Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA

Hong, Sung Jung; Lee, Eunjoo

doi:10.7739/jkafn.2013.20.2.137

Cited by 9 publications

(4 citation statements)

References 23 publications

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“…PCA는 진통제를 지속적이고 일정한 속도로 투여하고, 환자 가 통증을 느낄 때 스스로 버튼을 눌러서 처방된 양이 주입 되도록 고안된 장치이다 (Ferguson, Williams, & Beard, 2010 (Goebel et al, 2010;Hong & Lee, 2013;Nikolajsen & Harouttiunian, 2011). 이는 PCA 활용과 관련하 여 적절한 환자선정, 철저한 사전 환자교육과 지속적인 관리 가 제대로 이루어지지 않고 있음을 의미한다 (Cohen,Weber,한국간호교육학회지 24(1), 2018년 2월 & Moss, 2006;Goebel et al, 2010;Hwang & Kim, 2015;Kim, 2016 (Dihle, Bjølseth, & Helseth, 2006;Ferguson et al, 2010;Riemondy, Gonzalez, Gosik, Ricords, & Schirm, 2016;West, 2016…”

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Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses

Park¹,

Kim²

2018

J Korean Acad Soc Nurs Educ

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Purpose: The purpose of this study was to investigate the knowledge and practice of patient-controlled analgesia use and management (PCA-UM) among nurses. Methods: Data were collected from 182 nurses employed by four general hospitals having more than 300 beds in Daejeon. The data were collected using self-report questionnaires from November 4 to November 20, 2015. Collected data were analyzed using descriptive statistics, t-test, and ANOVA. Results: The average nurses' knowledge about PCA-UM was 14.8 points out of 20. PCA-UM knowledge was significantly higher for nurses with experience in PCA education (t=3.55, p<.001). Most participants (91.2%) wanted to get PCA training, 86.8% of them provided PCA education to patients after surgery. Approximately 62% of participants regularly evaluated the level of consciousness of patients with PCA. Conclusion: Findings indicate that the knowledge and practice of PCA-UM among nurses were insufficient to provide safe and effective pain management to postoperative patients with PCA. Therefore, it is concluded that it is necessary to develop standardized PCA education programs for nurses to provide safe and effective pain management to postoperative patients with PCA.

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Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses

Park¹,

Kim²

2018

J Korean Acad Soc Nurs Educ

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“…최근 부인과 수술환자의 92.8%는 수술 후 통증 조절을 위해 약물요법인 Intra Venous Patient Controlled Analgesia (IV PCA, 정맥하 자가 통증조절기)를 대부분 사용하고 있다 [6]. 하지만 IV PCA를 유지함에도 추가적인 진통제 사용이 줄지 않고 있으며, IV PCA에 사용된 약물이 호 흡억제, 오심, 구토, 현기증 등과 같은 부작용 발생 [7]으로 중단하는 비율도 높아 효과적인 비약물적 간호중재가 필요하다.…”

Section: 연구의 필요성unclassified

Influence of Gas Pain, Post-operative Resilience, and Body Temperature Discomfort in Laparoscopic Myomectomy Patients after Thermotherapy

Lee

Jeon

Park

et al. 2019

Korean J Women Health Nurs

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Purpose:The purpose of this study was to investigate the effects of thermotherapy on gas pain, post-operative resilience, and body temperature discomfort among patients who received laparoscopic myomectomies. Methods: The experimental group consisted of 62 patients with thermotherapy and the control group consisted of 60 patients. Thermotherapy was applied individually to the experimental group four hours after surgery. The collected data was analyzed using descriptive statistics, t-tests, χ 2 -tests, and repeated measures of analysis of variance, using IBM SPSS Statistics version 18. Results:The results showed no significant interaction effect between the group and time of measurement in gas-related pain in the experimental group. For gas-related pain, there was significant difference in right shoulder pain at 24 hours (t=-4.222, p=.000), 48 hours (t=-3.688, p=.000), 72 hours (t=-2.250, p=.028), and left at 24 hours (t=-3.727, p=.000), 48 hours (t=-4.150, p=.000), and 72 hours (t=-2.482, p=.016) and both shoulders at 24 hours (t=-2.722, p=.009) and 48 hours (t=-2.525, p=.014). There was no significant difference in epigastric pain, excluding both epigastric pain at 48 hours (t=2.908, p=.005), 72 hours (t=3.010, p=.004), but there was a significant difference in objective body temperature discomfort (t=2.895, p=.008).

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“…The total number of surgical procedures in Korea increased by an annual average of 2.3% within 5 years, from 1.17 million cases in 2014 to 1.87 million cases in 2018 [ 2 ]. The number of patients undergoing abdominal surgery under general anesthesia is gradually rising, leading to an increased demand for nursing interventions to reduce patients’ postoperative discomfort [ 3 , 4 ], which manifests as pain, nausea, vomiting, dizziness, drowsiness, and headache [ 5 ]. Previous research on nursing interventions after surgery in Korea has been unequally distributed among pharmaceutical methods and non-pharmaceutical methods (relaxation therapy, music therapy, aromatherapy, Nei-Guan acupressure) for pain reduction [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia

Seok

Suh

et al. 2021

IJERPH

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This study presents an anticipatory integrated education program for nausea, vomiting, and dizziness prevention (anti-NVD education program) for patients undergoing abdominal surgery under general anesthesia. The anti-NVD education program for nephrectomy patients consisted of the following: the causes of postoperative nausea, vomiting, and dizziness; effective deep breathing and how to use an inspirometer; postoperative nausea and vomiting; effective methods of patient-controlled analgesia; and the stepwise standing up method to prevent dizziness. A study was conducted among 79 adults (experimental group: n = 40, control group: n = 39). The degree of nausea and dizziness was measured using a numerical rating scale (NRS), and vomiting and the frequency of antiemetic use were measured in terms of the number of patients. The experimental group, which received the anti-NVD education, showed remarkably lower levels of nausea (p = 0.013) and dizziness (p < 0.001) than the control group. The frequency of antiemetic use 48 hours after surgery was significantly lower in the experimental group (p = 0.03). This study proved the efficacy of the anti-NVD education program for reducing postoperative nausea and dizziness. This program can be used as a noninvasive nursing intervention to prevent nausea, vomiting, and dizziness among patients undergoing abdominal surgery.

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Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA

Cited by 9 publications

References 23 publications

Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses

Knowledge and Practice of Patient-controlled Analgesia Use and Management among Nurses

Influence of Gas Pain, Post-operative Resilience, and Body Temperature Discomfort in Laparoscopic Myomectomy Patients after Thermotherapy

Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia

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