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Journal of Korean Academy of Fundamentals of Nursing 2013;20(2): 137
자가 통증조절장치를 이용하는 수술환자의 통증관리 실태 및 통증관리 비용분석
홍성정1, 이은주2
1세명대학교 간호대학
2경북대학교 간호대학 간호학과
Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
Sung-Jung Hong1, Eunjoo Lee2
1Department of nursing, Semyung University
2College of Nursing, Kyungpook National University
Purpose: The purposes of this study were to identify and compare various types of post operative pain management and the costs for pain management following 4 different types of surgery.
Methods: Data were collected from 325 medical charts which were extracted from the billing databases of a tertiary hospital and analyzed using numbers, percentages, one way ANOVA, and Scheff$acute{e}$ test.
Results: For pain management, 10.5% of patients used PCA only, but the other patients combined other methods with PCA. The average length of PCA use was significantly different by operation. Almost one third (32.9%) of patients experienced at least one of side effects due to analgesics used for pain management, with highest incidence being for nausea and vomiting. For patients who underwent a total abdominal hysterectomy, 34.7% used PCA less than 2 days due to side effects of the analgesics and the ratio of analgesia cost to total hospital cost and total pharmacy cost were highest compared to other operations.
Conclusion: The results of this study indicate a need to develop new strategies to more effectively manage postoperative pain to decrease incidences of side effects without increasing medical costs.
Key words: Patient controlled analgesia | Cost | Post operative pain
주요어: 자가 통증조절장치 | 비용 | 수술 후 통증