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http://dx.doi.org/10.22650/JKCNR.2020.26.3.296

Postoperative Pain Management Status led by Nurse of Acute Pain Service  

Kang, Mi Ra (Department of Nursing, Asan Medical Center)
Ryu, Jeong Ok (Department of Nursing, Asan Medical Center)
Kim, Myung Hee (Department of Nursing, Asan Medical Center)
Yun, Hea Shin (Department of Nursing, Asan Medical Center)
Kwon, Jeong Soon (Department of Nursing, Asan Medical Center)
Publication Information
Journal of Korean Clinical Nursing Research / v.26, no.3, 2020 , pp. 296-304 More about this Journal
Abstract
Purpose: This study was conducted to demonstrate objective stability of postoperative pain management status managed by nurse-based, anesthesiologist-supervised Acute Pain Service (APS). Methods: A retrospective descriptive review was conducted with 5,748 patients who had used intravenous Patient Controlled Analgesia (PCA) from January to December 2017. Data were analyzed using descriptive statics, Frequency analysis, ANOVA, Cross tabulation with χ2test, and Correlation coefficient. Results: As the APS nurse's education date increased, the period of using PCA was statistically significantly longer, and the period of stopping PCA while using it became shorter (p<.001). Statistically significant, the most painful operations were extremities, spine, upper abdomen, and thorax, while the least painful surgery was lower abdomen (p<.001). Lower abdominal surgery used the highest amount of PCA (p<.001), and extremities and spinal surgery, the lowest amount of PCA and frequently stop using it (p<.001). The most common side effects were nausea and vomiting after surgery, with an incidence of 16.0% within 24 hours and 9.8% within 48 hours. The overall error caused by PCA was 1.5%, with 84.3% being caused by human errors. Conclusion: With the pain management effect of APS nurses, patients used PCA more effectively. There were also fewer side effects and error rates compared to prior studies. Therefore, it is suggested that this system is safe and effective for pain management.
Keywords
Acute Pain Service; Surgery; Pain Management; Nurses;
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