Comparative Study of Postoperative Analgesic Effect of IV-PCA According to Timing of Infusion in Patients with Total Abdominal Hysterectomy

Park, Jeong-Ok; Lee, Pyung-Ae; Cho, You-Sook; Park, Mi-Mi; Kim, Hye-Sook; Park, Jee-Won; Min, Sang-Kee

Original Article

Journal of Korean Academy of Fundamentals of Nursing 2002;9(2): 323

자궁적출술 환자의 진통제 투여시작 시기에 따른 수술 후 통증호소 비교(IV-Patient Controlled Analgesia를 이용하여)

박정옥¹, 이평애², 조유숙³, 박미미⁴, 김혜숙⁵, 박지원⁶, 민상기⁷

¹아주대학교병원 간호부 교육연구위원회
²아주대학교병원 간호부 교육연구위원회
³아주대학교병원 간호부 교육연구위원회
⁴아주대학교병원 간호부 교육연구위원회
⁵아주대학교병원 간호부 교육연구위원회
⁶아주대학교 의과대학 간호학부
⁷아주대학교 의과대학 마취과학교실

Comparative Study of Postoperative Analgesic Effect of IV-PCA According to Timing of Infusion in Patients with Total Abdominal Hysterectomy

Jeong-Ok Park¹, Pyung-Ae Lee², You-Sook Cho³, Mi-Mi Park⁴, Hye-Sook Kim⁵, Jee-Won Park⁶, Sang-Kee Min⁷

¹Department of Nursing, Ajou University Hospital
²Department of Nursing, Ajou University Hospital
³Department of Nursing, Ajou University Hospital
⁴Department of Nursing, Ajou University Hospital
⁵Department of Nursing, Ajou University Hospital
⁶Division of Nursing Science, College of Medicine Ajou University
⁷Department of Anesthesiology, College of Medicine Ajou University

Abstract

Purpose: This study was designed to verify preemptive effects of intravenous patient-controlled analgesia (IV-PCA) infusion on postoperative pain in women having a total abdominal hysterectomy.
Method: The research design was a nonequivalent control group post test only design. The participants in this study were 50 women who were scheduled for a total abdominal hysterectomy at a University affiliated Hospital in Suwon, Korea. The subjects were divided into two groups. For the experimental group, IV-PCA infusion was started before the skin incision and for the control group. IV-PCA infusion was started after the skin was closed. Each group was evaluated in terms of pain score by the visual analogue scale (VAS) and the number of times they pushed the button for IV-PCA at postoperative hours 1, 2, 3, 6, 12, and 24. The data were collected from July 1 to December 10, 2001. Collected data was analyzed by SPSS/PC + program. Result: 1. There was no difference between the two groups, over six points for the number of times the control button for IV-PCA was used. Group differences and interaction effect were not significant. 2. There was no significant difference in pain scores between the two groups, over seven time points. A significant interaction effect was observed between groups and measurement Points in time. 3. There was a significant difference in the requirements for additional analgesia between the two groups, 32% of the control group received additional analgesia.
Conclusion: Preemptive analgesics administration may have a better effect in relieving postoperative pain than the usual analgesic treatment which is started after surgery.

Key words: IV-PCA | Starting Point of Analgesic treatment | Postoperative pain | Preemptive analgesia

주요어: 진통제 투여시작 시기 | 수술 후 통증 | 선행진통법