임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제22권2호
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  • Pages.152-160
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  • 2016
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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실물 통증자가조절기 교육 프로그램이 노인 고관절수술 환자의 통증, 진통제 사용량 및 불안에 미치는 효과

Effect of Real Patient Controlled Analgesia (PCA) Education with Practice on Postoperative Pain, Consumption of Analgesics, and Anxiety for Elderly Patients with Total Hip Arthroplasty

  • 투고 : 2016.05.30
  • 심사 : 2016.06.24
  • 발행 : 2016.08.31
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초록

Purpose: The purpose of this study was to evaluate the effects of real PCA education with practice on postoperative pain, consumption of analgesics, and anxiety for elderly patients with total hip arthroplasty. Methods: This study utilized a non-equivalent control group pretest-posttest design. The participants were 52 elderly patients (${\geq}65$) with total hip arthroplasty at the G. hospital in Seoul. The participants were recruited from December 3, 2014 to April 30, 2015. Twenty six of them were assigned to the experimental group and the other to the control group. Preoperative real PCA education with practice was performed individually with the experimental group by the author. Results: There were statistically significant differences in 24 and 48 hour postoperative pain (t=-2.59, p=.012; t=-3.80, p<.001 respectively), and in consumption of analgesics at 24 and 48 hours after operation between the two groups (t=-3.61, p<.001; t=-4.19, p<.001 respectively). However, no significant difference in anxiety (t=-1.03, p=.308) at 48 hour after operation. Conclusion: This study has confirmed that the individualized real PCA education with practice contributes to relieve postoperative pain and reduce analgesic uses of the elderly with total hip arthroplasty. Thus, it is highly recommended that this education program could be applied in clinical settings as a nursing intervention in reducing postoperative pain for the elderly with total hip arthroplasty.

키워드

참고문헌

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