간호사의 자가통증조절기 사용과 관리에 대한 지식 및 적용실태

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to investigate the knowledge and practice of patient-controlled analgesia use and management (PCA-UM) among nurses. Methods: Data were collected from 182 nurses employed by four general hospitals having more than 300 beds in Daejeon. The data were collected using self-report questionnaires from November 4 to November 20, 2015. Collected data were analyzed using descriptive statistics, t-test, and ANOVA. Results: The average nurses’ knowledge about PCA-UM was 14.8 points out of 20. PCA-UM knowledge was significantly higher for nurses with experience in PCA education (t=3.55, p<.001). Most participants (91.2%) wanted to get PCA training, 86.8% of them provided PCA education to patients after surgery. Approximately 62% of participants regularly evaluated the level of consciousness of patients with PCA. Conclusion: Findings indicate that the knowledge and practice of PCA-UM among nurses were insufficient to provide safe and effective pain management to postoperative patients with PCA. Therefore, it is concluded that it is necessary to develop standardized PCA education programs for nurses to provide safe and effective pain management to postoperative patients with PCA.

목차 (Table of Contents)

• 서론
• 연구 방법
• 연구 결과
• 논의
• 결론 및 제언
• References

참고문헌 (Reference)

1 김계민, "한국에서 수술 후 자가조절 통증치료 현황에 대한 분석" 대한마취통증의학회 11 (11): 28-35, 2016

2 이보경, "자궁 적출 수술 환자를 대상으로 한 통증 자가 조절기 관련구체적 정보 제공의 효과" 한국여성건강간호학회 20 (20): 204-214, 2014

3 홍성정, "자가 통증조절장치를 이용하는 수술환자의 통증관리 실태 및 통증관리 비용분석" 기본간호학회 20 (20): 137-146, 2013

4 황미숙, "실물실습을 이용한 통증자가조절기 교육 프로그램이 부인과 복강경 수술환자의 수술 후 통증에 미치는 효과" 기초간호학회 17 (17): 253-261, 2015

5 심주희, "슬관절 전치술 노인 환자의 수술 전 자가통증조절기 사용 교육이 수술 후 환자에게 미치는 효과" 기초간호학회 16 (16): 318-325, 2014

6 박정숙, "수술 후 환자의 통증자가조절기 사용실태, 지식 및 태도" 기본간호학회 14 (14): 18-28, 2007

7 박용희, "수술 후 통증관리" 대한의사협회 58 (58): 1011-1018, 2015

8 이윤신, "수술 후 첫 48시간 동안의 수술후 통증에 영향을 미치는 요인" 기초간호학회 16 (16): 226-234, 2014

9 서효신, "수술 전 통증자가조절기에 관한 교육이 수술 후 통증에 미치는 효과" 한국성인간호학회 14 (14): 449-458, 2002

10 Dihle, A., "The gap between saying and doing in postoperative pain management" 15 (15): 469-479, 2006

11 Abdalrahim, M. S., "The effect of postoperative pain management program on improving nurses' knowledge and attitudes toward pain" 11 (11): 250-255, 2011

12 Joo, K. W., "The effect of patient-controlled analgesia education for patients with laparoscopy-aided gastrectomy" Aju University 2013

13 West, C., "The development of standardized patient controlled analgesia documentation to improve patient care" The University of San Francisco 2016

14 Knoerl, D. V., "Preoperative PCA teaching program to manage postoperative pain" 8 (8): 25-33, 1999

15 Epstein, H. M., "Postoperative patient-controlled analgesia in the pediatric cardiac intensive care unit" 37 (37): 55-61, 2017

16 Francis, L., "Postoperative pain: Nurses' knowledge and patients' experiences" 14 (14): 351-357, 2013

17 Cohen, M. R., "Patient-controlled analgesia safety issues" 19 (19): 45-50, 2005

18 Cohen, M., "Patient-Controlled analgesia: Making it safer for patients"

19 Ratrout, H. F., "Patient satisfaction about using patient controlled analgesia in managing pain post surgical intervention" 23 (23): 353-368, 2014

20 Twycross, A., "Nurses' views about the barriers and facilitators to effective management of pediatric pain" 14 (14): e164-e172, 2013

21 Riemondy, S., "Nurses' perceptions and attitudes toward use of oral patient-controlled analgesia" 17 (17): 132-139, 2016

22 Chou, R., "Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive committee, and Administrative council" 17 (17): 131-157, 2016

23 Nikolajsen, L., "Intravenous patient-controlled analgesia for acute postoperative pain" 5 (5): 453-456, 2011

24 Gan, T. J., "Incidence, patient satisfaction, and perceptions of post-surgical pain: Results from a US national survey" 30 (30): 149-160, 2014

25 Hong, S. J., "Effects of a structured educational programme on patient-controlled analgesia (PCA) for gynecological patients in South Korea" 21 (21): 3546-3555, 2012

26 McNamara, M. C., "Effect of education on knowledge, skills and attitudes around pain" 21 (21): 958-964, 2012

27 Ferguson, R., "Combining quality improvement and staff development efforts to decrease patient-controlled analgesia pump errors" 26 (26): E1-E4, 2010

28 Wuhrman, E., "Authorized and unauthorized ("PCA by proxy") dosing of analgesia infusion pumps: Position statement with clinical practice recommendations" 8 (8): 4-11, 2007

29 National Health Insurance Service, "Annual report on major surgical statistics in 2015" National Health Insurance Service 2016

30 Goebel, J. R., "Addressing patients' concerns about pain management and addiction risks" 11 (11): 92-98, 2010