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Effects of Provision of Concrete Information about Patient-controlled Analgesia in Hysterectomy Patients

자궁 적출 수술 환자를 대상으로 한 통증 자가 조절기 관련 구체적 정보 제공의 효과

  • Received : 2014.07.11
  • Accepted : 2014.09.01
  • Published : 2014.09.20

Abstract

Purpose: This study was to investigate the effects of the provision of concrete information about patient-controlled analgesia (PCA) in hysterectomy patients. Methods: Study design was a nonequivalent control group non-synchronized pre- and post-test design. Sixty subjects participated were assigned to experimental group (30 patients) or control group (30 patients) at one university hospital. Concrete information about PCA was composed of three sections: explanation with a leaflet, practice of using PCA, and question and answer session. Results: The experimental group who received concrete information about PCA before surgery had statistically higher knowledge level about PCA, more positive attitude toward pain control analgesia, a lower pain score, and a higher satisfaction level of the use of PCA post-surgery compared to the control group who received general information before surgery. Conclusion: Provision of concrete information about PCA was an effective nursing intervention that reduced post-operative pain for patients and increased their satisfaction with using PCA. It is recommended that concrete information about PCA be provided by nurses to promote the use of PCA and consequently reduce patient's pain post-surgery.

Keywords

References

  1. Francis L, Fitzpatrick JJ. Postoperative pain: Nurses' knowledge and patients' experiences. Pain Management Nursing. 2013;14(4):351-357. https://doi.org/10.1016/j.pmn.2012.05.002
  2. Patak LS, Tait AR, Mirafzali L, Morris M, Dasgupta S, Brummett CM. Patient perspectives of patient-controlled analgesia (PCA) and methods for improving pain control and patient satisfaction. Regional Anesthesia and Pain Medicine. 2013;38(4):326-333. https://doi.org/10.1097/AAP.0b013e318295fd50
  3. Suh YS. Change patterns on subjective distress level in gynecological postoperative patients with different levels of state anxiety. Korean Journal of Women Health Nursing. 2005;11 (4):307-315.
  4. 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
  5. Oderda G. Challenges in the management of acute postsurgical pain. Pharmacotherapy. 2012;32(9):6-11. https://doi.org/10.1002/j.1875-9114.2012.01177.x
  6. Lee BN, Lee GE. Effects of pain control education on pain control barrier, postoperative pain and pain control satisfaction in gynecological patients. Journal of Korean Academy of Nursing. 2006;36(6):968-975. https://doi.org/10.4040/jkan.2006.36.6.968
  7. Momeni M, Crucitti M, De Kock M. Patient-controlled analgesia in the management of postoperative pain. Drugs. 2006;66 (18):2321-2337. https://doi.org/10.2165/00003495-200666180-00005
  8. Jeong YB, Lee MS, Choi BM, Chin JH, Noh GJ. A clinical study to evaluate the safety and efficacy of a patient-controlled analgesia pump in post-surgical patients. Korean Journal of Anesthesiology. 2007;52(2):161-165. https://doi.org/10.4097/kjae.2007.52.2.161
  9. Lee JK. A study for assessing pain intensity and investigating factors of satisfaction with postoperative pain management. Korean Journal of Adult Nursing. 2006;18(1):125-135.
  10. Lee JH, Jo HS. Effect of 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.
  11. Seo HS, Park KS. The effect of education on preoperative PCA upon postoperative pain. Korean Journal of Adult Nursing. 2002;14(3):449-458.
  12. Suh YS, Hong MS. A study on distress and state anxiety level in gynecological postoperative patients under PCA management. Korean Journal of Women Health Nursing. 2004;10(4): 351-359.
  13. Kol E, Alpar SE, Erdogan A. Preoperative education and use of analgesic before onset of pain routinely for post-thoracotomy pain control can reduce pain effect and total amount of analgesics administered postoperatively. Pain Management Nursing. 2014;15(1):331-339. https://doi.org/10.1016/j.pmn.2012.11.001
  14. Lam KK, Chan MT, Chen PP, Ngan Kee WD. Structured preoperative patient education for patient-controlled analgesia. Journal of Clinical Anesthesia. 2001;13(6):465-469. https://doi.org/10.1016/S0952-8180(01)00304-X
  15. Lee MH. The effect of a pain educational program for surgical patient [master's thesis]. Seoul: Dankook University; 2005.
  16. Griffin MJ, Brennan L, McShane AJ. Preoperative education and outcome of patient controlled analgesia. Canadian Journal of Anaesthesia. 1998;45(10):943-948. https://doi.org/10.1007/BF03012301
  17. Chumbley GM, Ward L, Hall GM, Salmon P. Pre-operative information and patient-controlled analgesia: Much ado about nothing. Anesthesia. 2004;59:354-358. https://doi.org/10.1111/j.1365-2044.2004.03661.x
  18. Kluger MT, Owen H. Patient-controlled analgesia: Can it be made safer? Anaesthesia and Intensive Care. 1991;19(3):412-420.
  19. Chumbley GM, Hall GM, Salmon P. Patient-controlled analgesia: What information does the patient want? Journal of Advanced Nursing. 2002;39(5):459-471. https://doi.org/10.1046/j.1365-2648.2002.02311.x
  20. Abdalrahim MS, Majali SA, Stomberg MW, Bergbom I. The effect of postoperative pain management program on improving nurses' knowledge and attitudes toward pain. Nurse Education in Practice. 2011;11(4):250-255. https://doi.org/10.1016/j.nepr.2010.11.016
  21. Knoerl DV, Faut-Callahan M, Paice J, Shott S. Preoperative PCA teaching program to manage postoperative pain. Medsurg Nursing. 1999;8(1):25-33.
  22. The Korean Society of Anesthesiologists. Anesthesiology and pain medicine. Ryomoongak; 2003.
  23. Campos LS, Limberger LF, Stein AT, Kalil AN. Postoperative pain and perioperative outcomes after laparoscopic radical hysterectomy and abdominal radical hysterectomy in patients with early cervical cancer: A randomised controlled trial. Trials. 2013;14:293. https://doi.org/10.1186/1745-6215-14-293
  24. Kim SI, Kim SC, Choi JK, Jin HC. Transcutaneous electrical acupoint stimulation for prevention of postoperative nausea and vomiting in female patients receiving IV-PCA. Intravenous Anesthesia. 2001;5(4):210-215.
  25. 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.
  26. 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.

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