PCA 교육과 내관지압이 노인 슬관절 전치환술 환자의 수술 후 불편감에 미치는 효과
Effects of Patient-Controlled Analgesia (PCA) Education and Nei-Guan Acupressure on Post-operative Discomfort in Elders with Total Knee Replacement
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to examine the effects of Patient-Controlled Analgesia (PCA) educationand Nei-Guan Acupressure on post-operative discomfort such as pain, nausea and vomiting in elders followingtotal knee replacement. Methods: PCA education was provided to the experimental group at 7 pm the day beforethe operation. Routine post-operative PCA education was given to the control group in the recovery room or generalward. Confirmation of the effects of PCA education on level of pain was measured using the Numerical RatingScale (NRS), and nausea and vomiting using the Index of Nausea, Vomiting and Retching (INVR). Collected datawere analyzed using x2-test, t-test, Fisher's exact test and repeated measures ANCOVA. Results: The experimentalgroup who participated in the PCA education and Nei-Guan Acupressure showed lower levels of painand nausea than the control group. However, the results did not show a significantly lower level of vomiting comparedto the control group. Conclusion: The results of this study indicate that PCA education and Nei-GuanAcupressure as developed in this study are an effective nursing intervention for post-operative discomfort in elders following total knee replacement.
Abstract
Purpose: The purpose of this study was to examine the effects of Patient-Controlled Analgesia (PCA) educationand Nei-Guan Acupressure on post-operative discomfort such as pain, nausea and vomiting in elders followingtotal knee replacement. Methods: PCA education was provided to the experimental group at 7 pm the day beforethe operation. Routine post-operative PCA education was given to the control group in the recovery room or generalward. Confirmation of the effects of PCA education on level of pain was measured using the Numerical RatingScale (NRS), and nausea and vomiting using the Index of Nausea, Vomiting and Retching (INVR). Collected datawere analyzed using x2-test, t-test, Fisher's exact test and repeated measures ANCOVA. Results: The experimentalgroup who participated in the PCA education and Nei-Guan Acupressure showed lower levels of painand nausea than the control group. However, the results did not show a significantly lower level of vomiting comparedto the control group. Conclusion: The results of this study indicate that PCA education and Nei-GuanAcupressure as developed in this study are an effective nursing intervention for post-operative discomfort in elders following total knee replacement.
참고문헌 (30)
- Acalovschi, I., "Postoperative nausea and vomiting", Current Anaesthesia Critical care, 13(1), pp.37~43 (2002)
- Angster, R., "Postoperative pain management", Anesthesist, 54(5), pp.505~531 (2005)
- Han, J. H., "Effects of medication education for elderly with low health literacy on medication knowledge and medication misuse & abuse behavior", 석사, pp.2011
- 황현숙, "정형외과 수술 후 통증조절을 위한 진통제 요구량 비교", The Korean Journal of Pain, 17(2), pp.24~24 (2004), 대한통증학회
- Junger, A., "The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the post anesthesia care unit", Anesthesia & Analgesia, 92, pp.1203~1209 (2001)
- Kim, C., "Introduction for cardiac rehabilitation program", Inje Medical Journal, 3(5), pp.175~188 (2002)
- Kim, D. W., "Acu-moxa royal ide i" (1999), Sunghan & Kim INC
- 최덕환, "전신 마취 환자의 수술 후 오심과 구토에 영향을 주는 위험인자 (한국형 위험모형의 개발)", Korean Journal of Anesthesiology, 48(4), pp.380~386 (2005), 대한마취통증의학회
- Kim, M. G., "Effect of preoperative information on preoperative anxiety of female aged patients before total knee arthroplasty (TKA)", 석사, pp.2008
- Kim, Y. J., "The index of nausea, vomiting, and retching(Korean translation)", Journal of Korean Academic Society of Adult Nursing, 12(2), pp.278~285 (2000)
- Knoerl, D. V., "Preoperative PCA teaching program to manage postoperative pain", Medsurg Nursing, 8(1), pp.25~33 (1999)
- Kwon, J. H., "Effects of Nei-Guan (P6) acupressure wristband on the nausea, vomiting, and retching for female thyroidectomy patients", 석사, pp.2011
- Lee, H. Y., "Analysis of the effect and network of exercise programs on rheumatoid arthritis patients", The Journal of Rheumatology Health, 11(1), pp.7~88 (2004)
- Lee, M. H., "The effect of a pain education program for surgical patient", 석사, pp.2005
- Lee, M. Y., "Effect of the nei-guan acupressure using wrist band for nausea & vomiting after middle ear surgery", 석사, pp.2008
- Lee, S. Y., "Preoperative PCA education with multimedia and brochure: assessing their effectiveness for operative patients", 석사, pp.2009
- Luker, K., "Rethinking patient education", Journal of Advanced Nursing, 14, pp.711~718 (1989)
- "Survey on current status of the aged" (2012)[URL]
- Munro, B. H., "Statistical methods for health care research" (1993), Lippincott Company
- National Library of Medicine current bibliographies in medicine, "Ratzen, S. C.", Health Literacy, ~, pp.NLM Pub. No. CBM 2000-1 (2000)
- Rhodes, V. A., "The Index of Nausea, Vomiting, and Retching : A new format of the Index of Nausea and Vomiting", Oncology Nursing Forum, 36(5), pp.889~894 (1999)
- Rhodes, V. A., "Development of reliable and valid measures of nausea and vomiting", An International Journal for Cancer Care, 7(1), pp.33~42 (1984)
- Rusy, L. M., "Electroacupuncture prophylaxis of postoperative nausea and vomiting following pediatric tonsillectomy with or without adenoidectomy", Anesthesiology, 96(2), pp.300~305 (2002)
- Sartain, J. B., "The impact of an acute pain service on post operative pain management", Anesthesia & Intensive Care, 27(4), pp.375~380 (1999)
- 서효신, "수술 전 통증자가조절기에 관한 교육이 수술 후 통증에 미치는 효과", 성인간호학회지, 14(3), pp.449~458 (2002), 성인간호학회
- Shin, C. H., "(The) Effect of PCA education and P6 acupressure on post operative pain, nausea and vomiting of hysterectomy patient", 석사, pp.2004
- Syed, I. Y., "Obesity and osteoarthritis of the knee. Hypotheses concerning the relationship between ground reaction forces and quadriceps fatigue in longduration walking", Medical Hypotheses, 54(2), pp.182~185 (2000)
- The Korean Pain Society., "Textbook of pain medicine" (2002), Koonja
- Turgut, S., "Acupressure for postoperative nausea and vomiting in cological patients receiving patient controlled analgesia", European Journal of Anaesthesiology, 24(1), pp.87~91 (2007)
- Watt-Watson, J., "Pain management following discharge after ambulatory same-day surgery", Journal of Nursing Management, 12(3), pp.153~161 (2004)
