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KMID : 1004620110170030455
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Clinical Nursing Research
2011 Volume.17 No. 3 p.455 ~ p.466
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Effects of a Structured Patient Controlled Analgesia (PCA) Education on Knowledge and Attitude Regarding PCA Usage, Pain, and Consumption of Analgesics in Colorectal
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Lee Jin-Hee
Jo Hyun-Sook
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Abstract
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Purpose: The purpose of this study was to investigate the effects of a structured preoperative PCA education
on the knowledge and attitude regarding PCA usage, level of pain, and the consumption of analgesics after operation for colorectal surgery patients.
Methods: This study was conducted from 18 Feb to 2 May, 2008. Participants were 80 colorectal cancer patients who would use the IV-PCA after colorectal surgery in a cancer hospital in Gyeonggi-do, Korea. Two groups, experimental and control were consisted of 40 patients each. The 20-minute structured education regarding PCA usage was applied to each patient individually in the experimental group but only the routine anesthetic consultation was given to each patient in the control group the day before the surgery. The SPSS/PC 10.0 program was introduced to analyze the collected data on
frequency, percentage, mean, standard deviation, x2-test, t-test and paired t-test.
Results: The experimental group with the structured preoperative PCA education showed higher knowledge and more positive attitudes regarding the PCA usage than the control group. Also the experimental group showed better pain control and lower consumption of analgesics at 4, 8 and 24 hours after than the control group.
Conclusion: The structured preoperative PCA education is an effective nursing intervention for improving the knowledge and attitude of the colorectal surgery patients on the PCA usage, and enabling the patient to take the analgesic more effectively with lower consumption, while reducing the patients’ pain after operation.
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KEYWORD
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Structured preoperative PCA education, Knowledge, Attitude, Pain, Analgesics
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