임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제30권1호
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  • Pages.45-53
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  • 2024
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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DOI QR코드

DOI QR Code

수술 전 자가통증조절기 교육 프로그램 적용이 노인 척추 수술 환자의 통증 조절에 미치는 효과

The Effect of a Preoperative Patient-Controlled Analgesia Education Program on Postoperative Pain Control in Older Patients with Spine Surgery

  • 박혜란 (연세대학교 강남세브란스병원) ;
  • 정은주 (연세대학교 강남세브란스병원) ;
  • 유미정 (연세대학교 강남세브란스병원) ;
  • 이슬기 (연세대학교 강남세브란스병원) ;
  • 정수연 (연세대학교 강남세브란스병원) ;
  • 강바다 (연세대학교 간호대학.김모임간호학연구소)
  • Park, Hye Ran (Department of Nursing, Yonsei University Gangnam Severance Hospital) ;
  • Jeong, Eun Ju (Department of Nursing, Yonsei University Gangnam Severance Hospital) ;
  • Yoo, Mi Jung (Department of Nursing, Yonsei University Gangnam Severance Hospital) ;
  • Lee, Seul Gi (Department of Nursing, Yonsei University Gangnam Severance Hospital) ;
  • Jeong, Su Yeon (Department of Nursing, Yonsei University Gangnam Severance Hospital) ;
  • Kang, Bada (College of Nursing Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 투고 : 2024.01.30
  • 심사 : 2024.02.27
  • 발행 : 2024.04.30
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초록

Purpose: This study aimed to investigate the effectiveness of preoperative patient-controlled analgesia(PCA) education program on older patients with spine surgery. Methods: A quasi-experimental research with a non-equivalent control group pretest-posttest design was conducted to investigate the impact of a PCA education program before surgery on postoperative pain, pain knowledge and attitudes, and frequency of additional analgesic use. The sample size for experimental and control group was 55 respectively. Results: The experimental group, which underwent the PCA education program, had lower postoperative pain scores compared to the control group. Furthermore, the experimental group exhibited a higher level of knowledge on PCA (p<.001) and more positive attitudes toward analgesic use (p<.001). While there was a significant difference in the use of opioid analgesics for additional pain relief between two groups (p<.001), there was no significant difference in the use of non-opioid analgesics. Conclusion: The implementation of the PCA education program was found to increase knowledge and positive attitudes on the use of PCA. Moreover, it significantly alleviated pain, particularly during physical activity, within initial 48 hours after spinal surgey in older patients. Therefore, the findings of this study supported that the PCA education program could be used as a preoperative intervention to alleviate postoperative pain for older patients with spinal surgery.

키워드

과제정보

본 연구에서 사용한 PCA 교육프로그램은 이화바이오메딕스에서 제작한 교육용 동영상을 지원받아 진행함.

참고문헌

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