복강경 질식자궁적출술 노인 환자의 수술 후 진통제 투여 방식에 따른 통증조절 효과
Effects on Post Operative Pain Management in Elderly Women following Laparoscopically assisted Vaginal Hysterectomy
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Purpose: This study was done to compare the effects of intermittent intravenous injection and intravenous patient controlled analgesia on the pain level, side effects, cost and satisfaction with pain management in elderly women who had laparoscopically assisted vaginal hysterectomy (LAVH). Methods: The participants were 160 patients at K hospital in D city. Data were collected during January and December, 2012. The main outcomes were level of pain, side effects, satisfaction, and cost for the two types of pain management. Data were analyzed using frequencies,percentages, means, x2-test and t-test. Results: The mean postoperative pain levels at 2, 24, and 48hours were significantly lower in patients who used patient controlled analgesia compared with those who received intravenous injection, although the former reported more side effects, such as nausea, vomiting, and dizziness. The cost of pain management was considerably higher for patients who used patient controlled analgesia. Nevertheless, the overall satisfaction with pain management did not differ significantly between the two methods,except in terms of nursing care and nurses’ explanation of pain management. Conclusion: Patient controlled analgesiawas more expensive and was associated with more complications, such as vomiting, nausea, and dizziness,than was intermittent intravenous opioid injection.
Abstract
Purpose: This study was done to compare the effects of intermittent intravenous injection and intravenous patient controlled analgesia on the pain level, side effects, cost and satisfaction with pain management in elderly women who had laparoscopically assisted vaginal hysterectomy (LAVH). Methods: The participants were 160 patients at K hospital in D city. Data were collected during January and December, 2012. The main outcomes were level of pain, side effects, satisfaction, and cost for the two types of pain management. Data were analyzed using frequencies,percentages, means, x2-test and t-test. Results: The mean postoperative pain levels at 2, 24, and 48hours were significantly lower in patients who used patient controlled analgesia compared with those who received intravenous injection, although the former reported more side effects, such as nausea, vomiting, and dizziness. The cost of pain management was considerably higher for patients who used patient controlled analgesia. Nevertheless, the overall satisfaction with pain management did not differ significantly between the two methods,except in terms of nursing care and nurses’ explanation of pain management. Conclusion: Patient controlled analgesiawas more expensive and was associated with more complications, such as vomiting, nausea, and dizziness,than was intermittent intravenous opioid injection.
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