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手術後病人使用自控式止痛之效果與護理人員照護之認知

The Effectiveness of Patient Controlled Analgesia on Surgical Patient and the Related Nurses' Perceptions

摘要


The purpose of this study was to explore the pain intensity and satisfaction in abdominal surgery patients with PCA and to investigate nurses' knowledge. Forty patients were interviewed by using a structured questionnaire and a Visual Analog Scale (VAS). The patients perceived pain relief after the third day of post-operation. The score of satisfaction with pain management was 3.76. Whether using PCA experience or not, the patient satisfaction achieved a significant difference (p<.05). There were several major uncomfortable symptoms such as itch, dizziness, drowsiness and nausea. The nurses' average knowledge score was 19.53(SD=1.40), and nurses with longer clinical experience received a higher score. According to the results we have established an adequate standardized procedure for pain management with PCA, patient satisfaction, quality of care and improved patient safety.

並列摘要


The purpose of this study was to explore the pain intensity and satisfaction in abdominal surgery patients with PCA and to investigate nurses' knowledge. Forty patients were interviewed by using a structured questionnaire and a Visual Analog Scale (VAS). The patients perceived pain relief after the third day of post-operation. The score of satisfaction with pain management was 3.76. Whether using PCA experience or not, the patient satisfaction achieved a significant difference (p<.05). There were several major uncomfortable symptoms such as itch, dizziness, drowsiness and nausea. The nurses' average knowledge score was 19.53(SD=1.40), and nurses with longer clinical experience received a higher score. According to the results we have established an adequate standardized procedure for pain management with PCA, patient satisfaction, quality of care and improved patient safety.

被引用紀錄


李秋譁(2014)。不同衛教方式對術後病人自控式止痛的認知及滿意度成效之探討〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2014.00123
游宇君(2015)。早期下床活動對大腸直腸癌病人術後恢復情形之相關性探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2015.02185
李秋譁、馬震中、王建仁、陳俊道、丘周萍(2018)。不同護理衛教方式對手術後病人使用自控式止痛之成效榮總護理35(2),136-144。https://doi.org/10.6142/VGHN.201806_35(2).0003
侯宜均、林月娥、高玉鳳(2018)。提升腫瘤科病房護理人員執行自控式止痛裝置的完整性腫瘤護理雜誌18(1),61-75。https://doi.org/10.3966/168395442018061801006

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