Browse > Article
http://dx.doi.org/10.7586/jkbns.2014.16.4.318

The Effect of Pre-Operative Patient Controlled Analgesia Education on Elderly Patients with Total Knee Arthroplasty  

Shim, Joohee (Seoul National University Hospital)
Choi-Kwon, Smi (College of Nursing, Seoul National University)
Publication Information
Journal of Korean Biological Nursing Science / v.16, no.4, 2014 , pp. 318-325 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effects of preoperative patient controlled analgesia (PCA) education on total knee replacement arthroplasty (TKRA) patients' PCA usage, level of pain, the frequency of pro re nata (prn) administrations, number of ambulations/day and continuous passive motion (CPM) angle after TKRA. Methods: This research used the non-equivalent control group pre-test and post-test design. Forty-five TKRA patients at a hospital in Seoul, Korea were included for in the study. For the experimental group, a 20-minute education session was provided a day before surgery. Data were analyzed using Windows SPSS Statistics 21.0 program. Results: Knowledge was higher in the experimental group than in the control group (p<.001). Incidence of nausea was lower in the experimental group (p=.01). No significant differences were found in post-operative pain scores, the frequency of prn analgesics administrations, dizziness, number of ambulations/day and CPM angle. Conclusion: This study showed that pre-operative PCA education could be an effective nursing intervention for increasing patient knowledge on PCA and nausea reduction after TKRA.
Keywords
Arthroplasty; Replacement; Knee; Analgesia; Patient-Controlled; Patient education; Knowledge; Aged;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Choi, J. S., Kim, J. H., Gwak, H. C., Kim, J. W., & Min, Y. K. (2010). Pain control after total hip replacement arthroplasty using periarticular multimodal drug injection. Hip and Pelvis, 22(4), 273-282. http://dx.doi.org/10.5371/jkhs.2010.22.4.273   DOI
2 Cline, M. E., Herman, J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing Reserch, 41(6), 378-380. http://dx.doi.org/10.1097/00006199-199211000-00013   DOI
3 Hwang, H. S., Kim, H. H., Shin, J. W., Leem, C. G., Lee, C., Yang, H. S., et al. (2004). Comparison of analgesic requirements for postoperative pain control in patients undergoing major orthopedic surgery. The Korean Journal of Pain, 17(2), 228-233.   과학기술학회마을   DOI   ScienceOn
4 Cohen, J. (1988). Statistical Power Analysis For The Behavioral Sciences (Vol. 2nd Edition). New York: Psychology Press.
5 Health Insurance Review & Assessment Service. (2013). Statistics. Retrieved October 6, 2014 from the Health Insurance Review & Assessment Service Web site: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020045020000&cmsurl=/cms/open/04/02/03/02/stats_report.html
6 Hong, J. Y. (2002). The effect of passive motion exercise with music therapy on pain and mood in patients with total knee replacement arthroplasty. Unpublished master's dissertation. Yonsei University, Seoul.
7 Kim, M. A., Park, Y. K., Kim, E. H., Kim, M. H., Jung, S. H., Shu, S. R., et al. (2013). Change of visual perception and visual-motor integration depending on age. Journal of the Korean Geriatrics Society, 33(1), 39-52.
8 Kim, Y. J., Kim, J. Y., Choi, I. R., Kim, M. W., & Rhodes, V. (2000). The Index of nausea, vomiting, and retching (Korean Translation). Korean Jounal of Adult Nursing, 12(2), 278-285.
9 Knoerl, D. V., Faut-Callahan, M., Paice, J., & Shott, S. (1999). Preoperative PCA teaching program to manage postoperative pain. Medsurg Nursing, 8(1), 25-33, 36.
10 Ko, J. W. (2002). Post operative patients' knowledge and attitude about pain-management. Unpublished master's dissertation. Chung-Ang University, Seoul.
11 Lee, H. S., & Kim, K. H. (2002). The effect of emotional state and social support of preoperative patients on postoperative pain. The Chung-Ang Journal of Nursing, 6(1), 101-111.
12 Korea National Health & Nutrition Examination Survey. (2013). Statistics. published materials. Retrieved October 6, 2014 from the Korea National Health & Nutrition Examination Survey Web site: https://knhanes.cdc.go.kr/knhanes/index.do
13 Lee, D. J. (1999). Factors that influencing range of motion of the knee after total knee replacement. Unpublished master's dissertation. Inha University, Incheon.
14 Lee, E. Y. (2012). The effect of PCA education and P6 acupressure on post-operative discomfort in elderly with total knee arthroplasty. Unpublished master's dissertation. Dongeui University, Busan.
15 Lee, J. C., & Park, G. D. (2013). Review of rehabilitation exercise for elderly with degenerative knee osteoarthritis. The Korean Journal of Growth and Development, 21(3), 171-183.
16 Lee, J. H., Kim, H. S., Lee, Y. W., & Kim, S. H. (2014). The effect of preoperative education about patient controlled analgesia on postoperative pain control of elderly receiving total knee athroplasty. Journal of Korean Clinical Nursing Research, 20(1), 28-39.
17 Rhodes, V. A., & McDaniel, R. W. (1999). The Index of nausea, vomiting, and retching: a new format of the index of nausea and vomiting. Oncology Nursing Forum, 26(5), 889-894.
18 Lee, J. H., & Jo, H. S. (2011). 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, 17(3), 455-466.
19 Lee, K. M. (2002). Perioperative pain management. Inje Medical Journal, 23(3), 185-192.
20 Oh, P. J., & Yoo, J. H. (2011) A meta-analysis of intervention studies on nusea and vomiting in cancer patients. Korean Jounal of Adult Nursing, 23(4), 340-350.
21 Owen, A. L., Splett, P. L., & Owen, G. M. (1999). Nutirion in the community. The art and science of delivering service. pp310-338, WCB, Boston.
22 Park, J. H. (2006). The effects of the preoperative education about IV-PCA on the consumption of analgesics. Unpublished master's dissertation. Soonchunhyang University, Asan.
23 Park, S. Y. (2011). The effect of adjuvant cold therapy before continuous passive motion on pain management in elderly total knee replacement patients. Unpublished master's dissertation. Catholic University of Pusan, Busan.
24 Shin, C. H. (2004). The effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient. Unpublished master's dissertation. Gyeong-Sang National University, Jinju.
25 Shin, M. Y., & Ha, J. Y. (2014). Efficacy of nei-guan acupressure on nausea vomiting in patient undergoing laparoscopic prostatectomy with intravenous patient controlled analgesia. Journal of Korean Academy of Fundamentals of Nursing, 21(2), 131-140. http://dx.doi.org/10.7739/jkafn.2014.21.2.131   과학기술학회마을   DOI
26 Yoo, J. B., Jang, H. J., Na, E. H., Kim, S. Y., & Shin, D. S. (2011). Effect of the nei-guan(P6) accupressure on nausea, vomiting, and pain in geriatric patients after total knee replacement arthroplasty. Journal of East-West Nursing Research, 17(2), 96-102.
27 Suh, M. J., Jeong, J. S., & Oh, H. S. (2003). Analysis on content and trend of nursing intervention studies published in adult nursing area. Journal of Korean Biological Nursing Science, 5(2), 41-51.   과학기술학회마을
28 Tak, H. H., & Kim, K. H. (2012). A study on performance of pain management and perceived barriers of pain care among hospital nurses. Nursing Science, 24(1), 23-34.
29 The Korean Journal of Pain, Korean Studies Information, & Korean Pain. (2007). The Korean Journal of Pain. Goyang: Korean Studies Information.
30 Kim, T. H., Kil, Y. K., Chu, S. H., Jang, S. Y., Jung, M. Y., Seo, M. A., et al. (2007). The knowledge and attitudes of nurses on post-operative pain. Journal of Korean Biological Nursing Science, 9(2), 125-134.   과학기술학회마을