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KMID : 0377619970620080713
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Korean Jungang Medical Journal
1997 Volume.62 No. 8 p.713 ~ p.731
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The Effect of Pain Management Method of Post-Operative Pain, Pain Relived level and Postpartum. Depression in Cesarean Section
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Abstract
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This study was designed to find out the effect of pain management method on pain, pain relived level and postpartum depression in Cesarean section.
The subjects of this study classified two groups by pain management method, 21 patients controlled analgesia, 20 patients injected analgesia when they needed. Data were collected by means of structured questionnaire in "S" medical center from 17th of July, 10th of August in 1997. The questionnaire was constructed items of patient´s general characteristics, postoperative pain and pain relived level, satisfaction degree of pain management state, side effects of analgesics, opinion of pain management, postpartum depression. Patients were checked on 3rd day after operation and PCA pump removal. Data were analyzed by frequency, percentage, means, x 2 test, T test Pearson Correlation Coefficient.
The results of this study were summarized as follows:
1. The subject’s general characteristics were composed of age, marriage duration, education level, religion, job, economic state, family structure, personality, mother-in-law´s relationship, husband´s relationship, abortion history, brother´s sequence of delivered, baby´s health, pregnancy hope, consistency of baby sex hope, husband´s baby loving level. Most items had little similar difference between PCA group and NON PCA group, but the items of marriage duration and husband´s baby loving level were different in statistical significance.
2. Postoperative pain management state and satisfaction degree and related hypothesis Test.
1) The hypothesis 1 : "the postoperative pain level of PCA group will be lower than NON PCA group".
In the mean of pain level, 7.17 of PCA group were lower than 7.93 of NON PCA group, but the difference between two groups was not significant statistically.
2) The hypothesis 2 : "The relived pain level of the PCA group will be higher than NON PCA group".
In relived pain level, 6.06 of the PCA group was higher than 5.35 of the NON PCA group, but the difference between two groups was not significant statistically.
3) Sub hypothesis 1 : "Postoperative gas out time of PCA group will be faster than NON PCA group"
In postoperative gas passing times, 39.16 hours of PCA group were faster than 41.89 hours of NON PCA group, but the difference between two groups was not significant statistically.
4) In the frequency of Nurse´s call injected analgesics, 1.83 of PCA group was lower than 4.68 of NON PCA group, then the difference between two groups was significant statistically.
5) The side effects of analgesics appeared dizziness, vomiting, drowsiness in the order. In the mean appeared frequency of one person´s side effects, 1.67 of PCA group were higher than 0.66 of NON PCA group, then the difference between two groups was significant statistically.
3. Postpartum depression level and related hypothesis test
1) The hypothesis 3 : "The depression level of the PCA group will be lower than NON PCA group". 41.1 score of PCA group were lower than NON PCA group in the postpartum depression mean score, then the difference between two groups was significant statistically.
2) In the sentence mean score, the highest score was 3.122 for the item "without difficulty in making decisions" and the lowest score was 1.093 for the item "guilty feeling".
4. The correlation of pain level and pain relived level and post partum depression. The forth hypothesis, "The correlation of Pain level and pain relived level and postpartum depression level will be related" was rejected statistically.
5. The differences on pain level, pain relived level, postpartum level by general characteristics were rejected on all items statistically.
6. The differences test of pain level, pain relived level and postpartum level by Pain management state. The difference test of pain level, pain relived level and postpartum level by pain management state was not significant statistically, in addition, the analgesics using history and other recommendation of PCA pain management method were not significant statistically.
In conclusion, the depression intervention of NON PCA group in Cesarean section patient was important and Pain Assessment tool´s development and PCA using method delicate education were needed in postoperative pain intervention of Cesarean section patients.
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