근주용 진통제와 자가 통증조절장치에 대한 효과 비교 = A Comparative Study on Post-operative Analgesic Effect for Patient-controlled Analgesia and Intramuscular Analgesia

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of the study was to compare the efficacy of intravenous patient-controlled-analgesia with intermittent intramuscular morphine for TAH patients in the first 24 hours. Methods: A randomized control design was used.
The main outcomes were level of pain and satisfaction for the two types of pain management. Participants indicated their level of pain on a 10 mm Visual Analogue Scale within 24 postoperative hours. Data were analyzed with frequencies, percentages, means, t-test and χ² test using SPSS/PC 17.0.
Results: A total of 134 women participated in the study. Mean pain level post operation 1 hr in the patient-controlled-analgesia group was significantly lower than in the intramuscular group (P < 0.05). Women in the patient-controlled analgesia group had significantly greater satisfaction with nurse-explanation, nurse-coping, and waiting time than those in the intramuscular group(P < 0.05). Conclusions: As mentioned above, it suggest that patient-controlled analgesia is not effective for postoperative pain relief than intramuscular injection in patients.

참고문헌 (Reference)

1 김보영, "수술 후IV PCA와 근육 주사로 통증을 조절한환자의 통증정도 비교 연구" 6 : 91-117, 2003

2 김남초, "내관혈지압이통증자가조절(PCA)을하는부인과수술환자의오심과구토억제및환자만족도에미치는효과" 한국간호과학회 40 (40): 423-432, 2010