, 687-694.
  26. Vicent, W. S. (1995). Impact of patient-controlled analgesia on required nursing time and duration of postoperative recovery. Regional Anesthesia, 20, 506-514.
  27. Wallace, P. G. M., & Norris, W. (1975). The management of postoperative pain. British Journal of Anaesthesia, 47, 113-120. https://doi.org/10.1093/bja/47.2.113
  28. Weissman, C. (1990). The metabolic response to stress: An overview and update. Anesthesiology, 73, 308-327. https://doi.org/10.1097/00000542-199008000-00020