The Effects of Concrete Information about Patient Controlled Analgesia in Gynecologic Surgical Patients

초록

Purpose: This nonequivalent control group non-synchronized pre and post-test design was to investigate the effects of concrete information about patient controlled analgesia (PCA) in gynecologic surgical patients. Methods: Data were collected from one university hospital. Sixty subjects were participated and they were assigned to experimental group (30 patients) or control group (30 patients). The concrete information about PCA was composed of side effects of using PCA, confidence on stability of PCA, method of operating PCA and practice of using PCA. Results: The results of this study showed that the experimental group which have received concrete information about PCA before surgery had higher knowledge level about PCA (t=-5.56, p<.001), lower pain score (post op. 4 hours t=5.52, p<.001; post op. 8 hours t=8.17, p<.001; post op. 24 hours t=4.68, p<.001), more positive attitude toward pain control medicine (t=-10.45, p<.001), and higher satisfaction level of using PCA after surgery (t=-8.30, p<.001) compared to the control group which have received general information before surgery. Conclusion: It was found that the concrete information about PCA was an effective nursing intervention for reducing the patients' post operative pain and increasing their satisfaction of using PCA. Therefore, it would be recommended to apply this concrete information about PCA in nursing for promoting the use of PCA and consequently reduce the patient' post operative pain.