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KMID : 0869120180200040236
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기초간호자연과학회지
2018 Volume.20 No. 4 p.236 ~ p.243
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Factors Associated with Discontinuation of Postoperative Intravenous Patient Controlled Analgesia
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Lee Kyung-Ran
Kim Yun-Mi
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Abstract
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Purpose: The purpose of this study was to identify the factors associated with the discontinuation of patient controlled analgesia (PCA) after surgery.
Methods: The data of 1,092 adult patients that were over 20 years of age and underwent PCA after surgery in the Gachon University Hospital from May 1 to June 30, 2017, were collected through the patients’ Electronic Medical Record (EMR). The collected data was analyzed via the use of the Chi-test, t-test and multivariate logistic regression analysis using SPSS 18.0 program.
Results: The postoperative PCA discontinuation rate was 26.1%. It was associated with various symptoms, such as those of nausea, dizziness, and headache. The PCA discontinuation was also related with female (odds ratio, OR = 1.75; confidence interval, CI = 1.09- 2.82),nausea(OR=105.27;CI=61.03-181.58),total intravenousanesthesia(TIVA)ofthethyroidectomy(OR=10.43;CI=5.01-21.70).
Conclusion: It is necessary to provide additional medication and nursing interventions to reduce nausea, which is the symptom as- sociated with PCA discontinuation, especially in the operation of female subjects and thyroidectomy under TIVA. That is, those who are at a high risk for PCA discontinuation should be able to administer additional antiemetics or reduce non medication nursing inter- ventions.
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KEYWORD
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Patient-controlled analgesia, Post operative nausea and vomiting
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