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KMID : 1004620140200010028
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Clinical Nursing Research
2014 Volume.20 No. 1 p.28 ~ p.39
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The Effect of Preoperative Education about Patient Controlled Analgesia on Postoperative Pain Control of Elderly Receiving Total Knee Arth
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Lee Ji-Heun
Kim Hwa-Soon
Lee Young-Whee
Kim Soo-Hyun
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Abstract
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Purpose: The purpose of this study was to investigate the effect of preoperative education about patientcontrolled analgesia (PCA) on postoperative pain control for elderly after total knee arthroplasty.
Methods: Thestudy applied a quasi-experimental design. To prevent communication between experimental group andcontrol groups, data from control group were collected before provision of preoperative education for theexperimental group. A total of 50 elderly patients who underwent total knee arthroplasty and older than 65 yearsold participated in this study. The preoperative education about PCA was provided for the experimental groupbefore surgery. The preoperative education program consisted of fifteen minute education about pain control,and PCA use, as well as demonstration of PCA use.
Results: The experimental group had higher knowledge scoreabout pain and PCA use, and more positive attitudes toward pain and use of analgesics after surgery than thecontrol group. There was no significant difference in use of additional analgesics after surgery between the twogroups. The experimental group had significantly lower pain score at 8, 24 and 36 hours after surgery than thecontrol group. The experimental group had higher level of satisfaction about PCA use than the control group.
Conclusion: The preoperative education about PCA, customized for elderly patients could be an effectivenursing intervention for postoperative pain control after total knee arthroplasty.
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KEYWORD
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Patient education, Patient controlled analgesia, Pain, Aged, Knee arthroplasty
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