수술 전 통증관리교육이 수술 후 통증조절에 미치는 효과 -자가통증조절기를 사용하는 자궁종양 수술환자를 중심으로-
Effects of Preoperative Pain Management Education on the Control of Postoperative Pain -Focused on the PCA used Surgical Patients with Uterine Tumor-
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to examine the effects of preoperative pain management education on postoperative pain control in patients with uterine tumor using patient controlled analgesia. Methods: This study used non-equivalent control group non-synchronized design. Data were collected from September, 2008 to March, 2009 at one university hospital in Daegu, Korea. There were 60 participants, 30 in both the experimental and control group. The experimental group was given preoperative pain education using videos, leaflets, and a PCA model. Postoperative pain intensity, frequency of the PCA button being pressed, and doses of additional analgesics were observed through 24 hours postoperative and knowledge of pain and attitude about the use of the pain medicine were measured at 3 days postoperative . Collected data were analyzed using t-test, χ2 test, repeat measured ANOVA, and Bonferroni methods. Results: There were no significant differences in the postoperative pain level between the experimental and control group. Postoperative frequency of the PCA button pressed, doses of additional analgesics, pain knowledge and attitude about the use of the pain medicine of the experimental group were significantly higher than those of the control group. Conclusion: Pain management education is an effective nursing intervention for pain control after surgery.
Abstract
Purpose: The purpose of this study was to examine the effects of preoperative pain management education on postoperative pain control in patients with uterine tumor using patient controlled analgesia. Methods: This study used non-equivalent control group non-synchronized design. Data were collected from September, 2008 to March, 2009 at one university hospital in Daegu, Korea. There were 60 participants, 30 in both the experimental and control group. The experimental group was given preoperative pain education using videos, leaflets, and a PCA model. Postoperative pain intensity, frequency of the PCA button being pressed, and doses of additional analgesics were observed through 24 hours postoperative and knowledge of pain and attitude about the use of the pain medicine were measured at 3 days postoperative . Collected data were analyzed using t-test, χ2 test, repeat measured ANOVA, and Bonferroni methods. Results: There were no significant differences in the postoperative pain level between the experimental and control group. Postoperative frequency of the PCA button pressed, doses of additional analgesics, pain knowledge and attitude about the use of the pain medicine of the experimental group were significantly higher than those of the control group. Conclusion: Pain management education is an effective nursing intervention for pain control after surgery.
참고문헌 (22)
- Lee JJ, "Clinical comparisons of abdominal hysterectomy, laparoscopically assisted vaginal hysterectomy, and vaginal hysterectomy" (2007), Inje Univ
- Lee MH, "The effect of a pain education program for surgical patient", 박사, pp.2005
- Ribeiro SC, "A randomized study of total abdominal, vaginal and laparoscopic hysterectomy", Int J Gynaecol Obstet, 83, pp.37~43 (2003)
- 강효석, "복강경 보조하 질식 자궁절제술 및 복식 자궁절제술에서 IV-PCA를 이용한 수술 후 통증비교", Korean Journal of Anesthesiology, 52(3), pp.301~305 (2007), 대한마취과학회
- Robinson ME, "Gender role expectations of pain: relationship to sex differences in pain", J Pain, 2, pp.251~257 (2001)
- Jang YJ, "Post operative pain of spinal surgery patients’ and satisfaction about intervention of pain control", 박사, pp.2004
- Shin CH, "The effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient", 박사, pp.2004
- Anwari JS, "An audit of acute pain service in Central. Saudi Arabia", Saudi Med J, 26, pp.298~305 (2005)
- Ketovuori H, "Nurse’s and patients’ conception of wound pain and the administration of analgesics", J Pain Symptom Manag, 2, pp.213~218 (1987)
- Knoerl DV, "Preoperative PCA teaching program to manage postoperative pain", Medsurg Nurs, 8, pp.25~33 (1999)
- Chen HH, "Testing the impact of a multimedia video CD of patient-controlled analgesia on pain knowledge and pain relief in patients receiving surgery", Int J Med Inf, 74, pp.437~445 (2005)
- Lee JH, "The effect of a structured PCA education on the knowledge and attitudes regarding PCA usage, pain score, and the consumption of analgesics after operation - Focused on the Colorectal surgery patients", 박사, pp.2008
- 서효신, "수술 전 통증자가조절기에 관한 교육이 수술 후 통증에 미치는 효과", 성인간호학회지, 14(3), pp.449~458 (2002), 성인간호학회
- 황연자, "CD ROM을 이용한 교육프로그램이 단기입원수술 환자의 수술 전 불안과 수술 후 자가간호 수행을 위한 지식에 미치는 효과*", 성인간호학회지, 16(1), pp.82~89 (2004), 성인간호학회
- McCaffery M, "Nurses knowledge about cancer pain: a survey of five countries", J Pain Symptom Manage, 19, pp.356~369 (1995)
- Park YS, "Nurses’ Knowledge on Pain Management", J Korean Acad Adult Nurs, 6, pp.299~307 (1994)
- 이윤영, "수술환자의 자가통증조절기 사용 방법에 관한 조사 연구", 기본간호학회지, 14(3), pp.315~322 (2007), 기본간호학회
- 박정숙, "수술 후 환자의 통증자가조절기 사용실태, 지식 및 태도", 기본간호학회지, 14(1), pp.18~28 (2007), 기본간호학회
- Vander AJ, "Human physiology: The mechanism of body function (8th ed.)" (2004), McGraw-Hill Inc
- Choi JE, "The study on the development and the effect of PCA education program including preoperatory sensory information for gynecologic surgery patients", 박사, pp.200
- Park JH, "The effects of the preoperative education about IV-PCA on the consumption of analgesics" (2005), Soonchunhyang Univ
- Chumbley GM, "Pre-operative information and patient -controlled analgesia", Anaesthesia, 59, pp.354~358 (2004)
