行為提示對術後病患使用自控式止痛劑之影響

Effect of "Cueing" on Use of Patient-Controlled Analgesia after Operation

方素瓔(Su-Ying Fang) ； 梁靜祝(Ching-Chu Liang) ； 范守仁(Shou-Zen Fan) ； 李伯皇(Po-Huang Lee)

《台灣醫學》 4卷6期 (2000/11) Pp. 634-644

https://doi.org/10.6320/FJM.2000.4(6).03

摘要

The purpose of this present study was to understand the effect of cueing post-operative patients to the use of PCA in controlling post-operative pain. Quasi-experimental design was used and purposive sampling was conducted at two general surgical wards of a medical center. Eighty-one sample subjects were randomly assigned into experimental and control groups. Subjects in both groups received an one to one, standard and systematic teaching program that focused on how to use the PCA correctly. A pamphlet regarding the safety of using PCA was also provided to each subject. The only difference between the experimental and control groups was subjects in the experimental group received six times standard active prompting that cued them to use the PCA within 48 hours after the operation. Findings from the study showed that effects of cueing patients to the use of PCA could significant increase the morphine consumption, decrease the intensity of pain and the worries to the use of analgesia: especially in” fear of addiction”,” attraction for treatment”, ” time for injection” and ” afraid of tolerance”. Results of this study suggested that the intervention of cueing patient to use PCA is not only an easy and time-saving nursing intervention, but also has strong effect on the use of analgesia.

關鍵字

疼痛 ； 行為提示 ； 行為改變 ； 自控式止痛 ； 止痛劑使用顧慮程度

並列摘要

The purpose of this present study was to understand the effect of cueing post-operative patients to the use of PCA in controlling post-operative pain. Quasi-experimental design was used and purposive sampling was conducted at two general surgical wards of a medical center. Eighty-one sample subjects were randomly assigned into experimental and control groups. Subjects in both groups received an one to one, standard and systematic teaching program that focused on how to use the PCA correctly. A pamphlet regarding the safety of using PCA was also provided to each subject. The only difference between the experimental and control groups was subjects in the experimental group received six times standard active prompting that cued them to use the PCA within 48 hours after the operation. Findings from the study showed that effects of cueing patients to the use of PCA could significant increase the morphine consumption, decrease the intensity of pain and the worries to the use of analgesia: especially in” fear of addiction”,” attraction for treatment”, ” time for injection” and ” afraid of tolerance”. Results of this study suggested that the intervention of cueing patient to use PCA is not only an easy and time-saving nursing intervention, but also has strong effect on the use of analgesia.

並列關鍵字

cues ； pain ； patient-controlled analgesia ； behavior modification ； worries of using analgesia