The Effects of Pre-Operative Patients Controlled Analgesia Education on Operative Patients: Systematic Review and Meta-Analysis

Park, Mi-Kyung; Hyun, Lee Ji; Kim, Gaeun

doi:10.21097/ksw.2020.08.15.3.103

Cited by 1 publication

(3 citation statements)

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“…However, it may be difficult for patients to accurately understand PCA immediately after surgery. Previous studies have confirmed that receiving this information before surgery has a higher educational effect [ 4 , 8 , 21 ]. Furthermore, Lin et al [ 21 ] reported that patients educated about PCA before surgery, had a lower number of requests for help to the PCA nurse, which in turn increased work satisfaction for nurses.…”

Section: Discussionmentioning

confidence: 78%

“…The tool used to confirm the knowledge and attitudes of surgical ward nurses toward PCA was a questionnaire tool developed by the researchers based on a literature review [ 3 – 6 , 8 , 10 – 13 , 16 – 19 , 22 , 23 , 25 – 27 ]. Existing tools were not used because there is limited research on nurses’ knowledge and attitudes toward PCA.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, the involvement of nurses in pain management has attracted considerable research interest; however, most studies have focused on the overall knowledge of nurses and their attitude toward pain management [ 12 , 13 , 15 – 19 ]. The effect of nurse education on the management of PCA has also been investigated [ 8 , 14 , 20 – 22 ]. However, few studies in Korea or internationally have investigated the knowledge and attitudes of nurses responsible for the delivery of information on PCA for postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea

Kang

Kwon

2022

BMC Nurs

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Background This study investigated the knowledge and attitude of surgical ward nurses toward patient-controlled analgesia (PCA) to develop educational material for nurses on the use of PCA. Methods This study was a cross-sectional study comprising 120 nurses from eight surgical wards in a tertiary hospital in South Korea. A questionnaire addressing 6 domains of knowledge of and attitudes towards PCA was conducted over 1 week and analyzed using descriptive and inferential statistical methods. Knowledge was measured on a categorical scale of 0 and 1 (20 points), and attitude was measured on a Likert scale of 1 to 4 points (60 points). Results The total score quantifying the knowledge of and attitudes toward PCA of surgical ward nurses was 59.5 ± 5.5 out of 80.0 points. The average age of the subjects was 28.58 ± 5.68 years old, and nurses above the age of 28 had significantly greater knowledge and better attitudes (61.7 ± 5.5) than those below the age of 28 (57.9 ± 4.9) (p < .001). Nurses working on the upper abdominal surgical ward had significantly greater knowledge (16.2 ± 1.9) than nurses working on other wards (thorax: 14.0 ± 2.3, lower abdominal: 15.4 ± 1.9, and musculoskeletal: 14.5 ± 2.2) (p = .001). Nurses who received education about PCA had significantly better attitudes (45.3 ± 4.6) than those who did not (41.3 ± 3.5) (p < .001). The average correct answer rate for knowledge of opioid analgesics was lower (68.2%) than that for knowledge of the basic configuration of PCA equipment (73.3%) and areas to be identified and managed when using PCA (84.6%), and there was a significant correlation with attitudes toward side effect management (p < .05, r = .19). Conclusions There was a significant correlation between the knowledge and attitude of nurses regarding opioid use in PCA. Older nurses with greater clinical experience on the surgical wards who had received PCA education had a better attitude toward PCA. Therefore, newly trained nurses on surgical wards with no experience of PCA education should undergo an intensive education program on opioid analgesics used in PCA.

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