手術後患者使用病患自控式止痛之認知、止痛成效滿意度及影響因素

The Recognition, Analgesic Efficacy and Satisfaction of Patient-controlled Analgesia in Postoperative Patients

蘇輕感(Ching-Kan Su) ； 鍾玉珠(Yu-Chu Chung) ； 曾秋蘭(Chiou-Lan Tseng) ； 汪志雄(Chih-Shung Wong)

《台灣醫學》 10卷5期 (2006/09) Pp. 557-565

https://doi.org/10.6320/FJM.2006.10(5).01

摘要

本研究旨在瞭解患者的控握特質對病患自控式止痛(PCA)之認知、止痛成效及滿意度之影響。本研究採橫斷式描述性相關研究設計，以北部某醫學中心84位，接受剖腹術後使用PCA之患者為對象。結果顯示：(1)患者對PCA認知仍偏負向，其中以「開刀後傷口本來就會很痛」及「用藥無法完全消除疼痛」最為負向，PCA認知僅與性別達顯著差異。(2)術後三天最痛平均分別為3.5(SD=2.7)、2.9(SD=2.4)、2.5(SD=2.1)分，手術三天內有14.3%患者完全不痛，有25.1-44.0%患者忍受中度以上的疼痛，術後疼痛程度僅與手術經驗有無達顯著差異。(3)PCA滿意度平均7.9(SD=1.9)分。(4)控握特質僅與術後第二天疼痛程度達顯著差異；PCA認知、疼痛程度及滿意度三者間，均未達統計上顯著相關。顯示控握特質對患者使用PCA止痛成效的影響有限。本文就上述結果進行討論分析，並提出建議及未來研究方向。

關鍵字

控握特質 ； 病患自控式止痛 ； 認知 ； 疼痛 ； 滿意度

並列摘要

Abstract: The purpose of this study was to explore patients’ locus of control determines the recognition, analgesic analgesic, and satisfaction of patient-controlled analgesia. This study is a cross-sectional descriptive correlation design. A convenience sampling consisted of 84 patients from the northern medical center. The results of this study were as follows: (1) Patients generally had negative recognition, the most negative recognition was ”operative wound was very painful originally” and ”unable with the analgesic completely to eliminate the pain”. There was significant difference between recognition and sex. (2) Post surgery from one to three days most pain mean score were 3.5 (SD=2.7), 2.9 (SD=2.4), and 2.51 (SD=2.1), the post surgery within three days have 14.3% patients completely no pain, 25.1-44.0% patients endure moderate above the pain. There was significant difference between postoperative pain and post surgery experience. (3) The mean satisfaction was 7.85 (SD=1.9). (4) There was significant difference between pain locus of control and postoperative pain. There were no significant differences among patients’ recognition, pain intensity, and satisfaction. The characteristics of pain locus of control had little effect on analgesic efficacy. Implications of findings for nursing research and suggestions are also discussed.

並列關鍵字

locus of control ； PCA ； recognition ； pain ； satisfaction